VATI Comprehensive Predictor Review Questions With Answers (updated for 2023/2024) | Exams Nursing | Docsity (2024)

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VATI Comprehensive Predictor Review Questions With Answers (updated for 2023/2024) | Exams Nursing | Docsity (12)

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Download VATI Comprehensive Predictor Review Questions With Answers (updated for 2023/2024) and more Exams Nursing in PDF only on Docsity! VATI Comprehensive Predictor Review Questions With Answers (updated for 2023/2024) 1) A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? ceftriaxone 2) A nurse is assessing a client who is postoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? place the client in a low-fowlers position 3) A nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? wear a lead apron when providing care for the client. 4) A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? apply the tourniquet 15 cm above the insertion site 5) A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended release tablets. which of the following actions should the nurse take? administer the medication with applesauce 6) A nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. which of the following behaviors would the nurse expect to fine? meat and dairy products are eaten separately 7) A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. tachycardia 8) A nurse is caring for a client who has a femur fracture and is on bedrest with bucks extension traction. which of the following actions should the nurse take? inspect the clients skin under the device every 8 hours 9) A charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. which of the following clients should the charge nurse assign to a nurse who is not pregnant? 60 year old client who is recovering from shingles 10) A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? the client is lying in a supine position 11) A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? I will set a specific date to stop smoking 12) A nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? help the client to recognize the signs of escalation of abusive behavior 26) A nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following actions should the nurse perform? infuse 0.9% sodium chloride IV 27) A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. which of the following referrals should the nurse make? social worker 28) A nurse from the state health department is instructing a group of nurses regarding infections. which of the following infections should the nurse report to the centers for disease control and prevention? Lyme disease 29) A nurse is preparing to provide education about electroconvulsive for a client who has major depressive disorder. which of the following should the nurse include in the teaching? a general anesthetic is administered prior to ECT treatment 30) A nurse is teaching a client and their family about home hospice care. which of the following information should the nurse include in the teaching? hospice care improves quality of life through palliative care 31) A nurse is preparing to administer an enteral feeding via NG tube for a client the day after verifying placement of the tube using a chest x-ray. which of the following methods should the nurse use to confirm placement prior to initiating the feeding? test the pH level of the clients gastric aspirate 32) A nurse is assessing a client who has non-hodgkins lymphoma. which of the following findings should indicate to the nurse that the clients might be experiencing syndrome of inappropriate antidiuretic hormone? diminished deep tendon reflexes 33) A nurse received change of shift report on four clients. based on the shift report information. which of the following clients would the nurse plan to assess first? a client who had a hip arthroplasty reports pain and erythema in their calf 34) A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vagin*l bleeding refractory to fundal massage and oxytocin. when reviewing the clients medical history, the nurse should recognize which of the following diagnosis as a contraindication to the administration of methylergonovine? hypertension 35) A nurse is caring for a client who is undergoing peritoneal dialysis and notes that the dialysate outflow has become cloudy. which of the following complications of this procedure should the nurse suspect? peritonitis 36) A home health nurse is teaching a guardian about administering tube feedings to their 3- month-old infant. which of the following information should the nurse include in the teaching? allow the infant to suck on the pacifier during feedings 37) A nurse in an inpatient psychiatric unit is setting short-term goals for an adolescent client who was admitted for treatment of anorexia nerves. which of the following is an appropriate short-term goal the nurse should set? the client will develop a personalized meal plan 38) A nurse is preparing to witness a clients signature on an informed consent for a total knee arthroplasty. which of the following client statements indicates the nurse should contact the surgeon? "I am thankful there are no serious complications from this type of surgery" 39) A nurse is caring for a client who reports chest pain. which of the following laboratory findings indicates myocardial damage? troponin 1.8ng/ml 40) A nurse is caring for a school-age child who has a blood pressure of 88/50 mmhm and develops septic shock. which of the following medications should the nurse expect the provider to prescribe? dopamine 41) A nurse is caring for a client who is receiving a controlled epidural analgesia infusion. which of the following nursing actions is appropriate? covering the insertion site with a transparent dressing 42) A nurse discovers that the wrong dosage was given to a client. when determining what action to take, the nurse should recognize that which of the following ethical principals should be applied? veracity 43) A nurse notices smoke coming from a clients room and discovers a fire in the wastebasket. after moving the client to safety. which