VATI | Virtual ATI predictor Greenlight STUDY SET, 2022/2023
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VATI Greenlight
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VATI Greenlight
VATI | Virtual ATI predictor Greenlight STUDY SET, 2022/2023-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 infusio...
a nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mlhr through a gastrostomy tub
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VATI | Virtual ATI predictor Greenlight
STUDY SET, 2022
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.
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
A nurse is providing dietary teaching to a client who has an increased cholesterol
level. Which of the following foods should the nurse recommend? - Egg whites
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.
A nurse is assessing a client who has a chest tube following a thoracotomy. Which of
the following findings requires intervention by the nurse? - 1 cm of water present in
the water seal
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.
A nurse is planning to provide community education about viral hepatitis. Which of
the following should the nurse plan to include in the teaching? - series of four
hepatitis vaccines is recommended to prevent viral hepatitis.
A nurse is reviewing the history and physical of a client who has right ventricular
heart failure. Which of the following is an expected finding? - Elevated pulmonary
artery pressure
,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.
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."
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
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 this client? - Wear an
N95 respirator.
A nurse manager is presenting information to the nursing staff regarding 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
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
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.
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.
,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.
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.
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.
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
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
A nurse is planning care for a newly admitted client. Which of the following
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.
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.
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.
, 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
A nurse is assessing an infant who has water intoxication. Which of the following
findings should the nurse expect? - Generalized edema
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 decelerations.
Which of the following should the nurse expect? - Head compression
nurse in a pediatric unit is caring for a group of clients. For which of the following
diseases should the nurse implement droplet precautions? - Pertussis
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
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
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.
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.
A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an assistive personnel? - A client who had a stroke 2 days ago and
needs help toileting
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