NGN ATI RN VATI Comprehensive Predictor Practice Questions

NGN ATI RN VATI Comprehensive Predictor Practice Questions Description: This practice set covers high-yield nursing concepts for the ATI RN VATI Comprehensive Predictor, including Management of Care, Pharmacological Therapies, Physiological Adaptation, and Maternal-Newborn care. Each question includes a correct answer with rationale. Key Words: ATI VATI Predictor, NGN RN, Management of Care, Prioritization, Delegation, Pharmacology, Physiological Adaptation, Maternal-Newborn, Clinical Judgment Section 1: Management of Care & Prioritization Q1. A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? A. Administering enteral feedings via gastrostomy tube B. Obtaining a sterile urine specimen from an indwelling catheter C. Measuring a client's intake and output D. Assessing a client's wound for signs of infection Correct Answer: C Rationale: I&O measurement is within the scope of practice for APs and requires no clinical judgment. Enteral feedings, sterile specimen collection, and wound assessment require nursing judgment and licensure . Q2. A charge nurse is making client assignments on a medical-surgical unit. Which client should the charge nurse assign to the most experienced registered nurse? A. A client who needs preoperative teaching for a cholecystectomy B. A client with diabetes mellitus who needs insulin administration C. A client with unstable angina who is experiencing chest pain D. A client with a new colostomy who needs stoma care teaching Correct Answer: C Rationale: The client with unstable angina requires advanced cardiac assessment skills and immediate intervention if rhythm changes occur. This client is unstable and needs the most experienced nurse. The other clients are more stable with predictable care needs . Q3. A nurse in an emergency department is assessing four clients. Which client should the nurse assess first? A. A client with COPD and oxygen saturation of 88% on room air B. A client with chest pain who reports pain 4/10 and is waiting for an ECG C. A client with abdominal pain and a temperature of 38.3°C (100.9°F) D. A client with a leg fracture who is asking for pain medication Correct Answer: A Rationale: A client with SpO₂ of 88% is hypoxemic and requires immediate intervention to prevent respiratory failure. The ABC (Airway, Breathing, Circulation) framework guides prioritization . Q4. A nurse is caring for a client who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take? A. Administer the blood transfusion without consent B. Contact the provider to discuss alternative treatments C. Notify the facility's ethics committee immediately D. Ask the family to convince the client to accept the transfusion Correct Answer: B Rationale: The client has the right to refuse treatment based on religious beliefs. The nurse should respect this decision, document it, and collaborate with the provider to explore alternatives (e.g., iron therapy, erythropoietin) . Q5. A nurse on a psychiatric unit is caring for a client who is being discharged. Which of the following actions demonstrates proper documentation? A. Documenting that the client was "hostile and aggressive" B. Using the client's exact words in quotation marks C. Documenting only negative behaviors D. Writing a note that the client "seems depressed" Correct Answer: B Rationale: Documentation should be objective, factual, and use the client's exact words when quoting them. Terms like "hostile," "aggressive," and "seems depressed" are subjective judgments and should be avoided . Q6. A charge nurse is assigning client care for a medical-surgical unit. Which client should be assigned to the most experienced registered nurse? A. A client with diabetes mellitus requiring daily insulin administration B. A client with a new tracheostomy requiring frequent suctioning C. A client with a urinary tract infection requiring oral antibiotics D. A client who needs discharge teaching about a low-sodium diet Correct Answer: B Rationale: A client with a new tracheostomy is unstable and requires a high level of nursing skill. Airway management is always a priority, and frequent suctioning indicates a need for an experienced nurse .