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ATI RN VATI COMPREHENSIVE PREDICTOR LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
ATI RN VATI Comprehensive Predictor Form A & B — 300 Questions
10-Point Summarized Exam Coverage
1. Management of Care, Delegation & Safety: Prioritization, delegation, supervision,
ethical/legal issues, client rights, continuity of care, and quality improvement.
2. Health Promotion & Maintenance: Preventive care, developmental stages, health
screening, lifestyle modifications, and client education across the lifespan.
3. Pharmacological & Parenteral Therapies: Medication safety, dosage calculation,
IV therapy, blood administration, adverse effects, and parenteral nutrition.
4. Reduction of Risk Potential: Infection control, fall prevention, pressure injury
prevention, laboratory value monitoring, and recognizing complications.
5. Physiological Adaptation: Acute and chronic illness management, medical-surgical
nursing, hemodynamics, fluid and electrolyte balance, and acid-base regulation.
6. Psychosocial Integrity & Mental Health: Therapeutic communication, mood
disorders, psychosis, substance use, crisis intervention, and coping mechanisms.
7. Maternal-Newborn Nursing: Pregnancy, labor and delivery, postpartum care,
newborn transition, and complications of pregnancy.
8. Pediatric Nursing: Growth and development, pediatric respiratory and GI disorders,
congenital conditions, and safety.
9. Leadership, Professional Issues & NGN: Prioritization, delegation, ethics, law,
quality improvement, and Next Generation NCLEX clinical judgment.
10. Fundamentals & Patient Safety: Medication administration, tubes and lines, patient
teaching, clinical judgment, and outcome evaluation.
SECTION 1: MANAGEMENT OF CARE, DELEGATION & SAFETY (Questions 1–
35)
Question 1
A nurse manager is observing several nurses working throughout the day. Which of the
following actions represents a breach in client confidentiality?
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A) Shredding a client's printed lab results
B) Giving report to the oncoming nurse at the bedside
C) Logging off the computer prior to leaving the workstation area
D) Posting positive information about a client on a social media website
Answer: D
Rationale: Posting any client information on social media is a breach of client
confidentiality, even if the information is positive. Shredding lab results, bedside report, and
logging off a computer are all appropriate actions.
Question 2
A nurse is caring for a client who is receiving continuous enteral feedings through a
nasogastric tube. Which of the following actions should the nurse take to prevent aspiration?
A) Flush the tube with 50 mL of water every 4 hours.
B) Keep the client in a semi-Fowler's position.
C) Check the residual volume every hour.
D) Turn off the feeding for 2 hours before giving medications.
Answer: B
Rationale: Keeping the client in a semi-Fowler's position (30-45 degrees) helps prevent
aspiration. Residuals should be checked every 4-6 hours, and the head of the bed should be
elevated during and for 1 hour after feedings.
Question 3
A nurse is preparing to administer a subcutaneous injection of heparin. Which of the
following actions should the nurse take?
A) Aspirate for blood return before injecting
B) Massage the site after injection
C) Inject into the deltoid muscle
D) Use a 25-gauge needle
Answer: D
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin injection. Aspirating
for blood return and massaging the site are not recommended for heparin injections. The
deltoid is not the preferred site for heparin.
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A) Administering oral medications
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B) Assessing a client's incision
C) Ambulating a stable client
D) Teaching a client about a new medication
Answer: C
Rationale: Ambulating a stable client is within the scope of practice for an AP.
Administering medications, assessing incisions, and teaching are nursing responsibilities that
cannot be delegated to AP.
Question 5
A nurse is caring for a client who has a new prescription for warfarin. Which of the following
laboratory values should the nurse monitor?
A) aPTT
B) INR
C) Platelet count
D) Bleeding time
Answer: B
Rationale: Warfarin therapy is monitored using the INR, which should be 2.0-3.0 for most
clients. aPTT is used to monitor heparin therapy.
Question 6
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of
the following actions should the nurse take to prevent dislocation of the hip prosthesis?
