RN VATI Comprehensive Predictor
ACTUAL EXAM 2023 with NGN 2026/2027 |
Comprehensive Review | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Foundations of Safe Care
15 Questions
Q1: A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the
following actions should the nurse take first?
A. Verify the client's identity using two identifiers
B. Obtain baseline vital signs
C. Ensure informed consent is on the chart
D. Start an IV line with 0.9% sodium chloride
Correct Answer: A
Rationale: The best answer is verifying the client's identity using two identifiers. This is the first and
most critical step in the transfusion process to prevent a life-threatening hemolytic reaction from giving
blood to the wrong patient. This aligns with current safety standards that prioritize patient identification
before any procedure.
Q2: A charge nurse is assigning client care for the shift. Which of the following tasks should the nurse
delegate to an assistive personnel?
A. Assessing a client's risk for falls
B. Administering a tube feeding to a client with a gastrostomy tube
C. Measuring the intake and output for a client on fluid restriction
D. Evaluating a client's response to pain medication
Correct Answer: C
,Rationale: This choice is correct because measuring intake and output is a routine, non-invasive task
that falls within the scope of practice for assistive personnel. This aligns with the principles of
appropriate delegation where stable, predictable tasks are assigned to APs while assessment and
evaluation remain nursing responsibilities.
Q3: A nurse is caring for a client who has a prescription for an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent a catheter-associated urinary tract infection?
A. Clean the perineal area with antiseptic solution twice daily
B. Hang the urine collection bag on the bed frame
C. Maintain a closed drainage system
D. Empty the urine collection bag every 12 hours
Correct Answer: C
Rationale: Maintaining a closed drainage system is the most important intervention to prevent CAUTIs
because it prevents bacteria from entering the urinary tract. Breaking the closed system increases the
risk of contamination, which aligns with current infection prevention standards.
Q4: A nurse is preparing a client for a surgical procedure. The client asks the nurse to explain the
informed consent form again. Which of the following actions should the nurse take?
A. Explain the procedure and risks in detail
B. Notify the provider that the client has questions
C. Have the client sign the form and note the concerns in the chart
D. Ask the client's family member to explain the procedure
Correct Answer: B
Rationale: The best answer is to notify the provider. The nurse's role in informed consent is to witness
the signature and ensure the client understands; however, the provider is responsible for explaining the
procedure, risks, and benefits. This matches the principle that the nurse should not provide detailed
medical explanations but rather facilitate communication with the provider.
Q5: A nurse discovers a small fire in a client's trash can. After moving the client to safety, which of the
following actions should the nurse take next?
A. Activate the fire alarm
B. Extinguish the fire
, C. Close the doors to the client's room
D. Remove all other clients from the unit
Correct Answer: C
Rationale: This choice is correct because closing the doors to the client's room contains the fire and
prevents the spread of smoke and flames to other areas. The priority after moving the client to safety is
to contain the fire, which aligns with the RACE mnemonic: Rescue, Alarm, Contain, Extinguish.
Q6: A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of
the following client statements indicates an understanding of the teaching?
A. "I will take ibuprofen for headaches"
B. "I will eat more leafy green vegetables"
C. "I will report any dark-colored urine to my provider"
D. "I will take my medication with a glass of milk"
Correct Answer: C
Rationale: This answer is correct because dark-colored urine can indicate bleeding, which is a serious
adverse effect of warfarin. The client needs to report this finding immediately. This aligns with the
teaching priority of recognizing signs of bleeding while on anticoagulant therapy.
Q7: A nurse is caring for a client who has a prescription for a low-sodium diet. Which of the following
food choices by the client indicates a need for further teaching?
A. Fresh apple slices
B. Canned vegetable soup
C. Grilled chicken breast
D. Brown rice
Correct Answer: B
Rationale: Canned vegetable soup is high in sodium and would not be appropriate for a low-sodium
diet. This indicates the client needs further teaching on reading food labels and identifying hidden
sources of sodium. Fresh, unprocessed foods are the better choice for low-sodium diets.
Q8: A nurse is assessing a client's IV site and notes redness, swelling, and warmth along the vein. Which
of the following actions should the nurse take first?
