RN VATI Comprehensive Predictor 2022 A GRADE

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? Occlude the IV tu ...

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? Occlude the IV tubing above the injection port A nurse is assessing a client who has pericarditis. Which of the following findings is the priority? Paradoxical pulse A nurse is collecting a specimen for an aerobic culture from a client who has a draining pressure injury. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.) -Assess the appearance of the wound. -Cleanse the wound with 0.9% sodium chloride irrigation -Obtain the specimen from granulation tissue of the wound. -Place the swab in the culture tube. -Cover the wound with a sterile dressing 2. A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following Indicates that the client is in the latent phase of labor? The cervix is dilated 2 cm. 3. A nurse on an orthopedic floor is completing the morning assessments on several clients. Which of the following clients has the greatest risk for fat embolism syndrome (FES)? A 24-year-old male who has a casted femur fracture 4. A nurse receives change-of-shift report on four clients. Based on the shift report information, which of the following clients should the nurse plan to assess first? A client who had a hip arthroplasty reports pain and erythema in their calf 5. 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? A client who has a traumatic arm amputation 6. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to assistive personnel? Perform chest compressions during cardiac resuscitation. 7. A nurse is assessing a client's cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (You will find "Hot Spots" to select in the artwork below. Select only the hotspot that corresponds to your answer.)