VATI GREENLIGHT EXAM 3 ATI B B B B
B QUESTIONS AND ANSWERS WITH B B B
RATIONALE 2024. B B
A nurse is planning care for an older adult client who is at risk for
B B B B B B B B B B B B B B
developing pressure ulcers which of the following intervention
B B B B B B B B
should the nurse used to help maintain the integrity of the
B B B B B B B B B B B
clients?
B
a. use a transfer device to lift the client up in bed
B B B B B B B B B B B
b. apply cornstarch to keep sensitive skin areas dry
B B B B B B B B
c. massage the skin over the clients bony prominences
B B B B B B B B
d. elevate the head of the bed no more than 45 degrees -
B B B B B B B B B B B B
ANSWER-a. use a transfer device to lift the client up in bed
B B B B B B B B B B B B
A nurse is planning care for a client who has a decreased level of
B B B B B B B B B B B B B
consciousness the client is receiving continuous enteral feedings
B B B B B B B B
via a gastrostomy tube due to inability to swallow which of the
B B B B B B B B B B B B
following is the priority action by the nurse?
B B B B B B B B
a. observe the clients respiratory status
B B B B B B
b. elevate the head of the bed 30-45 degrees
B B B B B B B B
c. monitor intake and output every 8 hours
B B B B B B B
d. check residual volume every 4-6 hrs - ANSWER-b. elevate the
B B B B B B B B B B
head of the bed 30-45 degrees
B B B B B B
,A nurse is providing teaching to a client who has constipation
B B B B B B B B B B
which of the following information should the nurse include
B B B B B B B B B
a. increase intake of low fiber foods '
B B B B B B B
b. avoid drinking hot liquids
B B B B
c. increase fluid intake to 1500 mL a day
B B B B B B B B B
d. include probiotic foods in the daily diet
B B B B B B B
e. increase daily exercise - ANSWER-c. increase fluid intake to
B B B B B B B B B
1500 mL, d. include probiotic foods, e. increase daily exercise
B B B B B B B B B B
A nurse is caring for a client who has peripheral vascular disease
B B B B B B B B B B B
and reports difficulty sleeping because of cold feet which of the
B B B B B B B B B B B
following nursing action should the nurse take to promote the
B B B B B B B B B B
clients comfort
B B
a. obtain a pair of slipper-socks
B B B B B B
b. rub the clients feet briskly for several minutes
B B B B B B B B
c. increase the clients oral fluid intake
B B B B B B
d. place a moist heating pad under the clients feet - ANSWER-a.
B B B B B B B B B B B
obtain a pair of slipper-socks
B B B B B
A nurse is measuring a client for knee-high antiembolic stockings
B B B B B B B B B
to help venous stasis which of the following action should the
B B B B B B B B B B B
nurse take
B B
,a. measure from the heel to the gluteal fold
B B B B B B B B
b. measure the length of the feet
B B B B B B
c. measure from the heel to the popiteal space
B B B B B B B B
d. measure the ankle circumfrance - ANSWER-c. measure from
B B B B B B B B
the heel to the popiteal space
B B B B B B
A nurse is assisting an older client who sometimes loses her
B B B B B B B B B B
balance while walking which of the following devices to the nurse
B B B B B B B B B B B
use when helping the client ambulate
B B B B B B
a. gait belt
B B
b. jacket harness
B B
c. four-wheel walker
B B
d. cane - ANSWER-a. gait belt
B B B B B
A nurse is caring for a client who has a prescription for a stool
B B B B B B B B B B B B B
test for guaiac. the nurse understands the purpose of the test is
B B B B B B B B B B B B
to checl the stool for which of the following substances?
B B B B B B B B B B
a. steatorrhea
B
b. blood
B
c. bacteria
B B
d. parasites - ANSWER-b. blood
B B B B
, A nurse is performing a cardiac assessment on a client in Alsco
B B B B B B B B B B B
Tate's in S3 sound. The nurse should recognize that this sound
B B B B B B B B B B B
represent which of the following heart conditions?
B B B B B B B
a. atrial gallop
B B
b. ventricular gallop
B B
c. closure of the mitral valve
B B B B B
d. closure of the pulmonic valve - ANSWER-b. ventricular gallop
B B B B B B B B B
A nurse is assessing a client radio pulse in the terminals that the
B B B B B B B B B B B B
pulse is irregular. Which of the following action should the nurse
B B B B B B B B B B B
take?
B
a. assess the apical pulse for a full minute
B B B B B B B B B
b. assess the apical pulse with a doppler
B B B B B B B
c. assess the pedal pulses for a full minute
B B B B B B B B
d. assess the pedal pulses with a doppler device - ANSWER-a.
B B B B B B B B B B
assess the apical pulse for a full minute
B B B B B B B B
A nurse is teaching a group of males about testicular self-
B B B B B B B B B B
examination. Which info should nurse include?
