RN VATI LEADERSHIP AND MANAGEMENT 2019 FORM
A, B AND C EACH FORM CONTAINS 70 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED A+||
NEWEST VERSION!!
A nurse is preparing a client who speaks limited English for surgery. What is the most
appropriate nursing action in obtaining informed consent from this client? -
ANSWER: Seek the assistance of a nurse on the floor who is fluent in the client's
language (nurse is responsible for ensuring client understands information regarding
procedure)
What is the focus of the agency for Healthcare Research and Quality? - ANSWER: To
improve quality of health care services for all populations, including low-income
groups and minorities
What is the focus of the National Institutes of Health? - ANSWER: Biomedical
research to improve the prevention, diagnosis, and treatment of specific diseases
A nurse is caring for a school-age child who is taking valprioc acid. The nurse should
expect the provider to order what test? - ANSWER: Serum enzyme levels b/c valproic
acid can cause hepatic toxicity
What should the nurse instruct a client when preparing for a thoracentesis? -
ANSWER: Avoid coughing during procedure and lie still to avoid puncturing the
pleura
What is pleurisy (pleuritis)? - ANSWER: inflammation of the pleura
What is ginger tea used for in pregnant women? - ANSWER: Decreasing episodes of
nausea
A nurse is preparing to administer an IM injection to a client who is obese. What
action should the nurse take? - ANSWER: Use the ventrogluteal site because it has a
thick area of muscle
What does a sudden relief of pain in a client scheduled for an appendectomy
indicate? - ANSWER: Peritonitis from a ruptured appendix
A nurse is teaching about adverse effects to a client starting captopril. What adverse
effect should be reported to provider? - ANSWER: Cough, develops d/t buildup of
bradykinin in lungs
A nurse is caring for a client who has a Mg level of 2.7 mEq/L. What intervention
should the nurse do? - ANSWER: Initiate continuous cardiac monitoring b/c client is
hypermagnesemic and at risk for cardiac dysrhythmias
,What type of thyroidism are tremors a manifestation of? - ANSWER:
Hyperthyroidism
What is dry, coarse hair a manifestation of? - ANSWER: hypothyroidism
What is periorbital edema a manifestation of? - ANSWER: hypothyroidism
A nurse is planning care for a client who has RA and has moderate-severe pain in
multiple joints. What actions should the nurse take? - ANSWER: -Take frequent rest
periods throughout day (while also exercising regularly to maintain muscle strength,
joint function, and ROM)
-Use ice to reduce inflammation and pain
-
What is the expected reference range for urine osmolality? - ANSWER: 50-1200
mOsm/kg
A nurse is preparing to teach about dietary management to a client who has Crohn's
disease and an enteroenteric fistula. What nutrient should the nurse tell the client to
decrease in diet? - ANSWER: Fiber. To help reduce diarrhea and inflammation
What are rhonchi? - ANSWER: Dry, low-pitched, snore-like noises produced in the
throat or bronchial tube d/t a partial obstruction such as by secretions
What is thrombophlebitis? - ANSWER: inflammation of a vein with clot formation.
