PN VATI MANAGEMENT PROCTORED
EXAM 2024-2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
A nurse in a long-term care facility is assisting with the preparation of an interprofessional care
conference for a client who has Parkinson's disease. Which of the following findings should the nurse
identify as the priority to report at the conference?
The client is displaying a more pronounced propulsive gait
The greatest risk to this client is injury from falling due to a more pronounced propulsive gait.
Therefore, this is the priority finding the nurse should report.
A nurse is caring for a client who is considering surgery. The client asks the surgeon about alternative
holistic therapies, but the surgeon does not want to discuss those options with the client. Which of the
following actions should the nurse take?
Notify the nurse manager about the situation.
It is the surgeon's responsibility to respond to the client's questions and to provide information about
alternative therapies. The nurse should discuss this issue with the nurse manager.
A charge nurse working in a long-term care facility is delegating tasks for the upcoming shift. Which of
the following actions should the nurse take?
Communicate reporting guidelines for completion of tasks.
Effective delegation requires constant communication, including the reports the staff should make to
the nurse and when the reports should be made.
A newly hired nurse is having a conflict with another nurse who consistently demonstrates bullying
behavior, including excessive demands. Which of the following strategies should the newly hired nurse
use to help de-escalate the situation?
1|Page
,Inform the nurse that the behavior is unacceptable.
By informing the nurse that there is zero tolerance for bullying behavior, the newly hired nurse is
making it clear that there will be consequences if the bullying behavior continues. If it does, the newly
hired nurse should report the behavior to the manager and send a written complaint to the facility's
human resource department.
A nurse is assisting with the admission of a client who is planning to have surgery. The client has severe
hearing loss and is unable to hear the preoperative instructions. Which of the following actions should
the nurse take?
Offer the client a sign-language interpreter.
The nurse should attempt to verify that the client uses and understands sign language. Having an
interpreter who uses sign language is the best way to make sure the client understands the
information and can ask and receive answers to their questions. Finding a way to have effective two-
way communication with the client demonstrates advocacy.
A nurse is contributing to the plan of care for four clients on a medical-surgical unit. The nurse should
plan to use sterile gloves while performing which of the following procedures?
Suctioning a client's tracheostomy
Suctioning a client's tracheostomy is an invasive procedure that requires strict aseptic technique. The
nurse should wear sterile gloves to reduce the risk for infection.
A nurse is assisting with the transfer of a client who had a C7 spinal cord injury to a rehabilitation unit.
Which of the following findings should the nurse identify as the priority to include in the transfer report?
Autonomic dysreflexia
The greatest risk to the client is injury from autonomic dysreflexia due to the risk for a hypertensive
cerebrovascular accident and seizures. This is priority finding for the nurse to include in the transfer
report.
A nurse in a long-term care facility is caring for a client who has dementia and is refusing to take an oral
medication the provider prescribed. Which of the following actions should the nurse take?
Attempt to administer the medication later in the shift.
Clients who have dementia lack short-term memory. If the client previously took this medication
without difficulty, a strategy that might work is to attempt to administer the medication to the client
a short while later. The client might not remeber the previous incident and take the oral medication
A nurse enters a client's room and overhears the assistive personnel (AP) talking with the client about
the condition of the client in the room next door. Which of the following actions should the nurse take?
Report the incident to the charge nurse.
2|Page
, According to the Health Insurance Portability and Accountability Act (HIPAA), the nurse has a legal
obligation to protect the disclosure of client's personal information. The AP is breaching the other
client's confidential information. The nurse should report the incident to the lowest person in the
facility hierarchy that is responsible for addressing the situation. Therefore, the nurse should report
this information to the charge nurse to ensure client safety.
A nurse is assisting in the plan of care for a client who has a sealed radium implant. Which of the
following interventions should the nurse include in the plan?
Check the client's linens for evidence of a dislodged implant.
The nurse should plan to check the client's linens for evidence of a dislodged implant to ensure the
client's continuous treatment and reduce the risk of exposure to radiation.
A nurse is caring for a client who is scheduled for an arthroplasty. The client states, "I changed my mind.
I don't want the surgery now." Which of the following responses should the nurse make?
"I will let your surgeon know that you have decided to cancel,"
The nurse should respect the client's right to refuse treatment. It is the responsibility of the nurse to
notify the surgeon that the client has changed their mind about the surgery.
A nurse enters a client's room and finds that smoke is coming from an electrical outlet. After assisting
the client out of the room, which of the following actions should the nurse take next?
Pull the nearest fire alarm.
The greatest risk to this dlient is injury from burns and smoke inhalation. Therefore, when using the
RACE method for fire response, the next action the nurse should take is to sound the alarm. Then, the
nurse should attempt to contain the fire by sealing off the doors and windows and turning off all
electrical equipment. Lastly, the nurse should attempt to extinguish the fire.
A nurse smells alcohol on the breath of another nurse while discussing a client's condition. Which of the
following actions should the nurse take?
Notify the charge nurse of the situation.
The nurse has an ethical responsibility to protect clients report suspected substance use. The nurse
should notify the charge nurse of the incident, which would allow the charge nurse to investigate
further and take actions to maintain the safety of clients.
A nurse is assisting with an interdisciplinary team to use clinical data to improve outcomes. Which of the
following competencies of Quality and Safety Education for Nurses (QSEN) is the nurse demonstrating?
Quality improvement
This QSEN competency involves the use of data to track outcomes and improvement processes to
devise a plan to improve the safety of health care services and improve clients' outcomes.
3|Page
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chokozilowreh. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
