VATI Comprehensive Predictor REVIEW Fall 2021/2022; All 160 questions already solved 100% correctly.

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VATI Comprehensive Predictor REVIEW (answered) 1. a nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? 2. a n... urse 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? 3. a nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? 4. a nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? 5. a nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended release tablets. which of the following actions should the nurse take? 6. a nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. which of the following behaviors would the nurse expect to fine? 7. a nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. 8. a nurse is caring for a client who has a femur fracture and is on bedrest with bucks extension traction. which of the following actions should the nurse take? 9. a charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. which of the following clients should the charge nurse assign to a nurse who is not pregnant? 10. a nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? 11. a nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? 12. a nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? 13. a client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B Positive. which of the following statements is appropriate? 14. a client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. the clients sibling comes to visit but has obvious manifestations of an upper respiratory infection. which of the following nursing actions is appropriate at this time? 15. a nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. which of the following should the nurse include in the plan of care? 16. a nurse is performing a vision screening for a client. which of the following findings should the nurse identify as an indication that the client has cataracts? 17. a nurse is caring for a client who reports difficulty falling asleep at night. which of the following actions should the nurse take? 18. 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 increases in their diet during lactation? 19. a nurse is providing nutritional counseling to the parents of a toddler. which of the following instructions should the nurse include in the teaching? 20. a nurse is assessing a clients cardiovascular system. identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic valve. 21. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. when creating a sterile field. which of the following actions should the nurse take? 22. a nurse is planning an education session for a client who has type 1 diabetes mellitus. which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? 23. a nurse is instructing a group of newly hired nurses about medication to promote fetal lung maturation. which of the following medications should the nurse include in the instructions? 24. a nurse is caring for a client who has atypical depression and is taking phenelzine. which of the following is appropriate for the nurses to offer as an evening snack? 25. a nurse is planning care for a newborn who is receiving phototherapy. which of the following actions should the nurse include the plan of care? 26. a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following actions should the nurse perform? 27. a nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. which of the following referrals should the nurse make? 28. a nurse from the state health department is instructing a group of nurses regarding infections. which of the following infections should the nurse report to the centers for disease control and prevention? 29. a nurse is preparing to provide education about electroconvulsive for a client who has major depressive disorder. which of the following should the nurse include in the teaching? 30. a nurse is teaching a client and their family about home hospice care. which of the following information should the nurse include in the teaching? 31. a nurse is preparing to administer an enteral feeding via NG tube for a client the day after verifying placement of the tube using a chest x-ray. which of the following methods should the nurse use to confirm placement prior to initiating the feeding? 32. a nurse is assessing a client who has non-hodgkins lymphoma. which of the following findings should indicate to the nurse that the clients might be experiencing syndrome of inappropriate antidiuretic hormone? 33. a nurse received change of shift report on four clients. based on the shift report information. which of the following clients would the nurse plan to assess first? 34. a nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. when reviewing the clients medical history, the nurse should recognize which of the following diagnosis as a contraindication to the administration of methylergonovine? 35. a nurse is caring for a client who is undergoing peritoneal dialysis and notes that the dialysate outflow has become cloudy. which of the following complications of this procedure should the nurse suspect? 36. a home health nurse is teaching a guardian about administering tube feedings to their 3-month-old infant. which of the following information should the nurse include in the teaching? 37. a nurse in an inpatient psychiatric unit is setting short-term goals for an adolescent client who was admitted for treatment of anorexia nerves. which of the following is an appropriate short-term goal the nurse should set? 38. a nurse is preparing to witness a clients signature on an informed consent for a total knee arthroplasty. which of the following client statements indicates the nurse should contact the surgeon? 39. a nurse is caring for a client who reports chest pain. which of the following laboratory findings indicates myocardial damage? 40. a nurse is caring for a school-age child who has a blood pressure of 88/50 mmhm and develops septic shock. which fo the following medications should the nurse expect the provider to prescribe? 41. a nurse is caring for a client who is receiving a controlled epidural analgesia infusion. which of the following nursing actions is appropriate? 42. a nurse discovers that the wrong dosage was given to a client. when determining what action to take, the nurse should recognize that which of the following ethical principals should be applied? 