B B B B B
a. perform self examination twice a year
B B B B B B
b. pinch testicles to feel for abnormalities
B B B B B B
c. examine the testicles after bath or shower
B B B B B B B B
B QUESTIONS AND ANSWERS WITH B B B
RATIONALE 2024. B B
A nurse is planning care for an older adult client who is at risk for
B B B B B B B B B B B B B B
developing pressure ulcers which of the following intervention
B B B B B B B B
should the nurse used to help maintain the integrity of the
B B B B B B B B B B B
clients?
B
a. use a transfer device to lift the client up in bed
B B B B B B B B B B B
b. apply cornstarch to keep sensitive skin areas dry
B B B B B B B B
c. massage the skin over the clients bony prominences
B B B B B B B B
d. elevate the head of the bed no more than 45 degrees -
B B B B B B B B B B B B
ANSWER-a. use a transfer device to lift the client up in bed
B B B B B B B B B B B B
A nurse is planning care for a client who has a decreased level of
B B B B B B B B B B B B B
consciousness the client is receiving continuous enteral feedings
B B B B B B B B
via a gastrostomy tube due to inability to swallow which of the
B B B B B B B B B B B B
following is the priority action by the nurse?
B B B B B B B B
a. observe the clients respiratory status
B B B B B B
b. elevate the head of the bed 30-45 degrees
B B B B B B B B
c. monitor intake and output every 8 hours
B B B B B B B
d. check residual volume every 4-6 hrs - ANSWER-b. elevate the
B B B B B B B B B B
head of the bed 30-45 degrees
B B B B B B
,A nurse is providing teaching to a client who has constipation
B B B B B B B B B B
which of the following information should the nurse include
B B B B B B B B B
a. increase intake of low fiber foods '
B B B B B B B
b. avoid drinking hot liquids
B B B B
c. increase fluid intake to 1500 mL a day
B B B B B B B B B
d. include probiotic foods in the daily diet
B B B B B B B
e. increase daily exercise - ANSWER-c. increase fluid intake to
B B B B B B B B B
1500 mL, d. include probiotic foods, e. increase daily exercise
B B B B B B B B B B
A nurse is caring for a client who has peripheral vascular disease
B B B B B B B B B B B
and reports difficulty sleeping because of cold feet which of the
B B B B B B B B B B B
following nursing action should the nurse take to promote the
B B B B B B B B B B
clients comfort
B B
a. obtain a pair of slipper-socks
B B B B B B
b. rub the clients feet briskly for several minutes
B B B B B B B B
c. increase the clients oral fluid intake
B B B B B B
d. place a moist heating pad under the clients feet - ANSWER-a.
B B B B B B B B B B B
obtain a pair of slipper-socks
B B B B B
A nurse is measuring a client for knee-high antiembolic stockings
B B B B B B B B B
to help venous stasis which of the following action should the
B B B B B B B B B B B
nurse take
B B
,a. measure from the heel to the gluteal fold
B B B B B B B B
b. measure the length of the feet
B B B B B B
c. measure from the heel to the popiteal space
B B B B B B B B
d. measure the ankle circumfrance - ANSWER-c. measure from
B B B B B B B B
the heel to the popiteal space
B B B B B B
A nurse is assisting an older client who sometimes loses her
B B B B B B B B B B
balance while walking which of the following devices to the nurse
B B B B B B B B B B B
use when helping the client ambulate
B B B B B B
a. gait belt
B B
b. jacket harness
B B
c. four-wheel walker
B B
d. cane - ANSWER-a. gait belt
B B B B B
A nurse is caring for a client who has a prescription for a stool
B B B B B B B B B B B B B
test for guaiac. the nurse understands the purpose of the test is
B B B B B B B B B B B B
to checl the stool for which of the following substances?
B B B B B B B B B B
a. steatorrhea
B
b. blood
B
c. bacteria
B B
d. parasites - ANSWER-b. blood
B B B B
, A nurse is performing a cardiac assessment on a client in Alsco
B B B B B B B B B B B
Tate's in S3 sound. The nurse should recognize that this sound
B B B B B B B B B B B
represent which of the following heart conditions?
B B B B B B B
a. atrial gallop
B B
b. ventricular gallop
B B
c. closure of the mitral valve
B B B B B
d. closure of the pulmonic valve - ANSWER-b. ventricular gallop
B B B B B B B B B
A nurse is assessing a client radio pulse in the terminals that the
B B B B B B B B B B B B
pulse is irregular. Which of the following action should the nurse
B B B B B B B B B B B
take?
B
a. assess the apical pulse for a full minute
B B B B B B B B B
b. assess the apical pulse with a doppler
B B B B B B B
c. assess the pedal pulses for a full minute
B B B B B B B B
d. assess the pedal pulses with a doppler device - ANSWER-a.
B B B B B B B B B B
assess the apical pulse for a full minute
B B B B B B B B
A nurse is teaching a group of males about testicular self-
B B B B B B B B B B
examination. Which info should nurse include?
B B B B B
a. perform self examination twice a year
B B B B B B
b. pinch testicles to feel for abnormalities
B B B B B B
c. examine the testicles after bath or shower
B B B B B B B B
