Comprehensive predictor test 85 correct answer, VATI Greenlight, VA
1. A nurse has delegated care to an assistive personnel. Tell the AP to con-
At the end of the shift, the Ap asks the nurse to tact the IT depart-
enter data for her because the AP has forgotten her ment for charting
password and needs to leave. Which of the following assistance.
actions should the nurse take?
2. A nurse is reinforcing teaching about car seat safety Rear-facing posi-
to the parents of a newborn. The nurse should in- tion in the back
struct the parents to place the car seat in a.... seat.
3. A nurse is preparing a client for surgery. The client contact security
tells the nurse that he is concerned about the safety personnel to place
of a large sum of money in his wallet. Which of the the money in the
following actions is appropriate for the nurse to take? facility safe.
4. A nurse is caring for a toddler who is admitted to Frequent Swallow-
the pediatric unit and is 2 hr postoperative following ing
a tonsillectomy. Which of the following findings is a
sign on hemorrhage?
5. A nurse is reinforcing discharge teaching with an Instruct the client
older adult client's family about safety precautions to bear down dur-
when administering a tap water enema to the client. ing rectal tube in-
Which of the following should the nurse include? sertion.
6. A nurse is caring for a client. Which of the following "My heartburn
client statements should the nurse attend first? pain is going into
my jaw now"
7. A nurse is caring for a client who is 3 days postoper- Leave the drain in-
ative following abdominal surgery and has a Penrose sertion site open
drain. Which of the following actions should the nurse to air
take?
8. A nurse is reinforcing with a client who is about to "You will have
undergo an upper gastrointestinal series with fluo- to drink a con-
roscopy. Which of the following information should trast medium be-
the nurse provide? fore the test."
9. Hypernatremia
, Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI
A nurse is reviewing the medical record of a client
who has sustained a full-thickness burn and is in
the emergent phase of burn. Which of the following
findings should the nurse expect?
10. A nurse is planing to administer an ophthalmic med- Wait 5 mins af-
ication to a client. Which of the following actions ter instillation be-
would minimize systemic absorption of the medica- fore instilling the
tion? drops in the other
eye
11. A nurse is preparing morning medication for a client Furosemide
who has potassium level of 3.2 mEq/L. For which of
the following medications should the nurse withhold
administration and notify the provider?
12. A nurse is collecting data from a client who has Facial flushing
preeclampsia and is receiving magnesium sulfate via
a continuous IV infusion. Which of the following find-
ings should the nurse report to the provider?
13. A nurse in a provider'a office is collecting data from The client takes
a client who was discharged from the hospital 7 days ibuprofen to
ago following treatment from deep-vein thrombosis. treat musculoske-
Which of the following findings is the nurse's priori- tal pain.
ty?
14. A nurse in an urgent care clinic is collecting data Muscle weakness
from a client who reports having diarrhea for the
past 3 days. Which of the following findings indicates
hypokalemia?
15. A nurse is participating in a performance improve- Client data indi-
ment process to decrease the rate of health care-as- cates a decreased
sociated infections within the facility. The nurse rate of infection
should recognize that which of the following is an
appropriate performance improvement outcome indi-
cator?
16.
, Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI
A nurse is establishing a baseline postoperative as- The client's foot
sessment for a client who is recovering from a right feels cooler than
femoropopliteal bypass graft. Which of the following the previous as-
findings in the assessment of the clients's right leg sessment
should be of the most concern to the nurse?
17. A nurse is preparing a client regimen. Which of the Aspart
following insulins can be mixed? Regular
Detemir
Lispro
Glargine cannot
be mixed with any
insulin
18. A nurse is caring for a school-age child whose family Vitamin D
adheres to a vegan diet in the home. The nurse should
recognize the child is at risk for deficiency of which
of the following?
19. A nurse is reinforcing teaching with a postpartum Reducing the risk
client. Which of the following should the nurse ex- of newborn abduc-
plain as the most important reason for staff to wear tion
identification?
20. A nurse is reinforcing teaching with a group of ex- I can place a rolled
pectant parents regarding the proper use of a car towel on each side
seat. Which of the following statements by the parent of my newborn's
indicates an understanding of the teaching? head until he can
hold his head up.
21. A nurse on a mental health unit is discussing client A nurse must with-
rights with a group of coworkers. Which of the follow- draw consent for
ing statements should the nurse include? treatment in writ-
ing if he is compe-
tent to do so.
22. A nurse from a medical-surgical unit is floating to a A client who had a
postpartum unit. Which of the following clients is an cesarean delivery
appropriate assignment for the nurse to accept? 24hr ago
, Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI
23. A nurse is caring for a client who is in mechanical Document in the
restraints after becoming violent with a staff member. client's medical
Which of the following actions should the nurse take? record every 15
mins
24. A nurse is reinforcing teaching with the family of Administer sched-
a client who is receiving palliative care for terminal ule doses of
cancer. Which of the following guidelines should the medication from
nurse emphasize about appropriate pain control mea- a patient-con-
sures? trolled analgesia
(PCA) pump.
25. A nurse is assisting with a group therapy session in schedule
which a client begins to monopolize the group's time. one-on-one
Which of the following interventions is appropriate? discussion time
with the client
26. A nurse is preparing to administer required immu- "You should avoid
nization to a toddler during a well-child visit. The par- administering as-
ent ask the nurse how many baby aspirin he should pirin to your child"
administer if the toddler develops a fever. Which of
the following responses should the nurse make?
27. A nurse is assisting with the admission of an older Document the
adult client who has impaired mobility and is at risk client's risk in the
for falls. Which of the following actions should the medical record.
nurse plan to perform first?
28. A nurse is assisting with the admission of a Sickle-cell anemia
client who has Hodgkin's disease and is receiving
chemotherapy. Because a private room is not avail-
able, the nurse should recommend that the client
share a room with a client who has which of the
following diagnoses?
29. A nurse is caring for a child who has terminal cancer. The school-age
Which of the following responses by the child's sib- sister views death
lings should the nurse expect? as being a type of
temporary sleep
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