Download VATI PN COMPREHENSIVE PREDICTOR EXAM|2025-2026| FORM B GREEN LIGHT EXAM|QUESTIONS&ANSWERS and more Exams Nursing in PDF only on Docsity!
VATI PN COMPREHENSIVE PREDICTOR EXAM|2025-
2026| FORM B GREEN LIGHT EXAM|ACTUAL
QUESTIONS&ANSWERS|GRADED A+
Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye? a. "Forcefully cough and take deep breaths every two hours to keep your airway clear." b. "Perform the prescribed eye exercises each day to strengthen your eye muscles." c. "Rinse your eyes with saline each morning to prevent postoperative infection." d. " Take the prescribed stool softener to avoid increasing intraocular pressure." A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions? a. Suction the nasogastric tube. b. Flush the tube with 30 mL of sterile water. c. Remove the nasogastric tube. . d. Check the residual volume. Which of these actions best demonstrates cultural sensitivity by a nurse? a. The nurse talks in a slow-paced speech. c. The nurse uses charts and diagrams when teaching pregnant clients. d. The nurse can speak several different languages. b. The nurse asks clients about their beliefs and practices toward pregnancy. Which of these manifestations should a nurse expect to observe in a 3 - month-old infant who is diagnosed with dehydration? a. Hyperreflexia. . c. Bradypnea. d. Agitation. b. Tachycardia. When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry portals, which include: b. Tachycardia d. Check the residual b. The nurse asks clients about their beliefs and practices toward a. the urinary
b. vomitus. c. contaminated water. d. sexual intercourse. a. the urinary meatus. A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated? b. Lock the client in a secluded room. c. Ask the other clients to give feedback regarding the client's behavior. d. Ignore the client's inappropriate behavior. a. Encourage the client to verbalize feelings. Which of these measures should a nurse include when planning care for a school-aged child during a sickle cell crisis episode? a. Monitoring for signs of bleeding. c. Administering cool sponge baths to reduce fevers. d. Offering a high calorie diet. b. Providing pain relief. Which of these instructions should a nurse include in the plan of care for a 32 - week gestation client who had an amniocentesis today? a. "Drink at least six glasses of fluids during the next six hours after the test." b. "Call the clinic if you experience any abdominal c. "Don't be concerned if you have some vaginal spotting in the next 12 hours." d. "When you get home, stay on bed-rest for the next 48 hours." b. "Call the clinic if you experience any abdominal cramps." An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content? a. Peanut butter and jam sandwich. b. Chicken nuggets with rice. c. Tuna salad sandwich. a. Encourage the client to verbalize b. Providing pain relief.
An elderly client is at increased risk of developing drug toxicity to prescribed medications due to declining hepatic and renal functioning. Which of these strategies should a nurse plan to decrease this risk? b. Limiting the client's oral fluid intake. c. Administering the medications with meals. d. Encouraging the client to void every three to four hours. a. Increasing the time interval between medication doses. A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these measures should a nurse include in the client's care plan? a. Explaining that staff does not poison clients. b. Focusing on how the hospital staff helps clients. d. Telling the client that not eating the food that is served will result in privilege restrictions. c. Allowing the client to eat food from sealed containers. Thrombophlebitis is a complication that may result due to surgery. Which of these actions should a nurse take in the operating room to prevent this complication from occurring? a. Gatch the knee of the bed. b. Administer anticoagulants preoperatively. d. Maintain the legs in a dependent position. c. Apply sequential compression devices. When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for her height is: a. at least 15 pounds. b. 15 to 20 pounds. d. at least 45 pounds. c. 25 to 35 pounds. Which of these manifestations, if reported by a client who is 10 - weeks-pregnant, supports the diagnosis of ruptured tubal pregnancy. a. Increasing the time interval between medication c. Allowing the client to eat food from sealed c. Apply sequential compression c. 25 to 35
b. Uncontrollable vomiting. c. Marked abdominal distention. d. Profuse vaginal bleeding. a. Sharp unilateral abdominal pain. Which of these assignments, if made by a nurse to a nursing assistant, indicates that the nurse needs additional instructions regarding the principles of delegation? a. "Please bathe the client in room 12, and then bring the client to the dining room for breakfast by 9 A.M." the client's discomfort." c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and record each on the intake/output sheets by 2 P.M." d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch." b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased the client's discomfort." A client has the following order for regular insulin (Humulin R) on a sliding scale: Blood sugar 150 - 180 mg: Give 2 units regular insulin Blood sugar 181-200 mg: Give 4 units regular insulin Blood sugar 201 - 220 mg: Give 6 units of regular insulin Blood sugar above 220 mg: Call MD At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one. Regular insulin is available as 100 units per milliliter. How many milliliters should the nurse administer? b. 0. c. 4 d. 40 a.
