RN VATI COMPREHENSIVE PREDICTOR
TEST BANK 2026 COMPREHENSIVE
SET WITH 300 CORRECT ANSWERS
Question 1:
A client is prescribed warfarin. Which of the following laboratory values
should the nurse monitor to determine therapeutic effect?
A. Platelet count
B. aPTT
C. PT/INR
D. Hemoglobin
Correct Answer: C
Rationale: Warfarin therapy is monitored using PT (Prothrombin Time)
and INR (International Normalized Ratio). The therapeutic INR range for
most indications is 2.0-3.0 .
Question 2:
A client is prescribed enalapril for hypertension and reports a persistent
dry cough. Which action should the nurse take?
A. Reassure the client that the cough is harmless
B. Document the finding and continue the medication
C. Notify the provider to consider switching to an ARB
D. Instruct the client to take cough syrup before the dose
Correct Answer: C
Rationale: ACE inhibitors like enalapril can cause a persistent dry cough
due to bradykinin accumulation. ARBs (Angiotensin Receptor Blockers)
such as losartan are often substituted because they do not cause this
side effect .
,Question 3:
A client is prescribed isoniazid for tuberculosis. Which of the following
should be included in the teaching? (Select all that apply.)
A. "Avoid alcohol while on this medication."
B. "Report any tingling or numbness in your hands or feet."
C. "You may notice orange-colored urine."
D. "Take vitamin B6 supplements to reduce side effects."
E. "You need to take this medication with antacids."
Correct Answer: A, B, D
Rationale: Isoniazid can cause hepatotoxicity (worsened by alcohol) and
peripheral neuropathy (prevented by vitamin B6 supplementation).
Orange urine is a side effect of rifampin, not isoniazid, and antacids can
interfere with absorption .
Question 4:
A client with heart failure is prescribed furosemide 40 mg IV. Which
assessment finding indicates the medication is effective?
A. Weight gain of 2 kg in 24 hours
B. Decreased ankle edema and urine output of 200 mL/hr
C. Increased blood pressure from 110/70 to 140/90 mmHg
D. Potassium level of 2.8 mEq/L
Correct Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid overload in
heart failure. Effective signs include decreased peripheral edema and
increased urine output .
Question 5:
A client returns to the unit after cardiac catheterization via the right
femoral artery. Which action should the nurse prioritize?
A. Assess pedal pulses every 15 minutes
B. Maintain the client on bed rest with the leg extended for 4-6 hours
,C. Encourage the client to ambulate within 1 hour
D. Apply a heating pad to the insertion site
Correct Answer: B
Rationale: After femoral artery catheterization, bed rest with the
affected leg extended is required for 4-6 hours to prevent bleeding and
hematoma formation .
Question 6:
A nurse is planning care for a client who has anorexia nervosa. Which
intervention should the nurse include?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour
after meals to prevent purging behaviors .
Question 7:
A nurse is admitting a client who has antisocial personality disorder.
Which behavior should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Clients with antisocial personality disorder often manipulate
and use others for personal gain. They lack empathy and may disregard
rules and the rights of others .
, Question 8:
A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. Which laboratory test should the nurse evaluate to
determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones
Correct Answer: B
Rationale: The HbA1c test measures the average blood glucose level
over the past 2-3 months and is the best indicator of long-term glucose
management .
Question 9:
A nurse is caring for a client who has a sealed radiation implant. Which
action is appropriate?
A. Keep a 3-foot distance from the radiation implant
B. Wear a dosimeter film badge while in the client's room
C. Limit time with the client to 45 minutes per shift
D. Place the client in a semi-private room
Correct Answer: B
Rationale: A dosimeter film badge measures the amount of radiation
exposure the nurse receives and should be worn when caring for a client
with a sealed internal radiation implant .
Question 10:
A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which finding should the nurse expect?
