VATI GREENLIGHT COMPREHENSIVE NURSING EXAM 1
COMPLETE QUESTIONS WITH 100% CORRECT ANSWERS
1. A nurse is reinforcing teaching with an adolescent who has a new prescription
for cefazolin. For which of the following findings should the nurse instruct the
adolescent to monitor and report to the provider?
Depression
Diarrhea
Headache
Dry mouth
Correct Answer: Depression
Rationale: Cefazolin can cause central nervous system effects, including
depression. Diarrhea, headache, and dry mouth are common but not specific
adverse effects requiring immediate provider notification.
2. A nurse is caring for a school-age child who has epistaxis. Which of the
following actions should the nurse take?
Apply pressure at the bridge of the child's nose
Tilt the child's head backward
Insert cotton deep into the nostril
Apply a warm compress to the nose
Correct Answer: Apply pressure at the bridge of the child's nose
Rationale: Applying pressure to the bridge of the nose helps compress the
bleeding vessels. Tilting the head back can cause blood to drain into the throat,
leading to aspiration or nausea.
,3. A nurse is reinforcing teaching with a group of expectant parents regarding
the proper use of a car seat. Which of the following statements by a parent
indicates an understanding of the teaching?
I can place a rolled towel on each side of my newborns head until he can hold his
head up
I will place the car seat forward-facing from birth
I will put the car seat in the front seat for easy access
I will use a booster seat for my newborn
Correct Answer: I can place a rolled towel on each side of my newborns head
until he can hold his head up
Rationale: Rolled towels provide lateral support for a newborn's head. Rear-facing
is required from birth, and the back seat is the safest position.
4. A nurse working in an inpatient mental health facility is assisting with the plan
of care for a client who has anorexia nervosa. Which of the following should the
nurse recommend to include in the plan of care?
Maintain continuity of staff members
Allow the client to eat alone in her room
Weigh the client once per week
Encourage the client to choose all meals independently
Correct Answer: Maintain continuity of staff members
Rationale: Consistent staff helps build trust and reduces manipulation. Daily
weighing and supervised meals are standard for anorexia nervosa.
5. A nurse is assisting with an admission interview for a client who has
schizophrenia. 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
Delusion
Illusion
Flight of ideas
Correct Answer: Hallucination
Rationale: Audible messages that others cannot hear are auditory hallucinations.
Delusions are fixed false beliefs, not perceptual disturbances.
6. A nurse is reinforcing teaching with a postpartum client about bathing her
newborn. Which of the following statements should the nurse include?
Wash your newborn's head under a stream of running water
Submerge your newborn fully in the tub before the cord falls off
Use bar soap directly on the newborn's face
Bathe your newborn twice daily to prevent infection
Correct Answer: Wash your newborn's head under a stream of running water
Rationale: Running water helps rinse the head safely. Submersion is not
recommended until the umbilical cord falls off.
7. A nurse is caring for a client who has heart failure and reports difficulty
limiting sodium in his diet. Which of the following recommendations should the
nurse provide?
Replace bottled salad dressing with homemade vinegar and oil dressing
Eat canned soups daily for convenience
Add salt to meals at the table
Increase intake of processed cheese for calcium
Correct Answer: Replace bottled salad dressing with homemade vinegar and oil
dressing
, Rationale: Homemade dressing has lower sodium than bottled versions. Canned
soups and processed foods are high in sodium.
8. A nurse is reinforcing teaching with a client who is scheduled for a
mammogram. Which of the following instructions should the nurse include in
the teaching?
Refrain from using deodorant on the morning of the test
Eat a heavy meal before the test
Apply lotion to the underarms before the test
Wear jewelry to remain calm during the test
Correct Answer: Refrain from using deodorant on the morning of the test
Rationale: Deodorants and antiperspirants can contain particles that appear as
calcifications on the mammogram, interfering with results.
9. A nurse is preparing a clients insulin regimen. Which of the following insulins
can be mixed?
Insulin aspart, regular insulin, insulin lispro
Insulin glargine and regular insulin
Insulin detemir and NPH insulin
Insulin glulisine and insulin glargine
Correct Answer: Insulin aspart, regular insulin, insulin lispro
Rationale: Aspart, regular, and lispro are clear insulins that can be mixed. Glargine
and detemir should not be mixed with other insulins.
