VATI GREENLIGHT COMPREHENSIVE EXAM
QUESTIONS AND CORRECT ANSWERS
Question 1
A nurse is teaching the guardian of an infant who has developmental dysplasia of the
hip about a Pavlik harness. Which of the following instructions should the nurse
include?
A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
C. Maintain the child in a prone position while the harness is in place
D. Gently massage the skin under the straps once per day
Correct Answer
D. Gently massage the skin under the straps once per day
Question 2
Which of the following client is appropriate for the nurse to refer to speech therapy
for swallowing evaluation?
a.Premature infant with a poor suck reflex and failure to thrive
b.An older adult who has difficulty taking in fluids
c.Adolescent who anorexia who is cachectic
d.A middle age adults was gastroesophageal reflux disease
Correct Answer
b.An older adult who has difficulty taking in fluids
Question 3
A nurse is teaching a client about nutritional intake. The nurse should include which
of the following in the teaching?
a. "Carbohydrates should be at least 45% of your caloric intake."
b. "Protein should be at least 55% of your calorie intake."
c. "Carbohydrates should be at least 30% of your caloric intake."
d. "Protein should be at least 60% of your caloric intake."
Correct Answer
a. "Carbohydrates should be at least 45% of your caloric intake."
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,Question 4
A nurse is delegating task to an AP. For which of the following can the nurse assign to
the AP to measure vital signs
Correct Answer
A client who is requisition pain medication 2 days after surgery
Question 5
. A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
A. Oliguria
B. Constricted pupils
C. Shivering
D. Bradypnea
Correct Answer
A. Oliguria
Question 6
A nurse is assessing a client who has COPD and experienced recent weight loss.
Which of the following findings should the nurse report to the provider?
Correct Answer
Coughing and wheezing after eating
Question 7
A nurse is caring for a client who is taking alprazolam. Which of the following
prescriptions should the nurse clarify with the provider?
A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxone
Correct Answer
B. Lorazepam
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,Question 8
A community health nurse is teaching a group of adults about the importance of
health screenings. The nurse should include African American males almost twice as
likely as caucasian males to experience which of the following?
a.testicular Cancer
b.Obesity
c.Stroke
d.Melanoma
Correct Answer
c.Stroke
Question 9
breech of client confidentiality
Correct Answer
Discussing the clients reaction to the transfer with another staff nurse
Question 10
A nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin.
When reviewing the client's medical history, the nurse should recognize which of the
following diagnoses as a contraindication to the administration of methylergonovine?
A. Diabetes mellitus
B. Hypertension
C. Migraine headaches
D. Hepatitis B
Correct Answer
B. Hypertension
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, Question 11
A nurse is preparing to administer 2.5mL of medication intramuscularly to an adult
client. Which of the following is the safest site for the nurse to use?
A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis
D. Rectus femoris
Correct Answer
A. Ventrogluteal
Question 12
A nurse is monitoring a client during an IV urography procedure. Which of the
following client reports is the priority finding?
A. Metallic taste in mouth
B. Abdominal fullness
C. Feeling flushed and warm
D. Swollen lips
Correct Answer
D. Swollen lips
Question 13
A nurse is assessing a client who is postoperative following abdominal surgery. The
client states, "I feel like my incision ripped open." The nurse notes dehiscence of the
incision. Which of the following actions should the nurse take? Med Surg page 670
A. Extend the client's legs above heart level
B. Place the client in a low-Fowler's position
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision
Correct Answer
B. Place the client in a low-Fowler's position
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QUESTIONS AND CORRECT ANSWERS
Question 1
A nurse is teaching the guardian of an infant who has developmental dysplasia of the
hip about a Pavlik harness. Which of the following instructions should the nurse
include?
A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
C. Maintain the child in a prone position while the harness is in place
D. Gently massage the skin under the straps once per day
Correct Answer
D. Gently massage the skin under the straps once per day
Question 2
Which of the following client is appropriate for the nurse to refer to speech therapy
for swallowing evaluation?
a.Premature infant with a poor suck reflex and failure to thrive
b.An older adult who has difficulty taking in fluids
c.Adolescent who anorexia who is cachectic
d.A middle age adults was gastroesophageal reflux disease
Correct Answer
b.An older adult who has difficulty taking in fluids
Question 3
A nurse is teaching a client about nutritional intake. The nurse should include which
of the following in the teaching?
a. "Carbohydrates should be at least 45% of your caloric intake."
b. "Protein should be at least 55% of your calorie intake."
c. "Carbohydrates should be at least 30% of your caloric intake."
d. "Protein should be at least 60% of your caloric intake."
Correct Answer
a. "Carbohydrates should be at least 45% of your caloric intake."
Page 1 of 145
,Question 4
A nurse is delegating task to an AP. For which of the following can the nurse assign to
the AP to measure vital signs
Correct Answer
A client who is requisition pain medication 2 days after surgery
Question 5
. A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
A. Oliguria
B. Constricted pupils
C. Shivering
D. Bradypnea
Correct Answer
A. Oliguria
Question 6
A nurse is assessing a client who has COPD and experienced recent weight loss.
Which of the following findings should the nurse report to the provider?
Correct Answer
Coughing and wheezing after eating
Question 7
A nurse is caring for a client who is taking alprazolam. Which of the following
prescriptions should the nurse clarify with the provider?
A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxone
Correct Answer
B. Lorazepam
Page 2 of 145
,Question 8
A community health nurse is teaching a group of adults about the importance of
health screenings. The nurse should include African American males almost twice as
likely as caucasian males to experience which of the following?
a.testicular Cancer
b.Obesity
c.Stroke
d.Melanoma
Correct Answer
c.Stroke
Question 9
breech of client confidentiality
Correct Answer
Discussing the clients reaction to the transfer with another staff nurse
Question 10
A nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin.
When reviewing the client's medical history, the nurse should recognize which of the
following diagnoses as a contraindication to the administration of methylergonovine?
A. Diabetes mellitus
B. Hypertension
C. Migraine headaches
D. Hepatitis B
Correct Answer
B. Hypertension
Page 3 of 145
, Question 11
A nurse is preparing to administer 2.5mL of medication intramuscularly to an adult
client. Which of the following is the safest site for the nurse to use?
A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis
D. Rectus femoris
Correct Answer
A. Ventrogluteal
Question 12
A nurse is monitoring a client during an IV urography procedure. Which of the
following client reports is the priority finding?
A. Metallic taste in mouth
B. Abdominal fullness
C. Feeling flushed and warm
D. Swollen lips
Correct Answer
D. Swollen lips
Question 13
A nurse is assessing a client who is postoperative following abdominal surgery. The
client states, "I feel like my incision ripped open." The nurse notes dehiscence of the
incision. Which of the following actions should the nurse take? Med Surg page 670
A. Extend the client's legs above heart level
B. Place the client in a low-Fowler's position
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision
Correct Answer
B. Place the client in a low-Fowler's position
Page 4 of 145
