VATI PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse in a long-term care facility has received change-of-shift report about four clients. Which of the following clients should the nurse attend to first?

A. A client who has heart failure and is incontinent of urineB. A client who has COPD and dementia and was agitated during the night shiftC. A client who had a hip arthroplasty 10 days ago and reports pain with ambulationD. A client who had a cerebrovascular accident 6 months ago and reports constipation

Correct Answer: B

Rationale: Agitation in COPD and dementia may indicate hypoxia, a priority.

Question 2 of 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?

A. Raise the head of the client's bed to 30 degrees.B. Cleanse the client's body while wearing sterile gloves.C. Remove the client's dentures and close their mouthD. Apply surgical tape to the client's eyes

Correct Answer: A

Rationale: Raising the head to 30 degrees reduces livor mortis pooling, improving appearance for viewing.

Question 3 of 5

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?

A. I will secure the seatbelt across my newborn's lap.B. I can move my child to a booster seat when she weighs 20 pounds.C. I will turn the car seat forward-facing when my child is 10 months old.D. I can place a rolled towel on each side of my newborn's head until he can hold his head up.

Correct Answer: D

Rationale: Rolled towels stabilize a newborn's head, indicating understanding of car seat safety.

Question 4 of 5

A nurse is caring for a client who is scheduled for open heart surgery. The client states, 'I am confident I will be able to go home a few hours after the surgery.' The nurse should identify that the client is experiencing which of the following stages of grief?

A. AngerB. DepressionC. DenialD. Acceptance

Correct Answer: C

Rationale: Denial reflects unrealistic expectations about recovery.

Question 5 of 5

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

A. Puncture the heel to a depth of 4 mm to obtain the specimen.B. Withhold feeding prior to collecting the specimen.C. Apply a heat pack 5 to 10 minutes prior to the procedure.D. Elevate the newborn's foot for 15 minutes following the procedure.

Correct Answer: C

Rationale: A heat pack increases blood flow, facilitating specimen collection.

VATI PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN