Review VATI PN Comprehensive Predictor 2020 (2024)

Review VATI PN Comprehensive Predictor 2020 (1)

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VATI PN Comprehensive Predictor 2020

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Total Questions : 180

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Question 1:

A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching?

Answer and Explanation

  • It is incorrect to focus on removing all yellow exudate.A small amount of yellow exudate is normal during the healing process after circumcision.Attempting to aggressively clean it off can irritate the delicate healing tissues and cause discomfort for the baby.
  • Instead,parents should gently cleanse the area with warm water during diaper changes,allowing any mild exudate to naturally drain.

A

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Question 2:

A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?

Answer and Explanation

The client should be positioned 20 feet away from the chart, not 3 meters (10 feet)

A

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Question 3:

A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?

Answer and Explanation

After a patient dies, postmortem care includes preparing them for family viewing . The nurse should place the body in the supine position, with the arms at the sides and the head on a pillow. Then elevate the head of the bed 30 degrees to prevent discoloration from blood setling in the face .

Review VATI PN Comprehensive Predictor 2020 (3)

A

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Question 4:

A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should

the nurse help the client develop problem-solving skills?

Answer and Explanation

The preinteraction phase starts when the nurse is given the responsibility to start a therapeutic relationship with a patient

A

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Question 5:

A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?

Answer and Explanation

After a patient dies, postmortem care includes preparing them for family viewing . The nurse should place the body in the supine position, with the arms at the sides and the head on a pillow. Then elevate the head of the bed 30 degrees to prevent discoloration from blood setling in the face.

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Question 6:

A nurse is reinforcing teaching with a parent about appropriate snacks for a toddler. Which of the following foods should the nurse include?

Answer and Explanation

Marshmallows are not recommended as a healthy snack for toddlers

A

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Question 7:

A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. Which of the following client statements indicates understanding of the teaching?

Answer and Explanation

Sleeping on a soft matress is not mentioned as a way to manage osteoarthritis symptoms

A

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Question 8:

A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. Which of the following client statements indicates understanding of the teaching?

Answer and Explanation

Sleeping on a soft mattress is not mentioned as a way to manage osteoarthritis symptoms.

A

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Question 9:

A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?

Answer and Explanation

The client should not bear down during rectal tube insertion

A

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Question 10:

A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?

Answer and Explanation

Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.

Review VATI PN Comprehensive Predictor 2020 (7)

A

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Question 11:

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

Answer and Explanation

Monitoring the client's vital signs is important, but it should be done more frequently than every 8 hours.

A

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Question 12:

A nurse is caring for a client who has major depressive disorder and is refusing their medication. The client's family suggests placing the client's medication in their food. Which of the following actions should the nurse take?

Answer and Explanation

Scheduling the medication at meal times does not address the issue of the client refusing their medication.

A

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Question 13:

A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia?

Answer and Explanation

"I am lovistrated" is an example of neologism, which is the creation of new words.

A

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Question 14:

A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?

Answer and Explanation

Doxycycline(which is another name for doxycycline) is tetracycline antibiotics and is not related to penicillin.

A

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Question 15:

A nurse is reviewing the medication record of a client who has a new prescription for fluoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting fluoxetine treatment?

Answer and Explanation

Levothyroxine is a thyroid hormone replacement medication and does not interact with fluoxetine.

A

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Question 16:

A nurse is caring for a client who is breastfeeding their 5-day-old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively?

Answer and Explanation

Falling asleep 5 minutes after starting a feeding may indicate that the newborn is not getting enough milk.

A

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Question 17:

A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching?

Answer and Explanation

Securing the seatbelt across the newborn's lap is not safe. The seatbelt should be positioned across the newborn's chest and over their hips.

A

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Question 18:

A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include?

Answer and Explanation

"Keep initial pressure dressing in place for 1 week after surgery." After an above-the-knee amputation, the initial pressure dressing is typically removed within the first few days after surgery, and the wound is then managed with appropriate dressings. The specific duration of dressing use may vary based on the surgeon's preference and the healing progress of the wound.

A

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Question 19:

A nurse is caring for a client who is near death. Which of the following actions should the nurse take?

Answer and Explanation

The nurse should administer scheduled pain medications to a client who is near death. This is an important nursing intervention to ensure that the client is comfortable and free from pain.

A

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Question 20:

A nurse is reinforcing teaching with the guardian of a preschooler who has a new diagnosis of enterobiasis.Which of the following information should the nurse include in the teaching?

Answer and Explanation

"One dose of medication is all that will be necessary." Enterobiasis is typically treated with a medication regimen that involves taking multiple doses over a period of time. This is to ensure that all stages of the pinworm life cycle are targeted and eradicated. A single dose is usually not sufficient to eliminate the infection completely

A

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Review VATI PN Comprehensive Predictor 2020 (13)

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Review VATI PN Comprehensive Predictor 2020 (2024)

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