VATI RN Comprehensive Predictor 2019 Form A with questions and 100% correct
answers
a nurse is assessing a client who is postoperative following abdominal surgery. The client
states "I feel like my incision ripped open" the nurse notes dehiscence of the incision.
which of the following actions should the nurse take? - correct answer-place the client in a
low-fowlers position
a nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the
following actions should the nurse take? - correct answer-apply the tourniquet 15 cm
above the insertion site
a charge nurse is creating assignments for the next shift for several nurses and one of them
is pregnant. which of the following clients should the charge nurse assign to a nurse who is
not pregnant? - correct answer-60 year old client who is recovering from shingles
a nurse is caring for a client who has a partial laryngectomy and is receiving continuous
internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings
requires immediate intervention by the nurse? - correct answer-the client is lying in a
supine position
a nurse is caring for a client who reports difficulty falling asleep at night. which of the
following actions should the nurse take? - correct answer-schedule routine care tasks
during the hours when the client is awake
a nurse is providing discharge teaching to a client who is postpartum and plans to
breastfeed. which of the following should the nurse recommend the client increases in
their diet during lactation? - correct answer-calcium
a nurse is assessing a clients cardiovascular system. identify where the nurse should place
the diaphragm of the stethoscope to best hear the closing of the aortic valve. - correct
answer-top left spot
, A nurse is planning to perform wound irrigation for a client who has an open secondary
wound. when creating a sterile field. which of the following actions should the nurse take?
- correct answer-place the lid of a bottle sterile solution with the sterile field
a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops
a hemolytic reaction. which of the following actions should the nurse perform? - correct
answer-infuse 0.9% sodium chloride IV
a nurse is planning care for a client who has schizophrenia and is having difficulty
expressing their feelings. which of the following referrals should the nurse make? - correct
answer-social worker
a nurse from the state health department is instructing a group of nurses regarding
infections. which of the following infections should the nurse report to the centers for
disease control and prevention? - correct answer-Lyme disease
a nurse is teaching a client and their family about home hospice care. which of the
following information should the nurse include in the teaching? - correct answer-hospice
care improves quality of life through palliative care
a nurse received change of shift report on four clients. based on the shift report
information. which of the following clients would the nurse plan to assess first? - correct
answer-a client who had a hip arthroplasty reports pain and erythema in their calf
a nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. when
reviewing the clients medical history, the nurse should recognize which of the following
diagnosis as a contraindication to the administration of methylergonovine? - correct
answer-hypertension
answers
a nurse is assessing a client who is postoperative following abdominal surgery. The client
states "I feel like my incision ripped open" the nurse notes dehiscence of the incision.
which of the following actions should the nurse take? - correct answer-place the client in a
low-fowlers position
a nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the
following actions should the nurse take? - correct answer-apply the tourniquet 15 cm
above the insertion site
a charge nurse is creating assignments for the next shift for several nurses and one of them
is pregnant. which of the following clients should the charge nurse assign to a nurse who is
not pregnant? - correct answer-60 year old client who is recovering from shingles
a nurse is caring for a client who has a partial laryngectomy and is receiving continuous
internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings
requires immediate intervention by the nurse? - correct answer-the client is lying in a
supine position
a nurse is caring for a client who reports difficulty falling asleep at night. which of the
following actions should the nurse take? - correct answer-schedule routine care tasks
during the hours when the client is awake
a nurse is providing discharge teaching to a client who is postpartum and plans to
breastfeed. which of the following should the nurse recommend the client increases in
their diet during lactation? - correct answer-calcium
a nurse is assessing a clients cardiovascular system. identify where the nurse should place
the diaphragm of the stethoscope to best hear the closing of the aortic valve. - correct
answer-top left spot
, A nurse is planning to perform wound irrigation for a client who has an open secondary
wound. when creating a sterile field. which of the following actions should the nurse take?
- correct answer-place the lid of a bottle sterile solution with the sterile field
a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops
a hemolytic reaction. which of the following actions should the nurse perform? - correct
answer-infuse 0.9% sodium chloride IV
a nurse is planning care for a client who has schizophrenia and is having difficulty
expressing their feelings. which of the following referrals should the nurse make? - correct
answer-social worker
a nurse from the state health department is instructing a group of nurses regarding
infections. which of the following infections should the nurse report to the centers for
disease control and prevention? - correct answer-Lyme disease
a nurse is teaching a client and their family about home hospice care. which of the
following information should the nurse include in the teaching? - correct answer-hospice
care improves quality of life through palliative care
a nurse received change of shift report on four clients. based on the shift report
information. which of the following clients would the nurse plan to assess first? - correct
answer-a client who had a hip arthroplasty reports pain and erythema in their calf
a nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. when
reviewing the clients medical history, the nurse should recognize which of the following
diagnosis as a contraindication to the administration of methylergonovine? - correct
answer-hypertension
