VATI Comprehensive Predictor NCLEX
Questions
Question 1:
A charge nurse is observing a newly licensed RN irrigate a patient's ear, which is
impacted with cerumen. Which of the following actions requires the charge RN to
intervene?
A. Visualizing the eardrum before irrigating
B. Instilling 50 mL of fluid with each irrigation
C. Using firm, continuous pressure while irrigating
D. Warming the irrigation fluid to at least 37C (98F)
Answer: B
Question 2:
A charge nurse is preparing an educational session for a group of new nurses to
review patient rights under the law. Which of the following statements should the RN
make?
A. "Information regarding clients should remain confidential until after their death."
B. "Failure to report suspected maltreatment or neglect of a disabled adult is a felony
in all states."
C. "As long as client identity is disguised, their health information can be shared
between professionals on the internet."
D. "In the event a client threatens harm to others, medications can be administered
without consent."
Answer: D
Question 3:
,A charge RN is teaching a group of unit nurses about the policy for patients who
have a history of MRSA. Which of the following information should the nurse
include?
A. A patient who has a history of MRSA will need antibiotics
B. A patient who has a Hx of MRSA can develop immunity to the infection
C. A patient who has a Hx of MRSA requires a protective environment
D. A patient who has a Hx of MRSA can still transmit the infection
Answer: D
Question 4:
A nurse in a pediatric emergency dept is caring for four patients. The nurse should
suspect possible abuse with which of the following patients?
A. A 14-month-old toddler who has recently learned to walk and has many bruises
on bony prominences in various stages of healing
B. A 9-month-old infant who reportedly nearly drowned after climbing into the tub and
turning on the water
C. A 6-year-old toddler who has a fracture of the tibia and fibula, which reportedly
occurred while riding a bicycle
D. A 3-year-old toddler who has burns in a splash pattern over the face and chest,
reportedly sustained when a tablecloth was pulled, spilling a teapot
Answer: B
Question 5:
A nurse is assessing a patient who has a psychotic d/o and a new script for
haloperidol. The patient is pacing in the hallway and states, "I can't seem to sit still."
Which of the following extrapyramidal side effects is the patient likely experiencing?
A. Dystonia
B. Parkinsonism
C. Tardive dyskinesia
,D. Akathisia
Answer: D
Question 6:
A nurse is caring for a child who has vesicular rash. The parents of the child asks the
nurse what illness can cause this rash for 6 days. The nurse should expect that the
child has which of the following conditions?
A. Measles
B. Fifth disease
C. Tetanus
D. Varicella
Answer: D
Question 7:
A nurse is caring for a group of infants who have congenital heart defects. For which
of the following defects should the nurse expect to observe cyanosis?
A. Transposition of great arteries
B. Ventricular-septal defect
C. Coarctation of the aorta
D. Patent-ductus arteriosus
Answer: A
Question 8:
A nurse is caring for a patient who has bronchitis and a prescription for a mucolytic
agent. Which of the following findings should the RN identify as an AE of this type of
medication?
A. Fluid overload
, B. Bronchospasm
C. Electrolyte imbalance
D. Tachycardia
Answer: B
Question 9:
A nurse is caring for a patient who is taking selegiline. The nurse should monitor the
patient for which of the following AE of selegiline and notify the provider if it occurs?
A. Bruising
B. Drowsiness
C. Coughing
D. Constipation
Answer: B
Question 10:
A nurse is performing a mental status assessment on an older adult patient who has
dementia. Which of the following questions should the nurse ask to assess the
patient's remote memory?
A. "What year did you graduate from high school?"
B. "What is your favorite childhood memory?"
C. "What did you have for supper yesterday?"
D. "What is today's date?"
Answer: A
Question 11:
A nurse is preparing to administer iron dextran IV to a patient. Which of the following
actions should the nurse plan to take?
Questions
Question 1:
A charge nurse is observing a newly licensed RN irrigate a patient's ear, which is
impacted with cerumen. Which of the following actions requires the charge RN to
intervene?
A. Visualizing the eardrum before irrigating
B. Instilling 50 mL of fluid with each irrigation
C. Using firm, continuous pressure while irrigating
D. Warming the irrigation fluid to at least 37C (98F)
Answer: B
Question 2:
A charge nurse is preparing an educational session for a group of new nurses to
review patient rights under the law. Which of the following statements should the RN
make?
A. "Information regarding clients should remain confidential until after their death."
B. "Failure to report suspected maltreatment or neglect of a disabled adult is a felony
in all states."
C. "As long as client identity is disguised, their health information can be shared
between professionals on the internet."
D. "In the event a client threatens harm to others, medications can be administered
without consent."
Answer: D
Question 3:
,A charge RN is teaching a group of unit nurses about the policy for patients who
have a history of MRSA. Which of the following information should the nurse
include?
A. A patient who has a history of MRSA will need antibiotics
B. A patient who has a Hx of MRSA can develop immunity to the infection
C. A patient who has a Hx of MRSA requires a protective environment
D. A patient who has a Hx of MRSA can still transmit the infection
Answer: D
Question 4:
A nurse in a pediatric emergency dept is caring for four patients. The nurse should
suspect possible abuse with which of the following patients?
A. A 14-month-old toddler who has recently learned to walk and has many bruises
on bony prominences in various stages of healing
B. A 9-month-old infant who reportedly nearly drowned after climbing into the tub and
turning on the water
C. A 6-year-old toddler who has a fracture of the tibia and fibula, which reportedly
occurred while riding a bicycle
D. A 3-year-old toddler who has burns in a splash pattern over the face and chest,
reportedly sustained when a tablecloth was pulled, spilling a teapot
Answer: B
Question 5:
A nurse is assessing a patient who has a psychotic d/o and a new script for
haloperidol. The patient is pacing in the hallway and states, "I can't seem to sit still."
Which of the following extrapyramidal side effects is the patient likely experiencing?
A. Dystonia
B. Parkinsonism
C. Tardive dyskinesia
,D. Akathisia
Answer: D
Question 6:
A nurse is caring for a child who has vesicular rash. The parents of the child asks the
nurse what illness can cause this rash for 6 days. The nurse should expect that the
child has which of the following conditions?
A. Measles
B. Fifth disease
C. Tetanus
D. Varicella
Answer: D
Question 7:
A nurse is caring for a group of infants who have congenital heart defects. For which
of the following defects should the nurse expect to observe cyanosis?
A. Transposition of great arteries
B. Ventricular-septal defect
C. Coarctation of the aorta
D. Patent-ductus arteriosus
Answer: A
Question 8:
A nurse is caring for a patient who has bronchitis and a prescription for a mucolytic
agent. Which of the following findings should the RN identify as an AE of this type of
medication?
A. Fluid overload
, B. Bronchospasm
C. Electrolyte imbalance
D. Tachycardia
Answer: B
Question 9:
A nurse is caring for a patient who is taking selegiline. The nurse should monitor the
patient for which of the following AE of selegiline and notify the provider if it occurs?
A. Bruising
B. Drowsiness
C. Coughing
D. Constipation
Answer: B
Question 10:
A nurse is performing a mental status assessment on an older adult patient who has
dementia. Which of the following questions should the nurse ask to assess the
patient's remote memory?
A. "What year did you graduate from high school?"
B. "What is your favorite childhood memory?"
C. "What did you have for supper yesterday?"
D. "What is today's date?"
Answer: A
Question 11:
A nurse is preparing to administer iron dextran IV to a patient. Which of the following
actions should the nurse plan to take?
