CORRECT DETAILED ANSWERS AGRADE

RN VATI COMP predictor green light QUESTIONS AND

CORRECT DETAILED ANSWERS AGRADE

A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin.Which of the following should nurse monitor?

a) Fasting blood glucose

b) Carbohydrate intake

c) Hematocrit

d) Weight - ANSWER>> d) Weight

The nurses providing discharge instructions about engorgement for client has decided not to breastfeed. Which of the following statements by the client indicates a need for further instruction by the nurse?

a) I can wear support bra

b) I will play cold compression my breasts

c) I will manually express breastmilk

d) I can take a mild analgesic - ANSWER>> c) I will manually express breastmilk

A nurses caring for client in preterm labor who is receiving magnesium sulfate by continuous IV infusion. Which of the following client findings indicates medication toxicity?

a) Blood glucose of 150 mg/dL

b) Urine output of 20 mL per hour

c) Systolic blood pressure at 140 mm Hg d) BUN 20 mg/dL - ANSWER>> b) Urine

output of 20 mL per hour The nurse is completing an assessment for newborn who is 2 hrs old. Which of the following findings are indicative of cold stress?

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a) Respiratory rate of 60 per minute

b) Jitteriness of the hands

c) Diaphoretic

d) Bounding peripheral pulses in all extremities - ANSWER>> b) Jitteriness of the hands

A nurse is planning care for four clients. Which of the following clients is the highest priority?

• A client who is dry, black eschar on the heel
• A client who is wearing an arm cast and reports numb fingers
• The client was reddened skin area with blanching around the coccyx
• The client who has frequent incontinence - ANSWER>> b. A client who is wearing an

arm cast and reports numb fingers A nurse is caring for a male adolescent client who has heart failure. Based on the client's chart finds. Which of the following actions should the nurse plan to take?

• Withholds spiranolactone
• Administer ferrous sulfate
• Administer furosemide
• Withhold digoxin (0.8-2.0) - ANSWER>> d. Withhold digoxin (0.8-2.0)

The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the following clinical manifestations are associated with this finding?

• Confusion (hypoglycemia)
• Thirst
• Diaphoresis (hypoglycemia)
• Shakiness (hypoglycemia) - ANSWER>> b. Thirst 2 / 4

A nurse is assessing for allergies before administering Propofol to a client placed on the mechanical ventilator. Which of the following allergies is a contraindication to the medication?

• Eggs
• Milk
• Shrimp
• Peanuts - ANSWER>> a. Eggs

A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client to interpret the following statement, "When the cat's away, the mice will play". The client response was, "The mice come out when the cat is not around". The nurse should document this finding which of the following in the client's chart?

• Echolalia
• Associative looseness
• Neologisms
• Concrete thinking - ANSWER>> d. Concrete thinking

A nurse caring for a client who is receiving total parental nutrition. Which of the following assessment findings required immediate intervention by the nurse?

• prealbumin level of 20 mg/dL
• Weight increase of two kg/day
• Temperature of 37.6°C
• Blood glucose level of 120 mg/dL - ANSWER>> b. Weight increase of two kg/day

A nurse in the telemetry unit is receiving the laboratory findings for adult male client who's been treated for myocardial function. The following is an expected finding for the client?

• Troponin 1 (TNI) 8 ng/ml 3 / 4

• Brain natriuretic peptide (BNP) 10 ng/L c. Alanine aminotransferase (ALT 45 unit/L
• High density lipoprotein (HDL) 75 mg/dl - ANSWER>> a. Troponin 1 (TNI) 8 ng/ml

A nurse is reviewing the results of an ABG performed on a client with chronic emphysema. Which of the following results suggests the need for further treatment?

• paO2 level of 89 mm Hg
• PaCO2 level of 55 mm Hg
• HCO2 level of 25 mEq/L
• pH level of 7.37 - ANSWER>> b. PaCO2 level of 55 mm Hg

A nurse is teaching a client about nutritional intake. The nurse should include which of the following in the teaching?

• "Carbohydrates should be at least 45% of your caloric intake."
• "Protein should be at least 55% of your calorie intake."
• "Carbohydrates should be at least 30% of your caloric intake."
• "Protein should be at least 60% of your caloric intake." - ANSWER>> a.

"Carbohydrates should be at least 45% of your caloric intake." A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr.The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times?

• 2100
• 0900
• 1300
• 1800 - ANSWER>> d. 1800

A nurse is planning an education session for a client who has type 1 diabetes mellitus.Which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia?

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