A) Place a pillow between the client's legs when turning
B) Keep the client's hip flexed at 90 degrees
C) Encourage the client to cross their legs
D) Position the client on the operative side
Answer: A
Rationale: Placing a pillow between the legs prevents adduction and dislocation after hip
arthroplasty. Hip flexion should be limited to 90 degrees, crossing legs should be avoided,
and positioning on the operative side may be contraindicated.
Question 7
A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following laboratory values should the nurse monitor?
A) Serum potassium
B) Absolute neutrophil count (ANC)
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C) Serum creatinine
D) Liver function tests
Answer: B
Rationale: Clozapine can cause agranulocytosis, so the ANC must be monitored regularly.
Potassium, creatinine, and liver function tests are not the priority monitoring parameters for
clozapine.
Question 8
A nurse is providing discharge teaching to a client who has a new prescription for metoprolol.
Which of the following instructions should the nurse include?
A) "Stop taking the medication if your heart rate is below 60."
B) "Do not stop taking this medication abruptly."
C) "Take this medication only when your blood pressure is high."
D) "Increase your caffeine intake while taking this medication."
Answer: B
Rationale: Beta-blockers should not be stopped abruptly due to the risk of rebound
hypertension, tachycardia, and angina. They should be taken regularly as prescribed.
Question 9
A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take?
A) Keep the bed in the highest position
B) Ensure the call light is within reach
C) Leave the side rails down
D) Place the client in a room far from the nurses' station
Answer: B
Rationale: Ensuring the call light is within reach allows the client to call for assistance and
prevents falls. The bed should be in the lowest position, side rails should be up as
appropriate, and the client should be near the nurses' station.
Question 10
A nurse is preparing to administer blood to a client. Which of the following actions should
the nurse take?
A) Warm the blood in a microwave
B) Use a 22-gauge IV catheter
C) Verify the blood with another nurse
D) Administer the blood over 6 hours
ATI RN VATI COMPREHENSIVE PREDICTOR LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
ATI RN VATI Comprehensive Predictor Form A & B — 300 Questions
10-Point Summarized Exam Coverage
1. Management of Care, Delegation & Safety: Prioritization, delegation, supervision,
ethical/legal issues, client rights, continuity of care, and quality improvement.
2. Health Promotion & Maintenance: Preventive care, developmental stages, health
screening, lifestyle modifications, and client education across the lifespan.
3. Pharmacological & Parenteral Therapies: Medication safety, dosage calculation,
IV therapy, blood administration, adverse effects, and parenteral nutrition.
4. Reduction of Risk Potential: Infection control, fall prevention, pressure injury
prevention, laboratory value monitoring, and recognizing complications.
5. Physiological Adaptation: Acute and chronic illness management, medical-surgical
nursing, hemodynamics, fluid and electrolyte balance, and acid-base regulation.
6. Psychosocial Integrity & Mental Health: Therapeutic communication, mood
disorders, psychosis, substance use, crisis intervention, and coping mechanisms.
7. Maternal-Newborn Nursing: Pregnancy, labor and delivery, postpartum care,
newborn transition, and complications of pregnancy.
8. Pediatric Nursing: Growth and development, pediatric respiratory and GI disorders,
congenital conditions, and safety.
9. Leadership, Professional Issues & NGN: Prioritization, delegation, ethics, law,
quality improvement, and Next Generation NCLEX clinical judgment.
10. Fundamentals & Patient Safety: Medication administration, tubes and lines, patient
teaching, clinical judgment, and outcome evaluation.
SECTION 1: MANAGEMENT OF CARE, DELEGATION & SAFETY (Questions 1–
35)
Question 1
A nurse manager is observing several nurses working throughout the day. Which of the
following actions represents a breach in client confidentiality?
, Page 2 of 94
A) Shredding a client's printed lab results
B) Giving report to the oncoming nurse at the bedside
C) Logging off the computer prior to leaving the workstation area
D) Posting positive information about a client on a social media website
Answer: D
Rationale: Posting any client information on social media is a breach of client
confidentiality, even if the information is positive. Shredding lab results, bedside report, and
logging off a computer are all appropriate actions.
