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VATI PN COMPREHENSIVE EXAM_complete updated answers_latest 2023

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VATI PN COMPREHENSIVE EXAM A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? A... nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions? A nurse is preparing to administer a liquid medication to a 6-month-old infant who is crying. Which of the following actions should the nurse take to reduce the risk of aspiration? A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A nurse in a urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following statements should the nurse expect? A nurse is assisting with an admission interview for a client who has schizophrenia. He tells the nurse that he is receiving special audible messages from the Central Intelligence Agency that no one else is able to hear. The nurse should identify that the client is having which of the following alterations in perception? A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates to the nurse a need for further teaching? A nurse is assisting with triaging clients in a mass casualty situation. The nurse should recommend that which of the following clients receive care first? A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's siblings should the nurse expect? A home health nurse is reinforcing teaching with a client about kitchen safety. Which of the following instructions should the nurse reinforce about using a fire extinguisher? A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate. Which of the following client statements indicates an understanding of the teaching? A nurse is caring for a client who is 5 days postoperative following abdominal surgery. The client tells the nurse that he was coughing and "felt a pop" at the incision site. The nurse examines the incision and finds wound dehiscence and evisceration. Which of the following actions should the nurse take? A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%. Which of the following interventions should the nurse take first? A nurse is observing the mother of a 12-hr-old newborn. Which of the following actions by the mother requires intervention by the nurse? After receiving change-of-shift report, which of the following clients should the nurse collect data from first? A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with a client who has which of the following diagnoses? A nurse is evaluating a client who just attended a breastfeeding class. Which of the following statements by the client demonstrates that she has understood the teaching? A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops? A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse see first? A nurse in the newborn nursery is collecting data about a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex? A nurse is caring for a school-age child who is scheduled for a bone marrow aspiration biopsy. The child asks the nurse, "Will this be painful?" Which of the following is an appropriate response by the nurse? A nurse is assisting with the admission of a client who attempted suicide. When the nurse processes the client's belongings, which of the following items should the nurse remove from the client's suitcase? A nurse is caring for a client who is experiencing chest pain. The client states, "I am really afraid because my brother died a year ago of a heart attack." Which of the following responses is appropriate? A nurse is collecting data from a client who is 1 day postoperative following a total hip arthroplasty and has deep-vein thrombosis. Which of the following findings should the nurse expect in the affected extremity? A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse include in the plan of care? A nurse is caring for a client who is receiving morphine 2 mg subcutaneously every 4 hr for pain. The medication is available in a vial containing 10 mg/mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is preparing to administer cefaclor to a preschooler who weighs 20 kg. The child is to receive cefaclor 30 mg/kg/day to divide equally every 8 hr. Available is cefaclor suspension 125 mg/5 mL. How many ml should the nurse administer for one dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is caring for a school-age child whose family adheres to a vegan diet in the home. The nurse should recognize the child is at risk for deficiency of which of the following? A nurse is preparing to catheterize a client's bladder to check for residual urine. The nurse should schedule this procedure at which of the following times? A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates the client might be experiencing diabetic ketoacidosis? A nurse is reinforcing teaching with a postpartum client. Which of the following should the nurse explain as the most important reason for staff to wear identification? A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain,swelling, and stiffness. Which of the following client statements indicates understanding of the teaching? A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of the following instructions should the nurse include in the teaching? A nurse is preparing a clients insulin regimen. Which of the following insulin's can be mixed? A nurse is caring for a client who had a stroke and is having difficulty swallowing. The nurse should recommend a referral to which of the following members of the interprofessional team? A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy. Which of the following instructions should the nurse include? A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the following findings should the nurse expect? A nurse in long-term care facility has received change-of-shift report about four clients. Which of the following clients should the nurse attend to first? A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication? A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference? A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider? A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching? A nurse is caring for a school-age child who has epistaxis. Which of them following actions should the nurse take? A nurse is caring for four clients. Which of the following clients statements should