[VATI RN COMPREHENSIVE PREDICTOR QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF]
Core Domains
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Adult Health
Pharmacology and Medication Administration
Maternal, Newborn, and Women's Health
Pediatric Nursing and Child Health
Psychiatric and Mental Health Nursing
Community and Population Health
Leadership, Management, and Professional Practice
Introduction
The VATI RN Comprehensive Predictor examination is designed to evaluate the
readiness of nursing graduates for professional practice by assessing essential
knowledge, clinical judgment, and decision-making skills. This assessment integrates
foundational theory with applied professional knowledge across core nursing domains.
The exam includes multiple-choice and scenario-based questions that reflect real-world
clinical situations, emphasizing safety, ethical practice, regulatory compliance, and
critical thinking. Candidates are challenged to prioritize care, interpret clinical data,
and apply evidence-based guidelines. This comprehensive evaluation ensures that
nurses demonstrate the competencies required for safe, effective, and patient-
centered care in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–300
,Question 1
A nurse is assessing a client who has been receiving intravenous furosemide. Which of
the following findings should the nurse report to the provider immediately?
A. Heart rate of 88/min
B. Blood pressure of 90/50 mm Hg
C. Urine output of 40 mL/hr
D. Serum potassium of 3.1 mEq/L
✔ Answer: D
RATIONALE: Furosemide is a loop diuretic that causes potassium loss. A serum
potassium of 3.1 mEq/L is below the normal range (3.5–5.0 mEq/L) and indicates
hypokalemia, which can lead to dysrhythmias. This finding requires immediate
reporting.
Question 2
A nurse is caring for a client who has just returned from surgery and has a closed-
suction drain. Which of the following actions should the nurse take?
A. Compress the drainage container and secure the cap to maintain suction
B. Irrigate the drain with sterile saline every 4 hours
C. Clamp the drain tubing for 8 hours to prevent bleeding
D. Position the container below the level of the surgical site at all times
✔ Answer: A
RATIONALE: Closed-suction drains require compression of the container to maintain
negative pressure, which promotes wound drainage. Irrigating or clamping is not
routine, and the container should be below the site but the primary action is maintaining
suction.
Question 3
A client with a diagnosis of major depressive disorder is admitted to the unit. Which
statement by the client is the priority for the nurse to address?
A. "I have no energy to do anything at all."
,B. "I haven't been sleeping well for weeks."
C. "Everyone would be better off if I were gone."
D. "I don't enjoy my hobbies anymore."
✔ Answer: C
RATIONALE: This statement indicates suicidal ideation and is the highest priority due to
immediate safety risk. The nurse must assess for a suicide plan and initiate safety
precautions.
Question 4
A nurse is teaching a client about newly prescribed warfarin. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should avoid all green leafy vegetables."
B. "I will take aspirin for headaches."
C. "I need to have my blood tested regularly."
D. "I can stop the medication when I feel better."
✔ Answer: C
RATIONALE: Warfarin requires regular monitoring of PT/INR to ensure therapeutic
dosing and prevent bleeding or clotting. Clients should not avoid all leafy greens but
maintain consistent intake. Aspirin increases bleeding risk.
Question 5
A nurse is caring for a client who is in the active phase of labor. The client suddenly
reports severe abdominal pain and the fetal heart rate drops to 80/min. Which of the
following actions should the nurse take first?
A. Administer oxygen at 10 L/min via nonrebreather mask
B. Reposition the client to the left side
C. Notify the provider immediately
D. Prepare for an emergency cesarean birth
, ✔ Answer: A
RATIONALE: The findings suggest uterine rupture or cord prolapse with fetal distress.
The first action is to administer oxygen to improve fetal oxygenation, then reposition,
notify, and prepare for surgery. Oxygen is the immediate priority.
Question 6
A nurse is reviewing the laboratory values of a client who has chronic kidney disease.
Which of the following findings should the nurse expect?
A. Hyperkalemia
B. Hypernatremia
C. Hypophosphatemia
D. Hypercalcemia
✔ Answer: A
RATIONALE: In chronic kidney disease, the kidneys cannot adequately excrete
potassium, leading to hyperkalemia. Other expected findings include
hyperphosphatemia and hypocalcemia.
Question 7
A nurse is caring for a 3-year-old child who has been admitted with dehydration. Which
of the following findings is an early sign of dehydration in a toddler?
A. Sunken fontanels
B. Decreased urine output
C. Bradycardia
D. Hypertension
✔ Answer: B
RATIONALE: Decreased urine output is an early sign of dehydration. Sunken fontanels
occur in infants, and bradycardia and hypertension are not typical early signs.
Tachycardia and hypotension are more common.
