Virtual ATI predictor (Green Light)/COMPLETED VATI (Green light) STUDY SET (Questions & Answers) 2021/2022
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 ...
Virtual ATI predictor (Green Light )/COMPLETED VATI (Green light ) STUDY SET (Questions & Answers) 2021/2022 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? {{Ans - Place the cli ent in a low -Fowler's position. A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take? { {Ans - Dim the lights in the room prior to the examination. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? {{Ans - Iron A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections (UTIS). Which of the following information should the nurse plan to include in the teaching about UTI prevention? {{Ans - Empty the bladder before and after intercourse. A nurse is c aring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? {{Ans - Monitor for abdominal ascites. A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for pancrel ipase. Which of the following should the nurse include in the teaching? {{Ans - Take with meals. A nurse is caring for a client who is receiving continuous enteral feedings and reports diarrhea. Which of the following actions should the nurse take? {{Ans - Discard opened cans of formula after 24 hr. A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should plan to monitor for which of the following adverse reactions? { {Ans - Ototoxicity A nurse is caring for a cli ent who reports the use of chondroitin and glucosamine. The health benefit of this supplement combination is to do which of the following? {{Ans - Improve joint functioning. A nurse is teaching a client and their family about home hospice care. Which of th e following information should the nurse include in the teaching? {{Ans - Hospice care encourages the family to coordinate health care services. A client has just returned to the nursing unit following cardiac catheterization. In the immediate postprocedur e period, which of the following is the priority nursing action? {{Ans - Monitoring the insertion site for infection A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? {{Ans - Require the cient wear a dosimeter badge. A community health nurse is teaching a group of restaurant workers about hepatitis A. Which of the following statements should the nurse make? {{Ans - "Hepatit is A can be spread by fecal -oral contact." A nurse in a mental health clinic is observing clients the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adole scent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic? {{Ans - "You're curious why I am interested in you and not the others?" A home health nurse is reviewing t reatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long -term management of blood glucose levels? {{Ans - HBA1C the following assessment findings should indicate t o the nurse that the NG tube might not be functioning properly? A nurse is caring for a client who is postoperative following a bowel surgery and has an NG tube connected to low intermittent suction. Which of {{Ans - Abdominal rigidity 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? {{Ans - Fever A nurse is discussing the Z -track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? {{Ans - "This technique decreases the risk of subcuta neous infiltration." A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of following findings should the nurse expect? {{Ans - Hyperreflexia A nurse is giving change -of-shift report about a client who is 36 -hr postoperative to another nurse. Which of the following should the nurse include? {{Ans - relieved by position change A nurse is caring for a client who has been taking propranolol. Which of the following findings indicates a need to withhold the medicatio n? {{Ans - Pulse 54/min A nurse is reviewing the medical records of four clients. Which of the following prescriptions represents correct documentation? {{Ans - Sucralfate 1 g PO 1 hr ac A nurse is evaluating the allergy profile of a client who has Graves' disease and is to undergo a thyroid scan. The nurse should identify which of the following allergies as a contraindication for the client to undergo a thyroid scan? {{Ans - lodine A home health nurse is assessing a client who reports a headache and appear s confused and drowsy. The client has a kerosene space heater in use. Which of the following actions should the nurse take first? {{Ans - Open the client's windows. A nurse is teaching a newly licensed nurse about informed consent. Which of the following s tatements should the nurse include in the teaching? (Select all that apply.) {{Ans - witnessing the signing of the informed consent form, the nurse is indicating that the client voluntarily gave client who signs an informed consent form should understand th e treatment plan." "A client who signs an informed consent form should be competent." "The nurse should disclose the purpose of the treatment before the client signs the consent form." A nurse is providing teaching to the guardian of a school -age child wh o has a new prescription for ferrous sulfate capsules PO. Which of the following instructions should the nurse include in the teaching? {{Ans - Administer the medication with a glass of orange juice. A nurse is providing grief counseling for the parents of a school -age child whose sibling recently died. Which of the following statements should the nurse make? {{Ans - "Bring the child to the funeral service before visitors arrive." A nurse is assessing a client who is receiving enteral feedings via a gastros tomy tube. The nurse should identify that which of the following findings Indicates fluid overload? {{Ans - Bounding pulses A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the me dication is effective? {{Ans - Weight loss A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? {{Ans - Place the newborn 45 cm (18 in) from the ligh t source. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? {{Ans - "I am thankful there are no serious compli cations from this type of surgery." A nurse is caring for a 7 -year -old child who has severe dehydration. Which of the following findings should the nurse expect? {{Ans - Blood pressure 94/68 mm Hg
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