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A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. Which of the
following actions is appropriate for the nurse to take?
Contact security personnel to place the money in the facility safe.
A nurse on a medical-surgical unit is planning care for a group of clients. Which of
the following tasks is appropriate to delegate to an assistive personnel?
Administer a large-volume enema to a client.
A nurse is reviewing the medical record of a client who has sustained a full-
thickness burn and is in the emergent phase of the burn. Which of the following
findings should the nurse expect?
Hypercalcemia
,NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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A nurse is collecting data from an 18-month-old toddler at a well-child visit.
Which of the following findings should the nurse report to the provider?
The toddler can say four words.
A nurse delegates a task to an assistive personnel (AP) and the AP refuses the
assigned task. Which of the following actions should the nurse take first?
Perform the task.
A nurse on a medical unit is observing an assistive personnel (AP) delivering food
trays. Which of the following actions by the AP requires intervention?
Providing a ham and cheese sandwich to a client who follows a kosher diet
A nurse is reinforcing teaching with a client who plans to bottle feed her
newborn. Which of the following statements indicates an understanding of the
instructions?
I will feed my baby six to eight times a day
,NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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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
A nurse is preparing to administer a liquid medication to a 6-month-old infant
who is crying. Which of the following actions should the nurse take to reduce the
risk of aspiration?
Administer using a needless syringe in the buccal cavity
A nurse is evaluating a client who just attended a breastfeeding class. Which of
the following statements by the client demonstrates that she has understood the
teaching?
"I will feed my baby each time he cries."
, NURSEING PN NUR 120 VATI QUESTIONS & ANSWERS
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LATEST UPDATE 2021/2022 RATED A+
A nurse is reinforcing teaching about self-administration of nasal drops with a
client. Which of the following positions should the nurse recommend for
instillation of the drops?
Supine
A nurse is receiving change-of-shift report on a group of clients. Which of the
following clients should the nurse see first?
A client who is exhibiting flight of ideas
A nurse in the newborn nursery is collecting data about a newborn's Moro reflex.
Which of the following actions should the nurse take to elicit this reflex?
Strike the crib surface on which the newborn is lying.
A nurse is caring for a school-age child who is scheduled for a bone marrow
aspiration biopsy. The child asks the nurse, "Will this be painful?" Which of the
following is an appropriate response by the nurse?
"There will be some pain, but I can give you medicine to make you more
comfortable."