Which of these nursing diagnosis is the priority for a client who is one-hour postoperative after extensive abdominal surgery? a. Risk for impaired physical mobility. a. Sharp unilateral abdominal b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub a. 0.
d. "Apply lotion to your feet each day." A nurse inadvertently administers an incorrect medication to a client. Which of these actions should the nurse take first? . b. Notify the physician. c. Contact the nurse manager. d. Complete an incident report. a. Assess the client. An elderly client who is receiving a blood transfusion develops a rapid bounding pulse and an elevated blood pressure. Which of these actions should a nurse take? a. Add a 5% dextrose solution to the line. b. Raise the head of the bed. . d. Measure the client's temperature. c. Stop the transfusion. When caring for a client who has hepatitis B, a nurse should wear: a. gloves when administering oral medications to the client. b. a gown when changing the client's position. d. a gown when emptying the client's used bath water. c. gloves when removing the intravenous cannula. Which of these outcome criteria is appropriate for a client who has a nursing diagnosis of ineffective airway clearance? a. Absence of wheezing throughout the lung fields. c. Pulse oximetry level of 80%. d. Frequent coughing throughout the day. b. Clear lung sounds on auscultation. c. Stop the a. Assess the c. gloves when removing the intravenous b. Clear lung sounds on
A doctor prescribes liquid oral iron medication for a 4 - year-old child. Which of these questions should a nurse ask the child's mother to determine if the medication is being administered correctly? a. "Are you using a straw to administer the b. "Has your child been urinating more frequently?" c. "Have you increased your child's milk intake each day?" d. "Is there a change in the color of your child's skin?" a. "Are you using a straw to administer the medicine?" Which of these assessment findings, if present in a 4 - month-old infant who has severe diarrhea, should a nurse recognize as suggestive that the infant is dehydrated? a. Bulging anterior fontanel. b. Pulse rate of 120/minute. d. Cyanosis of the mucus membrane. c. Decreased urine output. Which of these instructions should be included in the teaching plan for the parents of a 10 - month-old infant who is admitted to the hospital for failure to thrive? a. Advise the mother to make sure the infant drinks the entire bottle at each feeding. . c. Teach the mother to position the infant on the abdomen following feedings. d. Instruct the mother to play actively with the infant during bottle feedings. b. Encourage the mother to feed the infant slowly in a quiet environment. When a newborn is 48 hours old, a nurse notes that the child is jaundiced. The nurse should recognize which of these conditions as a probable cause of the newborn's jaundice? a. Dehydration. c. ABO incompatibility. d. Gallbladder immaturity. b. Liver immaturity. Which of these items should a nurse removed from the food tray of a client who is on a sodium- restricted diet? a. Packet of a salt substitute. b. Encourage the mother to feed the infant slowly in a quiet c. Decreased urine b. Liver immaturity.
d. Maintaining strict bed rest. a. Keeping an accurate record of intake and output. A nurse obtains these vital signs on an adult client. Which finding should the nurse follow-up first? a. Heart rate, 60/minute and regular. . c. Temperature, 97.1 °F (36.2 °C) d. Blood pressure, 136/86 mm Hg b. Respiration, 30/minute and deep. When determining the duration of a uterine contraction, a nurse should measure the contraction from the: b. end of one contraction to the beginning of the next contraction. c. beginning of one contraction to the beginning of the next contraction. d. strongest point of one contraction to the strongest point of the next contraction. a. beginning of one contraction to the end of that contraction. A nurse should recognize which of these signs is a probably sign of pregnancy? a. Frequency of urination. . c. Nausea in the morning. d. Abdominal distention. b. Positive pregnancy test. All of these clients are on bed rest. Which one is the most at risk to develop skin breakdown? a. An 82 - year-old client who bathes once a week. b. An 83 - year-old client who applies powder after drying the skin. d. An 85 - year-old client who has coronary artery disease. c. An 84 - year-old client who has been NPO for four days. A client diagnosed with type 1 diabetes mellitus has a glycosylated hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the client has: a. had a period of sustained hyperglycemia. b. Positive pregnancy b. Respiration, 30/minute and a. beginning of one contraction to the end of that c. An 84 - year-old client who has been NPO for four
