VATI Greenlight
2 hrs post-op following an ileal conduit procedure bladder cancer - Dusky-colored stoma
Administering an INJ to a client even after the client states, "I don't want that injection.
The last time I got that I was sore for a week." - Battery
Admitting a client to the medical-surgical unit. Which of the following actions should the
nurse first take? - Observe the client's level of mobility
Adolescent client who has no previous history of a seizure disorder and is admitted after
having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG -
Explain that the client may not have coffee prior to the EEG
Adolescent who has cystic fibrosis and has a prescription for pancrelipase - Take w/
meals
After evaluating the morning lab results on several clients, the provider writes
prescriptions for 4 clients assigned to the nurse’s care? - Infuse 10 meQ/l potassium
chloride IV over 1 hr to a client who has potassium of 3.2
After making morning round, the charge nurse on a surgical unit delegates the follow
tasks to the AP. - Set up a room for an expected postoperative admission
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
Assessing client who systemic lupus erythematous SLE which of the following is an
expected findings - Dry, raised facial rash
At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client
reports - Indigestion
Benefit from a three-way indwelling catheter - Prone to development of blood clots un
the urine
Caring for a client who has a new prescription for chlorpromazine by IM injection -
Check orthostatic BP 1 hr after admin
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?" - Admin pain meds
, Charge nurse creating assignments for next shift for several nurses and one of the
nurses is pregnant - which pt the nurse should NOT be assigned to? - 60 yr old who is
recovering from shingles
Charge nurse on pediatric unit is making assignments for a float nurse from the medical
unit. Pt to see first? - 10 yr old who has pneumonia & is receiving respiratory txs
Child who has pediculosis capitis - store non-washable items in plastic bags for 14 days
Child who is unresponsive has ICP - Pad the side of the bed
A client ask the nurse if it is safe for him to take glucosamine supplement? - Shellfish
allergy
Client following an open colectomy - Uncontrolled pain
A client has just returned to the nursing unit following cardiac catheterization. In the
immediate postoperative post procedure period which of the following is the priority
nursing actions? - Immobilizing the affect extremity
A client hopitialized 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, gloves but prohibits physical contact
Client recovering from closed head injury assumes a decerbrate posture in response to
stimuli - D lying flat ?? (Extentend extremities) The client rigidly extends his arm
Client reports chest pain. Which of the following lab findings indicates myocardial
damage - Troponin 1.8
Client who has a left femur fracture and is skeletal traction. The clients reports pain due
to muscle spasms in affected leg - Realign the extremity in traction
Client who has given birth to a stillborn - Acknowledging the reality of the newborn's
death
Client who is 2 days postoperative following a lumbar laminectomy and is reporting
nausea - Admin an antiemetic (Aprepitant for nausea)
Client who is 8hr postoperative following a right-modified radical mastectomy - which
findings to report to provider? (SATA) - Coughing
Frothy, pink secretions
Client who is receiving a controlled epidural analgesia infusion - Covering the insertion
site with a transparent dressing
2 hrs post-op following an ileal conduit procedure bladder cancer - Dusky-colored stoma
Administering an INJ to a client even after the client states, "I don't want that injection.
The last time I got that I was sore for a week." - Battery
Admitting a client to the medical-surgical unit. Which of the following actions should the
nurse first take? - Observe the client's level of mobility
Adolescent client who has no previous history of a seizure disorder and is admitted after
having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG -
Explain that the client may not have coffee prior to the EEG
Adolescent who has cystic fibrosis and has a prescription for pancrelipase - Take w/
meals
After evaluating the morning lab results on several clients, the provider writes
prescriptions for 4 clients assigned to the nurse’s care? - Infuse 10 meQ/l potassium
chloride IV over 1 hr to a client who has potassium of 3.2
After making morning round, the charge nurse on a surgical unit delegates the follow
tasks to the AP. - Set up a room for an expected postoperative admission
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
Assessing client who systemic lupus erythematous SLE which of the following is an
expected findings - Dry, raised facial rash
At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client
reports - Indigestion
Benefit from a three-way indwelling catheter - Prone to development of blood clots un
the urine
Caring for a client who has a new prescription for chlorpromazine by IM injection -
Check orthostatic BP 1 hr after admin
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?" - Admin pain meds
, Charge nurse creating assignments for next shift for several nurses and one of the
nurses is pregnant - which pt the nurse should NOT be assigned to? - 60 yr old who is
recovering from shingles
Charge nurse on pediatric unit is making assignments for a float nurse from the medical
unit. Pt to see first? - 10 yr old who has pneumonia & is receiving respiratory txs
Child who has pediculosis capitis - store non-washable items in plastic bags for 14 days
Child who is unresponsive has ICP - Pad the side of the bed
A client ask the nurse if it is safe for him to take glucosamine supplement? - Shellfish
allergy
Client following an open colectomy - Uncontrolled pain
A client has just returned to the nursing unit following cardiac catheterization. In the
immediate postoperative post procedure period which of the following is the priority
nursing actions? - Immobilizing the affect extremity
A client hopitialized 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, gloves but prohibits physical contact
Client recovering from closed head injury assumes a decerbrate posture in response to
stimuli - D lying flat ?? (Extentend extremities) The client rigidly extends his arm
Client reports chest pain. Which of the following lab findings indicates myocardial
damage - Troponin 1.8
Client who has a left femur fracture and is skeletal traction. The clients reports pain due
to muscle spasms in affected leg - Realign the extremity in traction
Client who has given birth to a stillborn - Acknowledging the reality of the newborn's
death
Client who is 2 days postoperative following a lumbar laminectomy and is reporting
nausea - Admin an antiemetic (Aprepitant for nausea)
Client who is 8hr postoperative following a right-modified radical mastectomy - which
findings to report to provider? (SATA) - Coughing
Frothy, pink secretions
Client who is receiving a controlled epidural analgesia infusion - Covering the insertion
site with a transparent dressing