of the following is the priority action? notify the facility operator 44) A home health nurse is teaching the parents of a school-age child who has legs- calve perches disease. which of the following information should the nurse include? your child should continue to attend school 45) A nurse in the post anesthesia care unit is caring for four postoperative clients. the nurse realizes that coughing poses a risk to which of the following clients? a client who had a thyroidectomy 60) A nurse is precasting a nursing student who brings the following client observations to the nurses attention. which of the following clients should the nurse assess first? a client who is coughing up pink tinged sputum following a bronchoscopy and lung biopsy 1 hr ago 61) A nurse in a pediatric unit is caring for a group of clients. for which of the following disease should the nurse implement droplet precautions? pertussis 62) A nurse is planning to delegate a client assignments to an assist personnel. which of the following tasks is appropriate for the nurses to delegate? collecting a urine specimen 63) 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 64) A nurse is assessing a client who has 2, para 1. the client is at 41 weeks of gestations and is receiving oxytocin for the augmentation of labor. the nurse should decrease the infusion rate for which of the following findings? contractions occur every 90 seconds 65) A nurse is caring for a client who has fractures ribs, has developed thrombophlebitis, and is being treated with a heparin drip. the client develops hematuria and has an activated partial thromboplastin time of 100 seconds. which of the following actions should the nurse take first? turn off the heparin drip 66) A nurse is providing teaching to the parent of a 6-month old infant who is teething and having difficulty sleeping. which of the following instructions should the nurse include? "administer acetaminophen drops to your child before bedtime" 67) A nurse is admitting a client who has antisocial personality disorder. which of the following clients behaviors should the nurse identify as consistent with this disorder? uses other for personal gain 68) A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents. which of the following information should be included? -newborn swallowing sounds are audible while breastfeeding -newborns stools are yellow and seedy after 7 days of breastfeeding -maternal breasts become soft following feedings 69) A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. which of the following is the highest priority for the client to report to the provider? fever 70) A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. which of the following statements by the client indicates that the teaching has been effective? "I will use my cell phone on the ear opposite of my pacemaker" 71) The nurse is caring for a client who is receiving lactated ringers to treat fluid volume deficit. the nurse should identify that which of the following findings indicates a therapeutic response to the treatment? increased hemoglobin and hematocrit levels 72) A nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. which of the following client statements should indicate to the nurse that the treatment has been effective? "I was able to sit on a park bench for 30 minutes" 73) A nurse is assessing a client who has pericarditis. which of the following findings is the priority? paradoxical pulse 74) A nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1hr ago. which of the following is an appropriate intervention? support the affected leg on a pillow 75) A nurse is caring for a client who is taking allopurinol. the nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? uric acid level 76) A nurse is assessing a client prior to performing a blood draw. the nurse should identify that an allergy to which of the following foods can indicate that the client has an allergy to latex? avocados 77) A nurse is delegating tasks to an assistive personnel. for which of the following clients should the nurse have the AP measure vital signs? a client who is requesting pain medication 2 days after surgery 78) A nurse is caring for a client following an open colectomy. which of the following findings places the client at risk for delayed wound healing? hyperemesis 93) An infection control nurse is reviewing the medical records of several clients. which of the following infections should the nurse report to the centers for disease control and prevention? syphilis 94) A nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. which of the following actions should the nurse take? apply pressure to the lacrimal punctual for 1 min following administration 95) A nurse is caring for a client who has schizophrenia. the clients states "run cats soon the rain throwing procedure mechanical paper lake." the nurse should document that the client is demonstrating which of the following speech alterations? word salad 96) A nurse is discussing a living will with a client. which of the following statements by the client indicates an understanding of this document? "it will communicate my wishes for end of life care" 97) A nurse is planning care for a client who has anew diagnosis of dysphagia. which of the following foods should the nurse recommend? oatmeal 98) A nurse is assessing a client who is 8 hr postoperative following a right modified radical mastectomy. which of the following should the nurse recognize as the priority finding? coughing frothy, pink secretions 99) A nurse is caring for a client who has s diagnosis of antisocial personality disorder. the nurse should expect the client to demonstrate which of the following? poor impulse control 100) A nurse is assessing a client who has delirium due to a febrile illness. which of the following findings should the nurse expect. hallucinations 101) A nurse is providing care for a newly admitted client. which of the following interventions should the nurse plan to take? Initiate iv access for the client 102) A home health nurse is admitting a client who has prescribed peritoneal dialysis. which of the following actions should the nurse take first? clarify the clients actual and perceived health needs 103) A nurse is assessing a client for pitting edema. when pressing into the dorsal side of the clients foot, the nurses fingers leaves a depression in the skin that is 8mm (0.3 in) deep. with which of the following clarifications should the nurse document this finding? 