() RN VATI Comprehensive
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 4 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A client with chronic kidney disease (CKD) begins to manifest Kussmaul
respirations. What action should the practical nurse implement?
A. Administer prescribed sodium bicarbonate.
A+ TEST BANK 1
, () RN VATI Comprehensive
B. Restrict sodium and fluid intake.
C. Provide additional potassium rich foods.
D. Give prescribed sevelamer (Renagel). –
Correct Answer :A. Administer prescribed sodium bicarbonate.
Rationale
: Kussmaul breathing occurs in an effort to compensate for metabolic acidosis,
which results from kidneys inability to excrete acid products such as ammonia,
which is normally buffered by bicarbonate. To help correct this imbalance,
supplements such as sodium bicarbonate (A) are prescribed and should be
administered promptly. Although (B) is indicated in CKD, this does not address
the client's onset of signs of metabolic acidosis. (C) is not recommended due to
the kidneys inability to excrete potassium. Renagel (D) is a phosphate binder
that reduces phosphate absorption and elevated serum levels that occur with
kidney failure.
Which intervention is most important for the practical nurse to implement for a
client with heart failure (HF)?
A. Maintain a record of intake and output.
B. Obtain daily weights.
C. Provide a salt substitute.
D. Monitor a client's diary of daily exercise tolerance. –
A+ TEST BANK 2
, () RN VATI Comprehensive
Correct Answer :B. Obtain daily weights.
Rationale:
In heart failure, the inefficient pumping action of the heart causes fluid
retention that is best evaluated by an increase in body weight. Obtaining daily
weights (B) is the most important action in monitoring a client with HF.
Although a record of intake and output (A) provides a tool of monitoring fluid
load, the most accurate assessment of fluid retention is daily weight. Salt
restriction, no substitution (C) should be included in the care of the client with
HF. Although daily exercise tolerance (D) reflects cardiac workload, an increased
fluid load is best gauged by weight.
The practical nurse (PN) is caring for a client with angina pectoris. Which
assessment finding is most important for the PN to report to the health care
provider?
A. Premature ventricular beats (PVC) at 8 per minute.
B. Chest pain subsides when the client returns to bed.
C. Sinus tachycardia at 120 beats/minute.
D. Oxygen flow rate at 4 liters/minute. –
Correct Answer :A. Premature ventricular beats (PVC) at 8 per minute.
Rationale:
A+ TEST BANK 3
, () RN VATI Comprehensive
Excessive and multi-focal PVCs (A) are ineffective beats originating from various
foci in the myocardium that are a precursor for dysrhythmia progression to
ventricular tachycardia or ventricular fibrillation. (B, C, and D) are important, but
the client's increased myocardial irritability increases the client's risk a life
threatening dysrhythmia and should be reported immediately
An older male client who drove himself to the emergent care clinic with chest
pain is placed on a cardiac monitor with oxygen per nasal cannula at 2
liters/minute as an IV access is obtained. Which intervention should the practical
nurse implement first?
A. Review history for cardiac disease.
B. Collect blood specimens for laboratory studies.
C. Apply telemetry electrodes to the client's chest.
D. Administer sublingual nitroglycerin. –
Correct Answer :C. Apply telemetry electrodes to the client's chest.
Rationale:
Since the client is presenting with chest pain, the risk of becoming unstable at
any time due to possible acute coronary syndrome (ACS) requires that
differential assessments are implemented immediately. First telemetry
electrodes (C) should be applied for early recognition of ST segment changes
and life threatening arrhythmias. Although (A) provides information about the
client's risk for ACS, the immediate need is analysis of cardiac rhythm. Specimens
for diagnostic analysis (B) should be obtained after cardiac rhythm assessment,
so treatment, such as the need for nitroglycerin (D) can be prescribed and
implemented
A+ TEST BANK 4
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 4 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A client with chronic kidney disease (CKD) begins to manifest Kussmaul
respirations. What action should the practical nurse implement?
A. Administer prescribed sodium bicarbonate.
A+ TEST BANK 1
, () RN VATI Comprehensive
B. Restrict sodium and fluid intake.
C. Provide additional potassium rich foods.
D. Give prescribed sevelamer (Renagel). –
Correct Answer :A. Administer prescribed sodium bicarbonate.
Rationale
: Kussmaul breathing occurs in an effort to compensate for metabolic acidosis,
which results from kidneys inability to excrete acid products such as ammonia,
which is normally buffered by bicarbonate. To help correct this imbalance,
supplements such as sodium bicarbonate (A) are prescribed and should be
administered promptly. Although (B) is indicated in CKD, this does not address
the client's onset of signs of metabolic acidosis. (C) is not recommended due to
the kidneys inability to excrete potassium. Renagel (D) is a phosphate binder
that reduces phosphate absorption and elevated serum levels that occur with
kidney failure.
Which intervention is most important for the practical nurse to implement for a
client with heart failure (HF)?
A. Maintain a record of intake and output.
B. Obtain daily weights.
C. Provide a salt substitute.
D. Monitor a client's diary of daily exercise tolerance. –
A+ TEST BANK 2
, () RN VATI Comprehensive
Correct Answer :B. Obtain daily weights.
Rationale:
In heart failure, the inefficient pumping action of the heart causes fluid
retention that is best evaluated by an increase in body weight. Obtaining daily
weights (B) is the most important action in monitoring a client with HF.
Although a record of intake and output (A) provides a tool of monitoring fluid
load, the most accurate assessment of fluid retention is daily weight. Salt
restriction, no substitution (C) should be included in the care of the client with
HF. Although daily exercise tolerance (D) reflects cardiac workload, an increased
fluid load is best gauged by weight.
The practical nurse (PN) is caring for a client with angina pectoris. Which
assessment finding is most important for the PN to report to the health care
provider?
A. Premature ventricular beats (PVC) at 8 per minute.
B. Chest pain subsides when the client returns to bed.
C. Sinus tachycardia at 120 beats/minute.
D. Oxygen flow rate at 4 liters/minute. –
Correct Answer :A. Premature ventricular beats (PVC) at 8 per minute.
Rationale:
A+ TEST BANK 3
, () RN VATI Comprehensive
Excessive and multi-focal PVCs (A) are ineffective beats originating from various
foci in the myocardium that are a precursor for dysrhythmia progression to
ventricular tachycardia or ventricular fibrillation. (B, C, and D) are important, but
the client's increased myocardial irritability increases the client's risk a life
threatening dysrhythmia and should be reported immediately
An older male client who drove himself to the emergent care clinic with chest
pain is placed on a cardiac monitor with oxygen per nasal cannula at 2
liters/minute as an IV access is obtained. Which intervention should the practical
nurse implement first?
A. Review history for cardiac disease.
B. Collect blood specimens for laboratory studies.
C. Apply telemetry electrodes to the client's chest.
D. Administer sublingual nitroglycerin. –
Correct Answer :C. Apply telemetry electrodes to the client's chest.
Rationale:
Since the client is presenting with chest pain, the risk of becoming unstable at
any time due to possible acute coronary syndrome (ACS) requires that
differential assessments are implemented immediately. First telemetry
electrodes (C) should be applied for early recognition of ST segment changes
and life threatening arrhythmias. Although (A) provides information about the
client's risk for ACS, the immediate need is analysis of cardiac rhythm. Specimens
for diagnostic analysis (B) should be obtained after cardiac rhythm assessment,
so treatment, such as the need for nitroglycerin (D) can be prescribed and
implemented
A+ TEST BANK 4
