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NCLEX-RN Comprehensive Predictor Review Guide 2026–2027 – High-Yield Nursing Concepts, Clinical Judgment & Exam Preparation Notes

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This NCLEX-RN study guide provides structured, high-yield review material designed to support nursing students preparing for exit exams and the NCLEX-RN. It is based on ATI/VATI-style learning frameworks but does not include or reproduce proprietary exam questions, answers, or rationales. It focuses on essential NCLEX competencies including prioritization and delegation, pharmacology fundamentals, safety and infection control, leadership and management principles, medical-surgical nursing concepts, and Next Generation NCLEX (NGN) clinical judgment strategies. The guide emphasizes critical thinking, clinical reasoning, and structured decision-making frameworks to improve exam performance. This resource is intended strictly for educational review and concept reinforcement.

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VATI Comprehensive Predictor NCLEX Review – High-Yield
Practice Questions and Answers for NCLEX-RN Exam Preparation
(2026 Update)


Low-residue diet - CORRECT ANSWER -Dairy products & eggs, such as custard and
yogurt


(Rat) A low-residue diet consists of foods that are low in fiber and are easy to
digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as
lentils and black beans are high in fiber and are not considered low in residue.


A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the
BMI and determine if the patients BMI indicates a healthy weight, underweight,
overweight, or obese. - CORRECT ANSWER -Use the formula (wt. in lbs)/(ht in in^2)
multiply by 703 to get the BMI.


BMI is 31 (obese)
(Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates
overweight. A BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates
underweight.


A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
Calculate the BMI of the female patient. - CORRECT ANSWER -Use the formula
(lbs)/(in^2) multiply by 703


BMI 42 indicates the patient is obese

,A RN is reviewing discharge instructions regarding car seat safety to the parent of
a newborn. Which of the following instructions will the nurse include in the discharge
teaching (SATA)


A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. - CORRECT ANSWER -(A, C, E, G)


A. Position the infant rear-facing in the backseat - (RAT) the car seat should never
be in the front seat of a car due to the increased risk for injury from the air bags
during a MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a
45 degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should
be in the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-
facing car seat until the child reaches 2yo or until the child reaches the maximum ht
and wt for the seat.


A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions
should the RN take to decrease the risk of another fall? (SATA)

,A. Place a belt restraint on the patient when they are sitting on the bedside
commode


B. Keep the bed in its lowest position with all side rails up


C. Make sure that the patient's call light is within reach


D. Provide the patient with nonskid footwear


E. Complete a fall-risk assessment - CORRECT ANSWER -(C,D,E)


C. Make sure that the patient's call light is within reach


D. Provide the patient with nonskid footwear


E. Complete a fall-risk assessment


Note- You do not put all the side rails up in the bed because this is considered a
restraint.


A RN is caring for a patient who has a Hx of falls. Which of the following actions is
the RNs priority?


A. Complete a fall-risk assessment


B. Educate the patient and family about fall risks

, C. Eliminate safety hazards from the patients environment


D. Make sure the patient uses assistive aids in their possession - CORRECT ANSWER
-A. Complete a fall-risk assessment


(Rat) this is a priority nursing question therefore the question should direct you to the
nursing process. The first action the nurse should take using the nursing process is to
assess or collect data from the patient.


A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following
actions should the RN take?


A. Open the windows in the patients room to allow smoke to escape


B. Obtain a class C fire extinguisher to extinguish the fire


C. Remove all electrical equipment from the patient room


D. Place wet towels along the base of the door to the patients room - CORRECT
ANSWER -D. Place wet towels along the base of the door to the patients room -
(RAT) to contain the fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.


A nurse manager is completing an in-service on a group of new nurses in the
transition to practice program. The nurse manager asks one nurse student to define

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