gy gy gy
gy
VATI Comprehensive Predictor NCLEX QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+.
1. Low-residue diet Ans :Dairy products & eggs, such as custard and yogurt gy gy gy y
g gy gy gy gy gy gy gy gy
(Rat)Alow-residuedietconsistsoffoodsthatarelowinfiberandareeasytodigest such as
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black
gy gy gy gy gy gy gy gy gy gy gy gy gy gy
beans are high in fiber and are not considered low in residue.
gy gy gy gy gy gy gy gy gy gy gy gy
2. ARNiscaringforapatientwhoweighs80kgandis5ft3intall.Calculatethe BMIand
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy y
g
determineifthepatientsBMIindicatesahealthyweight,underweight, overweight,
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
or obese. Ans: Use the formula (wt.in lbs)/(ht in in^2) multiply by 703 to get the BMI.
gy gy gy gy gy gy gy y
g gy gy gy gy gy gy gy gy gy gy
BMI is 31 (obese)
gy gy gy
(Rat)ABMIgreaterthan30indicatesobesity.ABMIof25-29.9indicatesoverweight. A BMI
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
of 18.5-24.9 is a normal/healthy BMI.A BMI <18.5 indicates underweight.
gy gy gy gy gy gy y
g gy gy gy gy
3. A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
Calculate the BMI of the female patient. Ans: Use the formula (lbs)/(in^2) multiply by
gy gy gy gy gy gy gy gy y
g gy gy gy gy gy
703
gy
BMI 42 indicates the patient is obese
gy gy gy gy gy gy
4. A RN is reviewing discharge instructions regarding car seat safety to the
gy gy gy gy gy gy gy gy gy gy gy
1/91 gy gy
,gy gy gy
gy
gy parentofanewborn.Whichofthefollowinginstructionswillthenurseinclude in
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
gy the discharge teaching (SATA)
gy gy gy
A. Positionthe infant rear-facing in the backseat. gy gy gy gy gy gy
B. Be sure the car seat is at a 90 degree angle
gy gy gy gy gy gy gy gy gy gy
C. Be sure the care seat is at a 45 degree angle
gy gy gy gy gy gy gy gy gy gy
D. Position the car seat behind the passenger or drivers seat gy gy gy gy gy gy gy gy gy
E. Position the care seat in the middle of the back seat gy gy gy gy gy gy gy gy gy gy
F. Keep infants in rear-facing car seats until age 6 months
gy gy gy gy gy gy gy gy gy
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
maximum ht and wt for the seat.
gy gy gy gy gy gy gy
Ans: (A, C, E, G) gy gy gy gy
A. Positiontheinfantrear-facinginthebackseat-(RAT)thecarseatshouldnever be in y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
the front seat of a car due to the increased risk for injury from the air bags during a MVA.
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
C.Besurethecareseatisata45degreeangle-(RAT)thecarseatshouldbeata 45 degree
y
g y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
angle.
gy
E.Positionthecareseatin themiddleofthebackseat- (RAT)thecarseatshould be in the
y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
middle away from air bags and side impact.
gy gy gy gy gy gy gy gy
G.Keepinfantsinrear-facingcarseatuntil2yr-(RAT)keepthechildintherear-fac-
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
2/91 gy gy
,gy gy gy
gy
ing car seat until the child reaches 2yo or until the child reachesthe maximum ht and wt for
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
the seat.
