COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_cegsnm
1. A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gastrostomy
tube. Which of the following findings requires immediate intervention by the
nurse?: The infusion pump for administering contimuous feeding is turned off.
2. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which of the following findings should the nurse expect?: Hypotension
3. A nurse is providing dietary teaching to a client who has an increased
cholesterol level. Which of the following foods should the nurse recom-
mend?: Egg whites
4. A nurse is caring for a toddler who has respiratory syncytial virus. Which
of the following actions should the nurse plan to take?: Use a designated
stethoscope when caring for the toddler.
5. A nurse is assessing a client who has a chest tube following a thoracoto-
my. Which of the following findings requires intervention by the nurse?: 1 cm
of water present in the water seal
6. A nurse is reviewing the medical history of a client who is taking garlic
supplement. The nurse should identify that which of the following findings
is a contraindication for taking this supplement?: The client takes aspirin daily.
7. A nurse is planning to provide community education about viral hepatitis.
Which of the following should the nurse plan to include in the teaching?: se-
ries of four hepatitis vaccines is recommended to prevent viral hepatitis.
8. A nurse is reviewing the history and physical of a client who has right ven-
tricular heart failure. Which of the following is an expected finding?: Elevated
pulmonary artery pressure
9. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. The client has two school-age children and a limited
support system. Which of the following is the priority nursing action?: Inform
the client of available community resources.
10. A nurse is providing postoperative teaching to a client who has a new-
ly-inserted pacemaker. Which of the following statements by the client indi-
cates that the teaching has been effective?: "I will use my cell phone on the ear
opposite of my pacemaker."
11. A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the client is
experiencing an adverse effect of the medication?: Decreased reflexes
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_cegsnm
12. A nurse is caring for a client who has neutropenia due to HIV.
Which of the following precautions should the nurse take while caring
for thisclient?: Wear an N95 respirator.
13. A nurse manager is presenting information to the nursing staff regard-
ing the appropriate use of client restraints. Which of the following should
the nurse include? (Select all that apply.): The nurse should pad the bony
prominences. The nurse should remove the restraints every 2 hr. The provider's
prescription should include the
14. A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis. Which of the following should the nurse
include?: Educating the client how to cover nose and mouth with tissues when
coughing
15. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?: Schedule routine care
tasks during hours when the client is awake.
16. A nurse is preparing a client for surgery and has just administered
the preoperative injection. Which of the following actions should the nurse
take?: Review deep breathing and coughing exercises.
17. A nurse suspects another nurse is chemically impaired during their shift.
Which of the following is an appropriate action for the nurse to take?: Report
to the nurse manager.
18. A nurse in the recovery room is assessing a client who has a new chest
tube. The nurse finds that the water seal is no longer tidaling. The nurse
should identify the finding as resulting from which of the following?: The
tubing may be kinked.
19. A nurse delegates tasks to a licensed practical nurse (LPN) and an
assistive personnel (AP). When admitting a client who is experiencing acute
liver failure and who has ascites and an NG tube, which of the following tasks
is most appropriate for the nurse to delegate to the LPN?: Measure the amount
of gastric drainage every 2 hr.
20. A nurse is assessing an adult male client who has a BMI of 20. The
nurse should identify that the client's BMI falls within which of the following
categories?: Healthy weight
21. A nurse is assessing a client who has a long arm cast. For which of
the following findings should the nurse monitor when assessing for acute
compartment syndrome?: Change in mental status
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_cegsnm
22. A nurse is planning care for a newly admitted client. Which of the follow-
ing interventions should the nurse plan to take first? (Click on the "Exhibit"
button for additional information about the client. There are three tabs that
contain separate categories of data.): Administer pain medication to the client.
23. A community health nurse is performing a vision screening on a
4-month-old infant. When shining a light source into the infant's visual field,
which of the following is an expected finding?: The infant closes their eyes.
24. A nurse is planning discharge teaching for a client who is scheduled to
receive intravenous infusions at home. Which of the following instructions
should the nurse plan to include?: Place the infusion pump cord against the
baseboards.
25. A nurse is caring for a client who has just returned to the unit following
a bronchoscopy. Which of the following actions by the assistive personnel
requires the nurse to intervene?: Offers oral fluids to the client
26. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?: Generalized edema
27. A nurse is caring for a client who is in labor and receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early decel-
erations. Which of the following should the nurse expect?: Head compression
28. nurse in a pediatric unit is caring for a group of clients. For which of the
following diseases should the nurse implement droplet precautions?: Per-
tussis
29. A client asks the nurse if it is safe to take a glucosamine supplement. The
nurse should assess for which of the following potential contraindications?-
: Shellfish allergy
30. A nurse at the family planning clinic triages several clients over the
phone. Which of the following clients should the nurse instruct to come to
the clinic?: A client who has started taking oral contraceptives and is experiencing
bright red vaginal breakthrough bleeding
31. A nurse is caring for a client who has a hearing impairment. When
speaking to the client, the nurse should incorporate which of the following
communication methods?: Rephrase sentences the client does not understand.
32. A nurse in a mental health facility is interviewing a newly admitted client.
Which of the following actions should the nurse take when conducting the
interview?: Lean in slightly when speaking to the client.