43. a nurse notices smoke coming from a clients room and discovers a fire in the wastebasket. after moving the client to safety. which of the following is the priority action? 44. a home health nurse is teaching the parents of a school-age child who has legs-calve perches disease. which of the following information should the nurse include? 45. a nurse in the post anesthesia care unit is caring for four postoperative clients. the nurse realizes that coughing poses a risk to which of the following clients? 46. a nurse in a mental health facility is interviewing a newly admitted client. which of the following actions should the nurse take when conducting the interview? 47. a nurse on a medical unit has just received change-of-shift report. which of the following clients should the nurse assess first? 48. a nurse is caring for a client who has just returned to the unit following a bronchoscopy. which of the following actions by the assistive personal requires the nurse to intervene? 49. a nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. after establishing trust and rapport. which of the following should the nurse say? 50. a client at 38 weeks of gestations enters the emergency department. the nurse should recognize that which of the following indications that the client is in the latent phase of labor? 51. a nurse is caring for a client who is 2hr postoperative following an ideal conduit procedures for bladder cancer. for which of the following findings should the nurse notify the provider? 52. a nurse is teaching a client who has a low-literacy level about home management of diabetes mellitus. which of the following actions is appropriate? 53. 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? 54. a nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. which of the following client findings medication toxicity? 55. a nurse is assessing a client who has pneumonia. which of the following findings is priority for the nurse to report to the provider? 56. a nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. which of the following instructions should the nurse include? 57. a nurse is caring for a client who will be receiving a transfusion of platelets. the nurse recognizes that the expected outcome of this treatment will be which of the following? 58. a nurse is caring for a client who has just given birth to a stillborn newborn. which of the following is the priority task for the nurse to facilitate in the clients grief process? 59. 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? 60. a nurse is precasting a nursing student who brings the following client observations to the nurses attention. which of the following clients should the nurse assess first? 61. a nurse in a pediatric unit is caring for a group of clients. for which of the following disease should the nurse implement droplet precautions? - 62. a nurse is planning to delegate a client assignments to an assist personnel. which of the following tasks is appropriate for the nurses to delegate? - 63. a nurse is caring for a toddler who has respiratory syncytial virus. which of the following actions should the nurse plan to take? 64. a nurse is assessing a client who has 2, para 1. the client is at 41 weeks of gestations and is receiving oxytocin for the augmentation of labor. the nurse should decrease the infusion rate for which of the following findings? 65. a nurse is caring for a client who has fractures ribs, has developed thrombophlebitis, and is being treated with a heparin drip. the client develops hematuria and has an activated partial thromboplastin time of 100 seconds. which of the following actions should the nurse take first? 66. a nurse is providing teaching to the parent of a 6-month old infant who is teething and having difficulty sleeping. which of the following instructions should the nurse include? 67. a nurse is admitting a client who has antisocial personality disorder. which of the following clients behaviors should the nurse identify as consistent with this disorder? 68. a nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents. which of the following information should be included? 69. 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? 70. a nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. which of the following statements by the client indicates that the teaching has been effective? 71. The nurse is caring for a client who is receiving lactated ringers to treat fluid volume deficit. the nurse should identify that which of the following findings indicates a therapeutic response to the treatment? 72. a nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. which of the following client statements should indicate to the nurse that the treatment has been effective? 73. a nurse is assessing a client who has pericarditis. which of the following findings is the priority? 74. a nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1hr ago. which of the following is an appropriate intervention? 75. a nurse is caring for a client who is taking allopurinol. the nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? 76. a nurse is assessing a client prior to performing a blood draw. the nurse should identify that an allergy to which of the following foods can indicate that the client has an allergy to latex? 77. a nurse is delegating tasks to an assistive personnel. for which of the following clients should the nurse have the AP measure vital signs? 78. a nurse is caring for a client following an open colectomy. which of the following findings places the client at risk for delayed wound healing? - 79. a nurse is caring for a client who has cirrhosis of the liver. which of the following actions should the nurse take? 80. a nurse is preparing to discharge a client who is to be transferred to a long-term care facility. the nurse should recognize that which of the following actions is a breach of client confidentiality? 81. a nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. 82. a nurse is caring for a client who has a new prescription for lithium carbonate. prior to administering the first dose, which of the following laboratory values should the nurse evaluate? 83. a nurse is caring for four clients. which of the following tasks can the nurse delegate to an assistive personnel? 84. a client asks the nurse if it is safe to take a glucosamine supplement. the nurse should assess for which of the following potential contraindications? 