the nurse attend to first? A nurse in a providers office is talking on the phone with the parent of a school-age child who has varicella. A nurse is administering a cleansing enema to a client who reports mild cramping during instillation of the solution. Which of the following actions should the nurse take? A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following? A nurse is setting up a sterile field prior to performing a dressing change. Which of the following actions should the nurse take? A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take? A nurse is caring for a client who has viral pneumonia. Which of the following actions should the nurse take? A nurse who orienting to a medical-surgical unit is having difficulty finishing client care tasks during his shift. Which of the following suggestions should the nurse's preceptor make to help the nurse with time management? A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty. The nurse is preparing to change the client's dressing. Which of the following actions should the nurse take to demonstrate sensitivity to age-related changes? A nurse working in an inpatient mental health facility is assisting with the plan of care for a client who has anorexia nervosa. Which of the following should the nurse recommend to include in the plan of care? A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which of the following statements should the nurse include? A nurse is caring for a client who has heart failure and reports difficulty limiting sodium in his diet. Which of the following recommendations should the nurse provide? A nurse is reinforcing teaching about nonpharmacological pain relief with a client who is 6 hr postpartum following a vaginal delivery. The client has an episiotomy and swelling of the labia. Which of the following instructions should the nurse include? A nurse is caring for a client who has a new colostomy. He voices a reluctance about resuming sexual relations. Which of the following is an appropriate response by the nurse? A nurse is reinforcing discharge teaching about transmission precautions with a client who has hepatitis C. Which of the following information should the nurse include? A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following interventions should the nurse recommend? A nurse is assisting with the discharge planning for a client following a myocardial infarction. Which of the following is an appropriate referral for this client? A nurse is contributing to the discharge plan of an older adult client who had a total hip arthroplasty. The client is unable to ambulate independently and lives alone. Which of the following care settings should the nurse recommend for this client? A nurse is reinforcing teaching with the parents of a preschool-age child who has a new diagnosis of celiac disease. Which of the following foods should the nurse recommend? A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate? A nurse is speaking to a client who called the provider's office to report chest pain and requests clarification on how to take his sublingual nitroglycerin tablets. Which of the following instructions should the nurse give the client? A nurse is caring for a client and begins to suspect he is experiencing transference. Which of the following client statements should the nurse identify as an indicator of transference? A nurse is caring for a client who has been placed in restraints. Which of the following is appropriate? A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following? A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take? A nurse on a medical-surgical unit is planning care for a group of clients. Which of the following tasks is appropriate to delegate to an assistive personnel? A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect? A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A nurse delegates a task to an assistive personnel (AP) and the AP refuses the assigned task. Which of the following actions should the nurse take first? A nurse on a medical unit is observing an assistive personnel (AP) delivering food trays. Which of the following actions by the AP requires intervention? A nurse is reinforcing teaching with a client who has a vitamin C deficiency. Which of the following foods should the nurse include as having the highest vitamin C content? A nurse is working in an urgent care clinic when a client who does not speak the same language arrives with a laceration that will require suturing. Which of the following actions appropriate for the nurse to take? Ask an assistive personnel who speaks the same language as the client to assist in obtaining informed consent. A nurse is collecting data from a client who has dehydration and is receiving continuous IV therapy. Which of the following findings indicates effectiveness of the IV therapy? A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take? A nurse is removing a female client's indwelling urinary catheter. Which of the following actions should the nurse take? A nurse is collecting data from a parent of a preschooler at a well-child visit. Which of the following findings is a contraindication to a measles, mumps, and rubella (MMR) immunization? A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever. Which of the following responses should the nurse make? A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? A nurse is reinforcing teaching with an older adult client who has a new prescription for digoxin for heart failure. Which of the following effects should the nurse include as an expected outcome of this medication? A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which of the following actions should the nurse recommend for the plan of care? A nurse is caring for a client in a provider's office. The client asks about the purpose of a living will. Which of the following is the appropriate response by the nurse? A nurse is planning to administer an ophthalmic medication to a client. Which of the following actions will minimize systemic absorption of the medication? A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan to take? A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings should the nurse identify as a contraindication to the use of oral contraceptives? A