A. Hypotension
B. Hyperactive reflexes
C. Tachycardia
D. Seizures
TEST BANK 2026 COMPREHENSIVE
SET WITH 300 CORRECT ANSWERS
Question 1:
A client is prescribed warfarin. Which of the following laboratory values
should the nurse monitor to determine therapeutic effect?
A. Platelet count
B. aPTT
C. PT/INR
D. Hemoglobin
Correct Answer: C
Rationale: Warfarin therapy is monitored using PT (Prothrombin Time)
and INR (International Normalized Ratio). The therapeutic INR range for
most indications is 2.0-3.0 .
Question 2:
A client is prescribed enalapril for hypertension and reports a persistent
dry cough. Which action should the nurse take?
A. Reassure the client that the cough is harmless
B. Document the finding and continue the medication
C. Notify the provider to consider switching to an ARB
D. Instruct the client to take cough syrup before the dose
Correct Answer: C
Rationale: ACE inhibitors like enalapril can cause a persistent dry cough
due to bradykinin accumulation. ARBs (Angiotensin Receptor Blockers)
such as losartan are often substituted because they do not cause this
side effect .
,Question 3:
A client is prescribed isoniazid for tuberculosis. Which of the following
should be included in the teaching? (Select all that apply.)
A. "Avoid alcohol while on this medication."
B. "Report any tingling or numbness in your hands or feet."
C. "You may notice orange-colored urine."
D. "Take vitamin B6 supplements to reduce side effects."
E. "You need to take this medication with antacids."
Correct Answer: A, B, D
Rationale: Isoniazid can cause hepatotoxicity (worsened by alcohol) and
peripheral neuropathy (prevented by vitamin B6 supplementation).
Orange urine is a side effect of rifampin, not isoniazid, and antacids can
interfere with absorption .
Question 4:
A client with heart failure is prescribed furosemide 40 mg IV. Which
assessment finding indicates the medication is effective?
A. Weight gain of 2 kg in 24 hours
B. Decreased ankle edema and urine output of 200 mL/hr
C. Increased blood pressure from 110/70 to 140/90 mmHg
D. Potassium level of 2.8 mEq/L
Correct Answer: B
Rationale: Furosemide is a loop diuretic that reduces fluid overload in
heart failure. Effective signs include decreased peripheral edema and
increased urine output .
Question 5:
A client returns to the unit after cardiac catheterization via the right
femoral artery. Which action should the nurse prioritize?
A. Assess pedal pulses every 15 minutes
B. Maintain the client on bed rest with the leg extended for 4-6 hours
,C. Encourage the client to ambulate within 1 hour
D. Apply a heating pad to the insertion site
Correct Answer: B
Rationale: After femoral artery catheterization, bed rest with the
affected leg extended is required for 4-6 hours to prevent bleeding and
hematoma formation .
Question 6:
A nurse is planning care for a client who has anorexia nervosa. Which
intervention should the nurse include?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour
after meals to prevent purging behaviors .
Question 7:
A nurse is admitting a client who has antisocial personality disorder.
Which behavior should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Clients with antisocial personality disorder often manipulate
and use others for personal gain. They lack empathy and may disregard
rules and the rights of others .
, Question 8:
A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. Which laboratory test should the nurse evaluate to
determine effective long-term management of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones
Correct Answer: B
Rationale: The HbA1c test measures the average blood glucose level
over the past 2-3 months and is the best indicator of long-term glucose
management .
Question 9:
A nurse is caring for a client who has a sealed radiation implant. Which
action is appropriate?
A. Keep a 3-foot distance from the radiation implant
B. Wear a dosimeter film badge while in the client's room
C. Limit time with the client to 45 minutes per shift
D. Place the client in a semi-private room
Correct Answer: B
Rationale: A dosimeter film badge measures the amount of radiation
exposure the nurse receives and should be worn when caring for a client
with a sealed internal radiation implant .
Question 10:
A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which finding should the nurse expect?
A. Hypotension
B. Hyperactive reflexes
C. Tachycardia
D. Seizures
