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VATI RN Comprehensive Predictor Exam Questions and Answers Graded A++, Exams of Medicine

The University of Manchester Medicine

1. A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic. Which of the following actions should the nurse perform first? a. Determine the client's living situation. b. Problem solved with the client. c. Offer community resources to the client. d. Assist the client with decision-making. 2. A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a need for further teaching? a. Chicken breast and boiled potatoes. b. Carrot sticks and cottage cheese. c. Grilled cheese an Apple sauce. d. Roast beef and ice cream.

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VATI RN Comprehensive Predictor

Exam Questions and Answers

Graded A++

1. A community health nurse is evaluating eligibility for home assistance for a client who

is quadriplegic. Which of the following actions should the nurse perform first?

a. Determine the client's living situation.

b. Problem solved with the client.

c. Offer community resources to the client.

d. Assist the client with decision-making.

2. A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox

Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a

need for further teaching?

a. Chicken breast and boiled potatoes.

b. Carrot sticks and cottage cheese.

c. Grilled cheese an Apple

sauce. d. Roast beef and ice

cream.

3. A nurse is preparing to auscultate a client apical pulse at the point of maximal impulse (PMI).

the nurse should place the diaphragm of the stethoscope at which of the following locations

a. Within the angle of Louis.

b. 5th intercostal space at the left midclavicular line.

c. Second intercostal space to the right of the sternum.

d. Over the xyphoid process.

4. A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hour and develops

a hemolytic reaction. Which of the following actions should the nurse perform?

a. Infuse 0.9% sodium chloride IV.

b. Administer an anti-pyretic.

Partial preview of the text

Download VATI RN Comprehensive Predictor Exam Questions and Answers Graded A++ and more Exams Medicine in PDF only on Docsity!

VATI RN Comprehensive Predictor

Exam Questions and Answers

Graded A++

A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic. Which of the following actions should the nurse perform first? a. Determine the client's living situation. b. Problem solved with the client. c. Offer community resources to the client. d. Assist the client with decision-making.
A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a need for further teaching? a. Chicken breast and boiled potatoes. b. Carrot sticks and cottage cheese. c. Grilled cheese an Apple sauce. d. Roast beef and ice cream.
A nurse is preparing to auscultate a client apical pulse at the point of maximal impulse (PMI). the nurse should place the diaphragm of the stethoscope at which of the following locations a. Within the angle of Louis. b. 5th intercostal space at the left midclavicular line. c. Second intercostal space to the right of the sternum. d. Over the xyphoid process.
A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hour and develops a hemolytic reaction. Which of the following actions should the nurse perform? a. Infuse 0.9% sodium chloride IV. b. Administer an anti-pyretic.

c. Decrease the infusion rate to 75 mL/hour. d. Place the client in a left lateral position

A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care? a. Remind the client to place the cane on the unaffected side. b. Adjust the length of the cane to equal the distance from the client's iliac crest to the floor. c. Remove the rubber tip from the cane to enhance ambulation. d. Place the King safely in the closet during naps and at bedtime.
Nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hour through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? a. The gastric residual volume is 250 mL following two hours of infusion. b. b. The client is lying in a supine position. c. The infusion pump for administering continuous feeding is turned off. d. Interior feeding bag and tubing are not dated.
A nurse is caring for a group of clients which of the following tasks is appropriate for the nurse to delegate to the assistive personnel (AP)? (Select all that apply.) a. change addressing for a client who has a stage three decubitus ulcer. b. Measure I&O for a client who is receiving peritoneal dialysis. c. Transfer client from bed to chair with mechanical lift. d. Provide postmortem care on a client who experienced cardiac arrest. e. Obtain a signed consent for a client for a screening colonoscopy.

