2026/2027 VATI RN
COMPREHENSIVE PREDICTOR
FORM A, B & C
WITH CORRECT ANSWERS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You'll Get:
EACH FORM HAS 180 questions
quick review
Printable, easy-to-study PDF
Actual questions and correct answers
,Table of Contents
FORM A ................................................................................ 2
FORM B .............................................................................. 76
FORM C............................................................................. 173
FORM A
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable infectious disease in most states. The nurse
must ensure proper notification to public health authorities for disease tracking and
prevention. Antitoxin (b) is used for tetanus, not Lyme disease. Avoiding shared
belongings (c) is not relevant as Lyme disease is transmitted via tick bites, not person-
to-person contact. Skin necrosis (d) is not a characteristic finding of Lyme disease.
2. (NGN - Select All That Apply) A nurse is caring for a client who has been admitted to
the hospital. Select the 5 actions the nurse should take:
☐ Provide frequent rest periods
☐ Restrict client sodium intake
☐ Advise client to avoid using soap and alcohol-based lotions
,☐ Instruct the client to avoid blowing their nose forcefully
☐ Assess the client's level of orientation
Correct Answers: All 5 options
Rationale: These interventions suggest care for a client with increased intracranial
pressure or post-craniotomy. Frequent rest periods reduce metabolic demands.
Sodium restriction helps prevent fluid retention. Soap and alcohol-based lotions can
irritate skin. Forceful nose blowing increases ICP. Regular orientation assessments
monitor neurological status.
3. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first?
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
Correct Answer: B
Rationale: The priority is to assess the NG tube suction function. If suction is not
working properly, gastric contents cannot drain, causing vomiting. The nurse must first
determine if the tube is patent and suction is adequate before administering
medications or replacing the tube.
4. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion (CPM) device. Which of the following
actions should the nurse take first?
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
Correct Answer: C
, Rationale: Client safety is the priority. Frayed electrical cords pose a fire and
electrocution hazard. The nurse must immediately remove the defective equipment
from the client environment to prevent injury, then report and replace it.
5. A nurse is setting up a sterile field to perform wound irrigation for a client. Which of
the following actions should the nurse take when pouring the sterile solution?
a. Remove the cap and place it sterile-side up on a clean surface
b. Place sterile gauze over areas of spilled solution
c. Hold the bottle in the center of the sterile field when pouring
d. Hold the irrigation solution bottle with the label facing away from the palm of the
hand
Correct Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed with
the sterile inner surface facing up to maintain sterility. The bottle should be held
outside the sterile field (not in the center) to prevent contamination. The label should
face the palm to prevent solution from running over the label.
6. A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan?
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240mL (8oz) glasses of water each day
d. Void every 5-6 hours during the day
Correct Answer: A
Rationale: Loose-fitting cotton underwear promotes air circulation and reduces
moisture, preventing bacterial growth. Bubble baths (b) can irritate the urethra and
should be avoided. Four glasses of water (c) is insufficient—clients should drink 2000-
3000mL daily. Voiding every 5-6 hours (d) allows urine to stagnate; clients should void
every 2-3 hours and after intercourse.
7. (NGN - Fill in the Blank) A nurse is caring for a newborn. The client is at risk for
developing __________ and hypoglycemia.
COMPREHENSIVE PREDICTOR
FORM A, B & C
WITH CORRECT ANSWERS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You'll Get:
EACH FORM HAS 180 questions
quick review
Printable, easy-to-study PDF
Actual questions and correct answers
,Table of Contents
FORM A ................................................................................ 2
FORM B .............................................................................. 76
FORM C............................................................................. 173
FORM A
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable infectious disease in most states. The nurse
must ensure proper notification to public health authorities for disease tracking and
prevention. Antitoxin (b) is used for tetanus, not Lyme disease. Avoiding shared
belongings (c) is not relevant as Lyme disease is transmitted via tick bites, not person-
to-person contact. Skin necrosis (d) is not a characteristic finding of Lyme disease.
2. (NGN - Select All That Apply) A nurse is caring for a client who has been admitted to
the hospital. Select the 5 actions the nurse should take:
☐ Provide frequent rest periods
☐ Restrict client sodium intake
☐ Advise client to avoid using soap and alcohol-based lotions
,☐ Instruct the client to avoid blowing their nose forcefully
☐ Assess the client's level of orientation
Correct Answers: All 5 options
Rationale: These interventions suggest care for a client with increased intracranial
pressure or post-craniotomy. Frequent rest periods reduce metabolic demands.
Sodium restriction helps prevent fluid retention. Soap and alcohol-based lotions can
irritate skin. Forceful nose blowing increases ICP. Regular orientation assessments
monitor neurological status.
3. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first?
a. Administer an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
Correct Answer: B
Rationale: The priority is to assess the NG tube suction function. If suction is not
working properly, gastric contents cannot drain, causing vomiting. The nurse must first
determine if the tube is patent and suction is adequate before administering
medications or replacing the tube.
4. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion (CPM) device. Which of the following
actions should the nurse take first?
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
Correct Answer: C
, Rationale: Client safety is the priority. Frayed electrical cords pose a fire and
electrocution hazard. The nurse must immediately remove the defective equipment
from the client environment to prevent injury, then report and replace it.
5. A nurse is setting up a sterile field to perform wound irrigation for a client. Which of
the following actions should the nurse take when pouring the sterile solution?
a. Remove the cap and place it sterile-side up on a clean surface
b. Place sterile gauze over areas of spilled solution
c. Hold the bottle in the center of the sterile field when pouring
d. Hold the irrigation solution bottle with the label facing away from the palm of the
hand
Correct Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed with
the sterile inner surface facing up to maintain sterility. The bottle should be held
outside the sterile field (not in the center) to prevent contamination. The label should
face the palm to prevent solution from running over the label.
6. A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan?
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240mL (8oz) glasses of water each day
d. Void every 5-6 hours during the day
Correct Answer: A
Rationale: Loose-fitting cotton underwear promotes air circulation and reduces
moisture, preventing bacterial growth. Bubble baths (b) can irritate the urethra and
should be avoided. Four glasses of water (c) is insufficient—clients should drink 2000-
3000mL daily. Voiding every 5-6 hours (d) allows urine to stagnate; clients should void
every 2-3 hours and after intercourse.
7. (NGN - Fill in the Blank) A nurse is caring for a newborn. The client is at risk for
developing __________ and hypoglycemia.