gy gy
5. ARNiscaringforapatientwhofellatanursinghome.Thepatientisoriented x 3
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
(person, place & time) and can follow directions.Which of the following actions
gy gy gy gy gy gy gy gy y
g gy gy gy gy
should the RN take to decrease the risk of another fall? (SATA)
gy gy gy gy gy gy gy gy gy gy gy gy
A. Place a belt restraint on the patient when they are sitting on the bedside
gy gy gy gy gy gy gy gy gy gy gy gy gy
commode
gy
B. Keep the bed in its lowest position with all side rails up gy gy gy gy gy gy gy gy gy gy gy
C. Make sure that the patient's call light is within reach gy gy gy gy gy gy gy gy gy
D. Provide the patient with nonskid footwear gy gy gy gy gy
E. Complete a fall-risk assessment gy gy gy
Ans:(C,D,E) y
g
C.Make sure that the patient's call light is within reach
y
g gy gy gy gy gy gy gy gy gy
D.Providethe patient withnonskid footwear
y
g gy gy gy gy gy
E.Complete a fall-risk assessment
y
g gy gy gy
Note-Youdonotputallthe siderailsupinthe bedbecausethisisconsidereda restraint.
y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
6. ARN is caring for a patient who has a Hx of falls.Which of the following
gy gy gy gy gy gy gy gy gy gy gy gy y
g gy gy gy
actions is the RNs priority?
gy gy gy gy gy
A. Complete a fall-risk assessment gy gy gy
B. Educate the patient and family about fall risks gy gy gy gy gy gy gy
C. Eliminate safety hazards from the patients environment gy gy gy gy gy gy
D. Make sure the patient uses assistive aids in their possession gy gy gy gy gy gy gy gy gy
Ans:A.Complete a fall-risk assessment
y
g y
g gy gy gy
(Rat) this is a priority nursing question therefore the question should direct you to
gy gy gy gy gy gy gy gy gy gy gy gy gy
3/91 gy gy
,gy gy gy
gy
thenursingprocess.Thefirstactionthenurseshouldtakeusingthenursingprocess is to
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
assess or collect data from the patient.
gy gy gy gy gy gy gy
7. A RN discovers a small paper fire in a trash in a patients bathroom.The patient
gy gy gy gy gy gy gy gy gy gy gy gy gy y
g gy
has been taken to safety and the alarm has been activated.Which of the following
gy gy gy gy gy gy gy gy gy gy gy y
g gy gy gy
actions should the RN take?
gy gy gy gy gy
A. Open the windows in the patients room to allow smoke to escape gy gy gy gy gy gy gy gy gy gy gy
B. Obtain a class C fire extinguisher to extinguish the fire gy gy gy gy gy gy gy gy gy
C. Remove all electrical equipment from the patient room gy gy gy gy gy gy gy
D. Place wet towels along the base of the door to the patients room gy gy gy gy gy gy gy gy gy gy gy gy
Ans:D.Place wettowelsalongthebaseofthedoortothepatientsroom-(RAT)tocontain
gy y
g gy y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
thefire and smoke in the room.
y
g y
g gy gy gy gy gy
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire extinguisher
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
which is used for ordinary combustibles such as cloth and paper.
gy gy gy gy gy gy gy gy gy gy gy
8. A nurse manager is completing an in-service on a group of new nurses in the
gy gy gy gy gy gy gy gy gy gy gy gy gy gy
transitiontopracticeprogram.Thenursemanagerasksonenursestudent to
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
definetheacronym"RACE".Pleaseindicatewhateachletterintheacronym
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
means.: R - Rescue and protect the patients who are at or near the fire.Patients who can
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy y
g gy gy
walk are able to do so on command to a safe location.
gy gy gy gy gy gy gy gy gy gy gy gy
A - Activate the alarm
gy gy gy gy
C - Contain/confine the fire by closing doors and windows, by placing a wet towel under
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
the door in the patients room, and by turning off all oxygen sources and any electrical
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
devices.Ventilate patient's who are on life support by using a bag-valve mask
gy y
g gy gy gy gy gy gy gy gy gy gy gy
E-Extinguishthefirewithageneral/appropriatefireextinguisher(ClassA)foryour normal
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
combustables
gy
9. A RN discovers that she administered an antihypertensive medication to a
gy gy gy gy gy gy gy gy gy gy
patient in error. Identify the appropriate sequence of steps that the RN should take
gy y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
using the following actions.
gy gy gy gy
A. Call the MD gy gy
4/91gy gy
gy
VATI Comprehensive Predictor NCLEX QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+.