10. 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
I will bend over frequently to clean my feet
COMPLETE QUESTIONS WITH 100% CORRECT ANSWERS
1. A nurse is reinforcing teaching with an adolescent who has a new prescription
for cefazolin. For which of the following findings should the nurse instruct the
adolescent to monitor and report to the provider?
Depression
Diarrhea
Headache
Dry mouth
Correct Answer: Depression
Rationale: Cefazolin can cause central nervous system effects, including
depression. Diarrhea, headache, and dry mouth are common but not specific
adverse effects requiring immediate provider notification.
2. A nurse is caring for a school-age child who has epistaxis. Which of the
following actions should the nurse take?
Apply pressure at the bridge of the child's nose
Tilt the child's head backward
Insert cotton deep into the nostril
Apply a warm compress to the nose
Correct Answer: Apply pressure at the bridge of the child's nose
Rationale: Applying pressure to the bridge of the nose helps compress the
bleeding vessels. Tilting the head back can cause blood to drain into the throat,
leading to aspiration or nausea.
,3. A nurse is reinforcing teaching with a group of expectant parents regarding
the proper use of a car seat. Which of the following statements by a parent
indicates an understanding of the teaching?
I can place a rolled towel on each side of my newborns head until he can hold his
head up
I will place the car seat forward-facing from birth
I will put the car seat in the front seat for easy access
I will use a booster seat for my newborn
Correct Answer: I can place a rolled towel on each side of my newborns head
until he can hold his head up
Rationale: Rolled towels provide lateral support for a newborn's head. Rear-facing
is required from birth, and the back seat is the safest position.
4. A nurse working in an inpatient mental health facility is assisting with the plan
of care for a client who has anorexia nervosa. Which of the following should the
nurse recommend to include in the plan of care?
Maintain continuity of staff members
Allow the client to eat alone in her room
Weigh the client once per week
Encourage the client to choose all meals independently
Correct Answer: Maintain continuity of staff members
Rationale: Consistent staff helps build trust and reduces manipulation. Daily
weighing and supervised meals are standard for anorexia nervosa.
5. A nurse is assisting with an admission interview for a client who has
schizophrenia. 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
Delusion
Illusion
Flight of ideas
Correct Answer: Hallucination
Rationale: Audible messages that others cannot hear are auditory hallucinations.
Delusions are fixed false beliefs, not perceptual disturbances.
6. A nurse is reinforcing teaching with a postpartum client about bathing her
newborn. Which of the following statements should the nurse include?
Wash your newborn's head under a stream of running water
Submerge your newborn fully in the tub before the cord falls off
Use bar soap directly on the newborn's face
Bathe your newborn twice daily to prevent infection
Correct Answer: Wash your newborn's head under a stream of running water
Rationale: Running water helps rinse the head safely. Submersion is not
recommended until the umbilical cord falls off.
7. A nurse is caring for a client who has heart failure and reports difficulty
limiting sodium in his diet. Which of the following recommendations should the
nurse provide?
Replace bottled salad dressing with homemade vinegar and oil dressing
Eat canned soups daily for convenience
Add salt to meals at the table
Increase intake of processed cheese for calcium
Correct Answer: Replace bottled salad dressing with homemade vinegar and oil
dressing
, Rationale: Homemade dressing has lower sodium than bottled versions. Canned
soups and processed foods are high in sodium.
8. A nurse is reinforcing teaching with a client who is scheduled for a
mammogram. Which of the following instructions should the nurse include in
the teaching?
Refrain from using deodorant on the morning of the test
Eat a heavy meal before the test
Apply lotion to the underarms before the test
Wear jewelry to remain calm during the test
Correct Answer: Refrain from using deodorant on the morning of the test
Rationale: Deodorants and antiperspirants can contain particles that appear as
calcifications on the mammogram, interfering with results.
9. A nurse is preparing a clients insulin regimen. Which of the following insulins
can be mixed?
Insulin aspart, regular insulin, insulin lispro
Insulin glargine and regular insulin
Insulin detemir and NPH insulin
Insulin glulisine and insulin glargine
Correct Answer: Insulin aspart, regular insulin, insulin lispro
Rationale: Aspart, regular, and lispro are clear insulins that can be mixed. Glargine
and detemir should not be mixed with other insulins.
10. 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
I will bend over frequently to clean my feet