85. a nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal chamber. which of the following actions should the nurse take? 86. a nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. which of the following instructions is appropriate for the nurse to include in the plan of care? 87. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. which of the following is an appropriate nursing action? 88. a nurse is planning care for a child who is unresponsive and has increased intracranial pressure. which of the following actions should the nurse take? 89. a nurse is providing dietary teaching to a client who has an increased cholesterol level. which of the following foods should the nurse recommend? 90. a nurse is caring for a client who has meningitis. which of the following assessments should the nurse perform? 91. a nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. which of the following findings should the nurse report to the provider? 92. a nurse is teaching a client who has a new prescription for digoxin. which of the following statements should the nurse include in the teaching? 93. an infection control nurse is reviewing the medical records of several clients. which of the following infections should the nurse report to the centers for disease control and prevention? 94. a nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. which of the following actions should the nurse take? 95. a nurse is caring for a client who has schizophrenia. the clients states "run cats soon the rain throwing procedure mechanical paper lake." the nurse should document that the client is demonstrating which of the following speech alterations? 96. a nurse is discussing a living will with a client. which of the following statements by the client indicates an understanding of this document? 97. a nurse is planning care for a client who has anew diagnosis of dysphagia. which of the following foods should the nurse recommend? 98. a nurse is assessing a client who is 8 hr postoperative following a right modified radical mastectomy. which of the following should the nurse recognize as the priority finding? 99. a nurse is caring for a client who has s diagnosis of antisocial personality disorder. the nurse should expect the client to demonstrate which of the following? 100. a nurse is assessing a client who has delirium due to a febrile illness. which of the following findings should the nurse expect. 101. a nurse is providing care for a newly admitted client. which of the following interventions should the nurse plan to take? 102. a home health nurse is admitting a client who has prescribed peritoneal dialysis. which fo the following actions should the nurse take first? 103. a nurse is assessing a client for pitting edema. when pressing into the dorsal side of the clients foot, the nurses fingers leaves a depression in the skin that is 8mm (0.3 in) deep. with which of the following clarifications should the nurse document this finding? 104. a nurse is caring for a client following a possible exposure to anthrax. which of the following actions should the nurse take? 105. a nurse is creating a plan of care for a client who has anorexia n nervosa. which of the following interventions should the nurse include in the plan? - 106. a nurse is caring for a client who is receiving gentamicin. which of the following findings indicates the client is developing toxicity? 107. a nurse is preparing to discharge a newborn who has an atrial septal defect. the nurse should expect the provider to refer the client to which of the following Interprofessional team members? 108. a nurse is assessing an adolescent who has anorexia nervosa. which of the following findings should the nurse expect? 109. a nurse is admitting a client to the medical surgical unit. which of the following actions should the nurse take first? 110. a nurse is teaching a group of farmworkers who works with pesticides about minimizing exposure. which of the following information should the nurse include in the teaching? 111. a nurse is caring for a client who is manic. which of the following activities is appropriate for the nurse to suggest? 112. a nurse is performing triage following a natural disaster. which of the following clients should the nurse identify as the highest priority to receive care? 113. a nurse in the clinic is providing information to a client who has mastitis of the left breast. the client asks the nurse, "does this mean that I must stop nursing my baby?" which of the following is an appropriate statement by the nurse? 114. a community health nurse us caring for a client who requests a referral for family therapy. the nurse should initiate a referral to which of the following members of the interdisciplinary team? 115. A nurse on an orthopedic floor is completing the morning assessments on several clients. which of the following clients has the greatest risk for fat embolism syndrome (FES)? 116. a nurse is assessing a full-term newborn who is 24 hr old. which of the following findings should the nurse report to the provider? 117. a nurse on mental health unit receives report on four clients. which of the following clients should the nurse attend to first? 118. a nurse is setting up a sterile field for a dressing change on a postoperative client. which of the following actions should the nurse plan to take to maintain the sterile field? 119. a nurse is teaching the parent of an infant about the manifestations of food allergies. the nurse identify which of the following findings as a common manifestations of a food allergy? 120. a nurse is assessing a client who has systemic lupus erythematous (SLE). which of the following is an expected finding? 121. a nurse is preparing to administer enoxaparin to a client. which of the following actions should the nurse plan to take? 122. at the beginning of the day shift, a team leader delegates the following tasks to the assist personal (AP): bathe four clients, distribute fresh water, and obtain morning vital signs. at noon, the nurse asks the AP to transport one client to physical therapy. the AP reports too clients still need bed baths. which of the following is an appropriate strategy for the nurse to delegate more effectively in the future? 123. a nurse manager at a public health clinic is concerned about the rising n umber of sexually transmitted infections in the community. the purpose of which of the following id to generate new ideas to address the public health concern? 