A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should the nurse anticipate in a client who has fluid volume deficit? a. Decreased serum osmolarity. b. Decreased hematocrit. c. Elevated blood urea nitrogen (BUN) d. lower urine specific gravity
A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is a. Asymmetric, with variegated coloring b. Scaly and red. c. Brown, with a wart-like texture. d. Firm and rubbery
A community health nurse recognizes that the teen pregnancy rate in the community has increased. Which of the following program planning strategies should the nurse implement first? a. Arrange a meeting with teenage mothers who are high school students in the community.
After making morning rounds, the charge nurse on the surgical unit delegates the following task to the assistive personnel. which of the following tasks does the nurse direct the AP to complete first? a. Please an NPO sign on the door of a client scheduled surgery b. Set up a room for an expected postoperative admission c.
A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of the following nurse actions is appropriate? a. Cover insertion site with a transparent dressing.
The nurse is performing a disaster triage following a natural disaster. Which of the following should the nurse identify as the highest priority to receive care? a. A client who has agonal respirations. b. A client who has an open skull fracture and is unresponsive c. A client who has traumatic arm amputation d. A client who has a fracture of the femur.
A nurse is planning to provide community education about viral hepatitis. Which of the

following should the nurse plan to include in the teaching? a. Series for hepatitis vaccine is recommended to prevent viral hepatitis. b. Hepatitis B is transmitted by contaminated food. c. Chronic hepatitis can lead to renal cell cancer. d. Clients who have a history of viral hepatitis are unable to donate blood.

A nurse in the emergency department is caring for a client who has abdominal pain. Which of the following actions by the nurse demonstrates veracity? a. The nurse explains the potential risks of treatment.
A nurse is about to administer an injection to a client who states, “I don't want that injection. The last time I got that I was sore for a week.” The nurse goes ahead and administers the injection against the clients wishes. The nurse committed which of the following? a. Battery b. Assault c. False Imprisonment d. Libel
A home health nurse is assessing a client who is recovering from an acute myocardial infarction (MI). which of the following findings should the nurse report to the provider as a possible indication of left sided heart failure? a. Jugular vein distention b. Weight gain c. Peripheral edema d. Bilateral lung crackles.
A nurse is caring for a group of clients. The nurse should request a referral for a speech language pathologist for which of the following clients? a. A client was difficult to the swallowing.
A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who has major depressive disorder. Which of the following should the nurse include in the teaching? a. A general anesthetic is administered prior to ECT treatments. b. ECT treatments are administered once every 6 months. c. Oral antidepressants are discontinued after ECT treatments.

The nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for pancreatic lipase. Which of the following should the nurse include in the teaching? a. Take on an empty stomach. b. Take 1 hour before meals. c. Take 1 hour after meals. d. Take with meals.
A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen. The nurse would expect which of the following laboratory values indicative of organ damage from the overdose? a. Alanine aminotransferase (ALT)
A nurse on the orthopedic floor is completing morning assessments on several clients. Which of the following clients has the greatest risk for a fat embolism syndrome (FES)? a. a 24-year-old male who has a casted femur fracture.

A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about her father's do not resuscitate request. Which of the following is a therapeutic response by the nurse? a. Tell me your feelings about your father's prognosis.
A nurse is providing teaching to the parent of preschooler who was newly diagnosed with a latex allergy. The nurse should discuss that a cross reaction may occur with which of the following foods? a. Bananas b. Peanuts c. Shellfish d. Eggs
A nurse is planning to admit a client who has hyperthyroidism. Which of the following rooms is appropriate for the nurse to assign the client to? a. A room with a laminar airflow filtration system. b. A room near the nurse’s station c. A room that has a private bathroom. d. A room with a temperature of 20 degrees Celsius. (68 degrees Fahrenheit)
A nurse is just returned to the nursing unit following cardiac catheterization. In the immediate post procedure., which of the following is the priority nursing action? a. Monitor the insertion site for infection. b. Check for orthostatic hypotension c. Forcing fluids d. Immobilizing the affected extremity.
A nurse is caring for an infant who is being treated for dehydration. Which of the following findings indicate the treatment is effective? a. Flat anterior fontanel. b. Oliguria c. Oral intake of 4 oz. every 3 hours. d. Capillary refill 4 seconds.
A nurse is reviewing medical records for four clients. Which of the following represents appropriate documentation? a. Atropine .4mg IV state b. Ativan 1.0 mg IV PRN every 6 hr. c. Carafate 1 g PO 1 hr AC

b. Let’s go see what activities are going on outside. c. Why shouldn’t I talk to you? You looked lonely. d. “You're curious why I am interested in you and not the others?”

