VATI Comprehensive Predictor NCLEX Questions

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VATI RN

Teacher add Low-residue dietDairy products & eggs, such as custard and yogurt (Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black beans are high in fiber and are not considered low in residue.A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the BMI and determine if the patients BMI indicates a healthy weight, underweight, overweight, or obese.Use the formula (wt. in lbs)/(ht in in^2) multiply by 703 to get the BMI.BMI is 31 (obese) (Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates overweight. A BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates underweight.A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in. Calculate the BMI of the female patient.Use the formula (lbs)/(in^2) multiply by 703 BMI 42 indicates the patient is obese

A RN is reviewing discharge instructions regarding car seat safety to the parent of a newborn. Which of the following instructions will the nurse include in the discharge teaching (SATA)

• Position the infant rear-facing in the backseat.
• Be sure the car seat is at a 90 degree angle
• Be sure the care seat is at a 45 degree angle
• Position the car seat behind the passenger or drivers

seat

• Position the care seat in the middle of the back seat
• Keep infants in rear-facing car seats until age 6 months
• Keep infants in rear-facing car seat until 2 yr old or

until the child reaches the maximum ht and wt for the seat.

(A, C, E, G)

• Position the infant rear-facing in the backseat - (RAT) the car seat should never

be in the front seat of a car due to the increased risk for injury from the air bags during a MVA.

• Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a

45 degree angle.

• Position the care seat in the middle of the back seat - (RAT) the car seat should

be in the middle away from air bags and side impact.

• Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-

facing car seat until the child reaches 2yo or until the child reaches the maximum ht and wt for the seat.A RN is caring for a patient who fell at a nursing home.The patient is oriented x 3 (person, place & time) and can follow directions. Which of the following actions should the RN take to decrease the risk of another fall? (SATA)

• Place a belt restraint on the patient when they are

sitting on the bedside commode

• Keep the bed in its lowest position with all side rails up
• Make sure that the patient's call light is within reach
• Provide the patient with nonskid footwear
• Complete a fall-risk assessment

(C,D,E)

• Make sure that the patient's call light is within reach
• Provide the patient with nonskid footwear
• Complete a fall-risk assessment

Note- You do not put all the side rails up in the bed because this is considered a restraint.A RN is caring for a patient who has a Hx of falls. Which of the following actions is the RNs priority?

• Complete a fall-risk assessment
• Educate the patient and family about fall risks
• Eliminate safety hazards from the patients environment
• Make sure the patient uses assistive aids in their

possession

• Complete a fall-risk assessment

(Rat) this is a priority nursing question therefore the question should direct you to the nursing process. The first action the nurse should take using the nursing process is to assess or collect data from the patient.

A RN discovers a small paper fire in a trash in a patients bathroom. The patient has been taken to safety and the alarm has been activated. Which of the following actions should the RN take?

• Open the windows in the patients room to allow

smoke to escape

• Obtain a class C fire extinguisher to extinguish the fire
• Remove all electrical equipment from the patient room
• Place wet towels along the base of the door to the

patients room

• Place wet towels along the base of the door to the patients room - (RAT) to

contain the fire and smoke in the room.Note - do not obtain a class C fire extinguisher but instead obtain a class A fire extinguisher which is used for ordinary combustibles such as cloth and paper.A nurse manager is completing an in-service on a group of new nurses in the transition to practice program. The nurse manager asks one nurse student to define the acronym "RACE". Please indicate what each letter in the acronym means.R - Rescue and protect the patients who are at or near the fire. Patients who can walk are able to do so on command to a safe location.A - Activate the alarm C - Contain/confine the fire by closing doors and windows, by placing a wet towel under the door in the patients room, and by turning off all oxygen sources and any electrical devices. Ventilate patient's who are on life support by using a bag- valve mask E - Extinguish the fire with a general/appropriate fire extinguisher (Class A) for your normal combustables A RN discovers that she administered an antihypertensive medication to a patient in error. Identify the appropriate sequence of steps that the RN should take using the following actions.

• Call the MD
• Check the VS
• Notify the risk manager
• Complete an incident report
• Instruct the patient to remain in bed until further notice

(A, B, C, D, E)

• Call the MD
• Check the VS
• Notify the risk manager
• Complete an incident report
• Instruct the patient to remain in bed until further notice

Note - If the question was a priority question, what would the RN do first? First, I would check the VS.A RN is discussing disaster planning with the board members of a hospital. Which of the following actions should the RN take?

• Incident commander
• Medical command physician
• Triage officer
• Media liaison

Medical command physician - (RAT) oversee's the use of resources (equipment and personnel) NOTE - the incident commander manages the incident and key leaders within the facility NOTE - Expect the triage officer to prioritize the treatment of patients coming in for treatment NOTE - Expect the media liaison to communicate with members of the media and press on behalf of the facility

A RN prepares the ER to admit patients who were exposed to inhalation anthrax during a bioterrorism attack. Which antibiotic is used to treat patients who have been exposed to inhalation anthrax?Ciprofloxacin (Cipro) will treat and prevent the spread of anthrax (RAT) Ciprofloxacin and doxycycline IV/PO is used following exposure. Treatment includes one or two additional antibiotic (vancomycin, penicillin and anthrax antitoxin) A RN at a mental health clinic is caring for four patients.The RN should recognize the following patients is using dissociation as a defense mechanism?A patient who was abused as a child describes the abuse as if it happened to someone else What are the signs and symptoms of hypoglycemia? Use the mnemonic He IS TIRED!He - Headache I - Irritability S - Sweating T - Tachycardia I - Irritability R - Restlessness E - Excessive Hunger D - Dizziness The RN is working with a new MD . The RN is preparing the patient for the administration of an epidural. The RN consult the MD for the verification of which medication ordered?Heparin (RAT) Heparin can cause spinal hematoma - the risk for hematoma at the puncture site for spinal or epidural medication administration is increased while taking heparin.NOTE - Factors that further increase risk include taking other anticoagulants or antiplatelet medications, Hx of spinal problems or surgery or use of an indwelling epidural catheter.NURSING CONSIDERATIONS - In patients who have spinal or epidural anesthesia: Assess insertion site for indications of hematoma formation (redness, swelling). Monitor sensation and movement of lower extremities. Notify MD of abnormal findings.A nurse is caring for a patient who is receiving chemotherapy. The patient's absolute neutrophil count (ANC) is less than 1,000/mm3. What precautions should the nurse institute?Neutropenic Precautions (RAT) The risk of serious infection increases as the ANC falls. An ANC less than 1,000/mm^3 indicates a weak immune system and the need to initiate neutropenic precautions.A charge RN is teaching a group of unit nurses about the policy for patients who have a history of MRSA. Which of the following information should the nurse include?

• A patient who has a history of MRSA will need

antibiotics

• A patient who has a Hx of MRSA can develop immunity

to the infection

• A patient who has a Hx of MRSA requires a protective

environment

• A patient who has a Hx of MRSA can still transmit the

infection

• A patient who has a Hx of MRSA can still transmit the infection