VATI-EXIT RN Comprehensive Predictor Actual Exam 2026/2027 with
Detailed Rationales | Complete Exam-Style Questions | 100% Verified | Pass
Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 60
Recommended Time: 90 minutes
Passing Threshold: 90%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Safe and Effective Care Environment
Question 1: A charge nurse is planning the shift assignments for a medical-surgical unit.
Which client should be assigned to the float nurse from the pediatric unit?
A. An older adult client who is 2 days postoperative for a hip fracture and needs
assistance with ambulation
B. A middle-aged adult client admitted with exacerbation of heart failure requiring
continuous IV diuretics
C. A young adult client who is 1 day postoperative for an appendectomy and requires
routine vital signs
D. An older adult client receiving palliative care who is receiving morphine infusion and
is unresponsive
Correct Answer: C
,Rationale: The float nurse from the pediatric unit should be assigned to the client with
the most predictable and routine care needs. The young adult who is 1 day
postoperative for an appendectomy and requires routine vital signs has the most stable
condition and requires basic nursing care within the scope of a float nurse. The other
clients require specialized assessments and interventions specific to adult
medical-surgical nursing.
SECTION 2: Health Promotion and Maintenance
Question 2: A nurse is conducting a health screening at a local community center.
Which statement by a client indicates an understanding of the recommendations for
colorectal cancer screening?
A. I will start getting screened for colorectal cancer when I turn 60 years old.
B. I should get a colonoscopy every 5 years starting at age 45.
C. I can use a fecal occult blood test annually instead of a colonoscopy.
D. I only need to be screened if I have a family history of colon cancer.
Correct Answer: C
Rationale: Current guidelines recommend that average-risk adults begin colorectal
cancer screening at age 45. An annual fecal occult blood test is an acceptable
screening method. Colonoscopies are typically recommended every 10 years, not 5, for
average-risk individuals. Screening is recommended for everyone starting at age 45,
regardless of family history, though those with a family history may need to start earlier.
,SECTION 3: Psychosocial Integrity
Question 3: A nurse is caring for a client who has been admitted to the psychiatric unit
with a diagnosis of major depressive disorder. The client states, I am no good to anyone
anymore. I just want to end it all. Which of the following is the priority nursing action?
A. Encourage the client to participate in group therapy sessions to express feelings
B. Place the client on one-to-one suicide precautions and remove harmful objects
C. Ask the client to sign a no-suicide contract for the duration of the hospitalization
D. Administer the prescribed selective serotonin reuptake inhibitor (SSRI) immediately
Correct Answer: B
Rationale: The priority action when a client expresses suicidal ideation is to ensure their
immediate safety. Placing the client on one-to-one suicide precautions and removing
harmful objects from the environment directly addresses the risk of self-harm. This is
the highest priority before any other therapeutic or pharmacological interventions.
SECTION 4: Physiological Integrity - Basic Care and Comfort
Question 4: A nurse is caring for a client who has a new prescription for a full liquid diet.
Which of the following food items should the nurse include in the client's meal tray?
A. Scrambled eggs and toast
B. Apple juice and ice cream
C. Oatmeal and pureed meat
D. Mashed potatoes and gravy
Correct Answer: B
, Rationale: A full liquid diet includes foods that are liquid at room temperature or
become liquid in the gastrointestinal tract. Apple juice and ice cream are appropriate for
a full liquid diet. Scrambled eggs, toast, oatmeal, pureed meat, and mashed potatoes
are components of a soft or mechanical soft diet, not a full liquid diet.
SECTION 5: Physiological Integrity - Pharmacological and Parenteral Therapies
Question 5: A nurse is preparing to administer digoxin to a client with atrial fibrillation.
The client's apical pulse is 52/min. Which of the following actions should the nurse
take?
A. Administer the medication as prescribed and monitor the ECG
B. Administer half of the prescribed dose and recheck the pulse in 30 minutes
C. Withhold the medication and notify the provider
D. Administer atropine to increase the heart rate before giving the medication
Correct Answer: C
Rationale: Digoxin slows the heart rate and increases myocardial contractility. The nurse
should withhold the medication if the client's apical pulse is less than 60 beats per
minute and notify the provider. Administering the medication could cause severe
bradycardia and potential digoxin toxicity.