b. been non-compliant with home management. . d. eaten a high carbohydrate snack just prior to testing. c. been in relatively good diabetic control. A nurse is caring for a client with burns and in reverse isolation. Which measures should the nurse include? a. Wearing disposable gloves when chaging the dressings. b. Having the client wear goggles when staff is in the room. d. Disposing of the client's soiled laundry in a red bag. c. Wearing a gown, mask, and gloves when providing care to the client. A physician has ordered 100 mg of Amoxicillin po for a child. The available liquid amoxicillin is 250 mg/5 mL. How many milliliters should a nurse administer? a. 1. b. 1.5. d. 2. c. 2. A nurse charts on all assigned clients at 2:00 P.M. The nurse then remembers something that happened at 9:00 A.M. to a client who was not charted. Which of these actions should the nurse take? a. Include the 9:00 A.M. scenario in the shift report. c. Put the information in the margin and indicate the accurate time placement by drawing an arrow. d. Draw a line through the previous charting with "error" and then re-record everything, including the new information. b. Enter the scenario after the original 2:00 P.M. charting and mark it as a "late entry". While giving a bath to a client, a nurse notices that the client's back appear reddened. Which of these interpretations and additional assessments should the nurse make? a. The client's skin is sensitive to touch; lightly rub the client's chest area. b. The client has decreased circulation; palpate the peripheral pulses. c. The client is showing signs of pressure; press on the skin and observe for a return of. c. been in relatively good diabetic c. Wearing a gown, mask, and gloves when providing care to the c. 2. b. Enter the scenario after the original 2:00 P.M. charting and mark it as a "late
Which of these laboratory test results should a nurse monitor for a client who is receiving intravenous heparin therapy at a rate of 1,500 units per hour for the treatment of an acute pulmonary embolism? . b. Clot retraction time. c. Platelet levels. d. Bleeding time. a. Partial thromboplastin time. Which of these techniques should a nurse use to assess for correct placement of a nasogastric tube prior to administering a feeding? . b. Slowly inject 50 mL of saline and observe for resistance. c. Inject 20 mL of water and listen for gurgling sounds. d. Observe for bubbles after submerging the end of the tube in a cup of water. a. Aspirate 10 mL contents and measure the pH. A client has shortness of breath when lying down and usually assumes an upright or sitting position in order to breathe more comfortably. A nurse should document this observation as: a. dyspnea. b. bradypnea. . d. apnea. c. orthopnea. Which of these instructions should a nurse give to a client when collecting a sputum specimen? b. "Gargle with antiseptic mouthwash before you spit into this container. c. "Spit whatever sputum you have in your mouth into this container." d. "Drink some fluids to loosen your secretions and the spit into this container." a. "Take a deep breath, then cough and spit into this container." A client who is receiving radiation therapy has a nursing diagnosis of imbalanced nutrition: less than body requirements related to diminished taste perception and nausea. Which of these additional nursing diagnoses should a nurse consider for the client? a. Risk for aspiration. c. orthopnea a. Aspirate 10 mL contents and measure the a. Partial thromboplastin a. "Take a deep breath, then cough and spit into this
b. Ineffective protection. d. Altered tissue perfusion. c. Risk for deficient fluid volume. Which of these menus, if chosen by a parent of a child who has celiac disease, would indicate to a nurse that the parent understands the teaching about a gluten-free diet? . b. Pork chop, egg noodles, and green peas. c. Fried chicken, white roll, and mixed vegetables. d. Baked macaroni with cheddar cheese and corn. a. Broiled steak, baked potato, and spinach. Which of these statements, if made by a nurse, is non-therapeutic because it disregards a client's feelings and concerns? a. "You appear anxious and tense." c. "I notice you're biting your nails." d. "I'm not sure I understand what you're saying." b. "Everything will be okay." A client tells a nurse, "I am so scared about the interview tomorrow. I just know I will say the wrong thing and not get the job." Which of these responses, if made by the nurse, will create a communication barrier? a. "Would you like to practice the interview?" b. "Have you thought about some possible questions that may be asked in the interview?" c. "Tell me more about your concerns." d. "You need to relax, and everything will be fine." d. "You need to relax, and everything will be fine." A young healthy adult, who has been exercising in hot weather, has fatigue, loss of appetite, and lightheadedness. Which of these assessments should a nurse make? a. Determine the client's preferred diet. . c. Auscultate the lungs. b. Measure the client's body a. Broiled steak, baked potato, and c. Risk for deficient fluid b. "Everything will be
