VATI Green Light Forms A, B & C Comprehensive
Predictor Exam Test Bank | Complete Practice
Ex a m Qu e s t i o n s w i t h Ve r i f i e d An s w e r s an d
Detailed Rationales|Latest Update-Edition 2026/27
Question 1
A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Answer: C
Rationale: Antisocial personality disorder is characterized by a pattern of disregard for and
violation of the rights of others, including using others for personal gain, lack of empathy, and
deceitfulness. Compulsive attention to details (A) is associated with obsessive-compulsive
personality disorder. Avoiding interaction (B) is associated with avoidant personality disorder.
Social awkwardness (D) is associated with schizotypal or social anxiety disorder.
Question 2
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syncope.
Which of the following image description indicates that the client has atrial fibrillation?
A. Irregularly irregular rhythm with no discernible P waves
B. Regular rhythm with saw-tooth P waves
C. Regular rhythm with narrow QRS complexes
D. Irregular rhythm with prolonged PR intervals
Answer: A
Rationale: Atrial fibrillation is characterized by an irregularly irregular rhythm with no
discernible P waves and chaotic atrial activity. Saw-tooth P waves (B) indicate atrial flutter.
Regular rhythm with narrow QRS (C) may indicate normal sinus rhythm or other regular
rhythms. Prolonged PR intervals (D) indicate first-degree AV block.
1
,Question 3
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
Answer: A
Rationale: A float nurse from the medical unit would be most competent to care for a client
with pneumonia receiving respiratory treatments, as this is a common medical condition.
Wilms tumor (B), VSD repair (C), and Harrington rod placement (D) require specialized
pediatric surgical knowledge and should be assigned to nurses experienced in pediatric
oncology, cardiac, or orthopedic care.
Question 4
A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Hypernatremia
D. Decreased urine output
Answer: A
Rationale: Water intoxication (hyponatremia) in infants causes generalized edema due to
fluid overload and cellular swelling. Urine specific gravity would be decreased (not elevated,
B) as the kidneys attempt to excrete excess water.
Question 5
A nurse is discussing the Z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the purpose
of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Answer: B
Rationale: The Z-track technique decreases the risk of subcutaneous infiltration by sealing
2
,the medication in the muscle tissue, preventing leakage into subcutaneous tissue and reducing
irritation. Sciatic nerve injury (A) is prevented by proper site selection, not Z-track. The
technique does not allow larger volumes (C) or increase absorption rate (D).
Question 6
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour after meals to
prevent purging behaviors. Weight gain should be 0.5-1 kg per week (not 2.3 kg, A).
Weighing should be done daily (not weekly, B). Mealtimes should be structured (not chosen
by the client, D) to ensure adequate intake.
Question 7
A nurse is planning care for a child who has increased intracranial pressure with a decrease in
level of consciousness. Which of the following interventions should the nurse include in the
plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
Answer: B
Rationale: Maintaining the head in a midline position promotes venous drainage and helps
reduce intracranial pressure. Active ROM exercises (A) can increase ICP. Suctioning (C)
should be done only when necessary as it can increase ICP. Neurological checks should be
performed more frequently than every 4 hours (D) in a child with decreased LOC.
Question 8
A nurse is assessing a client who has delirium due to a febrile illness. Which of the following
findings should the nurse expect?
A. Hallucinations
B. Agnosia
3
, C. Bradycardia
D. Aphasia
Answer: A
Rationale: Hallucinations are a common finding in delirium, which is characterized by acute
confusion, altered perception, and changes in cognition. Agnosia (B) is associated with
dementia. Bradycardia (C) is not typically associated with delirium. Aphasia (D) is associated
with stroke or brain injury.
Question 9
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The
nurse should identify that which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
Answer: D
Rationale: Bounding pulses indicate fluid volume excess (fluid overload). Diminished bowel
sounds (A) indicate decreased GI motility. Tachycardia (not bradycardia, B) is associated with
fluid overload. Hypertension (not hypotension, C) is associated with fluid overload.
Question 10
A nurse is caring for a client following an open colectomy. Which of the following findings
places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
Answer: B
Rationale: Hyperemesis (excessive vomiting) places the client at risk for delayed wound
healing due to nutritional depletion, dehydration, and increased abdominal pressure. INR 1.1
(A) is within normal range. HbA1c 5.6% (C) is normal. Uncontrolled pain (D) can delay
healing but is not as direct a risk as hyperemesis causing nutritional deficiency.
