VATI GREENLIGHT COMPREHENSIVE EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Question 1
nurse is caring for a client who has heart failure and a potassium of 3 mEq/L. the
nurse should obtain verification of which of the following prescriptions from the
provider?
a. digoxin 0.125 mg PO daily
b. strict intake and output
c. cardiac monitoring
d. spironolactone 25 mg PO daily
Correct Answer
a. digoxin 0.125 mg PO daily
Question 2
A nurse is planning teaching for a client who is at 10 weeks of gestation and has a
history of urinary tract infections. Which of the following information should the nurse
plan to include in the teaching about UTI prevention?
A. Decrease intake of citrus foods and beverages
B. Wear nylon underwear
C. Empty the bladder before and after intercourse
D. Increase the time between voiding
Correct Answer
C. Empty the bladder before and after intercourse
Question 3
A nurse is assessing a client who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
Correct Answer
Change in vocal tone after drinking liquids
Page 1 of 139
,Question 4
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with
syncope. Which of the following images indicates that the client has atrial fibrillation?
Correct Answer
Question 5
A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following interventions should the nurse perform
a.Give 100 mL of water with every feeding.
b.Obtain gastric residuals every 24 hr.
c.Position the head of bed at 30 degrees during feeding.
d.Mix the clients medications with the tube feedings.
Correct Answer
c. Position the head of bed at 30 degrees during feeding.
Question 6
A nurse is caring for a client who is who is receiving continuous feeding via NG tube.
Which of the following actions would the nurse take?
Correct Answer
Check the clients gastric residual every 4hrs
Page 2 of 139
,Question 7
A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which
of the following actions should the nurse take first?
A. Confirm schedule for delivery of supplies
B. Coordinate interdisciplinary health care services
C. Demonstrate how to perform the procedure
D. Clarify the client's actual and perceived health needs
Correct Answer
D. Clarify the client's actual and perceived health needs
Question 8
A nurse is assessing a client who was brought to the emergency department by his
adult child. The client has visible contusions on all four extremities. Which of the
following actions should the nurse take?
A. Report the incident to Adult Protective Services
B. Interview the client with his adult child present
C. Tell the client he must answer every assessment question
D. Advise the client to consult a social worker
Correct Answer
A. Report the incident to Adult Protective Services
Question 9
A nurse on the medical surgical unit is receiving reports on four clients. Which of the
following client should the nurse assess first?
a.A client who is receiving warfarin and has and INR of 3.3
b.A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52
mg/dL
c.A client who had a NG tube inserted 6 hr ago and has abdominal distention
d.A client who is 4 hr postoperative following a thyroidectomy and reports fullness in
the back of the throat
Correct Answer
d. A client who is 4 hr postoperative following a thyroidectomy and reports fullness
in the back of the throat
Page 3 of 139
, Question 10
A nurse is caring for a client who has been taking haloperidol for several years. Which
of the following assessment findings should the nurse recognize as a long-term side
effect of this medication?
a.Lip smacking
b.Agranulocytosis
c.Clang association
d.Alopecia
Correct Answer
a. Lip smacking
This is a manifestation of tardive dyskinesia.
Question 11
A nurse is assessing a client wasn't following vital signs: Oral temperature of 37.2°C
(99 F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min,
and blood pressure of 132/40 mm Hg. What is the clients pulse pressure?
Correct Answer
systolic presssure subtracted by diastolic pressure (132 - 40) = 92
Question 12
A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take?
Correct Answer
Wear a lead apron when providing care for the client.
Question 13
A nurse is caring for a client who has a femur fracture and is on bedrest with Buck's
extension traction. Which of the following actions should the nurse take?
Correct Answer
Inspect the clients skin under the device every 8 hrs
Page 4 of 139
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Question 1
nurse is caring for a client who has heart failure and a potassium of 3 mEq/L. the
nurse should obtain verification of which of the following prescriptions from the
provider?
a. digoxin 0.125 mg PO daily
b. strict intake and output
c. cardiac monitoring
d. spironolactone 25 mg PO daily
Correct Answer
a. digoxin 0.125 mg PO daily
Question 2
A nurse is planning teaching for a client who is at 10 weeks of gestation and has a
history of urinary tract infections. Which of the following information should the nurse
plan to include in the teaching about UTI prevention?
A. Decrease intake of citrus foods and beverages
B. Wear nylon underwear
C. Empty the bladder before and after intercourse
D. Increase the time between voiding
Correct Answer
C. Empty the bladder before and after intercourse
Question 3
A nurse is assessing a client who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
Correct Answer
Change in vocal tone after drinking liquids
Page 1 of 139
,Question 4
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with
syncope. Which of the following images indicates that the client has atrial fibrillation?
Correct Answer
Question 5
A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following interventions should the nurse perform
a.Give 100 mL of water with every feeding.
b.Obtain gastric residuals every 24 hr.
c.Position the head of bed at 30 degrees during feeding.
d.Mix the clients medications with the tube feedings.
Correct Answer
c. Position the head of bed at 30 degrees during feeding.
Question 6
A nurse is caring for a client who is who is receiving continuous feeding via NG tube.
Which of the following actions would the nurse take?
Correct Answer
Check the clients gastric residual every 4hrs
Page 2 of 139
,Question 7
A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which
of the following actions should the nurse take first?
A. Confirm schedule for delivery of supplies
B. Coordinate interdisciplinary health care services
C. Demonstrate how to perform the procedure
D. Clarify the client's actual and perceived health needs
Correct Answer
D. Clarify the client's actual and perceived health needs
Question 8
A nurse is assessing a client who was brought to the emergency department by his
adult child. The client has visible contusions on all four extremities. Which of the
following actions should the nurse take?
A. Report the incident to Adult Protective Services
B. Interview the client with his adult child present
C. Tell the client he must answer every assessment question
D. Advise the client to consult a social worker
Correct Answer
A. Report the incident to Adult Protective Services
Question 9
A nurse on the medical surgical unit is receiving reports on four clients. Which of the
following client should the nurse assess first?
a.A client who is receiving warfarin and has and INR of 3.3
b.A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52
mg/dL
c.A client who had a NG tube inserted 6 hr ago and has abdominal distention
d.A client who is 4 hr postoperative following a thyroidectomy and reports fullness in
the back of the throat
Correct Answer
d. A client who is 4 hr postoperative following a thyroidectomy and reports fullness
in the back of the throat
Page 3 of 139
, Question 10
A nurse is caring for a client who has been taking haloperidol for several years. Which
of the following assessment findings should the nurse recognize as a long-term side
effect of this medication?
a.Lip smacking
b.Agranulocytosis
c.Clang association
d.Alopecia
Correct Answer
a. Lip smacking
This is a manifestation of tardive dyskinesia.
Question 11
A nurse is assessing a client wasn't following vital signs: Oral temperature of 37.2°C
(99 F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min,
and blood pressure of 132/40 mm Hg. What is the clients pulse pressure?
Correct Answer
systolic presssure subtracted by diastolic pressure (132 - 40) = 92
Question 12
A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take?
Correct Answer
Wear a lead apron when providing care for the client.
Question 13
A nurse is caring for a client who has a femur fracture and is on bedrest with Buck's
extension traction. Which of the following actions should the nurse take?
Correct Answer
Inspect the clients skin under the device every 8 hrs
Page 4 of 139
