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VATI RN COMPREHENSIVE PREDICTOR EXAM|2025-
2026|ACTUAL 150+Qs&As|LATEST UPDATE 2025|ALREADY
RATED A+
**A caregiver is collecting data from a client who has posttraumatic stress disorder (PTSD). Which of the following behavioral indications should the caregiver expect? Dependence Euphoria Memory Loss ANSWER :Hyp ervigilance **A caregiver is collecting data from a client who has schizophrenia. Which of the following statements by the client should the caregiver identify as a delusion? ANSWER My doctor’s glasses have lasers that will burn holes in my brain if I look at him The movie had an explosion. I once drove a green truck. Where is the ketchup The voice keeps telling me to go kick the table over. Why won’t it stop I can’t sit here because the purple monkey on the ceiling will jump on me **A caregiver is caring for a client who sustained a broken leg while assisting other from a structural fire. The client states I am glad those people were saved but I sure wish I was not hurt. Which of the following is an appropriate response by the caregiver? You are a real hero. I am sure that makes your injuries worthwhile ANSWER It is difficult to experience personal injuries for whatever
reason Things will get better before long Let’s talk about this later when we have more time **A caregiver is reinforcing teaching for a client who has a new prescription for lithium carbonate (Lithobid). Which of the following instructions should the caregiver include? Eliminate all foods containing tyramine ANSWER Drink 2 to 3 liter of fluid each day Take lithium carbonate on an empty stomach Reduce your daily sodium intake to 1,000 mg **A caregiver in a provider’s office is reinforcing teaching with a client who is receiving peritoneal dialysis via a newly inserted catheter. For which of the following should the caregiver instruct the client to contact the provider? Bloody peritoneal fluid Clear peritoneal fluid ANSWER Cloudy peritoneal fluid Straw-colored peritoneal fluid **A child is brought to the clinic by his parents with injuries inconsistent with the reported cause. A caregiver suspects physical abuse. Which of the following actions should the caregiver take?
procedure You will be instructed to remain in an upright position for the first 4 hours after the procedure The provider will apply a pressure bandage to the puncture site **A newborn is scheduled to have a heel stick for blood glucose testing every 4hr. The newborn’s blood glucose on admission was less than 40 mg/dL. Which of to the following additional clinical manifestations should the caregiver observe for in this newborn? ANSWER Jitteriness Bradycardia Inconsolability Insomnia **A caregiver is contributing to the plan of care for a client who has a prescription for range of motion exercise of the shoulder. To promote shoulder hyperextension, which of the following exercises should the caregiver recommend? ANSWER Move his arm behind his body with his elbow straight Move his arm in a full circle Raise his arm out to the side and reach it above his head with his palm facing away from his head Raise his arm from his side straight forward and then up above his head. **A caregiver is receiving change-of-shit report for four clients. Which of the following clients should the caregiver attend to first? A client who requests to be moved to a room closer to the caregiver’s station
A client who is postoperative and had received morphine twice during the last 8hrs ANSWER A client whose urinary output was 100 mL for the past 12hr A client who insists on speaking with the provider prior to discharge **A caregiver is reinforcing teaching regarding home safety to a client who has diabetes mellitus and is being discharged after an admission for hepatitis B. Which of the following client statements indicates an understanding of the teaching? I will recap my used syringes and throw them away in a plastic bag I will take Tylenol for aches and pains ANSWER I will use my own eating utensils and dishes at home Houseguest will need to wear masks when they come to visit me **A caregiver in a long-term care facility is transcribing new prescriptions for four clients. Which of the following prescription is accurately transcribed by the caregiver? Alprazolam (Xanax) 0.5 mg PO QHS for sleep Regular insulin (Humulin R) 10 U SC at 0800 Docusate sodium (Colace) 250 mg PO QOD ANSWER Potassium chloride (Micro-K) 20mEq PO every morning **A caregiver is caring for a client who has altered mental status and has become increasing belligerent. Which of the following medications prescriptions, if written for this client, should the caregiver question? Haloperidol (Haldol) Lorazepam (Ativan)
ANSWER Lumbar puncture ** A caregiver in an acute care hospital is planning to discharge an adult client who is immunocompromised. Which of the following immunizations should the caregiver plan to administer before discharge. Measles, mumps, and rubella (MMR) immunization ANSWER Pneumococcal polysaccharide (PPSV) immunization Varicella immunization Herpes zoster immunization ** A caregiver is reinforcing teaching to a client regarding care of her newborn. The caregiver determines that the teaching is effective when the client points to which part of the newborn’s head and states it will take 12 to 18 months for the soft stop to close. (top of the head near face) **A parent of a 3yr old child tells the caregiver that he cannot get his child to sit at the table to eat a full meal. Which of the following responses by the caregiver is appropriate? Provide the child with foods of the same texture rather than a variety of unfamiliar foods Engage the child in conversation during meals to encourage him to eat like the rest of the family Encourage active play prior to meals to increase the child’s appetite ANSWER Offer the child heathful snacks frequently, rather than expecting him to fully eat at mealtimes