124. a home health nurse is reviewing treatment goals with a client who has diabetes mellitus. the nurse should evaluate which of the following laboratory test to determine effective long-term management of blood glucose levels? 125. a nurse is teaching a client who is to start taking phenelzine for major depressive disorder. which of the following foods should the nurse teach the client to avoid consuming while taking this medication? 126. a nurse is about to administer an injection to a client when the client 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? 127. a nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. which of the following findings should the nurse expect? 128. a community health nurse is performing a vision screening on a 4-month-old infant. when shining a light source into the infants visual field. which of the following is an expected finding? 129. a nurse is assessing a client who has pneumococcal pneumonia. which of the following findings should the nurse expect? 130. a nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. the Nurse should include which of the following as a potential adverse effect of the medication? - 131. aerobis culture from a client who has a draining pressure injury. identify the sequence of actions in order of performance. - 132. a nurse is caring for a group of clients in an inpatient mental health facility. which of the following tasks should the nurse delegate to an assistive personnel? 133. a nurse is assessing an infant who has water intoxication. which of the following findings should the nurse expect? 134. at the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. which of the following client reports should the nurse assess first? 135. a nurse is caring for a group of clients. which of the following clients should the nurse identify as being at risk for metabolic alkalosis? 136. a nurse is assessing a client who has COPD and experienced recent weight loss. which of the following findings should the nurse report to the provider immediately? 137. A nurse is providing teaching about car seat safety to the parent of a term newborn. which of the following statements by the parent indicates an understanding of the teaching? 138. a nurse is caring for a postoperative client. which of the following interventions will reduce the risk of deep-vein thrombosis? 139. a community health nurse is preparing to collect data to study the health of a local community. the nurse should plan to obtain information about which of the following factors during a windshield survey? 140. a nurse is assessing the vitals of a newborn who was born 8hrs ago. which of the following findings requires interventions by the nurse? 141. a nurse administers a does of metaclopramide to a client prior to a chemotherapy treatment. the client develops uncontrolled contractions of the head and neck muscles. which of the following medications should the nurse administer? 142. a nurse in the emergency department is caring for a client following a motor-vehicle crash. which of the following actions should the nurse take first? 143. a nurse is admitting an unidentified female infant who was brought into the emergency department. based on the assessment findings, the nurse should estimate the infants age to be which of the following 144. a nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. which of the following information should the nurse include in the teaching? 145. a nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. the nurse should identify that these findings are potential manifestations of which of the following? 146. a nurse is providing teaching to the guardian of a 5-month old infant about introducing new foods. which of the following instructions should the nurse include in the teaching? 147. a nurse is teaching a group of newly hired nurses about placenta previa. which of the following client findings should the nurse include? 148. four clients present to the emergency department. the nurse should plan to see which of the following clients first? 149. a nurse is performing an admission assessment for a client who is to undergo a colonoscopy. the client informs the nurse that he took prescribed medications before coming to the clinic. which of the following medications is the priority to report to the provider? 150. a charge nurse is evaluating the time management skills of a newly licensed nurse. which of the following actions should the charge n nurse identify as an effective time management skill? 151. 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? 152. a nurse in a providers office is teaching to a client who is at 16 weeks of gestations and has a new prescription for ferrous sulfate. which of the following instructions should the nurse include? 153. a nurse is caring for a client who has heart failure and has started taking loop diuretic. which of the following findings indicates the clients is experiencing an adverse effect of the medication? 154. a nurse is performing a skin assessment for a client who is on bedrest. which of the following actions should the nurse take to prevent a pressure injury? 155. 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 teaching? 156. a nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. which of the following findings indicates the treatment has been effective? 157. a nurse is planning care for a client who is at 10 weeks of gestations and has a history of urinary tract infections (UTI's). which of the following information should the nurse plan to include in the teaching about UTI prevention? 158. a nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. the client is scheduled to have the morning dose at 0700. the should schedule the trough level at which of the following times? 159. a nurse is caring for a client who has breast cancer and has been receiving chemotherapy. which of the following laboratory values should the nurse report to the provider? 160. a nurse is reviewing the laboratory report of a client who has a magnesium level of 1.0 men/ml. which os the following assessment findings should the nurse expect? 161. a charge nurse is teaching a group of unit nurses about the policy for clients who have a history of MRSA. which of the following information should the nurse include? 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