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2019 RN VATI COMPREHENSIVE PREDICTOR FORM B WITH 250 QUESTIONS AND CORRECT ANSWERS/ VATI, Exams of Nursing

2019 RN VATI COMPREHENSIVE PREDICTOR FORM B WITH 250 QUESTIONS AND CORRECT ANSWERS/ VATI RN 2019 PREDICTOR EXAM QUESTIONS & ANSWERS

Typology: Exams

2024/2025

Available from 07/03/2025

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2019 RN VATI COMPREHENSIVE PREDICTOR FORM B WITH 250
QUESTIONS AND CORRECT ANSWERS/ VATI RN 2019 PREDICTOR
EXAM QUESTIONS & ANSWERS
A nurse is assessing an infant who has water intoxication. Which of the following
findings should the nurse expect? - ANSWER-bounding pulse
A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique - ANSWER-a. This technique
decreases the risk of subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan? - ANSWER-a.
Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the followings is the
priority action? - ANSWER-a. Close the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect? - ANSWER-a. Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing? -
ANSWER-hyperemesis
1. A home health nurse is reviewing treatment goals with a client who has diabetes
mellitus. The nurse should evaluate which of the following laboratory tests to
determine effective long-term management of blood glucose levels? - ANSWER-
A1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which of the
following precautions should the nurse take while caring for this client? -
ANSWER-a. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at night. Which
of the following actions should the nurse take? - ANSWER-Tell the client to avoid
drinking fluids 1 hr before bedtime
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2019 RN VATI COMPREHENSIVE PREDICTOR FORM B WITH 250

QUESTIONS AND CORRECT ANSWERS/ VATI RN 2019 PREDICTOR

EXAM QUESTIONS & ANSWERS

A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? - ANSWER-bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique - ANSWER-a. This technique decreases the risk of subcutaneous infiltration

  1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - ANSWER-a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? - ANSWER-a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? - ANSWER-a. Hallucinations
  2. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? - ANSWER-hyperemesis
  3. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? - ANSWER- A1C
  4. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? - ANSWER-a. Use a dedicated stethoscope
  5. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? - ANSWER-Tell the client to avoid drinking fluids 1 hr before bedtime
  1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? - ANSWER-a. Place the newborn 45 cm from the light source
  2. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? - ANSWER-social worker
  3. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication - ANSWER-decreased reflexes
  4. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? - ANSWER-indigestion
  5. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? - ANSWER-offer oral fluids to the client
  6. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? - ANSWER-a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10
  7. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? - ANSWER-avocados
  8. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? - ANSWER-a. I am thankful there are no serious complications from this type of surgery
  9. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? - ANSWER-a. Uses others for personal gain

action for the nurse to take? - ANSWER-a. Keep a 3 foot distance from the radiation implant A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first? - ANSWER-a. Observe the client's level of mobility

