VATI RN GREENLIGHT EXAM

VATI RN GREENLIGHT EXAM A nurse is planning care for a client who has a new diagnosis of HIV. I can’t seem to gain any weight Disaster triage following a natural disaster A client who has agonal respirations Client reports chest pain. Which of the following laboratory findings indicates myocardial damage Troponin I 1.8 ng/mL Child who has pediculosis capitis Store nonwashable items in plastic bags for 14 days Child who is unresponsive and has increased intracranial pressure Pad the side rails of the bed Client who is 8 hr postoperative following a right-modified radical mastectomy Coughing, frothy, pink secretions Newborn nursery is performing assessments on four neonates that are all less than 24 hr old pinna below the outer canthus of the eye Several client measurements were obtained with morning vital signs A 4-year old who has closed head injury and heart rate of 60 Tetralogy of fallot Pulse oximeter Medical unit received change-of-shift report 68 year old Recovering from an acute myocardial infarction. left sided heart failure Bilateral lung crackles Nutritional assessment on a client who has a calcium deficiency Osteogenesis Involuntarily admitted to the psychiatric unit following a failed suicide attempt experimental treatment Witness consent before medication administration Education to the mother of a toddler who has pertussis ...Answer missing……check it? Offer small amounts of fluid, frequently; monitor for airway obstruction School nurse scabies Red itchy papules on child’s groin area Diabetes insipidus DI severe head injury Urine output 250 ml 2 hr postoperative following an ileal conduit procedure bladder cancer Dusky colored stoma Mastitis of left breast does this mean that I must stop nursing my baby No, you can continue to nurse from both your breasts Orthopedic floor is completing the morning assessments on several clients 24-year old male who has a casted femur fracture Morning laboratory values to several clients Client who is prescribed digoxin and furosemide Education about electroconvulsive therapy ECT major depressive disorder General anesthetic administered prior to ECT treatments Charge nurse creating assignments for next shift for several nurses and one of the nurses is pregnant 60 year old who is recovering from shingles Nurse is teaching a client who has left-leg weakness how to use a standard walker Moves the left leg and walker ahead together Diagnosis of antisocial personality disorder Poor impulse control Home health nurse is reviewing treatment goals with a client who has diabetes mellitus evaluate laboratory tests to determine effective long-term management of blood glucose levels HbA1c Haloperidol for the treatment of schizophrenia Screen the client for tardive dyskinesia Urinalysis done for a preschool age child Pyelonephritis Delegates the following tasks to the assistive personnel bathe four clients distribute fresh water obtain morning vital signs Set a clear time frame for the completion of each task Hearing impairment incorporate which communication methods Rephrase sentences the client does not understand A nurse is discussing the z-track hydroxyzine hydrochloride with a newly licensed nurse This technique decrease risk of subcutaneous infiltration A nurse is reviewing medical records for four clients. Which of the following represents appropriate documentation Lovenox 30mg SC every 12 hr Performing postmortem care on an older adult client Place absorbent pads under the buttocks area Discussing a living will with a client It communicates my wishes for end of life care Benefit from a three-way indwelling catheter Prone to development of blood clots in the urine Dietary intervention for a client who is immobile due to pelvic and femur fractures Provide a high-protein diet If something happens to me from which I cannot recover, I don't want to go on a ventilator You're concerned that something may go wrong? Rising number of sexually transmitted infections in the community Brainstorming session with nurses Neutropenia Remove fresh flowers from the clients room Hyperthyroidism which of the following rooms is appropriate for the nurse to assign this client A room near the nurses station Experiencing acute mania Provide high-calorie nutritional supplements Ileal conduit due to treatment for bladder cancer Rinse the reusable pouch with hot water Adolescent who has cystic fibrosis and has a prescription for pancrealipase Take w meals A nurse is planning to provide community education about viral hepatitis Clients who have a history of viral hepatitis are unable to donate blood Ap reports to the nurse that another Ap has spent the entire morning on the phone and has not completed the morning assignment Redirect the AP to discuss the issue with the other AP A nurse is caring for a client who is receiving enteral nutrition A poor skin turgor Adolescent client who is in her third trimester of pregnancy Postpartum depression Client recovering from