Common complication of immobility often showing up in calf
Dilated pupils are a manifestation of what type of withdrawal? - ANSWER: Opioid
withdrawal
Is it possible for you to get rheumatic fever twice? - ANSWER: Yes, so prophylactic
treatment with monthly IM injections of benzathine penicillin G or dialy oral doses of
penicillin or sulfadiazine will be needed
A nurse is caring for a client who is prescribed lithium (Eskalith). What clinical finding
should be immediately reported to the provider? - ANSWER: Slurred speech (can
precipitate seizures or coma)
What characterizes antisocial personality disorder? - ANSWER: Reckless disregard for
self and others, impulsivity, deceitfulness, lack of remorse, consistent irresponsibility
What is the Romberg test? - ANSWER: Tests the client's equilibrium, client stands
with feet together and arms at sides eyes open and then closed. Client should be
able to maintain the position for 20 secs with minimal or no swaying
What does paradoxical chest movement indicate? - ANSWER: flail chest
, When should an ileostomy pouch be emptied? - ANSWER: When it is 1/3 to 1/2 full
to prevent stool leakage and skin irritation
What does an albumin level of 2.8 indicate? - ANSWER: malnutrition and need for
nutritional supplementation (albumin level below 3.5 g/dL)
What is the expected reference range for albumin? - ANSWER: 3.5-5 g/dL
A nurse is caring for a client who is taking valproic acid for seizure control. For what
adverse effect should the nurse monitor and report? - ANSWER: Jaundice b/c med
places client at risk for liver damage
Chest tube drainage should be how much per hour? - ANSWER: <70 mL/hr
What does acute confusion, fatigue, lethargy, and anorexia indicate? - ANSWER:
Acute confusion
What does subcutaneous emphysema indicate? - ANSWER: Pneumothorax
A nurse is providing client teaching about the basal body temp. method of birth
control. What info should be included in teaching? - ANSWER: -Your body temp
might decrease slightly (1 degree F) just prior to ovulation
-Measure body temp upon waking each morning prior to getting out of bed
-Body temp. rises about (0.7-1.4 degrees F) after ovulation and remains elevated
until 2-4 days prior to start of menstruation
What is strabismus? - ANSWER: cross-eyed
what is nystagmus? - ANSWER: involuntary eye movement (jerking)
What are the manifestations of a detached retina? - ANSWER: Floating dark spots d/t
bulges, folds, or holes in the affected retina
A nurse is caring for a client who had a stroke 6 hr ago. What intervention can be
implemented to reduce risk of increased ICP? - ANSWER: Limit airway suctioning to
15 seconds at a time to reduce the risk of hypoxia and increased ICP
What is a finding indicating that a client is experiencing fluid overload? - ANSWER:
Dyspnea b/c fluid overload can lead to the backup of fluid in the pulmonary system
resulting in SOB
On what area of an infant should you assess for Hirschprung disease (HD)? -
ANSWER: Abd for distention and visible peristalsis
How often should a newborn be bathed? - ANSWER: Every 2-3 days to avoid
disrupting newborn's skin integrity. but, cleanse face and diaper area daily
A, B AND C EACH FORM CONTAINS 70 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED A+||
NEWEST VERSION!!
A nurse is preparing a client who speaks limited English for surgery. What is the most
appropriate nursing action in obtaining informed consent from this client? -
ANSWER: Seek the assistance of a nurse on the floor who is fluent in the client's
language (nurse is responsible for ensuring client understands information regarding
procedure)
What is the focus of the agency for Healthcare Research and Quality? - ANSWER: To
improve quality of health care services for all populations, including low-income
groups and minorities
What is the focus of the National Institutes of Health? - ANSWER: Biomedical
research to improve the prevention, diagnosis, and treatment of specific diseases
A nurse is caring for a school-age child who is taking valprioc acid. The nurse should
expect the provider to order what test? - ANSWER: Serum enzyme levels b/c valproic
acid can cause hepatic toxicity
What should the nurse instruct a client when preparing for a thoracentesis? -
ANSWER: Avoid coughing during procedure and lie still to avoid puncturing the
pleura
What is pleurisy (pleuritis)? - ANSWER: inflammation of the pleura
What is ginger tea used for in pregnant women? - ANSWER: Decreasing episodes of
nausea
A nurse is preparing to administer an IM injection to a client who is obese. What
action should the nurse take? - ANSWER: Use the ventrogluteal site because it has a
thick area of muscle
What does a sudden relief of pain in a client scheduled for an appendectomy
indicate? - ANSWER: Peritonitis from a ruptured appendix
A nurse is teaching about adverse effects to a client starting captopril. What adverse
effect should be reported to provider? - ANSWER: Cough, develops d/t buildup of
bradykinin in lungs
A nurse is caring for a client who has a Mg level of 2.7 mEq/L. What intervention
should the nurse do? - ANSWER: Initiate continuous cardiac monitoring b/c client is
hypermagnesemic and at risk for cardiac dysrhythmias
,What type of thyroidism are tremors a manifestation of? - ANSWER:
Hyperthyroidism
What is dry, coarse hair a manifestation of? - ANSWER: hypothyroidism
What is periorbital edema a manifestation of? - ANSWER: hypothyroidism
A nurse is planning care for a client who has RA and has moderate-severe pain in
multiple joints. What actions should the nurse take? - ANSWER: -Take frequent rest
periods throughout day (while also exercising regularly to maintain muscle strength,
joint function, and ROM)
-Use ice to reduce inflammation and pain
-
What is the expected reference range for urine osmolality? - ANSWER: 50-1200
mOsm/kg
A nurse is preparing to teach about dietary management to a client who has Crohn's
disease and an enteroenteric fistula. What nutrient should the nurse tell the client to
decrease in diet? - ANSWER: Fiber. To help reduce diarrhea and inflammation
What are rhonchi? - ANSWER: Dry, low-pitched, snore-like noises produced in the
throat or bronchial tube d/t a partial obstruction such as by secretions
What is thrombophlebitis? - ANSWER: inflammation of a vein with clot formation.