Question 2
A nurse is caring for a client who is receiving continuous enteral feedings through a
nasogastric tube. Which of the following actions should the nurse take to prevent aspiration?
A) Flush the tube with 50 mL of water every 4 hours.
B) Keep the client in a semi-Fowler's position.
C) Check the residual volume every hour.
D) Turn off the feeding for 2 hours before giving medications.
Answer: B
Rationale: Keeping the client in a semi-Fowler's position (30-45 degrees) helps prevent
aspiration. Residuals should be checked every 4-6 hours, and the head of the bed should be
elevated during and for 1 hour after feedings.
Question 3
A nurse is preparing to administer a subcutaneous injection of heparin. Which of the
following actions should the nurse take?
A) Aspirate for blood return before injecting
B) Massage the site after injection
C) Inject into the deltoid muscle
D) Use a 25-gauge needle
Answer: D
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin injection. Aspirating
for blood return and massaging the site are not recommended for heparin injections. The
deltoid is not the preferred site for heparin.
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A) Administering oral medications
, Page 3 of 94
B) Assessing a client's incision
C) Ambulating a stable client
D) Teaching a client about a new medication
Answer: C
Rationale: Ambulating a stable client is within the scope of practice for an AP.
Administering medications, assessing incisions, and teaching are nursing responsibilities that
cannot be delegated to AP.
Question 5
A nurse is caring for a client who has a new prescription for warfarin. Which of the following
laboratory values should the nurse monitor?
A) aPTT
B) INR
C) Platelet count
D) Bleeding time
Answer: B
Rationale: Warfarin therapy is monitored using the INR, which should be 2.0-3.0 for most
clients. aPTT is used to monitor heparin therapy.
Question 6
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of
the following actions should the nurse take to prevent dislocation of the hip prosthesis?
A) Place a pillow between the client's legs when turning
B) Keep the client's hip flexed at 90 degrees
C) Encourage the client to cross their legs
D) Position the client on the operative side
Answer: A
Rationale: Placing a pillow between the legs prevents adduction and dislocation after hip
arthroplasty. Hip flexion should be limited to 90 degrees, crossing legs should be avoided,
and positioning on the operative side may be contraindicated.
Question 7
A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following laboratory values should the nurse monitor?
A) Serum potassium
B) Absolute neutrophil count (ANC)
, Page 4 of 94
C) Serum creatinine
D) Liver function tests
Answer: B
Rationale: Clozapine can cause agranulocytosis, so the ANC must be monitored regularly.
Potassium, creatinine, and liver function tests are not the priority monitoring parameters for
clozapine.
Question 8
A nurse is providing discharge teaching to a client who has a new prescription for metoprolol.
Which of the following instructions should the nurse include?
A) "Stop taking the medication if your heart rate is below 60."
B) "Do not stop taking this medication abruptly."
C) "Take this medication only when your blood pressure is high."
D) "Increase your caffeine intake while taking this medication."
Answer: B
Rationale: Beta-blockers should not be stopped abruptly due to the risk of rebound
hypertension, tachycardia, and angina. They should be taken regularly as prescribed.
Question 9
A nurse is caring for a client who is at risk for falls. Which of the following actions should
the nurse take?
A) Keep the bed in the highest position
B) Ensure the call light is within reach
C) Leave the side rails down
D) Place the client in a room far from the nurses' station
Answer: B
Rationale: Ensuring the call light is within reach allows the client to call for assistance and
prevents falls. The bed should be in the lowest position, side rails should be up as
appropriate, and the client should be near the nurses' station.
Question 10
A nurse is preparing to administer blood to a client. Which of the following actions should
the nurse take?
A) Warm the blood in a microwave
B) Use a 22-gauge IV catheter
C) Verify the blood with another nurse
D) Administer the blood over 6 hours
