VATI GREENLIGHT PREDICTOR REAL EXAM 180
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
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? - ANSWER: Place the
client in low fowlers position
A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take? - ANSWER: Wear a
lead apron when providing care for the client
A nurse is inserting and IV catheter for a client who requires fluid replacement.
Which of the following actions should the nurse take? - ANSWER: Apply the
tourniquet 15 cm (6 in) above the insertion site
A nurse is caring for a client who has a femur fracture and is on bedrest with Buck's
extension traction. Which of the following actions should the nurse take? - ANSWER:
Inspect the client's skin under the device every 8 hours
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? - ANSWER: A 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? - ANSWER: The
client is lying in supine position
A nurse is teaching a client about smoking cessation. Which of the following client
statements should the nurse identify as an understanding of the teaching? -
ANSWER: I will set a specific date to stop smoking
A client hospitalized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. The client's sibling come
to visit but has obvious manifestations of an upper respiratory infection. Which of
the following nursing actions is appropriate at this time? - ANSWER: Allow the sibling
to wave at the client through the window or door
A nurse is planning care for a client who takes haloperidol for the treatment of
schizophrenia. Which of the following should the nurse include in the plan of care? -
ANSWER: Screen the client for tardive dyskinesia
, A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following actions should the nurse take? - ANSWER: Tell the client to avoid
drinking fluids 1hr before bedtime
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 to
increase in their diet during lactation? - ANSWER: Calcium
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 should the
nurse take? - ANSWER: Hold the bottle of sterile solution with the palm over the
label while pouring
A nurse is planning an education session for a client who has type 1 diabetes
mellitus. Which of the following should the nurse plan to include when teaching the
client to monitor hypoglycemia? - ANSWER: Diaphoresis
A nurse is instructing a group of newly hired nurses about medication to promote
fetal lung maturation. Which of the following should the nurse include in the
instrctions? - ANSWER: Betamethasone
A nurse is caring for a client who has atypical depression and is taking phenelzine.
Which of the following is appropriate for the nurses to offer as an evening snack? -
ANSWER: Low fat yogurt
A nurse is planning care for a newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care? - ANSWER: Assess the
infant's eyes for corneal irritation every 4 hours
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? - 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? -
ANSWER: Art therapist
A nurse from the state health department is instructing a group of nurses regarding
reportable infections. Which of the following infections should the nurse report to
the CDC? - ANSWER: Lyme disease
A nurse is preparing to provide education about electroconvulsive therapy for a
client who has major depressive disorder. Which of the following should the nurse
include in the teaching? - ANSWER: A general anesthetic is administered prior to ECT
treatment
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)|AGRADE
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? - ANSWER: Place the
client in low fowlers position
A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take? - ANSWER: Wear a
lead apron when providing care for the client
A nurse is inserting and IV catheter for a client who requires fluid replacement.
Which of the following actions should the nurse take? - ANSWER: Apply the
tourniquet 15 cm (6 in) above the insertion site
A nurse is caring for a client who has a femur fracture and is on bedrest with Buck's
extension traction. Which of the following actions should the nurse take? - ANSWER:
Inspect the client's skin under the device every 8 hours
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? - ANSWER: A 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? - ANSWER: The
client is lying in supine position
A nurse is teaching a client about smoking cessation. Which of the following client
statements should the nurse identify as an understanding of the teaching? -
ANSWER: I will set a specific date to stop smoking
A client hospitalized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. The client's sibling come
to visit but has obvious manifestations of an upper respiratory infection. Which of
the following nursing actions is appropriate at this time? - ANSWER: Allow the sibling
to wave at the client through the window or door
A nurse is planning care for a client who takes haloperidol for the treatment of
schizophrenia. Which of the following should the nurse include in the plan of care? -
ANSWER: Screen the client for tardive dyskinesia
, A nurse is caring for a client who reports difficulty falling asleep at night. Which of
the following actions should the nurse take? - ANSWER: Tell the client to avoid
drinking fluids 1hr before bedtime
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 to
increase in their diet during lactation? - ANSWER: Calcium
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 should the
nurse take? - ANSWER: Hold the bottle of sterile solution with the palm over the
label while pouring
A nurse is planning an education session for a client who has type 1 diabetes
mellitus. Which of the following should the nurse plan to include when teaching the
client to monitor hypoglycemia? - ANSWER: Diaphoresis
A nurse is instructing a group of newly hired nurses about medication to promote
fetal lung maturation. Which of the following should the nurse include in the
instrctions? - ANSWER: Betamethasone
A nurse is caring for a client who has atypical depression and is taking phenelzine.
Which of the following is appropriate for the nurses to offer as an evening snack? -
ANSWER: Low fat yogurt
A nurse is planning care for a newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care? - ANSWER: Assess the
infant's eyes for corneal irritation every 4 hours
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? - 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? -
ANSWER: Art therapist
A nurse from the state health department is instructing a group of nurses regarding
reportable infections. Which of the following infections should the nurse report to
the CDC? - ANSWER: Lyme disease
A nurse is preparing to provide education about electroconvulsive therapy for a
client who has major depressive disorder. Which of the following should the nurse
include in the teaching? - ANSWER: A general anesthetic is administered prior to ECT
treatment
