RN VATI Comprehensive Predictor ACTUAL EXAM
2019 | Form B | Comprehensive Review | Verified
Q&A 2026/2027| Pass Guaranteed - A+ Graded
Question 1
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following
findings should indicate to the nurse that the therapy has been effective?
A) Hemoglobin 10.2 g/dL
B) Hemoglobin 14.9 g/dL
C) Hematocrit 30%
D) Blood pressure 100/60 mmHg
Correct Answer: B
Rationale: The primary goal of a packed RBC transfusion is to increase the client's hemoglobin and
hematocrit levels. A hemoglobin of 14.9 g/dL indicates a successful therapeutic response to the
transfusion .
Question 2
A nurse working in an emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first?
A) A client with a minor laceration
B) A client with stable vital signs and a sprained ankle
C) A middle adult client who has unstable vital signs
D) A client reporting mild chest pain
Correct Answer: C
Rationale: In triage, the client with the highest acuity needs immediate attention. Unstable vital signs
indicate a life-threatening condition requiring urgent intervention .
Question 3
,A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?
A) Assess the client's lung sounds
B) Measure the client's daily weight
C) Monitor the client's intake and output
D) Evaluate the client's response to diuretics
Correct Answer: B
Rationale: Measuring daily weight is a stable, routine task that falls within the scope of practice for an
AP. Assessing, monitoring, and evaluating are nursing responsibilities .
Question 4
A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who
has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?
A) 12 g
B) 15 g
C) 18 g
D) 20 g
Correct Answer: C
Rationale: Weight Conversion: 198 lb / 2.2 = 90 kg. Medication Calculation: 90 kg × 0.2 g/kg = 18 g .
Question 5
A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of
the legs. Which of the following actions indicates the adolescent is abducting the hip joint?
A) Moving the leg toward the midline of the body
B) Moving the leg away from the midline of the body (off to the side)
C) Bending the knee toward the chest
D) Turning the foot inward
Correct Answer: B
Rationale: Abduction is the movement of a body part away from the midline of the body .
Question 6
,A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse
expect?
A) Bradycardia
B) Cold, dry skin
C) Tremors
D) Periorbital edema
Correct Answer: C
Rationale: Hyperthyroidism results from an overactive thyroid, leading to increased metabolism.
Expected findings include: Tremors, tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia .
Question 7
A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings
should the nurse expect?
A) Flaccid paralysis
B) Bulging fontanel
C) Nuchal rigidity
D) Hypotension
Correct Answer: C
Rationale: Nuchal rigidity (stiff neck) is a classic, expected finding in meningitis caused by inflammation
of the meninges .
Question 8
A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?
A) Palpate the femoral pulse
B) Observe the chest for movement
C) Auscultate the apical pulse for at least 1 minute
D) Use a pulse oximeter on the foot
Correct Answer: C
Rationale: To accurately assess a newborn's heart rate, the nurse should auscultate the apical pulse for
a full minute .
, Question 9
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to
perform which of the following actions?
A) Instruct the client to take deep breaths during the procedure
B) Have the client lie flat on the unaffected side
C) Instruct the client to avoid coughing during the procedure
D) Prepare the client for a chest tube insertion
Correct Answer: C
Rationale: During a thoracentesis, the client should be instructed to avoid coughing to prevent
accidental puncture of the lung .
Question 10
A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse
should identify which of the following findings as a potential indication of child sexual abuse?
A) The child is withdrawn and quiet
B) The child has a history of previous injuries
C) The child exhibits discomfort while walking
D) The injury is inconsistent with the stated history
Correct Answer: C
Rationale: Discomfort while walking in a preschooler is a non-specific but significant finding that can
indicate sexual abuse .
Question 11
A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an
enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in
their diet?
A) Protein
B) Fat
C) Fiber
D) Simple sugars
Correct Answer: C
2019 | Form B | Comprehensive Review | Verified
Q&A 2026/2027| Pass Guaranteed - A+ Graded
Question 1
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following
findings should indicate to the nurse that the therapy has been effective?
A) Hemoglobin 10.2 g/dL
B) Hemoglobin 14.9 g/dL
C) Hematocrit 30%
D) Blood pressure 100/60 mmHg
Correct Answer: B
Rationale: The primary goal of a packed RBC transfusion is to increase the client's hemoglobin and
hematocrit levels. A hemoglobin of 14.9 g/dL indicates a successful therapeutic response to the
transfusion .
Question 2
A nurse working in an emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first?
A) A client with a minor laceration
B) A client with stable vital signs and a sprained ankle
C) A middle adult client who has unstable vital signs
D) A client reporting mild chest pain
Correct Answer: C
Rationale: In triage, the client with the highest acuity needs immediate attention. Unstable vital signs
indicate a life-threatening condition requiring urgent intervention .
Question 3
,A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?
A) Assess the client's lung sounds
B) Measure the client's daily weight
C) Monitor the client's intake and output
D) Evaluate the client's response to diuretics
Correct Answer: B
Rationale: Measuring daily weight is a stable, routine task that falls within the scope of practice for an
AP. Assessing, monitoring, and evaluating are nursing responsibilities .
Question 4
A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who
has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?
A) 12 g
B) 15 g
C) 18 g
D) 20 g
Correct Answer: C
Rationale: Weight Conversion: 198 lb / 2.2 = 90 kg. Medication Calculation: 90 kg × 0.2 g/kg = 18 g .
Question 5
A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of
the legs. Which of the following actions indicates the adolescent is abducting the hip joint?
A) Moving the leg toward the midline of the body
B) Moving the leg away from the midline of the body (off to the side)
C) Bending the knee toward the chest
D) Turning the foot inward
Correct Answer: B
Rationale: Abduction is the movement of a body part away from the midline of the body .
Question 6
,A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse
expect?
A) Bradycardia
B) Cold, dry skin
C) Tremors
D) Periorbital edema
Correct Answer: C
Rationale: Hyperthyroidism results from an overactive thyroid, leading to increased metabolism.
Expected findings include: Tremors, tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia .
Question 7
A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings
should the nurse expect?
A) Flaccid paralysis
B) Bulging fontanel
C) Nuchal rigidity
D) Hypotension
Correct Answer: C
Rationale: Nuchal rigidity (stiff neck) is a classic, expected finding in meningitis caused by inflammation
of the meninges .
Question 8
A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?
A) Palpate the femoral pulse
B) Observe the chest for movement
C) Auscultate the apical pulse for at least 1 minute
D) Use a pulse oximeter on the foot
Correct Answer: C
Rationale: To accurately assess a newborn's heart rate, the nurse should auscultate the apical pulse for
a full minute .
, Question 9
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to
perform which of the following actions?
A) Instruct the client to take deep breaths during the procedure
B) Have the client lie flat on the unaffected side
C) Instruct the client to avoid coughing during the procedure
D) Prepare the client for a chest tube insertion
Correct Answer: C
Rationale: During a thoracentesis, the client should be instructed to avoid coughing to prevent
accidental puncture of the lung .
Question 10
A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse
should identify which of the following findings as a potential indication of child sexual abuse?
A) The child is withdrawn and quiet
B) The child has a history of previous injuries
C) The child exhibits discomfort while walking
D) The injury is inconsistent with the stated history
Correct Answer: C
Rationale: Discomfort while walking in a preschooler is a non-specific but significant finding that can
indicate sexual abuse .
Question 11
A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an
enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in
their diet?
A) Protein
B) Fat
C) Fiber
D) Simple sugars
Correct Answer: C