SECTION 6: Physiological Integrity - Reduction of Risk Potential and Physiological
Adaptation
Detailed Rationales | Complete Exam-Style Questions | 100% Verified | Pass
Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 60
Recommended Time: 90 minutes
Passing Threshold: 90%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Safe and Effective Care Environment
Question 1: A charge nurse is planning the shift assignments for a medical-surgical unit.
Which client should be assigned to the float nurse from the pediatric unit?
A. An older adult client who is 2 days postoperative for a hip fracture and needs
assistance with ambulation
B. A middle-aged adult client admitted with exacerbation of heart failure requiring
continuous IV diuretics
C. A young adult client who is 1 day postoperative for an appendectomy and requires
routine vital signs
D. An older adult client receiving palliative care who is receiving morphine infusion and
is unresponsive
Correct Answer: C
,Rationale: The float nurse from the pediatric unit should be assigned to the client with
the most predictable and routine care needs. The young adult who is 1 day
postoperative for an appendectomy and requires routine vital signs has the most stable
condition and requires basic nursing care within the scope of a float nurse. The other
clients require specialized assessments and interventions specific to adult
medical-surgical nursing.
SECTION 2: Health Promotion and Maintenance
Question 2: A nurse is conducting a health screening at a local community center.
Which statement by a client indicates an understanding of the recommendations for
colorectal cancer screening?
A. I will start getting screened for colorectal cancer when I turn 60 years old.
B. I should get a colonoscopy every 5 years starting at age 45.
C. I can use a fecal occult blood test annually instead of a colonoscopy.
D. I only need to be screened if I have a family history of colon cancer.
Correct Answer: C
Rationale: Current guidelines recommend that average-risk adults begin colorectal
cancer screening at age 45. An annual fecal occult blood test is an acceptable
screening method. Colonoscopies are typically recommended every 10 years, not 5, for
average-risk individuals. Screening is recommended for everyone starting at age 45,
regardless of family history, though those with a family history may need to start earlier.
,SECTION 3: Psychosocial Integrity
Question 3: A nurse is caring for a client who has been admitted to the psychiatric unit
with a diagnosis of major depressive disorder. The client states, I am no good to anyone
anymore. I just want to end it all. Which of the following is the priority nursing action?
A. Encourage the client to participate in group therapy sessions to express feelings
B. Place the client on one-to-one suicide precautions and remove harmful objects
C. Ask the client to sign a no-suicide contract for the duration of the hospitalization
D. Administer the prescribed selective serotonin reuptake inhibitor (SSRI) immediately
Correct Answer: B
Rationale: The priority action when a client expresses suicidal ideation is to ensure their
immediate safety. Placing the client on one-to-one suicide precautions and removing
harmful objects from the environment directly addresses the risk of self-harm. This is
the highest priority before any other therapeutic or pharmacological interventions.
SECTION 4: Physiological Integrity - Basic Care and Comfort
Question 4: A nurse is caring for a client who has a new prescription for a full liquid diet.
Which of the following food items should the nurse include in the client's meal tray?
A. Scrambled eggs and toast
B. Apple juice and ice cream
C. Oatmeal and pureed meat
D. Mashed potatoes and gravy
Correct Answer: B
, Rationale: A full liquid diet includes foods that are liquid at room temperature or
become liquid in the gastrointestinal tract. Apple juice and ice cream are appropriate for
a full liquid diet. Scrambled eggs, toast, oatmeal, pureed meat, and mashed potatoes
are components of a soft or mechanical soft diet, not a full liquid diet.
SECTION 5: Physiological Integrity - Pharmacological and Parenteral Therapies
Question 5: A nurse is preparing to administer digoxin to a client with atrial fibrillation.
The client's apical pulse is 52/min. Which of the following actions should the nurse
take?
A. Administer the medication as prescribed and monitor the ECG
B. Administer half of the prescribed dose and recheck the pulse in 30 minutes
C. Withhold the medication and notify the provider
D. Administer atropine to increase the heart rate before giving the medication
Correct Answer: C
Rationale: Digoxin slows the heart rate and increases myocardial contractility. The nurse
should withhold the medication if the client's apical pulse is less than 60 beats per
minute and notify the provider. Administering the medication could cause severe
bradycardia and potential digoxin toxicity.
SECTION 6: Physiological Integrity - Reduction of Risk Potential and Physiological
Adaptation
