RN VATI Comprehensive Predictor Form A 2019 (180 Q & A) 100% VERIFIED

1. A nurse is caring for a client who is at 33 weeks of gestation following

an amniocentesis. The nurse should monitor the client for which of the

following complications?

A. Vomiting

B. Hypertension

C. Epigastric pain

D. Contractions

2. A nurse is providing teaching to an older adult client about methods to

promote nighttime sleep. Which of the following instructions should

the nurse include?

A. Stay in bed at least 1 hr if unable to fall asleep

B. Take a 1 hr nap during the day

C. Perform exercises prior to bedtime

D. Eat a light snack before

bedtime.

3. A nurse on a telemetry unit is caring for a client who becomes unconscious

and whose monitor displays ventricular tachycardia. Which of the

following actions should the nurse take first after determine the client does

not have a palpable pulse? ??

A. Assess heart sounds

B. Defibrillate

C. Establish IV access

D. Administer epinephrine

4. A nurse is admitting a client who is 1 week postpartum and reports

excessive vaginal bleeding. The nurse does not speak the same language as

the client. The client’s partner and 10-year-old are accompanying her.

Which of the following actions should the nurse take to gather the client’s

admission data?

A. Have the client’s child translate

B. Allow the client’s partner to translate

C. Request a female interpreter through the facility

D. Ask a nursing student who speaks the same language as the client to

translate

5. A nurse is caring for a client who is febrile. To reduce the client’s fever,

the nurse applies a cooling blanket. Which of the following findings

indicates the client is having an adverse reaction to the cooling?

A. Flushing

B. Tachycardia

C. Restlessness

D. Shivering

6. A nurse is caring for a client who has deep vein thrombosis of the left lower

extremity. Which of the following actions should the nurse take? (Click on

the “Exhibit” button below for additional client information. There are

three tabs that contain separate categories of data.)

A. Position the client with the affected extremity lower than the heart.

B. Withhold heparin IV infusion.

C. Administer acetaminophen

D. Massage the affect extremity every 4 hr.

7. A nurse is reviewing assessment data from several clients. For which of

the following client should the nurse recommend referral to the dietitian?

A. An older adult client who has a BMI of 24

B. A client who has a nonhealing leg ulcer

C. An older adult client who has presbyopia

D. A client who has an albumin level of 3.7 g/dL

8. A nurse is providing discharge teaching to a client who has chronic

kidney disease and is receiving hemodialysis. Which of the following

instructions should the nurse include in the teaching?

A. Eat 1 g/kg of protein per day

B. Take magnesium hydroxide for indigestion

C. Drink at least 3 L of fluid daily

D. Consume foods high in potassium

9. A nurse is caring for a client who is receiving intermittent enteral tube

feedings. Which of the following places the client at risk for

aspiration?

A. Sitting in a high Fowlers position during the feeding

B. A history of gastroesophagael reflux disease

C. Receiving a high osmolality formula

D. A residual of 65 mL 1 hr postprandial

10.A nurse is providing prenatal teaching to a client who is 12 weeks of

gestation. The nurse should tell the client that she will undergo which of

the following screening tests at 16 weeks of gestation?

A. Chorionic villus sampling

B. Cervical cultures for chlamydia

C. Nonstress test

D. Maternal serum alpha fetoprotein

11.A nurse is caring for a client who is on bed rest. The nurse should

recognize that which of the following findings is a complication immobility

A. Decreased serum calcium levels

B. Increased blood presure

C. Swollen area on calf

D. Urinary frequency

12.A nurse in an acute care mental health facility is participating in a

medication-edication group. The leader of the group uses a laissez-faire

leadership style. Which of the following actions should the nurse

expect from the leader during the session?

A. The leader encourages group member to remain silent until questions

are called for

B. The leader lectures about meds adverse effects to the group members

C. The leader allows the group to discuss whatever they would like

to regarding their meds

D. The leader has group members vote on what they would like to learn

about during the session

13.A nurse is providing teaching about digoxin administration to the parents

of a toddler who has heart failure. Which of the following statements

should the nurse include in the teaching?

A. “You can add the medication to a half cup of your child’s favorite juice.”

B. “Repeat the dose if your child vomits within 1 hour after taking

the medication.”

C. “Limit your child’s potassium intake while she is taking

this medication.”

D. “Have your child drink a small glass of water after swallowing

the medication (Ans Key)??

14.A nurse is providing teaching to a client who has a depressive disorder and

a new prescription for phenelzine. Which of the following foods should the

nurse instruct the client to avoid

A. Grapefruit

B. Spinach

C. Cottage cheese (AK)??

D. Smoked Salmon

15.A nurse is planning care for a client who has COPD and weighs 99 lb. The

provider has prescribed a diet of 1.5 g protein/kg/day. How many grams of

protein per day should the nurse include in the clients dietary plan? (Round

to nearest whole) 68

16.A nurse is planning care for a client who has bipolar disorder and is

experiencing mania. Which of the following interventions should the

nurse include in the plan?

A. Encourage the client to spend time in the day room

B. Withdraw the clients TV privileges if he does not attend group therapy

C. Encourage the client to take frequent rest periods

D. Place the client in seclusion when he exhibits signs of anxiety

17.A parish nurse is leading a support group for clients whose family members

have committed suicide. Which of the following strategies should the nurse

plan to use during the group session?

A. Initiate a discussion with the clients about ways to cope with

changes in family dynamics

B. Encourage clients to establish a timeline for their own grieving

process(AK)??

C. Discourage clients in identifying ways suicide have been prevented

D. Assist clients in identifying ways suicide could have been prevented

18.A nurse manager observes two staff nurses reviewing the computer records

of a client who is not under their care. Which of the following actions

should the nurse manager take first?

A. Instruct the nurses to close the client’s computer record

B. Request the nurses present in service on client confidentiality

C. Advise the nurse to read the facility’s confidentiality policy

D. Place documentation of the nurses’ actions in personnel file

19.A nurse is reviewing the medical record of a client who has

schizophrenia and is taking clozapine. Which of the following findings

should the nurse identify as a contraindication to the administration of

clozapine?

A. Heart rate 58/min

B. Fasting blood glucose 100 mg/dL

C. Hgb 14 g/dL

D. WBC count 2,900/mm(3)