Common complication of immobility often showing up in calf
Dilated pupils are a manifestation of what type of withdrawal? - ANSWER: Opioid
withdrawal
Is it possible for you to get rheumatic fever twice? - ANSWER: Yes, so prophylactic
treatment with monthly IM injections of benzathine penicillin G or dialy oral doses of
penicillin or sulfadiazine will be needed
A nurse is caring for a client who is prescribed lithium (Eskalith). What clinical finding
should be immediately reported to the provider? - ANSWER: Slurred speech (can
precipitate seizures or coma)
What characterizes antisocial personality disorder? - ANSWER: Reckless disregard for
self and others, impulsivity, deceitfulness, lack of remorse, consistent irresponsibility
What is the Romberg test? - ANSWER: Tests the client's equilibrium, client stands
with feet together and arms at sides eyes open and then closed. Client should be
able to maintain the position for 20 secs with minimal or no swaying
What does paradoxical chest movement indicate? - ANSWER: flail chest
, When should an ileostomy pouch be emptied? - ANSWER: When it is 1/3 to 1/2 full
to prevent stool leakage and skin irritation
What does an albumin level of 2.8 indicate? - ANSWER: malnutrition and need for
nutritional supplementation (albumin level below 3.5 g/dL)
What is the expected reference range for albumin? - ANSWER: 3.5-5 g/dL
A nurse is caring for a client who is taking valproic acid for seizure control. For what
adverse effect should the nurse monitor and report? - ANSWER: Jaundice b/c med
places client at risk for liver damage
Chest tube drainage should be how much per hour? - ANSWER: <70 mL/hr
What does acute confusion, fatigue, lethargy, and anorexia indicate? - ANSWER:
Acute confusion
What does subcutaneous emphysema indicate? - ANSWER: Pneumothorax
A nurse is providing client teaching about the basal body temp. method of birth
control. What info should be included in teaching? - ANSWER: -Your body temp
might decrease slightly (1 degree F) just prior to ovulation
-Measure body temp upon waking each morning prior to getting out of bed
-Body temp. rises about (0.7-1.4 degrees F) after ovulation and remains elevated
until 2-4 days prior to start of menstruation
What is strabismus? - ANSWER: cross-eyed
what is nystagmus? - ANSWER: involuntary eye movement (jerking)
What are the manifestations of a detached retina? - ANSWER: Floating dark spots d/t
bulges, folds, or holes in the affected retina
A nurse is caring for a client who had a stroke 6 hr ago. What intervention can be
implemented to reduce risk of increased ICP? - ANSWER: Limit airway suctioning to
15 seconds at a time to reduce the risk of hypoxia and increased ICP
What is a finding indicating that a client is experiencing fluid overload? - ANSWER:
Dyspnea b/c fluid overload can lead to the backup of fluid in the pulmonary system
resulting in SOB
On what area of an infant should you assess for Hirschprung disease (HD)? -
ANSWER: Abd for distention and visible peristalsis
How often should a newborn be bathed? - ANSWER: Every 2-3 days to avoid
disrupting newborn's skin integrity. but, cleanse face and diaper area daily