4+ edema 104) A nurse is caring for a client following a possible exposure to anthrax. which of the following actions should the nurse take? begin prophylactic treatment with ciprofloxacin 105) A nurse is creating a plan of care for a client who has anorexia n nervosa. which of the following interventions should the nurse include in the plan? monitor the client for 1 hour after meals 106) A nurse is caring for a client who is receiving gentamicin. which of the following findings indicates the client is developing toxicity? tinnitus 107) A nurse is preparing to discharge a newborn who has an atrial septal defect. the nurse should expect the provider to refer the client to which of the following Interprofessional team members? case manager 108) A nurse is assessing an adolescent who has anorexia nervosa. which of the following findings should the nurse expect? hypokalemia 109) A nurse is admitting a client to the medical surgical unit. which of the following actions should the nurse take first? observe the clients level of mobility 110) A nurse is teaching a group of farmworkers who works with pesticides about minimizing exposure. which of the following information should the nurse include in the teaching? change clothes after working in the field 111) A nurse is caring for a client who is manic. which of the following activities is appropriate for the nurse to suggest? taking a daily walk on the hospital grounds 112) A nurse is performing triage following a natural disaster. which of the following clients should the nurse identify as the highest priority to receive care? a client who has a traumatic arm amputation 113) A nurse in the clinic is providing information to a client who has mastitis of the left breast. the client asks the nurse, "does this mean that I must stop nursing my baby?" which of the following is an appropriate statement by the nurse? "no, you can continue to nurse from both your breasts" 127) A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. which of the following findings should the nurse expect? hyperreflexia 128) A community health nurse is performing a vision screening on a 4-month-old infant. when shining a light source into the infants visual field. which of the following is an expected finding? the infant closes their eyes 129) A nurse is assessing a client who has pneumococcal pneumonia. which of the following findings should the nurse expect? tachypnea 130) A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. the Nurse should include which of the following as a potential adverse effect of the medication? burning 131) Aerobic culture from a client who has a draining pressure injury. identify the sequence of actions in order of performance. -assess the appearance of the wound -cleanse the wound with 0.9% sodium chloride irrigation -obtain the specimen from granulation tissue of the wound -place the swab in the culture tube -cover the wound with a sterile dressing 132) A nurse is caring for a group of clients in an inpatient mental health facility. which of the following tasks should the nurse delegate to an assistive personnel? sit with the client who has anorexia nervosa during meals 133) A nurse is assessing an infant who has water intoxication. which of the following findings should the nurse expect? generalized edema 134) At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. which of the following client reports should the nurse assess first? indigestion 135) A nurse is caring for a group of clients. which of the following clients should the nurse identify as being at risk for metabolic alkalosis? a client who has kidney failure 136) A nurse is assessing a client who has COPD and experienced recent weight loss. which of the following findings should the nurse report to the provider immediately? coughing and wheezing after eating 137) A nurse is providing teaching about car seat safety to the parent of a term newborn. which of the following statements by the parent indicates an understanding of the teaching? "I should place a rolled blanket along each side of my babies head in the car seat" 138) A nurse is caring for a postoperative client. which of the following interventions will reduce the risk of deep-vein thrombosis? apply venous plexus foot pumps 139) A community health nurse is preparing to collect data to study the health of a local community. the nurse should plan to obtain information about which of the following factors during a windshield survey? the leading cause of death for the prior year 140) A nurse is assessing the vitals of a newborn who was born 8hrs ago. which of the following findings requires interventions by the nurse? blood pressure 72/45 141) A nurse administers a dose of metoclopramide to a client prior to a chemotherapy treatment. the client develops uncontrolled contractions of the head and neck muscles. which of the following medications should the nurse administer? diphenhydramine 142) A nurse in the emergency department is caring for a client following a motor- vehicle crash. which of the following actions should the nurse take first? stabilize the cervical spine 143) A nurse is admitting an unidentified female infant who was brought into the emergency department. based on the assessment findings, the nurse should estimate the infants age to be which of the following 3 month old 144) A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. which of the following information should the nurse include in the teaching? estrogen increases the risk for thrombus formation 145) A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. the nurse should identify that these findings are potential manifestations of which of the following? opioid intoxication

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