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VATI Comprehensive Predictor NCLEX QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+.
1. Low-residue diet Ans :Dairy products & eggs, such as custard and yogurt vr vr vr r
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(Rat)Alow-residuedietconsistsoffoodsthatarelowinfiberandareeasytodigest such as
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eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black
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beans are high in fiber and are not considered low in residue.
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2. ARNiscaringforapatientwhoweighs80kgandis5ft3intall.Calculatethe BMIand
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determineifthepatientsBMIindicatesahealthyweight,underweight, overweight,
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or obese. Ans: Use the formula (wt.in lbs)/(ht in in^2) multiply by 703 to get the BMI.
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BMI is 31 (obese) vr vr vr
(Rat)ABMIgreaterthan30indicatesobesity.ABMIof25-29.9indicatesoverweight. A BMI
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of 18.5-24.9 is a normal/healthy BMI.A BMI <18.5 indicates underweight.
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3. A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
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Calculate the BMI of the female patient. Ans: Use the formula (lbs)/(in^2) multiply by
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BMI 42 indicates the patient is obese
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4. A RN is reviewing discharge instructions regarding car seat safety to the
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vr parentofanewborn.Whichofthefollowinginstructionswillthenurseinclude in
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vr the discharge teaching (SATA)
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A. Positionthe infant rear-facing in the backseat. vr vr vr vr vr vr
B. Be sure the car seat is at a 90 degree angle
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C. Be sure the care seat is at a 45 degree angle
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D. Position the car seat behind the passenger or drivers seat vr vr vr vr vr vr vr vr vr
E. Position the care seat in the middle of the back seat vr vr vr vr vr vr vr vr vr vr
F. Keep infants in rear-facing car seats until age 6 months
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G. Keep infants in rear-facingcar seat until 2 yr old or until the child reaches the
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maximum ht and wt for the seat.
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Ans:(A, C, E, G) vr vr vr vr
A. Positiontheinfantrear-facinginthebackseat-(RAT)thecarseatshouldnever be in vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the front seat of a car due to the increased risk for injury from the air bags during a MVA.
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C.Besurethecareseatisata45degreeangle-(RAT)thecarseatshouldbeata 45 degree
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angle.
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E.Positionthecareseatinthemiddleofthebackseat-(RAT)thecarseatshould be in the
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middle away from air bags and side impact.
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G.Keepinfantsinrear-facingcarseatuntil2yr-(RAT)keepthechildintherear-fac-
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ing car seatuntil the child reaches 2yo or untilthe child reachesthe maximum ht and wt for
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the seat.
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5. ARNiscaringforapatientwhofellatanursinghome.Thepatientisoriented x 3
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(person,place & time) and can follow directions.Which of the following actions
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should the RN take to decrease the risk of another fall? (SATA)
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A. Place a beltrestraint onthe patient whenthey are sittingon the bedside vr vr vr vr vr vr vr vr vr vr vr vr vr
commode
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B. Keep the bed in its lowest position with all side rails up vr vr vr vr vr vr vr vr vr vr vr
C. Make sure that the patient's call light is within reach vr vr vr vr vr vr vr vr vr
D. Provide the patient with nonskid footwear vr vr vr vr vr
E. Complete a fall-risk assessment vr vr vr
Ans:(C,D,E) r
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C.Make sure that the patient's call light is within reach
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D.Providethe patientwithnonskid footwear
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E.Complete a fall-risk assessment
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Note-Youdonotputallthesiderailsupinthebedbecausethisisconsidereda restraint.
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6. ARN is caring for a patient who has a Hx of falls.Which of the following actions
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is the RNs priority?
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A. Complete a fall-risk assessment vr vr vr
B. Educate the patient and family about fall risks vr vr vr vr vr vr vr
C. Eliminate safety hazards from the patients environment vr vr vr vr vr vr
D. Make sure the patient uses assistive aids in their possession vr vr vr vr vr vr vr vr vr
Ans:A.Complete a fall-risk assessment
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(Rat) this is a priority nursing question therefore the question should direct you to
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thenursingprocess.Thefirstactionthenurseshouldtakeusingthenursingprocess is to
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assess or collect data from the patient.
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7. A RN discovers a small paper fire in a trash in a patients bathroom.The patient
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has beentaken tosafety andthe alarm has beenactivated.Which of the following
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actions should the RN take?
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A. Open the windows in the patients room to allow smoke to escape vr vr vr vr vr vr vr vr vr vr vr
B. Obtain a class C fire extinguisher to extinguish the fire vr vr vr vr vr vr vr vr vr
C. Remove all electrical equipment from the patient room vr vr vr vr vr vr vr
D. Place wet towels along the base of the door to the patients room vr vr vr vr vr vr vr vr vr vr vr vr
Ans:D.Place wettowelsalongthebaseofthedoortothepatientsroom-(RAT)tocontain
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thefire and smoke in the room.
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Note -do not obtain a classC fire extinguisher but instead obtain a class Afire extinguisher
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which is used for ordinary combustibles such as cloth and paper.
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8. A nurse manager is completing an in-service on a group of new nurses in the
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transitiontopracticeprogram.Thenursemanagerasksonenursestudent to
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definetheacronym"RACE".Pleaseindicatewhateachletterintheacronym
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means.: R - Rescue and protect the patients who are at or near the fire.Patients who can
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walk are able to do so on command to a safe location.
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A - Activate the alarm
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C - Contain/confine the fire by closing doors and windows, by placing a wet towel under
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the door in the patients room,and byturning off alloxygen sources and any electrical
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devices.Ventilate patient's who are on life support by using a bag-valve mask
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E-Extinguishthefirewithageneral/appropriatefireextinguisher(ClassA)foryour normal
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combustables
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9. A RN discovers that she administered an antihypertensive medication to a
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patient in error. Identify the appropriate sequence of steps that the RN should take
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using the following actions.
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A. Call the MD vr vr
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