1
() RN VATI Comprehensive Predictor Form A,
B, & C, Exam with NGN Questions and Revised Correct
Answers, 100% Guarantee Pass
1. A nurse is caring for a client who reports shortness of breath and has an
oxygen saturation of 88% on room air. Which action should the nurse take first?
A. Notify the provider
B. Increase the flow rate on the client’s oxygen
C. Place the client in high-Fowler’s position
D. Obtain an arterial blood gas sample
Answer: C
Rationale: Positioning the client upright maximizes lung expansion and is the
quickest, least invasive immediate intervention. High-Fowler’s position improves
ventilation before other measures. The other options are appropriate but follow
repositioning.
2. A nurse is reinforcing discharge teaching with a client who has a new
diagnosis of heart failure. Which statement by the client indicates a need for
further teaching?
A. “I will weigh myself every day and report a gain of 2 pounds in a day.”
B. “I should limit my sodium intake to less than 2 grams per day.”
C. “It’s important to rest between activities to conserve my energy.”
D. “If I feel short of breath, I will lie down flat with my feet elevated.”
Answer: D
Rationale: Lying flat increases venous return and worsens pulmonary congestion
in heart failure. The client should sit upright (orthopneic position) or high-Fowler’s
to ease breathing. The other statements are correct self-care behaviors.
pg. 1
,2
3. When assigning tasks to assistive personnel (AP), which action demonstrates
appropriate delegation?
A. Asking the AP to administer an oral medication
B. Requesting the AP to assess a client’s pain level
C. Instructing the AP to measure and record intake and output
D. Asking the AP to teach the client how to use an incentive spirometer
Answer: C
Rationale: Measuring and documenting intake and output is within the AP’s scope
of practice. Medication administration, assessment, and client teaching require
licensed nursing judgment and cannot be delegated to unlicensed personnel.
4. A nurse is caring for a client who has a chest tube to water-seal drainage. The
nurse notes continuous bubbling in the water-seal chamber. Which action
should the nurse take first?
A. Clamp the chest tube near the insertion site
B. Assess the tubing and connections for an air leak
C. Notify the provider immediately
D. Increase the wall suction pressure
Answer: B
Rationale: Continuous bubbling indicates an air leak. The nurse should first assess
the system for the source (connections, insertion site). Clamping a chest tube can
cause tension pneumothorax and should not be done without an order. Then
notify the provider if the leak cannot be resolved.
5. A nurse is reinforcing teaching with a client about proper foot care for type 2
diabetes mellitus. Which statement by the client indicates correct
understanding?
A. “I should soak my feet daily in warm water.”
B. “I’ll file my toenails straight across after bathing.”
C. “I should walk barefoot around the house to toughen my feet.”
D. “I’ll use a heating pad if my feet feel cold.”
pg. 2
,3
Answer: B
Rationale: Filing toenails straight across helps prevent ingrown nails and infection.
Soaking, walking barefoot, or using heat sources increases injury risk due to
peripheral neuropathy.
6. The nurse is caring for a client who is 1 day post-operative following
abdominal surgery. The client has not voided for 8 hours and reports lower
abdominal discomfort. Which action should the nurse take first?
A. Insert an indwelling urinary catheter
B. Perform a bladder scan to assess urine volume
C. Encourage the client to drink more fluids
D. Administer prescribed pain medication
Answer: B
Rationale: Assessment before intervention. A bladder scan noninvasively
determines urinary retention. If the scan shows a large volume, encourage
voiding, straight catheterization, etc.
7. A nurse is caring for a client with dementia who is having difficulty
communicating pain. Which pain assessment tool is most appropriate?
A. Numerical pain scale
B. Faces pain scale
C. PAINAD scale (behavioral indicators)
D. Verbal descriptor scale
Answer: C
Rationale: The PAINAD (Pain Assessment in Advanced Dementia) scale evaluates
behaviors such as breathing, vocalization, facial expression, body language, and
consolability for clients who cannot self-report.
8. A nurse is caring for a client who has a new diagnosis of tuberculosis and is
placed on airborne precautions. Which action should the nurse take?
pg. 3
, 4
A. Have the client wear a surgical mask when leaving the room
B. Keep the door to the client’s room open
C. Wear a surgical mask when entering the client’s room
D. Place the client in a room with another client who has TB
Answer: A
Rationale: Airborne precautions require a negative pressure room with the door
closed. Staff wear an N95 respirator. The client wears a surgical mask if leaving
the room for essential procedures.
9. A nurse is caring for a client who has an arteriovenous fistula. Which finding
should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B
Rationale: A functioning AV fistula has a palpable thrill and an audible bruit.
Absence of these indicates thrombosis or stenosis—a serious complication.
Distended vessels and a swishing sound are expected.
10. A nurse is reinforcing teaching with a client about a low-sodium diet. Which
food should the client avoid?
A. Fresh fruits and vegetables
B. Canned soups and processed meats
C. Unsalted nuts
D. Plain rice and pasta
Answer: B
Rationale: Canned soups and processed meats are high in sodium. Fresh fruits,
vegetables, unsalted nuts, and plain grains are appropriate.
pg. 4
() RN VATI Comprehensive Predictor Form A,
B, & C, Exam with NGN Questions and Revised Correct
Answers, 100% Guarantee Pass
1. A nurse is caring for a client who reports shortness of breath and has an
oxygen saturation of 88% on room air. Which action should the nurse take first?