nurse is caring for a client who is undergoing evaluation for a thoracic aortic aneurysm. Which of the following findings should make the nurse suspect an impending rupture of the aneurysm? A nurse collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the client received 200 mL more than prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not considered malpractice for which of the following reasons? A nurse is escorting a client to his car following discharge from an acute mental health facility. The client states intentions to harm a friend when he leaves the facility. Which of the following actions should the nurse take? A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and A nurse receives a verbal order for a client to receive a stat dose of meperidine 100 mg PO. She administers the medication, charts the administration, and then realizes she has administered phenytoin 100 mg PO. Which of the following actions should the nurse take first? A nurse is preparing to administer 5 units of regular insulin and 20 units of NPH insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first? A nurse is caring for a client who has urolithiasis. Which of the following actions should the nurse take? A nurse in a mental health facility is reviewing the laboratory reports for four clients. Which of the following results should the nurse report to the provider immediately? A nurse is reinforcing teaching with a client who is about to undergo an upper gastrointestinal series with fluoroscopy. Which of the following information should the nurse provide? A nurse is preparing morning medications for a client who has a potassium level of 3.2 mEq/L. For which of the following medications should the nurse withhold administration and notify the provider? A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For which of the following results should the nurse notify the provider? A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate? A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate? A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory results indicates a possible complication of this therapy? A nurse in the newborn nursery is planning to obtain blood from a newborn by a heel stick. Which of the following actions should the nurse plan to take? A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the appropriate assignment for the nurse to accept? A client who is participating in an anger management session explains that his recent behaviors are related to his job loss. Which of the following defense mechanisms is the client using? A nurse working at a crisis hotline call center receives a call from a client who states, "I cannot take it. My life is over." Which of the following is the priority response by the nurse? A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching? A client's daughter calls the nurse requesting information about her mother's condition. The client's chart does not specify that information can be released to the daughter. Which of the following is an appropriate response by the nurse? A nurse is caring for a 17-year-old client who admitted for an emergency appendectomy. Which of the following is an appropriate action by the nurse in obtaining informed consent? A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include? A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia? A nurse is reinforcing teaching with the family of a client who is receiving palliative care for terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate pain control measures? A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first? A nurse is collecting data from a 3-month-old infant who is 6 hr postoperative following a cleft palate repair. Which of the following pain rating tools should the nurse use? A nurse is caring for a client who has a new prescription for furosemide. The client asks the nurse about the purpose of the medication. The nurse tells the client, "This medication is a diuretic, and you should monitor your weight while taking it." Which of the following ethical concepts is the nurse exhibiting? A nurse is expressing concern about his assignment with the charge nurse. The nurse states that he has more work to do than anyone else. Which of the following statements by the charge nurse demonstrates the conflict resolution strategy of competing? A nurse working on a mental health unit is meeting with a client who has been on the unit for 2 days. The nurse greets the client and asks, "What has been happening with you today?" Which of the following therapeutic techniques is the nurse using? A nurse discovers a fire in a trash can in a client's room. Which of the following actions should the nurse take first? A nurse is caring for a client who is postoperative following a femoral cardiac catheterization. Which of the following actions should the nurse take during the first 30 min? A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse? A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of the following statements by the client indicates an understanding of the information? A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching? A nurse and an assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP? A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis (MG) and a prescription for neostigmine. Which of the following information should the nurse include about the action of the medication? A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to perform first? A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts? A nurse is caring for a client who was diagnosed with hyperemesis gravidarum. Which of the following findings should the nurse anticipate? A nurse is reinforcing discharge teaching with an older adult client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching? A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should include that which of the following situations requires completion of an incident report? A nurse is reinforcing teaching with a client who has rheumatoid arthritis and is using a straight-legged cane for ambulation. Which of the following instructions should the nurse include? A nurse is participating in a performance improvement process to decrease the rate of health care- associated infections within the