Question 8
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF]
Core Domains
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Adult Health
Pharmacology and Medication Administration
Maternal, Newborn, and Women's Health
Pediatric Nursing and Child Health
Psychiatric and Mental Health Nursing
Community and Population Health
Leadership, Management, and Professional Practice
Introduction
The VATI RN Comprehensive Predictor examination is designed to evaluate the
readiness of nursing graduates for professional practice by assessing essential
knowledge, clinical judgment, and decision-making skills. This assessment integrates
foundational theory with applied professional knowledge across core nursing domains.
The exam includes multiple-choice and scenario-based questions that reflect real-world
clinical situations, emphasizing safety, ethical practice, regulatory compliance, and
critical thinking. Candidates are challenged to prioritize care, interpret clinical data,
and apply evidence-based guidelines. This comprehensive evaluation ensures that
nurses demonstrate the competencies required for safe, effective, and patient-
centered care in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–300
,Question 1
A nurse is assessing a client who has been receiving intravenous furosemide. Which of
the following findings should the nurse report to the provider immediately?
A. Heart rate of 88/min
B. Blood pressure of 90/50 mm Hg
C. Urine output of 40 mL/hr
D. Serum potassium of 3.1 mEq/L
✔ Answer: D
RATIONALE: Furosemide is a loop diuretic that causes potassium loss. A serum
potassium of 3.1 mEq/L is below the normal range (3.5–5.0 mEq/L) and indicates
hypokalemia, which can lead to dysrhythmias. This finding requires immediate
reporting.
Question 2
A nurse is caring for a client who has just returned from surgery and has a closed-
suction drain. Which of the following actions should the nurse take?
A. Compress the drainage container and secure the cap to maintain suction
B. Irrigate the drain with sterile saline every 4 hours
C. Clamp the drain tubing for 8 hours to prevent bleeding
D. Position the container below the level of the surgical site at all times
✔ Answer: A
RATIONALE: Closed-suction drains require compression of the container to maintain
negative pressure, which promotes wound drainage. Irrigating or clamping is not
routine, and the container should be below the site but the primary action is maintaining
suction.
Question 3
A client with a diagnosis of major depressive disorder is admitted to the unit. Which
statement by the client is the priority for the nurse to address?
A. "I have no energy to do anything at all."
,B. "I haven't been sleeping well for weeks."
C. "Everyone would be better off if I were gone."
D. "I don't enjoy my hobbies anymore."
✔ Answer: C
RATIONALE: This statement indicates suicidal ideation and is the highest priority due to
immediate safety risk. The nurse must assess for a suicide plan and initiate safety
precautions.
Question 4
A nurse is teaching a client about newly prescribed warfarin. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should avoid all green leafy vegetables."
B. "I will take aspirin for headaches."
C. "I need to have my blood tested regularly."
D. "I can stop the medication when I feel better."
✔ Answer: C
RATIONALE: Warfarin requires regular monitoring of PT/INR to ensure therapeutic
dosing and prevent bleeding or clotting. Clients should not avoid all leafy greens but
maintain consistent intake. Aspirin increases bleeding risk.
Question 5
A nurse is caring for a client who is in the active phase of labor. The client suddenly
reports severe abdominal pain and the fetal heart rate drops to 80/min. Which of the
following actions should the nurse take first?
A. Administer oxygen at 10 L/min via nonrebreather mask
B. Reposition the client to the left side
C. Notify the provider immediately
D. Prepare for an emergency cesarean birth
, ✔ Answer: A
RATIONALE: The findings suggest uterine rupture or cord prolapse with fetal distress.
The first action is to administer oxygen to improve fetal oxygenation, then reposition,
notify, and prepare for surgery. Oxygen is the immediate priority.
Question 6
A nurse is reviewing the laboratory values of a client who has chronic kidney disease.
Which of the following findings should the nurse expect?
A. Hyperkalemia
B. Hypernatremia
C. Hypophosphatemia
D. Hypercalcemia
✔ Answer: A
RATIONALE: In chronic kidney disease, the kidneys cannot adequately excrete
potassium, leading to hyperkalemia. Other expected findings include
hyperphosphatemia and hypocalcemia.
Question 7
A nurse is caring for a 3-year-old child who has been admitted with dehydration. Which
of the following findings is an early sign of dehydration in a toddler?
A. Sunken fontanels
B. Decreased urine output
C. Bradycardia
D. Hypertension
✔ Answer: B
RATIONALE: Decreased urine output is an early sign of dehydration. Sunken fontanels
occur in infants, and bradycardia and hypertension are not typical early signs.
Tachycardia and hypotension are more common.
Question 8