A. Notify the provider
B. Increase the flow rate on the client’s oxygen
C. Place the client in high-Fowler’s position
D. Obtain an arterial blood gas sample
Answer: C
Rationale: Positioning the client upright maximizes lung expansion and is the
quickest, least invasive immediate intervention. High-Fowler’s position improves
ventilation before other measures. The other options are appropriate but follow
repositioning.
2. A nurse is reinforcing discharge teaching with a client who has a new
diagnosis of heart failure. Which statement by the client indicates a need for
further teaching?
A. “I will weigh myself every day and report a gain of 2 pounds in a day.”
B. “I should limit my sodium intake to less than 2 grams per day.”
C. “It’s important to rest between activities to conserve my energy.”
D. “If I feel short of breath, I will lie down flat with my feet elevated.”
Answer: D
Rationale: Lying flat increases venous return and worsens pulmonary congestion
in heart failure. The client should sit upright (orthopneic position) or high-Fowler’s
to ease breathing. The other statements are correct self-care behaviors.
pg. 1
,2
3. When assigning tasks to assistive personnel (AP), which action demonstrates
appropriate delegation?
A. Asking the AP to administer an oral medication
B. Requesting the AP to assess a client’s pain level
C. Instructing the AP to measure and record intake and output
D. Asking the AP to teach the client how to use an incentive spirometer
Answer: C
Rationale: Measuring and documenting intake and output is within the AP’s scope
of practice. Medication administration, assessment, and client teaching require
licensed nursing judgment and cannot be delegated to unlicensed personnel.
4. A nurse is caring for a client who has a chest tube to water-seal drainage. The
nurse notes continuous bubbling in the water-seal chamber. Which action
should the nurse take first?
A. Clamp the chest tube near the insertion site
B. Assess the tubing and connections for an air leak
C. Notify the provider immediately
D. Increase the wall suction pressure
Answer: B
Rationale: Continuous bubbling indicates an air leak. The nurse should first assess
the system for the source (connections, insertion site). Clamping a chest tube can
cause tension pneumothorax and should not be done without an order. Then
notify the provider if the leak cannot be resolved.
5. A nurse is reinforcing teaching with a client about proper foot care for type 2
diabetes mellitus. Which statement by the client indicates correct
understanding?
A. “I should soak my feet daily in warm water.”
B. “I’ll file my toenails straight across after bathing.”
C. “I should walk barefoot around the house to toughen my feet.”
D. “I’ll use a heating pad if my feet feel cold.”
pg. 2
,3
Answer: B
Rationale: Filing toenails straight across helps prevent ingrown nails and infection.
Soaking, walking barefoot, or using heat sources increases injury risk due to
peripheral neuropathy.
6. The nurse is caring for a client who is 1 day post-operative following
abdominal surgery. The client has not voided for 8 hours and reports lower
abdominal discomfort. Which action should the nurse take first?
A. Insert an indwelling urinary catheter
B. Perform a bladder scan to assess urine volume
C. Encourage the client to drink more fluids
D. Administer prescribed pain medication
Answer: B
Rationale: Assessment before intervention. A bladder scan noninvasively
determines urinary retention. If the scan shows a large volume, encourage
voiding, straight catheterization, etc.
7. A nurse is caring for a client with dementia who is having difficulty
communicating pain. Which pain assessment tool is most appropriate?
A. Numerical pain scale
B. Faces pain scale
C. PAINAD scale (behavioral indicators)
D. Verbal descriptor scale
Answer: C
Rationale: The PAINAD (Pain Assessment in Advanced Dementia) scale evaluates
behaviors such as breathing, vocalization, facial expression, body language, and
consolability for clients who cannot self-report.
8. A nurse is caring for a client who has a new diagnosis of tuberculosis and is
placed on airborne precautions. Which action should the nurse take?
pg. 3
, 4
A. Have the client wear a surgical mask when leaving the room
B. Keep the door to the client’s room open
C. Wear a surgical mask when entering the client’s room
D. Place the client in a room with another client who has TB
Answer: A
Rationale: Airborne precautions require a negative pressure room with the door
closed. Staff wear an N95 respirator. The client wears a surgical mask if leaving
the room for essential procedures.
9. A nurse is caring for a client who has an arteriovenous fistula. Which finding
should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B
Rationale: A functioning AV fistula has a palpable thrill and an audible bruit.
Absence of these indicates thrombosis or stenosis—a serious complication.
Distended vessels and a swishing sound are expected.
10. A nurse is reinforcing teaching with a client about a low-sodium diet. Which
food should the client avoid?
A. Fresh fruits and vegetables
B. Canned soups and processed meats
C. Unsalted nuts
D. Plain rice and pasta
Answer: B
Rationale: Canned soups and processed meats are high in sodium. Fresh fruits,
vegetables, unsalted nuts, and plain grains are appropriate.
pg. 4
