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ATI RN VATI Comprehensive Predictor 2025 | Form A, B, and C | 70 Questions with Detailed Rationales (Revised Q&A)

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This document includes 70 high-yield NCLEX-style questions from the ATI RN VATI Comprehensive Predictor 2025, covering Form A, Form B, and Form C. Each question is presented with: The correct answer A clear, clinical rationale

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Page | 1
ATI RN VATI Comprehensive Predictor

2025 Form A, B AND C / ATI RN ATI

Comprehensive Predictor 2025 Form A, B

and C (REVISED Q&As)




Question 1


Which task can a nurse safely delegate to an assistive personnel (AP)?


a. Assessing a client's pain after medication

b. Teaching a client how to use an incentive spirometer

c. Ambulating a client to the bathroom

d. Evaluating a client's response to a diuretic

, ANS: C


Rationale:

Page | 2 Tasks involving assessment, education, and evaluation require RN-level critical thinking and

cannot be delegated. Ambulating a stable client is within the AP’s scope of practice, provided the

nurse has assessed safety risks beforehand.


DIF: Understand (comprehension)

OBJ: Identify roles within the healthcare team and appropriate delegation

TOP: Management of Care

MSC: Safe and Effective Care Environment




Question 2


A nurse is caring for a client receiving IV gentamicin. Which lab value should the nurse monitor

to assess for toxicity?


a. Hemoglobin

b. Creatinine

c. White blood cell count

d. Platelet count


ANS: B

, Rationale:

Gentamicin is nephrotoxic. Elevated creatinine levels can indicate renal impairment. Monitoring

kidney function is essential for early detection of toxicity.
Page | 3

DIF: Analyze (analysis)

OBJ: Identify effects and toxicities of medications

TOP: Pharmacological and Parenteral Therapies

MSC: Physiological Integrity – Pharmacological and Parenteral Therapies




Question 3


A nurse is reviewing the history of a client with suspected tuberculosis (TB). Which symptom

should the nurse expect?


a. Productive cough for 2 weeks

b. Sudden chest pain

c. Headache with photophobia

d. Rash on palms and soles


ANS: A


Rationale:

Classic TB symptoms include chronic productive cough, weight loss, night sweats, and low-

grade fever. A cough lasting more than 2 weeks should prompt TB evaluation.

, DIF: Understand (comprehension)

OBJ: Identify manifestations of infectious diseases

TOP: Health Promotion and Maintenance
Page | 4
MSC: Physiological Integrity – Reduction of Risk Potential




Question 4


Which finding in a newborn requires immediate intervention?


a. Transient strabismus

b. Respiration rate of 58/min

c. Nasal flaring

d. Acrocyanosis


ANS: C


Rationale:

Nasal flaring is a sign of respiratory distress in newborns. While transient strabismus and

acrocyanosis can be normal shortly after birth, nasal flaring indicates potential hypoxia.


DIF: Apply (application)

OBJ: Recognize normal vs. abnormal findings in newborns

TOP: Physiological Adaptation

MSC: Health Promotion and Maintenance
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