RN VATI Comprehensive Predictor
Practice Exam · 167 Questions · With Rationales
Question: 38 of 180 RN VATI Comprehensive Predictor
A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to
prevent client injury?
A. Place the client in a prone position.
B. Insert a padded tongue blade into the client's mouth.
✓ C. Loosen the client's restrictive clothing.
D. Restrict the movement of the client's extremities.
✓ Correct Answer: C
During a seizure, loosen restrictive clothing to prevent injury and allow free breathing. Never place the client prone (aspiration risk),
never insert anything into the mouth (broken teeth/injury risk), and never restrain extremities (fracture risk). Position the client on
their side, protect the head, and time the seizure.
, RN VATI Comprehensive Predictor
Question: 37 of 180
An assistive personnel tells the nurse that several client measurements were obtained with morning vital
signs. Which of the following clients should the nurse plan to assess first?
✓ A. A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73 mm Hg
B. A 2-year-old child who has Kawasaki disease and a temperature of 39°C (102.2°F)
C. A 4-year-old child who has a closed-head injury and a heart rate of 60/min
D. An 8-year-old child who has type I diabetes mellitus and a respiratory rate of 26/min
✓ Correct Answer: A
A BP of 130/73 in a 6-year-old with glomerulonephritis is significantly elevated (hypertensive) and represents the most urgent
finding. Hypertension in glomerulonephritis can rapidly progress to hypertensive crisis or encephalopathy, requiring immediate
assessment and intervention.
Question: 47 of 180
, RN VATI Comprehensive Predictor
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
✓ A. Complete any exercise at least 2 hr before bedtime.
B. Read a book in bed when having difficulty sleeping.
C. Refrain from ingesting alcohol 3 hr before bedtime.
D. Keep the bedroom at a cool temperature.
✓ Correct Answer: A
Exercise at least 2 hours before bedtime allows the body to wind down and promotes better sleep. Reading in bed conditions the
brain to associate the bed with wakefulness. Alcohol should be avoided entirely near bedtime as it disrupts sleep architecture. A
cool bedroom is helpful but not the most evidence-based single recommendation here.
Question: 39 of 60
A nurse is creating a plan of care for a client who requires suture removal. Which of the following actions
should the nurse plan to take?
A. Pull the visible part of the suture through the underlying tissue.
✓ B. Cleanse the wound with sterile water prior to removing the sutures.
C. Cut the sutures as close to the skin as possible.
D. Remove the sutures in a consecutive order.
✓ Correct Answer: B
Cleansing the wound with sterile water (or saline) prior to suture removal reduces the risk of infection by removing crust and debris.
Never pull the external portion through tissue (introduces bacteria). Sutures are cut close to the knot on one side. Every other
suture is typically removed first to maintain wound integrity.
, RN VATI Comprehensive Predictor
Question: 86 of 180
A nurse in the PACU is caring for a client who has a temperature of 40°C (104°F) and received
succinylcholine during surgery. Which of the following medications should the nurse plan to administer to
decrease body temperature?
A. Rocuronium
B. Epinephrine
✓ C. Dantrolene
D. Flumazenil
✓ Correct Answer: C
This presentation describes malignant hyperthermia (MH) — a life-threatening emergency triggered by succinylcholine and
halogenated anesthetic agents. Dantrolene sodium is the specific antidote; it inhibits calcium release from the sarcoplasmic
reticulum, stopping the hypermetabolic process. Rocuronium is a neuromuscular blocker. Epinephrine treats anaphylaxis.
Flumazenil reverses benzodiazepines.
Practice Exam · 167 Questions · With Rationales
Question: 38 of 180 RN VATI Comprehensive Predictor
A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to
prevent client injury?
A. Place the client in a prone position.
B. Insert a padded tongue blade into the client's mouth.
✓ C. Loosen the client's restrictive clothing.
D. Restrict the movement of the client's extremities.
✓ Correct Answer: C
During a seizure, loosen restrictive clothing to prevent injury and allow free breathing. Never place the client prone (aspiration risk),
never insert anything into the mouth (broken teeth/injury risk), and never restrain extremities (fracture risk). Position the client on
their side, protect the head, and time the seizure.
, RN VATI Comprehensive Predictor
Question: 37 of 180
An assistive personnel tells the nurse that several client measurements were obtained with morning vital
signs. Which of the following clients should the nurse plan to assess first?
✓ A. A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73 mm Hg
B. A 2-year-old child who has Kawasaki disease and a temperature of 39°C (102.2°F)
C. A 4-year-old child who has a closed-head injury and a heart rate of 60/min
D. An 8-year-old child who has type I diabetes mellitus and a respiratory rate of 26/min
✓ Correct Answer: A
A BP of 130/73 in a 6-year-old with glomerulonephritis is significantly elevated (hypertensive) and represents the most urgent
finding. Hypertension in glomerulonephritis can rapidly progress to hypertensive crisis or encephalopathy, requiring immediate
assessment and intervention.
Question: 47 of 180
, RN VATI Comprehensive Predictor
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
✓ A. Complete any exercise at least 2 hr before bedtime.
B. Read a book in bed when having difficulty sleeping.
C. Refrain from ingesting alcohol 3 hr before bedtime.
D. Keep the bedroom at a cool temperature.
✓ Correct Answer: A
Exercise at least 2 hours before bedtime allows the body to wind down and promotes better sleep. Reading in bed conditions the
brain to associate the bed with wakefulness. Alcohol should be avoided entirely near bedtime as it disrupts sleep architecture. A
cool bedroom is helpful but not the most evidence-based single recommendation here.
Question: 39 of 60
A nurse is creating a plan of care for a client who requires suture removal. Which of the following actions
should the nurse plan to take?
A. Pull the visible part of the suture through the underlying tissue.
✓ B. Cleanse the wound with sterile water prior to removing the sutures.
C. Cut the sutures as close to the skin as possible.
D. Remove the sutures in a consecutive order.
✓ Correct Answer: B
Cleansing the wound with sterile water (or saline) prior to suture removal reduces the risk of infection by removing crust and debris.
Never pull the external portion through tissue (introduces bacteria). Sutures are cut close to the knot on one side. Every other
suture is typically removed first to maintain wound integrity.
, RN VATI Comprehensive Predictor
Question: 86 of 180
A nurse in the PACU is caring for a client who has a temperature of 40°C (104°F) and received
succinylcholine during surgery. Which of the following medications should the nurse plan to administer to
decrease body temperature?
A. Rocuronium
B. Epinephrine
✓ C. Dantrolene
D. Flumazenil
✓ Correct Answer: C
This presentation describes malignant hyperthermia (MH) — a life-threatening emergency triggered by succinylcholine and
halogenated anesthetic agents. Dantrolene sodium is the specific antidote; it inhibits calcium release from the sarcoplasmic
reticulum, stopping the hypermetabolic process. Rocuronium is a neuromuscular blocker. Epinephrine treats anaphylaxis.
Flumazenil reverses benzodiazepines.