  1. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? - ANSWER-hep A
  2. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? - ANSWER-a. Completes activities for one client before moving to the next client
  3. A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? - ANSWER- a. Hyperreflexia
  4. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? - ANSWER-a. Hold the bottle of sterile solution with the palm over the label while pouring
  5. A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? - ANSWER-a. Wear a dosimeter film badge while in the client's room
  6. A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? - ANSWER-a. Report the incident to Adult Protective Services
  7. A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? - ANSWER- a. Extend the client's legs above heart level
  1. A nurse is providing teaching to the parent of a 6 month old infant who is teething and having difficulty sleeping. Which of the following instructions should the nurse include? - ANSWER-a. Administer acetaminophen drops to your child before bedtime
  2. A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? - ANSWER-egg whites
  3. A home health nurse is teaching a guardian about administering tube feedings to their 3 month old infant. Which of the following information should the nurse include in the teaching? - ANSWER-a. Allow the infant to suck on a pacifier during feedings
  4. A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? - ANSWER-a. A 60 year old client who is recovering from shingles
  5. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect? - ANSWER-a. Hypotension
  6. A nurse is reviewing the medical record of a client who has a new prescription for gentamicin. The nurse should identify that concurrent use with which of the following current medications can increase the client's risk for ototoxicity? - ANSWER-a. Furosemide
  7. A nurse is performing triage following a natural disaster. Which of the following clients should the nurse identify as the highest priority to receive care? - ANSWER-a. A client who has a traumatic arm amputation
  8. A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? - ANSWER- a. Contractions occur every 90 seocnds
  9. A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should identify that these findings are potential manifestations of which of the following? - ANSWER-a. Opioid intoxication
  1. A nurse is caring for a client who is receiving a blood transfusion at 125mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? - ANSWER-a. Infuse 0.9% sodium chloride IV
  2. A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? - ANSWER-a. The gastric residual volume is 250 mL following 2 hr of infusion
  3. A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? - ANSWER-a. I will go to my cardiologist's office when the battery needs to be changed
  4. A nurse in a mental health facility is evaluating the effectiveness of mechanical restraints for a client who threw a chair in the day room. The nurse should identify which of the following findings as an indication to remove the restraints? - ANSWER-a. The client apologizes for their aggressive behavior
  5. A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following actions should the nurse take? - ANSWER-a. Occlude the IV tubing above the injection port
  6. A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine? - ANSWER-hypertensio
  7. 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? - ANSWER- 1800
  8. A nurse is performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take to prevent a pressure injury? - ANSWER-a. Apply a donut ring pillow under the client's sacral area
  1. A nurse from the State Health Development is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? - ANSWER-lyme disease
  2. A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which of the following actions should the nurse take first? - ANSWER-a. Demonstrate how to perform the procedure
  3. A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider? - ANSWER-a. Metformin
  4. A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? - ANSWER- shellfish allergy
  5. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? - ANSWER-fever
  6. 2 hr postoperative following an ileal conduit procedure bladder cancer - ANSWER-dusky colored stoma
  7. Administer an injection to a client when the client states, "I dont want that injection. The last time I got that was sore for a week - ANSWER-battery
  8. Assessing client who systemic lupus erythematous SLE which of the following is an expected findings - ANSWER-dry rasied fasical rash
  9. Caring for a client who has a new prescription for chlorpromazine by IM injection - ANSWER-a. check ortho bp 1 hr after administration
  10. Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first? - ANSWER-a. a 10-year old who has pneumonia and is receiving respiratory treatments.
  11. Child who is unresponsive has increased intracrainal pressure - ANSWER-pad rails
  1. A nurse is caring for a client who has a typical depression and is taking phenelzine. what can you eat? - ANSWER-low fat yogurt
  2. A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? - ANSWER-taking walks
  3. a nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity - ANSWER-a. tinnitus
  4. nurse is caring for a client who will be, receiving a transfusion of platelets - ANSWER-a. Decrease in bleeding from puncture sites
  5. nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds - ANSWER-turn off heparin drip
  6. A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of deep-vein thrombosis - ANSWER-boots
  7. nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1 hr ago. - ANSWER-pillow
  8. a nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport, which of the following should the nurse say? - ANSWER-lets talk about what happened to you
  9. a nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parent - ANSWER-swallowing sounds are audible stool are yellow and seedy after 7 days maternal breasts become soft following feeds
  10. Windshield survey - ANSWER-religous A nurse is reviewing the lab report of a client who has a mag level of 1.0mEq/L. Which of the following should the nurse expect? - ANSWER-Cardiac dysrrhythmia

A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. which of the lab values will you report to the provider? - ANSWER-WBC 3, A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? - ANSWER-Empty the bladder before and after intercourse A nurse is teaching a client about nutritional intake. include in the teaching - ANSWER-Carbs should be atleast 45%-65% of you caloric intake A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? - ANSWER-The child has increased sputum production A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? - ANSWER-This technique decreases the risk of subcutaneous infiltration A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication - ANSWER-Decreased reflexes client who had a CVA. perform to prevent foot dropping - ANSWER-Place positing boots on the client's feet A nurse in a provider's office is teaching a client 16 weeks of gestation and has a new prescription for ferrous sulfate. What should the nurse include in the teaching

  • ANSWER-Take you iron with fluids other than coffee and tea A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? - ANSWER-Keep a 3 foot distance from the radiation implant A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective

A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER-"I should place a rolled blanket along each side of my baby's head in the car seat." A nurse is providing teaching about nutrition to the parents of a preschooler who has chronic renal failure. Which of the following indicates understanding teaching

  • ANSWER-I should limit my child's intake of protein A nurse is assessing a client who has COPD and experienced recent weight loss. Which of the following findings should the nurse report to the provider? - ANSWER-Coughing and wheezing after eating Risk for metabolic alkalosis - ANSWER-A client who has severe hyperemesis At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? - ANSWER-Indigestion A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? - ANSWER-elevated urine specific gravity A nurse is caring for a group of clients in an inpatient mental health facility. Which of the following task should the nurse delegate to the AP - ANSWER-Sit with the client who has anorexia nervosa during meals obtaining a culuture - ANSWER-1. Assess the appearance of the wound
  1. Obtain the specimen from granulation tissue of the wound
  2. Place the swab in the culture tube.
  3. Cleanse the would with 0.9%
  4. Cover the wound with a sterile dressing A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? - ANSWER-burning A community health nurse is performing a vision screening on a 4 month old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? - ANSWER-the infant closes their eyes

