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compiled VATI Greenlight STUDY guide 2022

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compiled VATI Greenlight STUDY guide 2022

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compiled VATI Greenlight STUDY
guide 2022
A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gastrostomy
tube. Which of the following findings requires immediate intervention by
the nurse?
The infusion pump for administering contimuous feeding is turned off.

A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which of the following findings should the nurse expect?
Hypotension
A nurse is providing dietary teaching to a client who has an increased
cholesterol level. Which of the following foods should the nurse recommend?
Egg whites

A nurse is caring for a toddler who has respiratory syncytial virus. Which of
the following actions should the nurse plan to take?
Use a designated stethoscope when caring for the toddler.
A nurse is assessing a client who has a chest tube following a
thoracotomy. Which of the following findings requires intervention by the
nurse?
1 cm of water present in the water seal

A nurse is reviewing the medical history of a client who is taking garlic
supplement. The nurse should identify that which of the following findings is a
contraindication for taking this supplement?
The client takes aspirin daily.

A nurse is planning to provide community education about viral hepatitis.
Which of the following should the nurse plan to include in the teaching?
series of four hepatitis vaccines is recommended to prevent viral hepatitis.
A nurse is reviewing the history and physical of a client who has right
ventricular heart failure. Which of the following is an expected finding?
Elevated pulmonary artery pressure

A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age
children and a limited support system. Which of the following is the
priority nursing action?
Inform the client of available community resources.



compiled VATI Greenlight STUDY
guide 2022

, compiled VATI Greenlight STUDY
guide 2022
A nurse is providing postoperative teaching to a client who has a newly-
inserted pacemaker. Which of the following statements by the client
indicates that the teaching has been effective?
"I will use my cell phone on the ear opposite of my pacemaker."
A nurse is caring for a client who has heart failure and has started taking a
loop diuretic. Which of the following findings indicates the client is
experiencing an adverse effect of the medication?
Decreased reflexes
A nurse is caring for a client who has neutropenia due to HIV. Which of
the following precautions should the nurse take while caring for this
client?
Wear an N95 respirator.
A nurse manager is presenting information to the nursing staff regarding the
appropriate use of client restraints. Which of the following should the nurse
include? (Select all that apply.)
The nurse should pad the bony prominences. The nurse should remove the
restraints every 2 hr. The provider's prescription should include the
A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis. Which of the following should the
nurse include?
Educating the client how to cover nose and mouth with tissues when
coughing
A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take?
Schedule routine care tasks during hours when the client is awake.
A nurse is preparing a client for surgery and has just administered the
preoperative injection. Which of the following actions should the nurse
take?
Review deep breathing and coughing exercises.
A nurse suspects another nurse is chemically impaired during their shift.
Which of the following is an appropriate action for the nurse to take?
Report to the nurse manager.
A nurse in the recovery room is assessing a client who has a new chest tube.
The nurse finds that the water seal is no longer tidaling. The nurse should
identify the finding as resulting from which of the following?
The tubing may be kinked.
A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive
personnel (AP). When admitting a client who is experiencing acute liver
failure and who has ascites and an NG tube, which of the following tasks is
most appropriate for the nurse to delegate to the LPN?


compiled VATI Greenlight STUDY
guide 2022

, compiled VATI Greenlight STUDY
guide 2022
Measure the amount of gastric drainage every 2 hr.
A nurse is assessing an adult male client who has a BMI of 20.
The nurse should identify that the client's BMI falls within which of
the following categories?

Healthy weight
A nurse is assessing a client who has a long arm cast. For which of the
following findings should the nurse monitor when assessing for acute
compartment syndrome? Change in mental status

A nurse is planning care for a newly admitted client. Which of the following
interventions should the nurse plan to take first? (Click on the "Exhibit"
button for additional information about the client. There are three tabs
that contain separate categories of data.)
Administer pain medication to the client.

A community health nurse is performing a vision screening on a 4- month-
old infant. When shining a light source into the infant's visual field,
which of the following is an expected finding?
The infant closes their eyes.
A nurse is planning discharge teaching for a client who is scheduled to
receive intravenous infusions at home. Which of the following instructions
should the nurse plan to include?
Place the infusion pump cord against the baseboards.
A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel
requires the nurse to intervene?
Offers oral fluids to the client
A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
Generalized edema
A nurse is caring for a client who is in labor and receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which of the following should the nurse expect?
Head compression
nurse in a pediatric unit is caring for a group of clients. For which of
the following diseases should the nurse implement droplet
precautions?
Pertussis
A client asks the nurse if it is safe to take a glucosamine supplement. The
nurse should assess for which of the following potential contraindications?
Shellfish allergy

compiled VATI Greenlight STUDY
guide 2022

, compiled VATI Greenlight STUDY
guide 2022
A nurse at the family planning clinic triages several clients over the phone.
Which of the following clients should the nurse instruct to come to the clinic?
A client who has started taking oral contraceptives and is
experiencing bright red vaginal breakthrough bleeding
A nurse is caring for a client who has a hearing impairment. When
speaking to the client, the nurse should incorporate which of the
following communication methods? Rephrase sentences the client does
not understand.
A nurse in a mental health facility is interviewing a newly admitted client.
Which of the following actions should the nurse take when conducting the
interview?
Lean in slightly when speaking to the client.
A nurse is caring for a group of clients. Which of the following clients should
the nurse assign to an assistive personnel?
A client who had a stroke 2 days ago and needs help toileting

A nurse manager at a public health clinic is concerned about the rising
number of sexually transmitted infections in the community. The purpose of
which of the following is to generate new ideas to address the public health
concern?
A brainstorming session with nurses
A nurse is providing teaching about preventing mastitis to a client who is
postpartum and breastfeeding her newborn. Which of the following
instructions should the nurse include?
"Try to have your baby empty your breasts with each feeding."
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Identify the sequence of actions the nurse should take. (Move the
steps into the box on the right, placing them in the order of performance.
Use all the steps.)
Apply sterile gloves and place cleansing balls in antiseptic solution. Attach
prefilled syringe to indwelling catheter inflation hub. Cleanse the meatus
with the dominant hand in a downward motion. Lubricate the catheter and
place fenestrated drape over perineum. Insert the catheter until a flow of
urine begins.
A nurse is providing teaching to a client who is at 8 weeks of gestation and
experiencing episodes of nausea and vomiting. Which of the following
instructions should the nurse include?
Eat a dry carbohydrate before getting out of bed.
A nurse is caring for a client who is nulliparous and in the first stage of
labor. The last internal assessment revealed 100% cervical effacement
with 5 cm of dilatation. At the end of the last contraction, the nurse


compiled VATI Greenlight STUDY
guide 2022

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