a closed head injury assumes a decerebate posture in reponse to stimuli D lying flat, not curved backwards little bastard Referral for a speech language pathologist Client who has difficulty swallowing Prescribed furosemide Rales in lower lobes of lungs OR increasing oliguria A nurse is admitting an infant who has bacterial meningitis Minimize environmental stimuli Laboratory data on a client who has dehydration Elevated blood urea nitrogen A nurse is caring for a client who has cirrhosis of the liver Monitor for abdominal ascites Difficulty falling asleep at night Eat a bedtime snack containing carbohydrates Perform wound irrigation for a client who has an open secondary wound when creating a sterile field Place the lid of a bottle of sterile solution within the sterile field Laboratory values on a client who has taken an overdose of acetaminophen organ damage Alanine aminotransferase ALT Nulliparous and in the first stage of labor the last internal assessment revealed 100% cervical effacement with 5 cm of dilatation. at the end of the last contraction, the nurse observes a large gush of fluid coming out of the client's perineal area. Check the FHR Health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field. IDK – Pupillary constriction – Fixate and follow a bright light or toy Providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in her diet during lactation Iron Nurse volunteers to assist after witnessing a mass casualty incident involving a train derailment. Which of the following clients should the nurse immediately and completely immobilize A client who reports substernal chest pain A nurse is writing a plan of care for a client who is homebound and has stage 2 alzheimer's disease. Which of the following should the nurse include in the plan of care? Assist with money management Nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds Turn off the heparin drip A nurse is teaching a client who has a new prescription for digoxin. Which of the following should the nurse include in the teaching? Notify your provider if you experience muscle weakness A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy Place the newborn 45cm or 18 in from the light source A nurse is providing teaching for a client who has a new prescription for lithium carbonate You should take this medication on an empty stomach A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? Reading quietly in the room A nurse is teaching a client who has low-literacy level about home management of diabetes mellitus Show the client an educational video A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The clients sibling comes to visit but has obvious manifestations of an upper respiratory infection Allow the sibling to visit after donning a sterile gown, mask, and gloves, but prohibit physical contact. A nurse working in an impatient mental health facility observes a client who is agitated and threatening staff members in the day room Accompany the client away from the common area A client asks the nurse if it is safe for him to take a glucosamine supplement Shellfish allergy After evaluating the morning laboratory results on several clients, the provider writes prescriptions for four clients assigned to the nurse's care Infuse 10 mEQ/l potassium chloride IV over 1 hr to a client who has a potassium of 3.2 meq/l A nurse is caring for a client following insertion of a subclavian non-tunnleed percutaneous central venous catheter CVC. Review the chest x-ray report A nurse is assessing a client who is 2 hr postoperative following insertion of a chest tube connected to a chest drainage system as depicted in the diagram above Fluctuation of the fluid level in chamber b (middle) A nurse is assessing a client with schizophrenia Auditory hallucinations A nurse is admitting a client who has chronic gout Allopurinol A nurse in a mental health clinic is reviewing the history and physical for a 17- year old client who has a new diagnosis of social phobia The client reports minimal alteration in performance at a part-time job A nurse is assessing a client who has an IV infusing per gravity at 125ml/hr Blood is backing up in the IV tubing A nurse manager is presenting an in service for newly licensed nurses about advance directives Advanced directives must be notarized to be legally implemented A nurse at the family planning clinic triages several clients over the phone A client who uses diaphragm for contraception and has lost 30lb in the past 6 months dieting A nurse is teaching a family about home hospice care Hospice care improves the quality of life through palliative care Client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg Realign the extremity in traction At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports Indigestion A nurse is planning to change the dressings on a school-age child who has sustained multiple burns Apply the dressings in a proximal to distal pattern Correct way is to wrap distal to proximal