11/14/2024 12:19 PM
Vati green light predictor 180 - correct – 195
Exam Questions With Verified Answers
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment - answer✔c) Contact
A nurse is reinforcing teaching about home care with the parents of a child who has a seizure
disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure - answer✔a) Call EMS if a seizure lasts 5
mins or more.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following
findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination - answer✔c) Periorbital edema
A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed?
(Select all that apply)
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A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro - answer✔A. Insulin aspart
B. Regular insulin
E. Insulin lispro
A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the
following findings should the nurse report to the provider?
a) The toddler can remove her own socks
b) The toddler has a security blanket
c) The toddler can say four words
d) The toddler throws a ball without falling - answer✔c) The toddler can say four words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse should
identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is indicated for which
of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler - answer✔a) A 2-month-old infant
A nurse is reinforcing teaching about confidentiality with a client. Which of the following
statements should the nurse include in the teaching?
A. "Your nurse will provide information about the risks and benefits of surgical procedures."
B. "Only health care staff providing care will see your medical record."
C. "The provider must grant you access to your personal health information."
D. "You have to authorize our providers to prescribe treatments for your condition." -
answer✔B. "Only health care staff providing care will see your medical record."
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A nurse is collecting data from a client who is postoperative and received hydromorphone 4 mg
PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale." Which of
the following actions should the nurse take first?
a) Contact the provider to prescribe more pain medication for the client
b) Teach the client relaxation techniques for treatment of acute pain
c) Document the client's reaction to the administration of medication
d) Reevaluate the client's response to the medication in 30 min - answer✔b) Teach the client
relaxation techniques for treatment of acute pain
A nurse and an assistive personnel (AP) are caring for a client who requests a PRN pain
medication. After the nurse administers the medication, which of the following tasks should the
nurse assign to the AP?
A. Document the client's respiratory rate in 1 hr.
B. Monitor the client for an allergic reaction for 30 min.
C. Check the client's response to the medication in 1 hr.
D. Evaluate the client for therapeutic effects in 30 min. - answer✔A. Document the client's
respiratory rate in 1 hr.
A nurse is collecting data from a client who has preeclampsia and is receiving magnesium
sulfate via a continuous IV infusion. Which of the following findings should the nurse report to
the provider?
a) 2+ deep tendon reflex
b) Facial flushing
c) Respiratory rate 13/min
d) Urine output 20 ml/hr - answer✔d) Urine output 20 ml/hr
A nurse is contributing to the plan of care for a client who has bipolar disorder and is
experiencing mania. Which of the following actions should the nurse include in the plan of
care?
a) Decrease the client's daily fiber intake
b) Limit the amount of fluids the client drinks per day
c) Decrease the level of environmental stimuli
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