VATI PN COMPREHENSIVE EXAM_complete updated answers_latest 2021

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 disc ...

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?