NEW!!! RN VATI Comprehensive Predictor Form A 2026
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1. A nurse is caring for a client who is at 33 weeks gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
• a. Contractions
• b. Hypertension
• c. Epigastric pain
• d. Vomiting
Answer: a. Contractions
Rationale: Amniocentesis cannot be done before 16 weeks due to insufficient amniotic
fluid. Maternal risks include hemorrhage, feto-maternal hemorrhage, infection,
contractions (which can lead to labor, abruptio placentae, damage to intestines or
bladder), and amniotic fluid embolism. Fetal risks include death, hemorrhage, infection,
direct injury from the needle, miscarriage, preterm labor, and leakage of amniotic fluid.
2. A nurse is assessing a client who has a new diagnosis of deep vein thrombosis
(DVT) in the right lower extremity. Which of the following findings should the
nurse expect?
• a. Pallor of the affected extremity
• b. Bilateral pedal edema
• c. Unilateral calf swelling
• d. Diminished peripheral pulses
,Answer: c. Unilateral calf swelling
Rationale: DVT typically presents with unilateral swelling, pain, warmth, and erythema in
the affected extremity. Pallor and diminished pulses are more indicative of arterial
insufficiency, while bilateral edema suggests a systemic cause such as heart failure or
renal disease.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
• a. "I will take ibuprofen for my headaches."
• b. "I will eat more leafy green vegetables."
• c. "I will have my blood tested regularly."
• d. "I will stop taking the medication if I bruise easily."
Answer: c. "I will have my blood tested regularly."
Rationale: Warfarin requires regular monitoring of the International Normalized Ratio
(INR) to ensure therapeutic levels and prevent bleeding or clotting complications.
Ibuprofen increases bleeding risk, leafy greens contain vitamin K which antagonizes
warfarin, and the client should not stop the medication without provider guidance.
4. A nurse is caring for a client who has heart failure and is prescribed furosemide.
Which of the following laboratory values should the nurse monitor closely?
• a. Serum sodium
• b. Serum potassium
• c. Serum calcium
• d. Serum magnesium
Answer: b. Serum potassium
Rationale: Furosemide is a loop diuretic that causes excretion of potassium, leading to
hypokalemia. The nurse should monitor serum potassium levels closely and assess for
manifestations such as muscle weakness, fatigue, and cardiac dysrhythmias.
,5. A nurse is assessing a client who has a head injury and notes a Glasgow Coma
Scale (GCS) score of 6. Which of the following actions should the nurse take first?
• a. Administer analgesia
• b. Prepare for intubation
• c. Obtain a head CT scan
• d. Notify the provider
Answer: b. Prepare for intubation
Rationale: A GCS score of 8 or less indicates severe brain injury and the need for airway
protection. The priority action is to prepare for intubation to maintain a patent airway
and prevent aspiration, as the client is at high risk for respiratory compromise.
6. A nurse is teaching a client who has asthma about the use of a peak flow meter.
Which of the following instructions should the nurse include?
• a. "Sit down and blow gently into the meter."
• b. "Stand up, take a deep breath, and blow out as hard and fast as possible."
• c. "Use the meter only during an asthma attack."
• d. "Exhale slowly and steadily into the meter."
Answer: b. "Stand up, take a deep breath, and blow out as hard and fast as
possible."
Rationale: The correct technique for using a peak flow meter involves standing (or
sitting upright), taking a deep breath, and exhaling forcefully and rapidly into the meter
to measure peak expiratory flow. This provides an accurate assessment of airway
function.
7. A nurse is caring for a client who has a chest tube following a pneumothorax.
The nurse should intervene for which of the following findings?
, • a. Intermittent bubbling in the water seal chamber
• b. Tidaling in the water seal chamber
• c. Continuous bubbling in the water seal chamber
• d. Serosanguineous drainage
Answer: c. Continuous bubbling in the water seal chamber
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which
requires immediate intervention. The nurse should check for loose connections or assess
the client's condition. Intermittent bubbling and tidaling are expected findings, and
serosanguineous drainage is normal.
8. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions should the nurse take first?
• a. Prime the IV tubing with normal saline
• b. Verify the client's identity using two identifiers
• c. Obtain baseline vital signs
• d. Check the blood product expiration date
Answer: b. Verify the client's identity using two identifiers
Rationale: The priority action before any blood transfusion is to verify the client's
identity using two identifiers (e.g., name and date of birth) to ensure the correct blood
product is administered to the correct client. This is a critical safety step to prevent
transfusion errors.
9. A nurse is assessing a client who has acute pancreatitis. Which of the following
findings should the nurse expect?
