VATI RN COMPREHENSIVE PREDICTOR 2023/2024 EXAM| 200 QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT
QUESTION
A RN is preparing to insert an NG tube for a
... [Show More] patient who has a bowel obstruction. Which of the following actions should the RN take first ?
A. Give the patient a glass of water
B. Assist the patient into a sitting position
C. Explain the procedure to the patient
D. Measure the length of tubing to be inserted
Answer:
C. Explain the procedure to the patient
QUESTION
A RN is assessing a patient who is undergoing a physical examination. Following the inspection, which of the following techniques should the RN use next when assessing the RN's abdomen ?
A. Auscultation
B. Light palpation
C. Percussion
D. Deep palpation
Answer:
A. Auscultation
QUESTION
A RN is teaching a patient how to self-administer insulin. Which of the following actions should the RN take to evaluate the patient's understanding of the process within the psychomotor domain of learning?
A. Ask the patient if he wants to self-administer
B. Have the patient list the steps of the procedure
C. Have the patient demonstrates the procedure
D. Ask the patient if he understands the purpose of insulin
Answer:
C. Have the patient demonstrates the procedure
(RAT) The patient demonstrating the procedure provides the RN the ability to evaluate the patient's understanding within the psychomotor domain of learning
QUESTION
A RN is planning care for a patient who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the RN include in the plan?
A. Promote the use of music to compete with the client's auditory hallucinations.
B. Inform the client that the auditory hallucinations are not real.
C. Avoid asking the client if they are experiencing auditory hallucinations.
D. Instruct the client on the use of voice recognition regarding the auditory hallucinations.
Answer:
A. Promote the use of music to compete with the client's auditory hallucinations.
(RAT) Competing reality-based stimulation such as the use of music or TV during auditory hallucinations can assist in limiting the effect the hallucinations have on the patient's stress level.
QUESTION
A RN is documenting admission assessment findings for a patient who has MDD. The RN should identify which of the following findings as clinical manifestations? (SATA)
A. Feelings of hopelessness
B. Pressured speech
C. Grandiosity
D. Anhedonia
E. Flat facial expression
Answer:
A. Feelings of hopelessness
D. Anhedonia
E. Flat facial expression
(RAT) Anhedonia is the inability to experience pleasure as a clinical manifestation of MDD.
QUESTION
A RN is planning care for a patient who is experiencing acute mania. Which of the following interventions should the RN include in the POC to promote sleep?
A. Have the client participate in a morning aerobics group.
B. Encourage frequent rest periods throughout the day.
C. Provide a distraction such as television at night.
D. Offer the client hot chocolate at bedtime.
Answer:
B. Encourage frequent rest periods throughout the day.
(RAT) A client who is experiencing acute mania is at risk for sleep disturbances and might go for extended periods of time without sleep. Encouraging periods of rest throughout the day can limit the risk of exhaustion
(NOTE) The nurse should direct the client to areas with minimal activity to decrease stimulation. so (A) is incorrect.
QUESTION
A RN is caring for a group of patients. Which of the following findings should the RN report?
A. A client who is taking clozapine and has a WBC count of 7,500/mm3
B. A client who is taking lamotrigine and has developed a rash
C. A client who is taking valproate and has a platelet count of 150,000/mm3
D. A client who is taking lithium and has a lithium level of 1.2 mEq/L
Answer:
B. A client who is taking lamotrigine and has developed a rash
(RAT) Lamotrigine is an anticonvulsant medication that is used as a mood stabilizer. The nurse should identify that a rash is a potentially life-threatening adverse effect of the medication and report this finding immediately
(NOTE) Lithium is a medication used for mood stabilization for clients who have bipolar disorder. The nurse should identify that the lithium toxicity can result in serious complications, including death. However, a lithium level of 1.2 mEq/L is within the therapeutic range. (Normal Ref. Range for lithium is 0.6 - 1.2 mEq/L
QUESTION
A RN is admitting a patient who has anorexia nervosa and is at 60% of ideal body weight. Which os the following interventions should the RN include in the POC?
A. Encourage the client to drink 125 mL of fluid each hour while awake.
B. Allow the client to eat independently in their room.
C. Weigh the client twice weekly.
D. Measure the client's vital signs once each day.
Answer:
A. Encourage the client to drink 125 mL of fluid each hour while awake.
(RAT) The nurse should encourage the client to drink 125 mL of fluid each waking hour to maintain hydration.
(NOTE) Initially, the nurse should measure the client's vital signs three times each day until the client's weight increases and cardiovascular status improves - so measuring the patients VS once each day is incorrect.
QUESTION
During morning rounds a RN finds a patient who has schizophrenia trembling and tearful in their bed. The patient reports that a bomb was placed in their room by a family member during visiting hours. Which of the following actions should the RN take ?
A. Ask the client to identify the bomb in the room.
B. Initiate disaster protocols per facility policies and procedures.
C. Assess the client for evidence of a perceptual disturbance.
D. Convince the client that there is no bomb in their room.
Answer:
C. Assess the client for evidence of a perceptual disturbance.
(RAT) The nurse should assess the situation to determine if the client is hallucinating or misperceiving external stimuli, also known as experiencing illusions.
(NOTE) Trying to convince the client that there is not a bomb in their room negates the client's experience - so convincing the patient that there is no bomb in their room is the incorrect action to take
QUESTION
A RN in a clinic is assessing a patient whose partner died 4 months ago. Which of the following statements indicates that the patient is at risk for complicated grief?
A. "I wish I had been nicer and more generous with my wife before she died."
B. "I told my wife to go to the doctor, but she wouldn't listen to me."
C. "I think about my wife all the time when I go on outings with my family."
D. "I feel so empty without my wife that it's hard to get up every morning."
Answer:
D. "I feel so empty without my wife that it's hard to get up every morning."
(RAT) The nurse should identify that when a client has difficulty carrying on normal activities following a loss, this is an indication that there is a risk for complicated grief.
(NOTE) The nurse should identify that the client is expressing guilt, which is an expected finding of grief - so - the patient stating "I wish I had been nicer and more generous with my wife before she died" is an incorrect statement
QUESTION
A RN in an ER is admitting a patient who reports experiencing a HA and heart palpitations after having a glass of wine 1 hr ago. The patient has a Hx of depression and a BP of 210/105 mmHg and a temp of 39.9 C (103.8 F). Which of the following actions should the nurse take first?
A. Administer phentolamine 5 mg IV to the client.
B. Apply a hypothermic blanket to the client.
C. Determine the client's prescribed medication regimen.
D. Initiate IV access for the client. [Show Less]