Which of the statements if made by a client who is take furosemide (Lasix), supports a nursing diagnosis of knowledge deficit? a. "This medication will increase the amount and frequency of my urination." b. "This medication must be taken, even on days when I fell well." d. "I should change my position slowly to avoid dizziness related to this medication." c. "I will need to add more salt to my diet because this medication will increase its excretion." Which of these statements, if made by a client who has chronic obstructive pulmonary disease, indicates improvement? a. "I hope to attend my grandson's graduation next month." c. "I take several quick breaths when I begin to cough." d. "I do my breathing exercises in the evening after I eat dinner." b. "I can now walk one more block than I could last month." An 8 - month-old infant is admitted to the hospital because of failure to thrive. Which of these actions should a nurse plan? a. Limit the parents' interactions with the infant. c. Rotate assignments so that all staff can evaluate the infant. d. Limit the infant's activity until the cause of the problem is identified. b. Consistently assign the care of the infant to the same staff. Which of these actions should a nurse include to enhance the effectiveness of client teaching sessions? a. Include all content in one session so as not to overwhelm the client. c. Avoid repetition of content. d. Include all clients on the unit in the sessions. b. Initially demonstrate and explain the procedure to the client. Which of these laboratory test results is more important for a nurse to assess for a client who reports chest pain? a. WBC count. c. "I will need to add more salt to my diet because this medication will increase its b. "I can now walk one more block than I could last b. Consistently assign the care of the infant to the same b. Initially demonstrate and explain the procedure to the
b. PTT level. . d. Hemoglobin. c. Troponin level. A nurse should explain to a primigravida that urine tests will be done at each prenatal visit throughout the pregnancy to measure: a. specific gravity and pregnancy hormones. b. culture and white blood cell count. d. bacteria and red blood cell count. c. glucose and protein. Which of these manifestations should a nurse expect to observe in a client who is diagnosed with paranoid schizophrenia? a. Regression. c. Catatonia. d. Hyperactivity. b. Suspiciousness. Which of these measures should an emergency room nurse include when speaking with a family experiencing the loss of an infant from Sudden Infant Death Syndrome (SIDS)? a. Explaining to the parents how SIDS could have been predicted. b. Discouraging the parents from viewing the infant's body. . d. Interviewing the parents in-depth about the circumstances of the infants death. c. Encouraging the parents to take the opportunity to say goodbye. Which of these assessments is the priority for a client who is admitted with recurrent depression? a. Previous episodes of depression. b. Compliance with prescribed medications. d. Problems with communication. c. Encouraging the parents to take the opportunity to say c. Troponin level c. glucose and b. Suspiciousness c. Presence of a suicide
a. turn the fetus in the uterus. b. ease the fetus into the true pelvis. c. assessment of the location of the placenta. . d. determine the fetal presentation. A child is brought to the clinical for serum lead screening because of ingestion of lead-based paint. Which of these manifestations, if present in the child, would indicate early signs of lead toxicity? a. Convulsive seizures. c. Bleeding tendencies. d. Low-grade fever. b. Behavior changes. Which of these recommendations should a nurse make when teaching a client who is to start taking oral prednisone (Deltasone)? a. "Take this medicine at bedtime, on an empty stomach." b. "Take this medicine with a hot beverage in the evening." c. "Take this medicine in the morning, one hour before breakfast." d. "Take this medicine in the morning with food or milk." Which of these actions should a nurse take prior to initiating prescribed antibiotic therapy for a client who has a urinary tract infection? a. Measure the body temperature. b. Cleanse the perineum. c. Weigh the client. d. Obtain a urine culture specimen. When caring for a client who is receiving oxygen therapy via nasal cannula, a nurse should instruct the client: a. to inhale through the mouth. d. determine the fetal b. Behavior changes. d. "Take this medicine in the morning with food or d. Obtain a urine culture b. to breathe through the
c. to hold the catheter when coughing. d. to take quick, shallow breaths. b. to breathe through the nose. Each of these clients has impaired mobility related to knee surgery. Which client should a nurse assess first? a. A 20 - year-old who has a sports-related injury. b. A 37 - year-old who reports limited mobility. d. A 70 - year-old who has bilateral cataracts. c. A 59 - year-old who has a history of hypertension. The mother of a 2 - month-old tells a nurse that the baby is consuming six ounces of plain commercial formula seven times a day, plus one ounce of cereal in the morning and at bedtime. Based on this information, the nurse should conclude that the baby's diet is: a. too high in calories. b. too high in iron content. c. deficient in calcium. d. insufficient for the baby's age and weight. c. A 59 - year-old who has a history of hypertension. A nurse plans to assess a client's recent memory. Which of these questions should the nurse include? a. "Who is your closest friend?" b. "What was the name of the school you attended?" c. "What day were you admitted to the unit?" d. "What did you have for breakfast?" A client who has a breast tumor says to a nurse, "I am so anxious. Why did I have to get sick now?" Which of these responses, if made by the nurse, is therapeutic? a. "You will need to find someone to talk over your fears on a regular basis." b. "What do you think is making you feel so anxious now?" c. "Are you aware that there are newer, more effective treatments for breast cancer?" c. A 59 - year-old who has a history of d. "What did you have for d. "Tell me more about your
