VATI COMPREHENSIVE PREDICTOR NCLEX
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
A RN is creating a POC for a patient who has been placed in seclusion after
threatening to harm others on the unit. Which of the following interventions
should the RN include in the POC?
A. Document the client's behavior every 8 hr.
B. Limit the client's fluid intake to 50 mL/hr.
C. Renew the prescription for the client every 4 hr.
D. Toilet the client every 4 hr. - ANSWERS-C. Renew the prescription for the
client every 4 hr.
,(RAT) The nurse should assess the client's behavior frequently during seclusion
and should renew the prescription for seclusion for an adult client every 4 hr,
for a maximum of 24 hr.
(NOTE) The nurse should offer toileting to the client every 15 to 30 min while
the client is in seclusion (D) incorrect
A RN is assessing a family's dynamics during a counseling session. The RN should
recognize which of the following findings as an indication of a boundary issue?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
- ANSWERS-C. Older children who are responsible for their younger siblings
(RAT) This is an example of enmeshed boundaries in which there are no
distinctions between the roles of family members.
,(NOTE) An adolescent who questions parental authority is demonstrating
appropriate behavior for developmental age (A) incorrect
A RN is teaching a group of newly licensed nurses about the use of mechanical
restraints. Which of the following information should the RN include in the
teaching ?
A. Complete documentation about the client's status every hour while they are
in restraints.
B. Maintain the client in restraints for a minimum of 4 hr.
C. Apply restraints when other means of managing the client's behavior have
failed.
D. Request that the provider assess the client within 8 hr of the application of
restraints. - ANSWERS-C. Apply restraints when other means of managing the
client's behavior have failed.
(RAT) According to the Patient Self-Determination Act, clients have a right to be
free from restraints or seclusion unless the safety of the client or others is at
risk. De-escalation methods for controlling behavior should be attempted prior
to initiating restraints.
, (NOTE) The nurse should document the client's status, including behavior and
vital signs, and address the client's physical and safety needs every 15 min (A) is
incorrect
A RN is caring for a patient who fell at a nursing home. The patient is oriented x
3 (person, place & time) and can follow directions. Which of the following
actions should the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment - ANSWERS-(C,D,E)
C. Make sure that the patient's call light is within reach
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
A RN is creating a POC for a patient who has been placed in seclusion after
threatening to harm others on the unit. Which of the following interventions
should the RN include in the POC?
A. Document the client's behavior every 8 hr.
B. Limit the client's fluid intake to 50 mL/hr.
C. Renew the prescription for the client every 4 hr.
D. Toilet the client every 4 hr. - ANSWERS-C. Renew the prescription for the
client every 4 hr.
,(RAT) The nurse should assess the client's behavior frequently during seclusion
and should renew the prescription for seclusion for an adult client every 4 hr,
for a maximum of 24 hr.
(NOTE) The nurse should offer toileting to the client every 15 to 30 min while
the client is in seclusion (D) incorrect
A RN is assessing a family's dynamics during a counseling session. The RN should
recognize which of the following findings as an indication of a boundary issue?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
- ANSWERS-C. Older children who are responsible for their younger siblings
(RAT) This is an example of enmeshed boundaries in which there are no
distinctions between the roles of family members.
,(NOTE) An adolescent who questions parental authority is demonstrating
appropriate behavior for developmental age (A) incorrect
A RN is teaching a group of newly licensed nurses about the use of mechanical
restraints. Which of the following information should the RN include in the
teaching ?
A. Complete documentation about the client's status every hour while they are
in restraints.
B. Maintain the client in restraints for a minimum of 4 hr.
C. Apply restraints when other means of managing the client's behavior have
failed.
D. Request that the provider assess the client within 8 hr of the application of
restraints. - ANSWERS-C. Apply restraints when other means of managing the
client's behavior have failed.
(RAT) According to the Patient Self-Determination Act, clients have a right to be
free from restraints or seclusion unless the safety of the client or others is at
risk. De-escalation methods for controlling behavior should be attempted prior
to initiating restraints.
, (NOTE) The nurse should document the client's status, including behavior and
vital signs, and address the client's physical and safety needs every 15 min (A) is
incorrect
A RN is caring for a patient who fell at a nursing home. The patient is oriented x
3 (person, place & time) and can follow directions. Which of the following
actions should the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment - ANSWERS-(C,D,E)
C. Make sure that the patient's call light is within reach
