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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
A nurse is reinforcing teaching about foot care with a client who has diabetes
mellitus. Which of the following client statements indicates to the nurse a need
for further teaching?
NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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,NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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"I will be sure to wear cotton socks."
A nurse is assisting with triaging clients in a mass casualty situation. The nurse
should recommend that which of the following clients receive care first?
A client who has diminished breath sounds and paradoxical chest movement
A nurse is caring for a child who has terminal cancer. Which of the following
responses by the child's siblings should the nurse expect?
The school-age sister is concerned about the impact of her sibling's death on
herself
A home health nurse is reinforcing teaching with a client about kitchen safety.
Which of the following instructions should the nurse reinforce about using a fire
extinguisher?
Sweep the extinguisher from side to side to put out the fire.
NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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,NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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A nurse is reinforcing teaching with a client who has a new prescription for
lithium carbonate. Which of the following client statements indicates an
understanding of the teaching?
"I will notify my provider if I develop a tremor."
A nurse is caring for a client who is 5 days postoperative following abdominal
surgery. The client tells the nurse that he was coughing and "felt a pop" at the
incision site. The nurse examines the incision and finds wound dehiscence and
evisceration. Which of the following actions should the nurse take?
Place the client in a side-lying position.
A nurse is caring for a postoperative client and obtains a pulse oximeter reading
of 89%. Which of the following interventions should the nurse take first?
Repeat the test on another finger.
A nurse is observing the mother of a 12-hr-old newborn. Which of the following
actions by the mother requires intervention by the nurse?
NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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, NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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The mother places the newborn in prone position.
NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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