**A caregiver in a providers office is caring for four clients. Which of the following should the caregiver see first. A client who is at 38 weeks gestation and reports urgency and frequency of urination A client who is at 37 weeks gestation and reports edema of the ankles ANSWER A client who is at 36 weeks gestation and reports painless vaginal bleeding A client who is at 34 weeks gestation and reports abundant amounts of odorless vaginal mucus **A caregiver and an assistive personnel (AP) are caring for four clients in a long-term-care facility. For which of the following situations is it necessary to complete an incident report? ANSWER A client throws an object across the dinning room A client refuses his morning medications A client who is prescribed full liquid diet receives a clear liquid diet A client who is confused walks into another client’s room ** A caregiver working in the clinic receives a phone call from a mother whose child has just ingested the contents of a bottle of acetaminophen (Tylenol). Which of the following is an appropriate response by the nures? Adminster syrup of ipecac to the child to induce vomiting ANSWER Take the child to the emergency department Give the child a glass of milk to drink Monitor the child’s level of consciousness
** A caregiver is reviewing the laboratory results for an infant receiving gentamicin intermittent IV bolus twice daily and notes the serum creatinine is 0.9 mg/dL. The caregiver is aware that this result can indicate an adverse effect on which of the following systems? Hepatic ANSW ER Renal Gastrointestinal Endocrine **A is reinforcing teaching with an adolescent client about a scheduled blood draw of HbA1c. The caregiver knows that the client understands the purpose for this test when the client states that this test will measure his average blood glucose level over the past 2 to 3 days 6 weeks ANSWER 2 to 3 months 6 months **A caregiver is caring for a client in Buck’s traction. Which of the following interventions should the caregiver perform while the client is in this traction? ANSWER Allow the weights to hang freely Inspect the skin every 24hr Remove the weights every
24hr Let the client use the bedside commode **A caregiver is caring for a client who has a head injury. Using the Glasgow Coma Scale to collect data, the caregiver should obtain which of the following? ANSWER Motor response Vital signs Short-term memory Gait **A caregiver is reinforcing teaching to a client who has a new prescription for atorvastatin (Lipitor). For which of the following shold the caregiver tell the client to monitor and report to the provider? Anorexia ANSWER Muscle tenderness Facial flushing Insomnia **A caregiver working in a clinic is collecting data on a toddler. Which of the following findings should the caregiver identify as suggestive of physical neglect? ANSWER The toddler is inadequately dressed for the weather The toddler has irriation to the external genitalla
ANSWER Maintaining a sequential compression device Elevating the head of the bed Massaging the clients legs **A caregiver reinforces the use of a mask prior to a family entering the room of a client who has tuberculosis (TB). Which of the following information should the caregiver include? Prior to entering the room, make sure the client puts on a mask If you leave the client’s room for a break, you can reuse your mask upon returning ANSWER Wearing a mask will help protect you from the client’s illness Masks are part of the hospital protocol, but family members do not have to wear them **A caregiver is caring for a client recently diagnosed with adenocarcinoma of the lung. While discussing teatment option with the client, the family asks the caregiver about the use of herbal medications for treatment. The caregiver should respond by stating, Herbal medicines ANSWER Are untested for both safety and efficacy Will protect against progression of your cancer Are frequently cheaper than conventional medications Must be prescribed by a provider **A client who is pregnant presents to the emergency department with a broken arm. The client appears anxious and gives conflicting stories about how the injury occurred. The client’s spouse is hovering over
her and answering questions for her. What should the caregiver do to handle this situation? Disregard the spouse’s remarks while continuing with data collection ANSWER Request that the spouse go to the waiting room Bring a second caregiver into the examination room Ask the client’s spouse to refrain from answering for the client. **A caregiver is caring for a client who has a history of long-term alcohol use disorder. The client has a prescription for disulfiram (Antabuse). The caregiver should recognize that the use of this medication is a form of which of the following types of therapy? Operant conditioning Systemtic desensitization ANSWER Aversion therapy Cognitive therapy **A caregiver is caring for a client who has impaired vision. Which of the following strategies should the caregiver include in the plan of care? Keep the door to the client’s bathroom slightly ajar Hold the client’s arm while standing even with the client’s shoulders while ambulating ANSWER During ambulation, the caregiver should stand just ahead of the client and offer his arm for guidance Place frequently used items on the bedside table **A caregiver has administerd lorazepam (Ativan) to a client who is scheduled for surgery within the next hour. Which of the following actions should the caregiver take?