A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? - ANSWER- hyperreflexia The patient states they do not want the injection but the nurse gives it anyways - ANSWER-battery Client taking phenelzine - ANSWER-cheddar cheese A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? - ANSWER- HbA1C A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? - ANSWER-A brainstorming session with nurses hip arthroplasty and notes the dressing is saturated with sanguineous drainage. Which of the following actions should the nurse take? - ANSWER-Reinforce the dressing with sterile gauze bathe four clients, distribute fresh water, and obtain the morning vital signs. At noon the nurse ask the AP to transport one client to physical therapy. The nurse delegate more effectively in the future? - ANSWER-Plan a more reasonable job assignment A nurse is preparing to administer enoxaprin to a client. Which of the following actions should the nurse plan to take? - ANSWER-Inject the medication in the lateral abdominal wall systemic lupus - ANSWER-dry raised facial rash common manifestation of food allergies - ANSWER-vomiting sterile field - ANSWER-open the first flap away from the body

a nurse is preparing to discharge a newborn who has atrial septal defect. Who should the nurse expect the provider to recommend - ANSWER-occupational manager gentamicin toxicity - ANSWER-tinnitus A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - ANSWER- Monitor the client for 1 hr after meals A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? - ANSWER-Begin prophylactic treatment with ciprofloxacin Report to the CDC - ANSWER-Hepatitis A levels a depression in the skin 8mm deep - ANSWER-4+edema A nurse is teaching a client who is at 35 week of gestation about amniocentesis. Which of the following statements should the nurse include in the teaching? - ANSWER-you should monitor for the onset of contractions after the test A nurse is caring for a client who has heart failure and a potassium level of 3 mEq/L. The nurse should obtain verification of which of the following prescriptions from the provider - ANSWER-digoxin 0.125mg po daily A home health nurse is admitting a clinet who is prescribed peritoneal dialysis. Which of the following actions should the nurse take first - ANSWER-Clarify the client's actual and perceived health needs. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? - ANSWER-Hallucinations diagnosis of antisocial personality disorder - ANSWER-poor impulse control A nurse is caring for a client who is post right-modified radial mastectomy. Which of the following should the nurse recognize as a priority finding. - ANSWER- emesis of 110ml of thick yellow fluid

dysphagia, what should the client recommend - ANSWER-oatmeal A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? - ANSWER-Report the incident to Adult Protective Services Run cats spin the rain throwing procedures mechanical paper lake - ANSWER- word salad eye drops - ANSWER-maintain the child in a sitting position 3 mins after report to the CDC - ANSWER-syphilis A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? - ANSWER-notify your provider if you experience muscle weakness A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV fusion. Which of the following should be reported to the provider - ANSWER-Mag levels 9mEq/L meningitis. What assessment to perform? - ANSWER-Brudzinski sign A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? - ANSWER-egg whites A nurse is planning care for a child who is unresponsive and has increased ICP. Which of the the following actions should the nurse take? - ANSWER-place the child in trenedelenburg position A nurse is caring for a child who has a new prescription for chlorpromazine by IM injection. Which of the following is an appropriate action? - ANSWER-Check orthostatic blood pressure 1hr after administration mononucleosis. What findings - ANSWER-splenomegaly malaise sore throat

haloperidol for the treatment of schizophrenia - ANSWER-screen the client for tardive dyskinesia A nurse is caring for a preschool-age child who has a short-leg plaster cast applied 1 hr ago. Which of the following is an appropriate intervention - ANSWER- support the affected leg on a pillow A nurse is assessing a client who has pericarditis. Which of the following findings is the priority? - ANSWER-substernal chest pain bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemo. - ANSWER-Allow the silbling to wave at the client through the window of the door A client who is 8hr postpartum asks the nurse id she will nee to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B positive. Which of the following statement is appropriate? - ANSWER-should be given 72 hrs after delivery receiving lasted Ringer's to treat fluid volume deficit. Indicates a therapeutic response to the treatment - ANSWER-Increased blood pressure neutropenia about food safety to prevent food borne illness - ANSWER- Refrigerate leftover with 2 hrs A nurse is caring for a female client who has bruises on her arms that she explains are result of physical abuse by her partner. - ANSWER-Insit that the client report the abusive behavior to the proper authority providing postoperative teaching to a client who has a newly inserted pacemaker - ANSWER-I will use my cellphone on the ear opposite of my pacemaker a nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is priority to report to the provider - ANSWER-blurred vision/ fever A nurse is performing a vision screening for a client. Which of the following finding should the nurse identify as an indication that the client has cataract - ANSWER-increased opacity of the lens of the eye

A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? - ANSWER-Tell the client to avoid drinking fluids 1 hr before bedtime A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? - ANSWER-calcium A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? - ANSWER-Hold the bottle of sterile solution with the palm over the label while pouring A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? - ANSWER- place the client in low fowler's A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? - ANSWER-Wear a lead apron A nurse is planning an educational 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 - ANSWER-diaphoresis A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take - ANSWER-Apply the tourniquet 15cm(6in) about the insertion site fetal lung maturation - ANSWER-betamethsone A nurse is planning care for a newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care - ANSWER- Assess the infants eyes for corneal irritation every 4hrs A nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following action should the nurse perform - ANSWER-infuse 0.9% sodium chloride IV