ACTUAL EXAM 2023 with NGN 2026/2027 |
Comprehensive Review | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Foundations of Safe Care
15 Questions
Q1: A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the
following actions should the nurse take first?
A. Verify the client's identity using two identifiers
B. Obtain baseline vital signs
C. Ensure informed consent is on the chart
D. Start an IV line with 0.9% sodium chloride
Correct Answer: A
Rationale: The best answer is verifying the client's identity using two identifiers. This is the first and
most critical step in the transfusion process to prevent a life-threatening hemolytic reaction from giving
blood to the wrong patient. This aligns with current safety standards that prioritize patient identification
before any procedure.
Q2: A charge nurse is assigning client care for the shift. Which of the following tasks should the nurse
delegate to an assistive personnel?
A. Assessing a client's risk for falls
B. Administering a tube feeding to a client with a gastrostomy tube
C. Measuring the intake and output for a client on fluid restriction
D. Evaluating a client's response to pain medication
Correct Answer: C
,Rationale: This choice is correct because measuring intake and output is a routine, non-invasive task
that falls within the scope of practice for assistive personnel. This aligns with the principles of
appropriate delegation where stable, predictable tasks are assigned to APs while assessment and
evaluation remain nursing responsibilities.
Q3: A nurse is caring for a client who has a prescription for an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent a catheter-associated urinary tract infection?
A. Clean the perineal area with antiseptic solution twice daily
B. Hang the urine collection bag on the bed frame
C. Maintain a closed drainage system
D. Empty the urine collection bag every 12 hours
Correct Answer: C
Rationale: Maintaining a closed drainage system is the most important intervention to prevent CAUTIs
because it prevents bacteria from entering the urinary tract. Breaking the closed system increases the
risk of contamination, which aligns with current infection prevention standards.
Q4: A nurse is preparing a client for a surgical procedure. The client asks the nurse to explain the
informed consent form again. Which of the following actions should the nurse take?
A. Explain the procedure and risks in detail
B. Notify the provider that the client has questions
C. Have the client sign the form and note the concerns in the chart
D. Ask the client's family member to explain the procedure
Correct Answer: B
Rationale: The best answer is to notify the provider. The nurse's role in informed consent is to witness
the signature and ensure the client understands; however, the provider is responsible for explaining the
procedure, risks, and benefits. This matches the principle that the nurse should not provide detailed
medical explanations but rather facilitate communication with the provider.
Q5: A nurse discovers a small fire in a client's trash can. After moving the client to safety, which of the
following actions should the nurse take next?
A. Activate the fire alarm
B. Extinguish the fire
, C. Close the doors to the client's room
D. Remove all other clients from the unit
Correct Answer: C
Rationale: This choice is correct because closing the doors to the client's room contains the fire and
prevents the spread of smoke and flames to other areas. The priority after moving the client to safety is
to contain the fire, which aligns with the RACE mnemonic: Rescue, Alarm, Contain, Extinguish.
Q6: A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of
the following client statements indicates an understanding of the teaching?
A. "I will take ibuprofen for headaches"
B. "I will eat more leafy green vegetables"
C. "I will report any dark-colored urine to my provider"
D. "I will take my medication with a glass of milk"
Correct Answer: C
Rationale: This answer is correct because dark-colored urine can indicate bleeding, which is a serious
adverse effect of warfarin. The client needs to report this finding immediately. This aligns with the
teaching priority of recognizing signs of bleeding while on anticoagulant therapy.
Q7: A nurse is caring for a client who has a prescription for a low-sodium diet. Which of the following
food choices by the client indicates a need for further teaching?
A. Fresh apple slices
B. Canned vegetable soup
C. Grilled chicken breast
D. Brown rice
Correct Answer: B
Rationale: Canned vegetable soup is high in sodium and would not be appropriate for a low-sodium
diet. This indicates the client needs further teaching on reading food labels and identifying hidden
sources of sodium. Fresh, unprocessed foods are the better choice for low-sodium diets.
Q8: A nurse is assessing a client's IV site and notes redness, swelling, and warmth along the vein. Which
of the following actions should the nurse take first?