1. Low-residue diet Ans :Dairy products & eggs, such as custard and yogurt gy gy gy y
g gy gy gy gy gy gy gy gy
(Rat)Alow-residuedietconsistsoffoodsthatarelowinfiberandareeasytodigest such as
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black
gy gy gy gy gy gy gy gy gy gy gy gy gy gy
beans are high in fiber and are not considered low in residue.
gy gy gy gy gy gy gy gy gy gy gy gy
2. ARNiscaringforapatientwhoweighs80kgandis5ft3intall.Calculatethe BMIand
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy y
g
determineifthepatientsBMIindicatesahealthyweight,underweight, overweight,
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
or obese. Ans: Use the formula (wt.in lbs)/(ht in in^2) multiply by 703 to get the BMI.
gy gy gy gy gy gy gy y
g gy gy gy gy gy gy gy gy gy gy
BMI is 31 (obese)
gy gy gy
(Rat)ABMIgreaterthan30indicatesobesity.ABMIof25-29.9indicatesoverweight. A BMI
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
of 18.5-24.9 is a normal/healthy BMI.A BMI <18.5 indicates underweight.
gy gy gy gy gy gy y
g gy gy gy gy
3. A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
Calculate the BMI of the female patient. Ans: Use the formula (lbs)/(in^2) multiply by
gy gy gy gy gy gy gy gy y
g gy gy gy gy gy
703
gy
BMI 42 indicates the patient is obese
gy gy gy gy gy gy
4. A RN is reviewing discharge instructions regarding car seat safety to the
gy gy gy gy gy gy gy gy gy gy gy
1/91 gy gy
,gy gy gy
gy
gy parentofanewborn.Whichofthefollowinginstructionswillthenurseinclude in
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
gy the discharge teaching (SATA)
gy gy gy
A. Positionthe infant rear-facing in the backseat. gy gy gy gy gy gy
B. Be sure the car seat is at a 90 degree angle
gy gy gy gy gy gy gy gy gy gy
C. Be sure the care seat is at a 45 degree angle
gy gy gy gy gy gy gy gy gy gy
D. Position the car seat behind the passenger or drivers seat gy gy gy gy gy gy gy gy gy
E. Position the care seat in the middle of the back seat gy gy gy gy gy gy gy gy gy gy
F. Keep infants in rear-facing car seats until age 6 months
gy gy gy gy gy gy gy gy gy
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
maximum ht and wt for the seat.
gy gy gy gy gy gy gy
Ans: (A, C, E, G) gy gy gy gy
A. Positiontheinfantrear-facinginthebackseat-(RAT)thecarseatshouldnever be in y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
the front seat of a car due to the increased risk for injury from the air bags during a MVA.
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
C.Besurethecareseatisata45degreeangle-(RAT)thecarseatshouldbeata 45 degree
y
g y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
angle.
gy
E.Positionthecareseatin themiddleofthebackseat- (RAT)thecarseatshould be in the
y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
middle away from air bags and side impact.
gy gy gy gy gy gy gy gy
G.Keepinfantsinrear-facingcarseatuntil2yr-(RAT)keepthechildintherear-fac-
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
2/91 gy gy
,gy gy gy
gy
ing car seat until the child reaches 2yo or until the child reachesthe maximum ht and wt for
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
the seat.
gy gy
5. ARNiscaringforapatientwhofellatanursinghome.Thepatientisoriented x 3
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
(person, place & time) and can follow directions.Which of the following actions
gy gy gy gy gy gy gy gy y
g gy gy gy gy
should the RN take to decrease the risk of another fall? (SATA)
gy gy gy gy gy gy gy gy gy gy gy gy
A. Place a belt restraint on the patient when they are sitting on the bedside
gy gy gy gy gy gy gy gy gy gy gy gy gy
commode
gy
B. Keep the bed in its lowest position with all side rails up gy gy gy gy gy gy gy gy gy gy gy
C. Make sure that the patient's call light is within reach gy gy gy gy gy gy gy gy gy
D. Provide the patient with nonskid footwear gy gy gy gy gy
E. Complete a fall-risk assessment gy gy gy
Ans:(C,D,E) y
g
C.Make sure that the patient's call light is within reach
y
g gy gy gy gy gy gy gy gy gy
D.Providethe patient withnonskid footwear
y
g gy gy gy gy gy
E.Complete a fall-risk assessment
y
g gy gy gy
Note-Youdonotputallthe siderailsupinthe bedbecausethisisconsidereda restraint.