hallucinations. The caregiver should suspect intoxication with which of the following substances? ANSWER Methamphetamines Opioids Anbolic steroids Alcohol **A caregiver enters the room of a client who had a bone marrow transplant 3 days ago for treatment of leukemia. Which of the following observations warrents intervention? The client’s meal tray contains stewed tomatoes ANSWER A visitor brought the client a bouquest of flowers The client is using an electric razor to shave An assistive personnel is removing a bag of biohazardous materials **A caregiver is collecting data from a client who is primigravida and at 25 weeks of gestation. The client is tearful and tells the caregiver, “I’m sorry, I’m just nervous and emotional today.” Which of the following actions should the caregiver take first? Help the client identify a support person to talk to Recoomend the client join a support group for first time mothers Assist the client to schedule childbirth classes ANSWER Explore the client’s underlying concerns
**A caregiver is caring for a client who has expressive aphasia following a cerbrovascular accident. Which of the following communication methods is appropriate for the caregiver to use with this client? Ask open-ended questions Speak slowly with a raised voice ANSWER Provide a picture board Limit the use of gestures **A caregiver is caring for a client who is postoperative following an open reduction with internal fixation of the ankle. The client reports pain, and the caregiver notes that the affected extremity is cool, pale, and has a weak pulse. The caregiver calls the surgical resident, who responds, “It has always been like that.” Which of the following actions should the caregiver take first? ANSWER Notify the nursing supervisor Administer the prescribed pain medication Recheck the client in 30 min Reposition the client to improve anatomical alignment **A caregiver is reinforcing teaching to a client about the adverse effects of propranolol (Inderal). For which of the following effects should the caregiver instruct the client to observe? ANSWER Bradycardia Cough Paresthesias Urinary retention
Insert a tongue blade in the client’s mouth Assist the client to an upright posiiton Offer clear fluids through a straw ANSWER Keep the client in a side-lying position **A caregiver is reinforcing discharge teaching for a client who has a new prescription for digoxin (Lanoxin). Which of the following should the caregiver include in the instructions as an indication of digoxin toxicity? ANSWER Visual changes Skin irritation Fever Angina **A female client presents to an outpatient clinic. Which of the following findings place the client at risk for coronary artery disease? ANSWER The client’s LDL level The client’s daily alcohol consumption The client’s weight for her height The client’s blood pressure **A caregiver is caring for an infant who is receiving IV fluids for dehydration. Which of the following
should the caregiver recognize as a positive response to the therapy? Bulging fontanel Capillary refill 6 seconds ANSWER Moist mucous membranes Urine specific gravity 1. **A caregiver is reinforcing teaching for a clientwho has a new prescription for sublinguail nitroglycerin (Nitrostat). Which of the following statements indicates client understanding? I will take half a tablet before I exercise I can take up to four tablets to relieve my pain I will put the tablets in a medication container for easy acess ANSWER I may develop a headache after taking this medication **A caregiver is caring for a client who has a new diagnosis of HIV. The client states, “I don’t want anyone else to know that I have HIV.” Based on the recommendations of the Centers for Disease Control and Prevention, which of the following is an appropriate response by the caregiver? Your HIV status will be protected by HIPPA regulations ANSWER Your HIV status needs to be reported to the state health department We must report your HIV status to your employer Your HIV status is protected under the Patient Care Partnership **A caregiver is reinforcing discharge teaching with a client regarding self-administration of epid insulin (Humulin R). Which of the following instructions should the caregiver include?
