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?

I will feed my baby six to eight times a day

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?

I will take a stool softener to prevent constipation

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?

Administer using a needless syringe in the buccal cavity

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?

I will plan to have my meals at regular intervals

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?

Muscle weakness

A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following statements should

the nurse expect?

I feel tired all the time

A nurse is assisting with an admission interview for a client who hasschizophrenia. 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?

Hallucination

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?

"I will be sure to wear cotton socks."

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 client who has diminished breath sounds and paradoxical chest movement

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?

The school-age sister is concerned about the impact of her sibling's death on herself

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?

Sweep the extinguisher from side to side to put out the fire.

A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate. Which of

the following clientstatements indicates an understanding of the teaching?

"I will notify my provider if I develop a tremor."

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?

Place the client in a side-lying position.

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?

Repeat the test on another finger.

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?

The mother places the newborn in prone position.

After receiving change-of-shift report, which of the following clients should the nurse collect data from

first?

A client who has heart failure and reports severe dyspnea

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?

Community-acquired pneumonia

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?

"I will feed my baby each time he cries."

A nurse is reinforcing teaching aboutself-administration of nasal drops with a client. Which of the

following positions should the nurse recommend for instillation of the drops?

Supine

A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the

nurse see first?

A client who is exhibiting flight of ideas

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?

Strike the crib surface on which the newborn is lying.

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?

"There will be some pain, but I can give you medicine to make you more comfortable."

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?

Perfume