A nurse working in an inpatient mental health facility observes a client who is agitated and threatening staff members in the dayroom. Which of the following actions should the nurse take first? a. Accompany the client away from the common area.
A client who is precepting in nursing student who brings the following client observations to the nurse’s attention. Which of the following client should the nurse assess first? a. A client who is 3 hours post foley catheter removal and has not voided. b. A client who is 3 days postoperative colectomy with a large, loose melena stool. c. A client who is 1 day postoperative following a total hip replacement with a pain level of 7 on a scale of 0 to 10. d. A client who is coughing up pink-tinged sputum following a bronchoscopy and lung biopsy 1 hour ago.
A nurse is planning teaching for a client who is at 10 weeks gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? a. Decrease intake of citrus foods and beverages. b. Wear nylon underwear. c. Empty the bladder before and after intercourse. d. Increase the time between voiding.
A nurse in the emergency department is providing discharge teaching to a client who has a sprained ankle. For the 1st 24 hours following injury, the nurse should instruct the client to do which of the following? a. intermittently place ice on the ankle.
After evaluating the morning laboratory results on several clients, the provider writes prescriptions for four clients assigned to the nurse’s care. Which of the following prescriptions is the nurse’s highest priority? a. Administer vitamin K 10 mg to a client on warfarin with an INR of 6.
A nurse is caring for a client who has ruptured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time (aPTT) of 100 seconds. which of the following should the nurse take first? a. Turn off the heparin drip.

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? a. Speak directly into one of the client’s ears. b. Rephrase sentences the client does not understand. c. Drop voice volume at the end of sentences. d. Exaggerate lip movements.
A nurse is reviewing morning laboratory values for several clients. Which of the following findings is the highest priority for the nurse to report to the provider? a. A client who has syndrome of inappropriate antidiuretic hormone and has a sodium level of 128 mEq/L. b. The client who is prescribed digoxin and furosemide and has a potassium level of 3.1 mEq/L. c. A client who has chronic emphysema and a PCO2 of 50 mm Hg.

of child abuse? a. A 9-month-old Infant who is dressed inappropriately for the current weather conditions.

A nurse is providing discharge teaching to a client who is postpartum and plans to breast feed. Which of the following should the nurse recommend the client to increase in her diet during lactation? a. Vitamin D. b. Iron. c. Vitamin A d. Calcium.
A nurse in the post anesthesia care unit is caring for four post-operative clients. The nurse realizes that coughing poses a risk to which of the following clients? a. A client who had a thyroidectomy.
A home health nurse is admitting a client was prescribed peritoneal dialysis. Which of the following actions should the nurse initiate first?

a. Demonstrate how to perform the procedure.

A visiting nurse is writing a plan of care for a client who is homebound and has stage two Alzheimer's disease. Which of the following should the nurse include in the plan of care? a. Educate family about loss of family recognition.
A nurse is specs another nurse is chemically impaired during the shift. Which of the following is an appropriate action for the nurse to take? a. Report to the nurse manager.
The nurse is preparing to administer potassium chloride intravenously to a client who has hypokalemia. The client is receiving a current infusion of 0.9% sodium chloride at 125 mL/hr. which of the following actions to the nurse plan to take? a. Dilute the solution prior to infusion.
A nurse is admitting an unidentified female infant who was brought to the emergency Department. Based on the assessment findings, the nurse should estimate the infants age to be which of the following? a. Six months.
A nurse is preparing to administer eye drops to a client. Which the following nursing actions is appropriate? a. Have the client tilt her head slightly so that the medication enters the nasal lacrimal duct. b. Gently wash away any exudate along the eyelid margin from the outside towards the inner canthus. c. Use aseptic technique and drop the medication into the conjunctival sac. d. Drop prescribed number of drops onto the cornea.
A nurse is caring for a client who reports the use of chondroitin and glucosamine. The health benefit of this supplement combination is to do which of the following? a. Treat mild to moderate depression. b. Enhance the immune system c. Prevent and treat prostate enlargement. d. Improve joint functioning.
A nurse is performing a nutritional assessment on a client who has calcium deficiency. The nurse should identify that the client is at risk for which of the following? a. Tetany b. Anemia

