NEW VATI/VIRTUAL ATI PREDICTOR(Green light)STUDY SET UPDATE

NEW VATI/VIRTUAL ATI PREDICTOR(Green light)STUDY SET UPDATE A nurse in an outpatient mental health facility is providing teaching to a group of adolescents. Which of the following statements by a client indicates an understanding of the teaching? A. "I will limit my alcohol use to one drink daily while taking disulfiram" X not within 12 hours B. "I will take my lithium on an empty stomach" X with food C. "I will take the sustained-release methylphenidate every morning" D. "I will avoid foods containing tyramine while taking fluoxetine" ssri X - ANSWERS-C. "I will take the sustained-release methylphenidate every morning" A nurse in the emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Exhibit) A. Encourage the client to verbalize feelings * B. Assess for hopelessness C. Implement seizure precautions for the client D. Administer ondansetron to the client for nausea Obtain the client's weight - ANSWERS-A. Encourage the client to verbalize feelings * A nurse is admitting a client who 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data? A. Have the client's child translate B. Allow the client's partner to translate C. Request a female interpreter through the facility D. Ask a nursing student who speaks the same language as the client to translate - ANSWERS-C. Request a female interpreter through the facility A nurse is admitting a client who has a history of atrial fibrillation. The nurse should recognize the atrial fibrillation places the client at risk for which conditions? a. cardiac tamponade b. pulmonary emboli c. hemothorax d. widened pulse pressure - ANSWERS-B. pulmonary emboli A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? A. Contact the family regarding the client's condition B. Notify risk management C. Privately interview the client about her condition D. Inform the transferring agency of the client's condition - ANSWERS-C. Privately interview the client about her condition A nurse is an acute care facility is caring for four clients. Which of the following clients should the nurse refer for speech therapy? a. A client who has dysphagia following a stroke b. A client who has sensorineural hearing loss c. An older adult client who has stage III Alzheimer's disease d. A client who is postoperative following a tonsillectomy and adenoidectomy - ANSWERS-a. A client who has dysphagia following a stroke A nurse is an emergency department is reviewing the medical record for a client who is having an acute myocardial infarction. Which of the following findings places the client at risk if he receives alteplase? a. hip arthroplasty 1 week ago b. family history of malignant hypertension c. Chronic obstructive pulmonary disease d. Acute renal failure 6 months - ANSWERS-a. hip arthroplasty 1 week ago A nurse is assessing a client following abdominal surgery. Which of the following findings should the nurse report to the provider? A. Temperature 37.6 C (99.7 F) B. Urinary output 20 mL/hr C. Blood pressure 100/70 mm Hg D. Serious drainage on abdominal dressing - ANSWERS-B. Urinary output 20 mL/hr A nurse is assessing a client in the emergency department. Which of the following actions should the nurse take first? (exhibit) a. Place the client on a cooling blanket B. Obtain arterial blood gas levels C. Elevate the head of the client's bed to 30 D. Administer an analgesic - ANSWERS-B. Obtain arterial blood gas levels A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? TIDLING IN WATER SEAL AND CONTINUOUS IN SUCTION CHAMBER OKAY! WATER SEAL BUBBLING IS AIR LEAK. A. There is a loop of tubing below the drainage system B. The system is working properly C. The lung has re-expanded D. The tubing is partially obstructed by clots - ANSWERS-B. The system is working properly A nurse is assessing a client who has acute angle-closure glaucoma. Which of the following findings should the nurse expect? A. Increased light perception B. Reddened cornea C. Severe periocular pain D. Gray cast sclera - ANSWERS-C. Severe periocular pain A nurse is assessing a client who has fine hair, exophthalmos, ad reports intolerance to heat. Which of the following endocrine disorders is associated with these findings? a. Hyperparathyroidism b. Hyperthyroidism c. Hypoparathyroidism d. Hypothyroidism - ANSWERS-b. Hyperthyroidism A nurse is assessing a client who is experiencing a pulmonary embolism. Which following manifestations should the nurse expect? a. Hypertension b. Frothy sputum c. Bradycardia d. Dyspnea - ANSWERS-d. Dyspnea A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? a. Contractions lasting 80 seconds- too long? b. Depending on frequency* c. FHR baseline 170/min normal 110-160 maybe this! * Early decelerations in the FHR d. Temperature 37.4 C (99.3 F) - ANSWERS-c. FHR baseline 170/min normal 110-160 maybe this! * Early decelerations in the FHR A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor? A. Presence of a bloody show B. Intermittent, painless contractions C. Slow change in dilation and effacement D. Contraction intensity increased by ambulation - ANSWERS-B. Intermittent, painless contractions