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Vati Green Ligth Comprehensive form A,B,C questions and answers graded A+ 2024/2025
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Vati Green Ligth Comprehensive form A,B,C questions and answers graded A+ 2024/2025
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Vati Green Ligth Comprehensive formA,B,C
A nurse is admitting a client who has antisocial personality ailment. Which of the following client
behaviors have to the nurse become aware of as steady with this ailment?
A. Compulsive interest to information
B. Avoids interacting with others
C. Uses others for private advantage
D. Socially awkward in organization situations - ANSC. Uses others for non-public benefit
A nurse is deciphering the cardiac rhythm strip of a purchaser who became admitted with
syncope. Which of the following pictures shows that the purchaser has atrial fibrillation? - ANS
A client who has a diagnosis of entire placenta previa is admitted to the labor and shipping suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in length. Which of the
following actions must the nurse take?
A. Rupture the amniotic sac
B. Medicate the customer for pain
C. Prepare the consumer for a cesarean segment
D. Perform a vaginal exam - ANSC. Prepare the purchaser for a cesarean section
A price nurse on a pediatric unit is making assignments for a go with the flow nurse from the
clinical unit. Which of the following clients is appropriate to assign to the glide nurse?
A. A 10-12 months-antique patron who has pneumonia and is receiving breathing remedies
B. A four-yr-antique patron who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-antique patron who's scheduled for a surgical restore of a ventricular septal
defect tomorrow
D. A 14-year-vintage customer who is scheduled for discharge today following placement of a
Harrington rod - ANSA. A 10-year-antique customer who has pneumonia and is receiving
respiratory treatments
A nurse notices smoke coming from a purchaser's room and discovers a fire within the
wastebasket. After moving the client to safety, which of the following is the concern movement?
A. Notify the power operator.
B. Close the fireplace doors on the unit.
C. Turn off oxygen sources.
D. Put out the hearth with the perfect extinguisher. - ANSA. Notify the ability operator.
A nurse is assessing an little one who has water intoxication. Which of the following findings
need to the nurse assume?
,A. Generalized edema
B. Elevated urine precise gravity
C. Thready pulse
D. Increased hematocrit - ANSA. Generalized edema
A nurse is discussing the z-music administration of hydroxyzine with a newly certified nurse.
Which of the following statements shows the newly certified nurse is aware the purpose of the
method?
A. This approach prevents damage to the sciatic nerve
B. This approach decreases the risk of subcutaneous infiltration
C. This approach permits a larger quantity of medication to be injected
D. This approach will increase the absorption price of the drug - ANSThis method decreases the
threat of subcutaneous infiltration
A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the
following interventions have to the nurse include inside the plan?
A. Encourage the purchaser to benefit 2.Three kg in line with week
B. Weigh the consumer once in step with week during hospitalization
C. Monitor the customer for 1 hr after food
D. Allow the patron to pick mealtimes - ANSC. Monitor the patron for 1 hr after meals
A nurse is making plans take care of a toddler who has multiplied intracranial pressure with a
decrease in degree of consciousness. Which of the subsequent interventions should the nurse
include within the plan of care?
A. Perform active range-of-motion sporting events
B. Maintain the head at a midline role
C. Suction the airway often
D. Perform neurological exams each four hrs - ANSB. Maintain the top at a midline position
10. A nurse is assessing a client who has delirium due to a febrile contamination. Which of the
following findings should the nurse anticipate?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ANSA. Hallucinations
A nurse is assessing a patron who's receiving enteral feedings thru a gastrostomy tube. The
nurse ought to pick out that which of the following findings shows fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses - ANSD. Bounding pulses
,A nurse is worrying for a client following an open colectomy. Which of the subsequent findings
places the purchaser at hazard for not on time wound recuperation?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled ache - ANSB. Hyperemesis
A home health nurse is reviewing remedy dreams with a consumer who has diabetes mellitus.
The nurse must evaluate which of the subsequent laboratory assessments to decide effective
lengthy-time period control of blood glucose ranges?
A. Three-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose take a look at
D. Urinalysis for ketones - ANSB. HbA1c
A nurse is being concerned for a client who has neutropenia due to HIV. Which of the
subsequent precautions should the nurse take at the same time as being concerned for this
client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs and symptoms each eight hr
D. Use a dedicated stethoscope - ANSD. Use a dedicated stethoscope
A nurse is worrying for a customer who reviews problem falling asleep at night time. Which of
the subsequent movements have to the nurse take?
A. Encourage the customer to ambulate within the hallway 1 hr earlier than bedtime
B. Tell the customer to avoid consuming fluids 1 hr before bedtime
C. Schedule habitual care tasks throughout hours when the purchaser is wakeful
D. Advise the patron to depart the television within the room on while trying to nod off - ANSC.
Schedule recurring care tasks in the course of hours when the client is conscious
A nurse is making plans care for a new child who has hyperbilirubinemia and is to get hold of
phototherapy. Which of the subsequent interventions ought to the nurse consist of?
A. Clothe the newborn in mild cotton
B. Check the newborn's temperature each 8 hrs. (every four)
C. Administer 120 mL of water among feedings
D. Place the new child 45 cm from the mild source - ANSD. Place the new child forty five cm
from the mild source
A nurse is making plans take care of a consumer who has schizophrenia and is having issue
expressing their emotions. Which of the subsequent referrals have to the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social employee
, D. Recreational therapist - ANSA. Art therapist
A nurse is worrying for a purchaser who has coronary heart failure and has started taking a loop
diuretic. Which of the following findings indicates the customer is experiencing an unfavorable
impact of the drugs?
A. Decreased reflexes
B. Weight benefit of one.Four kg
C. Increased urinary output
D. Jugular vein distention - ANSA. Decreased reflexes
At the begin of an night shift on a cardiac unit, an authorized realistic nurse brings the nurse a
list of purchaser reviews. Which of the following client reviews ought to the nurse examine first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency - ANSB. Indigestion
. A nurse is being concerned for a purchaser who has simply back to the unit following a
bronchoscopy. Which of the following moves by using the assistive employees requires the
nurse to intervene?
A. Encourages the patron to use the inducement spirometer
B. Elevates the pinnacle of the purchaser's mattress
C. Offers oral fluids to the client
D. Checks the purchaser's pulse oximetry - ANSC. Offers oral fluids to the customer
. A nurse in a mental clinic is interviewing a newly admitted consumer. Which of the following
movements have to the nurse take when accomplishing the interview?
A. Insist the customer use direct eye contact during the interview
B. Seat the patron at the least three.7m from the nurse
C. Position the client's chair among the nurse's chair and the door
D. Lean in barely whilst speakme to the client - ANSD. Lean in slightly when speakme to the
purchaser
A nurse on a scientific unit has just obtained change-of-shift record. Which of the following
customers need to the nurse determine first?
A. A 68-year-antique purchaser who had a myocardial infarction 2 days ago and reviews chest
pain four on a scale of zero to ten
B. A forty eight-12 months-antique consumer who has AIDS, pneumocystis pneumonia, and a
temperature of 38.3 C (101F)
C. A 60-12 months-vintage patron who has COPD, is receiving 2 L/min O2 via a nasal cannula,
and has an oxygen saturation of 89%
D. A 26-12 months-vintage female consumer who has pelvic inflammatory ailment and is unable
to void - ANSA 68-12 months-antique patron who had a myocardial infarction 2 days ago and
reports chest ache four on a scale of zero to ten
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