A nurse in the labor and delivery unit is receiving medications for a group of clients. Which of the following medications places the fetus at risk for teratogenic effects? a. Levothyroxine for hypothyroidism b. Phenytoin for seizure disorder. c. Magnesium oxide for constipation d. Ferrous sulfate for chronic anemia.
The nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include? a. Educate the client how to cover nose and mouth with tissue when coughing. b. Recommending the client may return to work after two negative sputum cultures. c. Instructing the client that he is no longer contagious after 1 week of medication therapy. d. Teaching the client’s family to wear protective masks while with the client.
A nurse is planning care for a client who has neutropenia. Which of the following nursing interventions is appropriate to include in the care plan? a. Remove fresh Flowers from the client's room.
A nurse is planning to change the dressing of a school age child who has sustained multiple burns. Which of the following actions should the nurse plan to take? a. Apply the dressing in a proximal to distal pattern.
An older adult client tells the nurse, “I thought immunizations were for kids.” The nurse informs the client that older adults should receive which of the following immunizations? a. Herpes zoster vaccine.
A nurse is caring for a client who was involuntarily admitted to the psychiatric unit following a failed suicide attempt. the provider prescribed the medication that is part of an experimental treatment. Which of the following actions should the nurse take? a. Explain the risks and benefits associated with the experimental treatment. b. Withhold the medication until the client’s next of kin can give consent. c. Witness consent before medication administration. d. Exclude the client from the study due to involuntary admission.
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? a. Decreased reflexes b. Weight gain of 1.4 kg. c. Increased urinary output

d. Jugular vein distention.

A nurse is assessing a client who is preparing for surgery. The client tells the nurse, “If something happens to me from which I cannot recover I don't want to go on a ventilator.” Which of the following is an appropriate response by the nurse? a. You're concerned that something may go wrong? b. Don’t stress so much, everything will be fine. c. I would make the same decision. d. Why wouldn’t you want life-saving measures performed?
A nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing his trust and report which of the following should the nurse say? a. Has your partner physically hurt you before?
A nurse is caring for a client who reports chest pain. Which of the following laboratory findings indicates myocardial damage?

a. Allopurinol

A nurse is caring for a client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea. Which of the following actions should the nurse take first? a. Administer an anti-emetic.
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 these findings as a result from which of the following? a. An air leak noted at the insertion site. b. The tubing may be kinked. c. Water needs to be added to the suction control chamber. d. The suction is set too low.

An assistive personnel at a long term care facility reports to the nurse that another AP has spent the entire morning on the phone and has not completed the morning assignment. Which of the following is inappropriate action by the nurse? a. Ask the AP what work remains to be completed on the assignment.
The community health nurse is completing a newborn home visit and observes family members smoking cigarettes in the house. Which of the following is a priority intervention? a. Suggest smoking cessation strategies to family members.
A nurse is teaching a prenatal class about evidence of effective breast feeding to a group of parents. Which of the following information should be included? a. Newborn swallowing sounds are audible while breastfeeding. b. Newborn stools are yellow and seedy after seven days of breastfeeding. c. Maternal breast becomes soft following feedings.
A nurse is caring for a client who will be having a transfusion of platelets. The nurse recognizes that the outcome of will be which of the following? a. Decrease in bleeding, from puncture sites
A nurse in a prenatal clinic is caring for an adolescent client who is now in her third trimester of pregnancy. The nurse identifies that the client is at an increased risk for which of the following? a. Postpartum depression.
A nurse is planning dietary intervention for a client who is immobile due to pelvic and femur fractures. Which of the following should the nurse include in the plan? a. Provide a low-iron diet. b. Provide a high-phosphorus diet. c. Provide a low-fiber diet. d. Provide a high protein diet.
A home health nurse is providing teaching about self-administration of insulin to a client who is newly diagnosed with diabetes. Which of the following statements by the client is a need for further teaching? a. I will gently massage the injection site following administration.
A school nurse is assessing a child who has scabies. Which of the following is an expected finding? a. White nits on the hair shaft near the child’s scalp b. Yellow, crusted lesions on the child’s face. c. Grayish-brown pruritic lesions on the child’s feet and