VATI RN GREENLIGHT EXAM

A nurse is planning care for a client who has a new diagnosis of HIV.

I can’t seem to gain any weight

Disaster triage following a natural disaster

A client who has agonal respirations

Client reports chest pain. Which of the following laboratory findings indicates

myocardial damage

Troponin I 1.8 ng/mL

Child who has pediculosis capitis

Store nonwashable items in plastic bags for 14 days

Child who is unresponsive and has increased intracranial pressure

Pad the side rails of the bed

Client who is 8 hr postoperative following a right-modified radical mastectomy

Coughing, frothy, pink secretions

Newborn nursery is performing assessments on four neonates that are all less

than 24 hr old

pinna below the outer canthus of the eye

Several client measurements were obtained with morning vital signs

A 4-year old who has closed head injury and heart rate of 60

Tetralogy of fallot

Pulse oximeter

Medical unit received change-of-shift report

68 year old

Recovering from an acute myocardial infarction. left sided heart failure

Bilateral lung crackles

Nutritional assessment on a client who has a calcium deficiency

Osteogenesis

Involuntarily admitted to the psychiatric unit following a failed suicide attempt

experimental treatment

Witness consent before medication administration

Education to the mother of a toddler who has pertussis

...Answer missing……check it? Offer small amounts of fluid, frequently; monitor for

airway obstruction

School nurse scabies

Red itchy papules on child’s groin area

Diabetes insipidus DI severe head injury

Urine output 250 ml

2 hr postoperative following an ileal conduit procedure bladder cancer

Dusky colored stoma

Mastitis of left breast does this mean that I must stop nursing my baby

No, you can continue to nurse from both your breasts

Orthopedic floor is completing the morning assessments on several clients

24-year old male who has a casted femur fracture

Morning laboratory values to several clients

Client who is prescribed digoxin and furosemide

Education about electroconvulsive therapy ECT major depressive disorder

General anesthetic administered prior to ECT treatments

Charge nurse creating assignments for next shift for several nurses and one

of the nurses is pregnant

60 year old who is recovering from shingles

Nurse is teaching a client who has left-leg weakness how to use a standard

walker

Moves the left leg and walker ahead together

Diagnosis of antisocial personality disorder

Poor impulse control

Home health nurse is reviewing treatment goals with a client who has diabetes

mellitus evaluate laboratory tests to determine effective long-term

management of blood glucose levels

HbA1c

Haloperidol for the treatment of schizophrenia

Screen the client for tardive dyskinesia

Urinalysis done for a preschool age child

Pyelonephritis

Delegates the following tasks to the assistive personnel bathe four clients

distribute fresh water obtain morning vital signs

Set a clear time frame for the completion of each task

Hearing impairment incorporate which communication methods

Rephrase sentences the client does not understand

A nurse is discussing the z-track hydroxyzine hydrochloride with a newly

licensed nurse

This technique decrease risk of subcutaneous infiltration

A nurse is reviewing medical records for four clients. Which of the following

represents appropriate documentation

Lovenox 30mg SC every 12 hr

Performing postmortem care on an older adult client

Place absorbent pads under the buttocks area

Discussing a living will with a client

It communicates my wishes for end of life care

Benefit from a three-way indwelling catheter

Prone to development of blood clots in the urine

Dietary intervention for a client who is immobile due to pelvic and femur

fractures

Provide a high-protein diet

If something happens to me from which I cannot recover, I don't want to go on

a ventilator

You're concerned that something may go wrong?

Rising number of sexually transmitted infections in the community

Brainstorming session with nurses

Neutropenia

Remove fresh flowers from the clients room

Hyperthyroidism which of the following rooms is appropriate for the nurse to

assign this client

A room near the nurses station

Experiencing acute mania

Provide high-calorie nutritional supplements

Ileal conduit due to treatment for bladder cancer

Rinse the reusable pouch with hot water

Adolescent who has cystic fibrosis and has a prescription for pancrealipase

Take w meals

A nurse is planning to provide community education about viral hepatitis

Clients who have a history of viral hepatitis are unable to donate blood

Ap reports to the nurse that another Ap has spent the entire morning on the

phone and has not completed the morning assignment

Redirect the AP to discuss the issue with the other AP

A nurse is caring for a client who is receiving enteral nutrition

A poor skin turgor

Adolescent client who is in her third trimester of pregnancy

Postpartum depression

Client recovering from a closed head injury assumes a decerebate posture in

reponse to stimuli

D lying flat, not curved backwards little bastard

Referral for a speech language pathologist

Client who has difficulty swallowing

Prescribed furosemide

Rales in lower lobes of lungs OR increasing oliguria

A nurse is admitting an infant who has bacterial meningitis

Minimize environmental stimuli

Laboratory data on a client who has dehydration

Elevated blood urea nitrogen

A nurse is caring for a client who has cirrhosis of the liver

Monitor for abdominal ascites

Difficulty falling asleep at night

Eat a bedtime snack containing carbohydrates

Perform wound irrigation for a client who has an open secondary wound when

creating a sterile field

Place the lid of a bottle of sterile solution within the sterile field

Laboratory values on a client who has taken an overdose of acetaminophen

organ damage

Alanine aminotransferase ALT

Nulliparous and in the first stage of labor the last internal assessment

revealed 100% cervical effacement with 5 cm of dilatation. at the end of the

last contraction, the nurse observes a large gush of fluid coming out of the

client's perineal area.

Check the FHR

Health nurse is performing a vision screening on a 4-month-old infant. When

shining a light source into the infant's visual field.

IDK – Pupillary constriction – Fixate and follow a bright light or toy

Providing discharge teaching to a client who is postpartum and plans to

breastfeed. Which of the following should the nurse recommend the client

increase in her diet during lactation

Iron

Nurse volunteers to assist after witnessing a mass casualty incident involving

a train derailment. Which of the following clients should the nurse immediately

and completely immobilize

A client who reports substernal chest pain

A nurse is writing a plan of care for a client who is homebound and has stage

2 alzheimer's disease. Which of the following should the nurse include in the

plan of care?

Assist with money management

Nurse is caring for a client with fractured ribs, has developed

thrombophlebitis, and is being treated with a heparin drip. The client develops

hematuria and has an activated partial thromboplastin time aPTT of 100

seconds

Turn off the heparin drip

A nurse is teaching a client who has a new prescription for digoxin. Which of

the following should the nurse include in the teaching?

Notify your provider if you experience muscle weakness

A nurse is planning care for a newborn who has hyperbilirubinemia and is to

receive phototherapy

Place the newborn 45cm or 18 in from the light source

A nurse is providing teaching for a client who has a new prescription for

lithium carbonate

You should take this medication on an empty stomach