• a. Pain relieved by eating
• b. Epigastric pain radiating to the back
• c. Hyperactive bowel sounds
• d. Right upper quadrant pain
Answer: b. Epigastric pain radiating to the back
(180 Q & A) 100% VERIFIED RETAKE LATEST
UPDATE GRADEDA+ TESTBANK CURRENTLY
TESTING VERSIONS OF THE EXAM WITH
QUESTIONS AND CORRECT DETAILED
ANSWERS/EXPERT VERIFIED FOR GUARANTEED
PASS!/LATEST UPDATE
1. A nurse is caring for a client who is at 33 weeks gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
• a. Contractions
• b. Hypertension
• c. Epigastric pain
• d. Vomiting
Answer: a. Contractions
Rationale: Amniocentesis cannot be done before 16 weeks due to insufficient amniotic
fluid. Maternal risks include hemorrhage, feto-maternal hemorrhage, infection,
contractions (which can lead to labor, abruptio placentae, damage to intestines or
bladder), and amniotic fluid embolism. Fetal risks include death, hemorrhage, infection,
direct injury from the needle, miscarriage, preterm labor, and leakage of amniotic fluid.
2. A nurse is assessing a client who has a new diagnosis of deep vein thrombosis
(DVT) in the right lower extremity. Which of the following findings should the
nurse expect?
• a. Pallor of the affected extremity
• b. Bilateral pedal edema
• c. Unilateral calf swelling
• d. Diminished peripheral pulses
,Answer: c. Unilateral calf swelling
Rationale: DVT typically presents with unilateral swelling, pain, warmth, and erythema in
the affected extremity. Pallor and diminished pulses are more indicative of arterial
insufficiency, while bilateral edema suggests a systemic cause such as heart failure or
renal disease.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
• a. "I will take ibuprofen for my headaches."
• b. "I will eat more leafy green vegetables."
• c. "I will have my blood tested regularly."
• d. "I will stop taking the medication if I bruise easily."
Answer: c. "I will have my blood tested regularly."
Rationale: Warfarin requires regular monitoring of the International Normalized Ratio
(INR) to ensure therapeutic levels and prevent bleeding or clotting complications.
Ibuprofen increases bleeding risk, leafy greens contain vitamin K which antagonizes
warfarin, and the client should not stop the medication without provider guidance.
4. A nurse is caring for a client who has heart failure and is prescribed furosemide.
Which of the following laboratory values should the nurse monitor closely?
• a. Serum sodium
• b. Serum potassium
• c. Serum calcium
• d. Serum magnesium
Answer: b. Serum potassium
Rationale: Furosemide is a loop diuretic that causes excretion of potassium, leading to
hypokalemia. The nurse should monitor serum potassium levels closely and assess for
manifestations such as muscle weakness, fatigue, and cardiac dysrhythmias.
,5. A nurse is assessing a client who has a head injury and notes a Glasgow Coma
Scale (GCS) score of 6. Which of the following actions should the nurse take first?
• a. Administer analgesia
• b. Prepare for intubation
• c. Obtain a head CT scan
• d. Notify the provider
Answer: b. Prepare for intubation
Rationale: A GCS score of 8 or less indicates severe brain injury and the need for airway
protection. The priority action is to prepare for intubation to maintain a patent airway
and prevent aspiration, as the client is at high risk for respiratory compromise.
6. A nurse is teaching a client who has asthma about the use of a peak flow meter.
Which of the following instructions should the nurse include?
• a. "Sit down and blow gently into the meter."
• b. "Stand up, take a deep breath, and blow out as hard and fast as possible."
• c. "Use the meter only during an asthma attack."
• d. "Exhale slowly and steadily into the meter."
Answer: b. "Stand up, take a deep breath, and blow out as hard and fast as
possible."
Rationale: The correct technique for using a peak flow meter involves standing (or
sitting upright), taking a deep breath, and exhaling forcefully and rapidly into the meter
to measure peak expiratory flow. This provides an accurate assessment of airway
function.
7. A nurse is caring for a client who has a chest tube following a pneumothorax.
The nurse should intervene for which of the following findings?
, • a. Intermittent bubbling in the water seal chamber
• b. Tidaling in the water seal chamber
• c. Continuous bubbling in the water seal chamber
• d. Serosanguineous drainage
Answer: c. Continuous bubbling in the water seal chamber
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which
requires immediate intervention. The nurse should check for loose connections or assess
the client's condition. Intermittent bubbling and tidaling are expected findings, and
serosanguineous drainage is normal.
8. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions should the nurse take first?
• a. Prime the IV tubing with normal saline
• b. Verify the client's identity using two identifiers
• c. Obtain baseline vital signs
• d. Check the blood product expiration date
Answer: b. Verify the client's identity using two identifiers
Rationale: The priority action before any blood transfusion is to verify the client's
identity using two identifiers (e.g., name and date of birth) to ensure the correct blood
product is administered to the correct client. This is a critical safety step to prevent
transfusion errors.
9. A nurse is assessing a client who has acute pancreatitis. Which of the following
findings should the nurse expect?
• a. Pain relieved by eating
• b. Epigastric pain radiating to the back
• c. Hyperactive bowel sounds
• d. Right upper quadrant pain
Answer: b. Epigastric pain radiating to the back
