RN VATI Comprehensive Predictor 2026 A+
Practice Exam | Questions And Answers Plus
Rationales | Instant Pdf Download
Question 1
A nurse is caring for a client who has a potassium level of 2.8 mEq/L.
Which assessment finding should the nurse expect?
A. Hyperactive bowel sounds
B. Muscle weakness and fatigue
C. Increased deep tendon reflexes
D. Peaked T waves on ECG
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Hypokalemia causes muscle weakness, fatigue, decreased
gastrointestinal motility, and cardiac dysrhythmias. Peaked T waves are
associated with hyperkalemia.
Question 2
A nurse is preparing to administer digoxin to a client with heart
failure. Which finding requires the nurse to hold the medication?
,A. Blood pressure of 138/84 mmHg
B. Apical pulse of 54/min
C. Respiratory rate of 18/min
D. Potassium level of 4.2 mEq/L
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Digoxin should be withheld if the adult client's apical pulse is
below 60/min because it can cause bradycardia.
Question 3
A nurse is caring for a client who has a new prescription for warfarin.
Which laboratory value should the nurse monitor?
A. Hemoglobin A1C
B. INR
C. Serum sodium
D. Amylase
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Warfarin therapy is monitored using the international normalized
ratio (INR) to evaluate anticoagulation effectiveness and bleeding risk.
Question 4
,A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which oxygen prescription should the
nurse question?
A. Oxygen at 2 L/min via nasal cannula
B. Oxygen saturation goal of 92%
C. Oxygen at 15 L/min via nonrebreather mask continuously
D. Monitoring respiratory status frequently
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Excessive oxygen administration can suppress respiratory drive in
some COPD clients. Oxygen should be titrated carefully.
Question 5
A nurse is assessing a client who may have increased intracranial
pressure (ICP). Which finding is most concerning?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
, Rationale: A declining level of consciousness is an early and significant
indicator of worsening ICP and requires immediate intervention.
Question 6
A nurse is caring for a client receiving a blood transfusion. Which
finding indicates a possible transfusion reaction?
A. Increased appetite
B. Fever and chills
C. Decreased urine output after 24 hours
D. Mild anxiety before procedure
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Fever, chills, flushing, dyspnea, and back pain may indicate an
acute transfusion reaction. The transfusion should be stopped immediately.
Question 7
A nurse is caring for a postoperative client who suddenly reports chest
pain and shortness of breath. Which complication should the nurse
suspect?
A. Atelectasis
B. Pulmonary embolism
Practice Exam | Questions And Answers Plus
Rationales | Instant Pdf Download
Question 1
A nurse is caring for a client who has a potassium level of 2.8 mEq/L.
Which assessment finding should the nurse expect?
A. Hyperactive bowel sounds
B. Muscle weakness and fatigue
C. Increased deep tendon reflexes
D. Peaked T waves on ECG
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Hypokalemia causes muscle weakness, fatigue, decreased
gastrointestinal motility, and cardiac dysrhythmias. Peaked T waves are
associated with hyperkalemia.
Question 2
A nurse is preparing to administer digoxin to a client with heart
failure. Which finding requires the nurse to hold the medication?
,A. Blood pressure of 138/84 mmHg
B. Apical pulse of 54/min
C. Respiratory rate of 18/min
D. Potassium level of 4.2 mEq/L
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Digoxin should be withheld if the adult client's apical pulse is
below 60/min because it can cause bradycardia.
Question 3
A nurse is caring for a client who has a new prescription for warfarin.
Which laboratory value should the nurse monitor?
A. Hemoglobin A1C
B. INR
C. Serum sodium
D. Amylase
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Warfarin therapy is monitored using the international normalized
ratio (INR) to evaluate anticoagulation effectiveness and bleeding risk.
Question 4
,A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy. Which oxygen prescription should the
nurse question?
A. Oxygen at 2 L/min via nasal cannula
B. Oxygen saturation goal of 92%
C. Oxygen at 15 L/min via nonrebreather mask continuously
D. Monitoring respiratory status frequently
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
Rationale: Excessive oxygen administration can suppress respiratory drive in
some COPD clients. Oxygen should be titrated carefully.
Question 5
A nurse is assessing a client who may have increased intracranial
pressure (ICP). Which finding is most concerning?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
╔════════════════════╗
✅ Correct Answer: C
╚════════════════════╝
, Rationale: A declining level of consciousness is an early and significant
indicator of worsening ICP and requires immediate intervention.
Question 6
A nurse is caring for a client receiving a blood transfusion. Which
finding indicates a possible transfusion reaction?
A. Increased appetite
B. Fever and chills
C. Decreased urine output after 24 hours
D. Mild anxiety before procedure
╔════════════════════╗
✅ Correct Answer: B
╚════════════════════╝
Rationale: Fever, chills, flushing, dyspnea, and back pain may indicate an
acute transfusion reaction. The transfusion should be stopped immediately.
Question 7
A nurse is caring for a postoperative client who suddenly reports chest
pain and shortness of breath. Which complication should the nurse
suspect?
A. Atelectasis
B. Pulmonary embolism