4
Predictor Exam Test Bank | Complete Practice
Ex a m Qu e s t i o n s w i t h Ve r i f i e d An s w e r s an d
Detailed Rationales|Latest Update-Edition 2026/27
Question 1
A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Answer: C
Rationale: Antisocial personality disorder is characterized by a pattern of disregard for and
violation of the rights of others, including using others for personal gain, lack of empathy, and
deceitfulness. Compulsive attention to details (A) is associated with obsessive-compulsive
personality disorder. Avoiding interaction (B) is associated with avoidant personality disorder.
Social awkwardness (D) is associated with schizotypal or social anxiety disorder.
Question 2
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syncope.
Which of the following image description indicates that the client has atrial fibrillation?
A. Irregularly irregular rhythm with no discernible P waves
B. Regular rhythm with saw-tooth P waves
C. Regular rhythm with narrow QRS complexes
D. Irregular rhythm with prolonged PR intervals
Answer: A
Rationale: Atrial fibrillation is characterized by an irregularly irregular rhythm with no
discernible P waves and chaotic atrial activity. Saw-tooth P waves (B) indicate atrial flutter.
Regular rhythm with narrow QRS (C) may indicate normal sinus rhythm or other regular
rhythms. Prolonged PR intervals (D) indicate first-degree AV block.
1
,Question 3
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
Answer: A
Rationale: A float nurse from the medical unit would be most competent to care for a client
with pneumonia receiving respiratory treatments, as this is a common medical condition.
Wilms tumor (B), VSD repair (C), and Harrington rod placement (D) require specialized
pediatric surgical knowledge and should be assigned to nurses experienced in pediatric
oncology, cardiac, or orthopedic care.
Question 4
A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Hypernatremia
D. Decreased urine output
Answer: A
Rationale: Water intoxication (hyponatremia) in infants causes generalized edema due to
fluid overload and cellular swelling. Urine specific gravity would be decreased (not elevated,
B) as the kidneys attempt to excrete excess water.
Question 5
A nurse is discussing the Z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the purpose
of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Answer: B
Rationale: The Z-track technique decreases the risk of subcutaneous infiltration by sealing
2
,the medication in the muscle tissue, preventing leakage into subcutaneous tissue and reducing
irritation. Sciatic nerve injury (A) is prevented by proper site selection, not Z-track. The
technique does not allow larger volumes (C) or increase absorption rate (D).
Question 6
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour after meals to
prevent purging behaviors. Weight gain should be 0.5-1 kg per week (not 2.3 kg, A).
Weighing should be done daily (not weekly, B). Mealtimes should be structured (not chosen
by the client, D) to ensure adequate intake.
Question 7
A nurse is planning care for a child who has increased intracranial pressure with a decrease in
level of consciousness. Which of the following interventions should the nurse include in the
plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
Answer: B
Rationale: Maintaining the head in a midline position promotes venous drainage and helps
reduce intracranial pressure. Active ROM exercises (A) can increase ICP. Suctioning (C)
should be done only when necessary as it can increase ICP. Neurological checks should be
performed more frequently than every 4 hours (D) in a child with decreased LOC.
Question 8
A nurse is assessing a client who has delirium due to a febrile illness. Which of the following
findings should the nurse expect?
A. Hallucinations
B. Agnosia
3
, C. Bradycardia
D. Aphasia
Answer: A
Rationale: Hallucinations are a common finding in delirium, which is characterized by acute
confusion, altered perception, and changes in cognition. Agnosia (B) is associated with
dementia. Bradycardia (C) is not typically associated with delirium. Aphasia (D) is associated
with stroke or brain injury.
Question 9
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The
nurse should identify that which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
Answer: D
Rationale: Bounding pulses indicate fluid volume excess (fluid overload). Diminished bowel
sounds (A) indicate decreased GI motility. Tachycardia (not bradycardia, B) is associated with
fluid overload. Hypertension (not hypotension, C) is associated with fluid overload.
Question 10
A nurse is caring for a client following an open colectomy. Which of the following findings
places the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
Answer: B
Rationale: Hyperemesis (excessive vomiting) places the client at risk for delayed wound
healing due to nutritional depletion, dehydration, and increased abdominal pressure. INR 1.1
(A) is within normal range. HbA1c 5.6% (C) is normal. Uncontrolled pain (D) can delay
healing but is not as direct a risk as hyperemesis causing nutritional deficiency.
4
