PN VATI Fundamentals 2023
A nurse is collecting data from a client who has an elevated temperature with no
sweating. Which of the following findings is an indication of hypernatremia? -
answersThirst
A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise? - answersClose the door to the client's room.
A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning? -
answersIdentify areas of concern.
A home health nurse is assisting with the plan of care for a client. Which of the following
should the nurse include during the orientation phase of the helping relationship? -
answersClarify the role of this individual nurse.
A nurse is preparing to assist with the admission of a client who has pneumonia. Which
of the following observations about the client's room requires immediate attention? -
answersThe wheel locks on the bed are malfunctioning.
A nurse is reinforcing teaching about health promotion with an older adult client. Which
of the following instructions to the client is an example of secondary prevention? -
answersParticipate in screenings for tuberculosis.
A licensed practical nurse (LPN) is receiving change-of-shift report for a client who had
a stroke. For which of the following tasks should the nurse request assistance from a
registered nurse (RN)? - answersStaging a pressure ulcer
, A nurse is reinforcing teaching about home safety with a client who is at risk for falls.
Which of the following client statements indicates an understanding of the teaching? -
answers"I will secure all of my electrical cords to the baseboard."
A home health nurse is reinforcing teaching about infection control with a client who has
hepatitis A. The nurse should identify that which of the following client statements
indicates an understanding of the teaching? - answers"I will wash my hands with soap
and water for 15 seconds after having a bowel movement."
A nurse at a rehabilitation facility is assisting with the admission of a client who has left-
sided hemiplegia following a stroke. Which of the following actions should the nurse
take first? - answersDetermine the client's mental status.
A nurse is collecting data from an older adult client. Which of the following findings is an
indication of infection? - answersChange in mental status
A nurse is performing a finger stick blood glucose test on a client who has diabetes.
Which of the following actions should the nurse take? - answersPuncture the side of the
finger.
A nurse is collecting data from a client who is receiving potassium in their IV fluids.
Which of the following findings can indicate hyperkalemia? - answersConfusion
A charge nurse is reinforcing teaching about ethics with a group of newly licensed
nurses. The nurse uses the example of performing CPR on a client who has a do-not-
resuscitate (DNR) order. Which of the following ethical principles is being violated in this
example? - answersAutonomy
A nurse is preparing to perform suctioning for a client who has a tracheostomy tube.
Which of the following materials should the nurse obtain? - answersResuscitation bag
A nurse is reinforcing teaching with a group of adolescent clients about testicular self-
examination. Which of the following instructions should the nurse include? -
answersTake a warm shower before performing the exam.
A nurse is entering client care information using the SOAP method of documentation.
Which of the following information would be entered under the heading "S?" -
answersThe client reports experiencing a headache.
A nurse is caring for a client who has vancomycin-resistant enterococci (VRE) in a
wound. Which of the following actions should the nurse take to control the transmission
of this infection? - answersWear a gown when assisting the client with hygiene care.
MY ANSWER
A nurse is collecting data from a client who has an elevated temperature with no
sweating. Which of the following findings is an indication of hypernatremia? -
answersThirst
A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise? - answersClose the door to the client's room.
A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning? -
answersIdentify areas of concern.
A home health nurse is assisting with the plan of care for a client. Which of the following
should the nurse include during the orientation phase of the helping relationship? -
answersClarify the role of this individual nurse.
A nurse is preparing to assist with the admission of a client who has pneumonia. Which
of the following observations about the client's room requires immediate attention? -
answersThe wheel locks on the bed are malfunctioning.
A nurse is reinforcing teaching about health promotion with an older adult client. Which
of the following instructions to the client is an example of secondary prevention? -
answersParticipate in screenings for tuberculosis.
A licensed practical nurse (LPN) is receiving change-of-shift report for a client who had
a stroke. For which of the following tasks should the nurse request assistance from a
registered nurse (RN)? - answersStaging a pressure ulcer
, A nurse is reinforcing teaching about home safety with a client who is at risk for falls.
Which of the following client statements indicates an understanding of the teaching? -
answers"I will secure all of my electrical cords to the baseboard."
A home health nurse is reinforcing teaching about infection control with a client who has
hepatitis A. The nurse should identify that which of the following client statements
indicates an understanding of the teaching? - answers"I will wash my hands with soap
and water for 15 seconds after having a bowel movement."
A nurse at a rehabilitation facility is assisting with the admission of a client who has left-
sided hemiplegia following a stroke. Which of the following actions should the nurse
take first? - answersDetermine the client's mental status.
A nurse is collecting data from an older adult client. Which of the following findings is an
indication of infection? - answersChange in mental status
A nurse is performing a finger stick blood glucose test on a client who has diabetes.
Which of the following actions should the nurse take? - answersPuncture the side of the
finger.
A nurse is collecting data from a client who is receiving potassium in their IV fluids.
Which of the following findings can indicate hyperkalemia? - answersConfusion
A charge nurse is reinforcing teaching about ethics with a group of newly licensed
nurses. The nurse uses the example of performing CPR on a client who has a do-not-
resuscitate (DNR) order. Which of the following ethical principles is being violated in this
example? - answersAutonomy
A nurse is preparing to perform suctioning for a client who has a tracheostomy tube.
Which of the following materials should the nurse obtain? - answersResuscitation bag
A nurse is reinforcing teaching with a group of adolescent clients about testicular self-
examination. Which of the following instructions should the nurse include? -
answersTake a warm shower before performing the exam.
A nurse is entering client care information using the SOAP method of documentation.
Which of the following information would be entered under the heading "S?" -
answersThe client reports experiencing a headache.
A nurse is caring for a client who has vancomycin-resistant enterococci (VRE) in a
wound. Which of the following actions should the nurse take to control the transmission
of this infection? - answersWear a gown when assisting the client with hygiene care.
MY ANSWER