Adolescent client who has no previous history of a seizure disorder and is admitted after having a 3-min tonic-clonic seizure 2 weeks after sustaining a mild concussion. EEG Explain that the client may not have coffee prior to the EEG A nurse is caring for a mother who was prescribed methadone during pregnancy Tachypnea Irritability tremors A nurse is assessing a client who is postoperative following abdominal surgery. I feel like my incision ripped open Place the client in low-fowlers position A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of deep-vein thrombosis Apply venous plexus foot pumps Preparing to administer eye drops to a client Use aseptic technique and drop the medication into the conjunctival sac Client who is receiving a controlled epidural analgesia infusion Covering the insertion site with a transparent dressing Diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration Prepare the client for a caesarian section A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse has selected. Ask the charge nurse to assign an experienced nurse to act as a resource A community health nurse is planning to make home visits to several clients who all live within a few miles radius of the office An infant who has failure-to-thrive and was discharged from a facility yesterday to a foster home on daily weights Caring for a client who was involved in a motor-vehicle crash. The client reports shortness of breath and chest pain and asks the nurse, "am I dying"? Administer pain medication A nurse notices smoke coming from a client’s room and discovers a fire in the wastebasket. After moving the client to safety Notify the facility operator Providing postoperative teaching to a client who has a newly inserted pacemaker I will use my cellphone on the ear opposite of my pacemaker Reviewing data of four young children who are receiving treatment. Which of the following should alert the charge nurse to the possibility of child abuse A 3-month old infant who has a skull fracture from reportedly rolling off the changing table Preparing to obtain informed consent for a colonoscopy from a client who does not speak English. Provide a consent form in the client's spoken language A nurse is providing teaching to the parent of a preschooler who was newly diagnosed with a latex allergy Bananas Obsessive compulsive disorder OCD Teach the client to meditate about obsessive thoughts Client who has just given birth to a stillborn newborn Acknowledging the reality of the newborns death In-home assessment for an older adult client who is at risk for falls. Which of the following assessment findings should the nurse identify as a potential hazard? A computer chair with wheels Recognizes that the teen pregnancy rate in the community has increased. Arrange a meeting with teenage mothers who are high school students in the community Reviewing medications for a group of clients labor and delivery Phenytoin for seizure disorder Client following an open coletomy Uncontrolled pain Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea Administer an antiemetic Client who reports the use of chondroitin and glucosamine Improve joint functioning Recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling The tubing may be kinked A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC Hepatitis A Discharge teaching about disease prevention to a client who has active tuberculosis Educating the client how to cover nose and mouth with tissues when coughing Gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor Contractions occur every 90 seconds Postpartum unit is caring for several clients A client who is 4 days postpartum and has lochia serosa Infection control nurse is reviewing care procedures for four clients A client who has varicella zoster is placed in a negative pressure room Creating an activity plan for a home-bound older adult client. in the planning, the nurse considers the physiologic changes that may affect pulmonary function related to the normal aging process Decreased blood oxygenation Immediate postoperative period following thoracic surgery, a nurse medicates a client for pain on a schedule Reduces the respiratory rate Administer an injection to a client when the client states "I don't want that injection. The last time I got that I was sore for a week Battery A nurse suspects another nurse is chemically impaired during their shift. Which of the following is an appropriate action for the nurse to take? Report to the nurse manager Nurse is teaching a client who has a new diagnosis of gastroesophageal reflux disease GERD Sleep with the head of the bed elevated A nurse supervisor receives notification of a disaster in the community and the possibility for multiple admissions to the facility A client who has an abdominal wound and is receiving negative-pressure wound therapy Preparing a client for surgery and has just administered the preoperative injection Raise the side rails on the bed Home health nurse is ad