facility. The nurse should recognize that which of the following is an appropriate performance improvement outcome indicator? A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care? A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect? A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider? A nurse is orienting a newly licensed nurse to a medical-surgical unit. Which of the following actions should the nurse take to verify that the newly licensed nurse understands the procedure for measuring a client's blood glucose level? A nurse is caring for a client who has a new prescription for a protective safety restraint. Which of the following actions should the nurse take? A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should the nurse help the client develop problem-solving skills? A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates the client is experiencing an allergic reaction? A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer? A nurse is caring for an older adult client who has pneumonia. When reinforcing teaching about the diagnosis and age-related changes with the client's family, which of the following alterations should the nurse include? A nurse is collecting data from the guardian of a toddler during a well-child visit. The guardian expresses concern to the nurse because his child has a poor appetite, but drinks a quart of milk each day. The nurse should identify that this practice places the toddler at risk for which of the following conditions? A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is an appropriate technique to use? A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity? A nurse is assisting with a group therapy session in which a client begins to monopolize the group's time. Which of the following interventions is appropriate? A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has a Penrose drain. Which of the following actions should the nurse take? A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a tonsillectomy. Which of the following findings is a sign of hemorrhage? A nurse in a long-term care facility is observing an assistive personnel (AP) who is performing hand hygiene. Which of the following actions by the AP requires intervention? A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse? A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the newborn nursery. For which of the following newborn care procedures should the nurse remind the AP to wear clean gloves? A nurse is caring for a client who is receiving prazosin. The client's blood pressure is 100/60 mm Hg. Which of the following actions should the nurse take? A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse? A nurse is reinforcing teaching with a client about the importance of a low-sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low-sodium diet? A nurse in a prenatal clinic is reinforcing teaching with a client about a nonstress test. Which of the following statements should the nurse include? A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following methods should the nurse plan to use? A nurse is reinforcing teaching about colostomy care with a client. Which of the following client statements indicates an understanding of how to care for the colostomy? A nurse is caring for a client who is postoperative following a hemicolectomy. Which of the following is the best indication that the client needs PRN pain medication? A charge nurse in a long-term care unit is planning care for a group of clients. Which of the following care tasks should the nurse plan to delegate to an assistive personnel? A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of Pediculosis humanus capitis. Which of the following should the nurse include in the teaching? A nurse in an inpatient mental health facility is caring for a client who has bipolar disorder and is in an acute manic episode. Which of the following activities should the nurse suggest for the client? A nurse is reinforcing healthy eating habits for an older adult client to ensure adequate dietary intake. Which of the following is an appropriate recommendation? A nurse in a provider's office is collecting data from a client who was discharged from the hospital 7 days ago following treatment for deep-vein thrombosis. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) A nurse is preparing to administer an IM injection to a client. To reduce the risk of a needlestick injury, the nurse should take which of the following actions? A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which following results should the nurse notify the provider? A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine. Which of the following statements indicates understanding of the instructions? A nurse is preparing to administer purified protein derivative (PPD) to a client. The nurse should use which of the following routes? A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching? A nurse is reinforcing teaching with a parent about appropriate snacks for a toddler. Which of the A nurse is caring for a client who has COPD. The client tells the nurse, "I get short of breath during meals. It is too much trouble to eat." Which of the following instructions should the nurse suggest? A nurse working in a long-term care facility is assisting with the plan of care for a client who has Alzheimer's disease. The nurse notes that the client wanders the halls at night and says she is looking for the bathroom. Which of the following interventions should the nurse recommend to include in the plan of care? A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions? A client who is prescribed metoprolol for hypertension tells the nurse, "I don't want to take this medication because makes me tired all the time." Which of the following is the appropriate response? A nurse on a mental health unit is discussing client rights with a group of coworkers. Which of the following statements should the nurse include? A nurse is reinforcing teaching with the parent of a toddler who has difficulty falling asleep. Which of the following instructions should the nurse include? A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication? (Select all that apply.) [Show More]

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