y
g gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
6. ARN is caring for a patient who has a Hx of falls.Which of the following
gy gy gy gy gy gy gy gy gy gy gy gy y
g gy gy gy
actions is the RNs priority?
gy gy gy gy gy
A. Complete a fall-risk assessment gy gy gy
B. Educate the patient and family about fall risks gy gy gy gy gy gy gy
C. Eliminate safety hazards from the patients environment gy gy gy gy gy gy
D. Make sure the patient uses assistive aids in their possession gy gy gy gy gy gy gy gy gy
Ans:A.Complete a fall-risk assessment
y
g y
g gy gy gy
(Rat) this is a priority nursing question therefore the question should direct you to
gy gy gy gy gy gy gy gy gy gy gy gy gy
3/91 gy gy
,gy gy gy
gy
thenursingprocess.Thefirstactionthenurseshouldtakeusingthenursingprocess is to
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy gy
assess or collect data from the patient.
gy gy gy gy gy gy gy
7. A RN discovers a small paper fire in a trash in a patients bathroom.The patient
gy gy gy gy gy gy gy gy gy gy gy gy gy y
g gy
has been taken to safety and the alarm has been activated.Which of the following
gy gy gy gy gy gy gy gy gy gy gy y
g gy gy gy
actions should the RN take?
gy gy gy gy gy
A. Open the windows in the patients room to allow smoke to escape gy gy gy gy gy gy gy gy gy gy gy
B. Obtain a class C fire extinguisher to extinguish the fire gy gy gy gy gy gy gy gy gy
C. Remove all electrical equipment from the patient room gy gy gy gy gy gy gy
D. Place wet towels along the base of the door to the patients room gy gy gy gy gy gy gy gy gy gy gy gy
Ans:D.Place wettowelsalongthebaseofthedoortothepatientsroom-(RAT)tocontain
gy y
g gy y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
thefire and smoke in the room.
y
g y
g gy gy gy gy gy
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire extinguisher
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
which is used for ordinary combustibles such as cloth and paper.
gy gy gy gy gy gy gy gy gy gy gy
8. A nurse manager is completing an in-service on a group of new nurses in the
gy gy gy gy gy gy gy gy gy gy gy gy gy gy
transitiontopracticeprogram.Thenursemanagerasksonenursestudent to
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
definetheacronym"RACE".Pleaseindicatewhateachletterintheacronym
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g
means.: R - Rescue and protect the patients who are at or near the fire.Patients who can
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy y
g gy gy
walk are able to do so on command to a safe location.
gy gy gy gy gy gy gy gy gy gy gy gy
A - Activate the alarm
gy gy gy gy
C - Contain/confine the fire by closing doors and windows, by placing a wet towel under
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
the door in the patients room, and by turning off all oxygen sources and any electrical
gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy gy
devices.Ventilate patient's who are on life support by using a bag-valve mask
gy y
g gy gy gy gy gy gy gy gy gy gy gy
E-Extinguishthefirewithageneral/appropriatefireextinguisher(ClassA)foryour normal
y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
combustables
gy
9. A RN discovers that she administered an antihypertensive medication to a
gy gy gy gy gy gy gy gy gy gy
patient in error. Identify the appropriate sequence of steps that the RN should take
gy y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g y
g gy
using the following actions.
gy gy gy gy
A. Call the MD gy gy
4/91gy gy