Study online at https://quizlet.com/_cegsnm
1. A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gastrostomy
tube. Which of the following findings requires immediate intervention by the
nurse?: The infusion pump for administering contimuous feeding is turned off.
2. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which of the following findings should the nurse expect?: Hypotension
3. A nurse is providing dietary teaching to a client who has an increased
cholesterol level. Which of the following foods should the nurse recom-
mend?: Egg whites
4. A nurse is caring for a toddler who has respiratory syncytial virus. Which
of the following actions should the nurse plan to take?: Use a designated
stethoscope when caring for the toddler.
5. A nurse is assessing a client who has a chest tube following a thoracoto-
my. Which of the following findings requires intervention by the nurse?: 1 cm
of water present in the water seal
6. A nurse is reviewing the medical history of a client who is taking garlic
supplement. The nurse should identify that which of the following findings
is a contraindication for taking this supplement?: The client takes aspirin daily.
7. A nurse is planning to provide community education about viral hepatitis.
Which of the following should the nurse plan to include in the teaching?: se-
ries of four hepatitis vaccines is recommended to prevent viral hepatitis.
8. A nurse is reviewing the history and physical of a client who has right ven-
tricular heart failure. Which of the following is an expected finding?: Elevated
pulmonary artery pressure
9. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. The client has two school-age children and a limited
support system. Which of the following is the priority nursing action?: Inform
the client of available community resources.
10. A nurse is providing postoperative teaching to a client who has a new-
ly-inserted pacemaker. Which of the following statements by the client indi-
cates that the teaching has been effective?: "I will use my cell phone on the ear
opposite of my pacemaker."
11. A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the client is
experiencing an adverse effect of the medication?: Decreased reflexes
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_cegsnm
12. A nurse is caring for a client who has neutropenia due to HIV.
Which of the following precautions should the nurse take while caring
for thisclient?: Wear an N95 respirator.
13. A nurse manager is presenting information to the nursing staff regard-
ing the appropriate use of client restraints. Which of the following should
the nurse include? (Select all that apply.): The nurse should pad the bony
prominences. The nurse should remove the restraints every 2 hr. The provider's
prescription should include the
14. A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis. Which of the following should the nurse
include?: Educating the client how to cover nose and mouth with tissues when
coughing
15. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?: Schedule routine care
tasks during hours when the client is awake.
16. A nurse is preparing a client for surgery and has just administered
the preoperative injection. Which of the following actions should the nurse
take?: Review deep breathing and coughing exercises.
17. A nurse suspects another nurse is chemically impaired during their shift.
Which of the following is an appropriate action for the nurse to take?: Report
to the nurse manager.
18. A nurse in the recovery room is assessing a client who has a new chest
tube. The nurse finds that the water seal is no longer tidaling. The nurse
should identify the finding as resulting from which of the following?: The
tubing may be kinked.
19. A nurse delegates tasks to a licensed practical nurse (LPN) and an
assistive personnel (AP). When admitting a client who is experiencing acute
liver failure and who has ascites and an NG tube, which of the following tasks
is most appropriate for the nurse to delegate to the LPN?: Measure the amount
of gastric drainage every 2 hr.
20. A nurse is assessing an adult male client who has a BMI of 20. The
nurse should identify that the client's BMI falls within which of the following
categories?: Healthy weight
21. A nurse is assessing a client who has a long arm cast. For which of
the following findings should the nurse monitor when assessing for acute
compartment syndrome?: Change in mental status
, COMPLETED VATI Greenlight STUDY SET
Study online at https://quizlet.com/_cegsnm
22. A nurse is planning care for a newly admitted client. Which of the follow-
ing interventions should the nurse plan to take first? (Click on the "Exhibit"
button for additional information about the client. There are three tabs that
contain separate categories of data.): Administer pain medication to the client.
23. A community health nurse is performing a vision screening on a
4-month-old infant. When shining a light source into the infant's visual field,
which of the following is an expected finding?: The infant closes their eyes.
24. A nurse is planning discharge teaching for a client who is scheduled to
receive intravenous infusions at home. Which of the following instructions
should the nurse plan to include?: Place the infusion pump cord against the
baseboards.
25. A nurse is caring for a client who has just returned to the unit following
a bronchoscopy. Which of the following actions by the assistive personnel
requires the nurse to intervene?: Offers oral fluids to the client
26. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?: Generalized edema
27. A nurse is caring for a client who is in labor and receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early decel-
erations. Which of the following should the nurse expect?: Head compression
28. nurse in a pediatric unit is caring for a group of clients. For which of the
following diseases should the nurse implement droplet precautions?: Per-
tussis
29. A client asks the nurse if it is safe to take a glucosamine supplement. The
nurse should assess for which of the following potential contraindications?-
: Shellfish allergy
30. A nurse at the family planning clinic triages several clients over the
phone. Which of the following clients should the nurse instruct to come to
the clinic?: A client who has started taking oral contraceptives and is experiencing
bright red vaginal breakthrough bleeding
31. A nurse is caring for a client who has a hearing impairment. When
speaking to the client, the nurse should incorporate which of the following
communication methods?: Rephrase sentences the client does not understand.
32. A nurse in a mental health facility is interviewing a newly admitted client.
Which of the following actions should the nurse take when conducting the
interview?: Lean in slightly when speaking to the client.
