2019 RN VATI COMPREHENSIVE
PREDICTOR FORMS A, B & C
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
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Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
The RN VATI Comprehensive Predictor examination assesses the
knowledge, skills, and clinical judgment required for safe entry-
level nursing practice. The test evaluates understanding of
nursing fundamentals, medical-surgical care, maternal-newborn
nursing, pediatric care, mental health nursing, pharmacology, and
leadership principles. Questions are multiple-choice and scenario-
based, emphasizing real-world application, prioritization,
delegation, and critical decision-making. The exam reflects the
,NCLEX-RN test plan and prepares candidates for professional
licensure and evidence-based nursing practice.
Section One: Questions 1–180
Question 1
A community health nurse is evaluating eligibility for home
assistance for a client who is quadriplegic. Which of the following
actions should the nurse perform first?
A. Determine the client's living situation
B. Problem solve with the client
C. Offer community resources to the client
D. Assist the client with decision-making
Correct answer: A
RATIONALE: The first step in the nursing process is
assessment. The nurse must determine the client's current living
situation before planning interventions or offering resources.
Question 2
A nurse is discussing care with a newly licensed nurse for a client
who practices Orthodox Judaism. Which of the following meal
suggestions by the newly licensed nurse indicates a need for
further teaching?
A. Chicken breast and boiled potatoes
B. Carrot sticks and cottage cheese
C. Grilled cheese and applesauce
D. Roast beef and ice cream
Correct answer: D
RATIONALE: Orthodox Judaism prohibits mixing meat and
dairy products in the same meal. Roast beef and ice cream
together violate kosher dietary laws.
,Question 3
A nurse is preparing to auscultate a client's apical pulse at the
point of maximal impulse (PMI). The nurse should place the
diaphragm of the stethoscope at which of the following locations?
A. Within the angle of Louis
B. 5th intercostal space at the left midclavicular line
C. Second intercostal space to the right of the sternum
D. Over the xiphoid process
Correct answer: B
RATIONALE: The point of maximal impulse is located at the
5th intercostal space at the left midclavicular line, where the
apical pulse is best heard.
Question 4
A nurse is caring for a client who is receiving a blood transfusion
at 125 mL/hour and develops a hemolytic reaction. Which of the
following actions should the nurse perform?
A. Infuse 0.9% sodium chloride IV
B. Administer an antipyretic
C. Decrease the infusion rate to 75 mL/hour
D. Place the client in a left lateral position
Correct answer: A
RATIONALE: For a hemolytic reaction, the nurse must stop the
transfusion immediately and infuse 0.9% sodium chloride to
maintain IV access and support blood pressure.
Question 5
A nurse is planning care for a client who is prescribed a cane for
ambulation. Which of the following nursing actions should the
nurse include in the plan of care?
, A. Remind the client to place the cane on the unaffected side
B. Adjust the length of the cane to equal the distance from the
client's iliac crest to the floor
C. Remove the rubber tip from the cane to enhance ambulation
D. Place the cane safely in the closet during naps and at bedtime
Correct answer: A
RATIONALE: The cane should be placed on the unaffected side
to provide widest support and stability during ambulation.
Question 6
A nurse is caring for a client who had a partial laryngectomy and
is receiving continuous enteral feedings at 65 mL/hour through a
gastrostomy tube. Which of the following findings requires
immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following two hours of
infusion
B. The client is lying in a supine position
C. The infusion pump for administering continuous feeding is
turned off
D. Enteral feeding bag and tubing are not dated
Correct answer: B
RATIONALE: A client receiving enteral feedings should be
positioned with the head of the bed elevated at least 30 degrees
to prevent aspiration. A supine position requires immediate
intervention.
Question 7
A nurse is caring for a group of clients. Which of the following
tasks is appropriate for the nurse to delegate to assistive
personnel (AP)? (Select all that apply.)
PREDICTOR FORMS A, B & C
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
Introduction
The RN VATI Comprehensive Predictor examination assesses the
knowledge, skills, and clinical judgment required for safe entry-
level nursing practice. The test evaluates understanding of
nursing fundamentals, medical-surgical care, maternal-newborn
nursing, pediatric care, mental health nursing, pharmacology, and
leadership principles. Questions are multiple-choice and scenario-
based, emphasizing real-world application, prioritization,
delegation, and critical decision-making. The exam reflects the
,NCLEX-RN test plan and prepares candidates for professional
licensure and evidence-based nursing practice.
Section One: Questions 1–180
Question 1
A community health nurse is evaluating eligibility for home
assistance for a client who is quadriplegic. Which of the following
actions should the nurse perform first?
A. Determine the client's living situation
B. Problem solve with the client
C. Offer community resources to the client
D. Assist the client with decision-making
Correct answer: A
RATIONALE: The first step in the nursing process is
assessment. The nurse must determine the client's current living
situation before planning interventions or offering resources.
Question 2
A nurse is discussing care with a newly licensed nurse for a client
who practices Orthodox Judaism. Which of the following meal
suggestions by the newly licensed nurse indicates a need for
further teaching?
A. Chicken breast and boiled potatoes
B. Carrot sticks and cottage cheese
C. Grilled cheese and applesauce
D. Roast beef and ice cream
Correct answer: D
RATIONALE: Orthodox Judaism prohibits mixing meat and
dairy products in the same meal. Roast beef and ice cream
together violate kosher dietary laws.
,Question 3
A nurse is preparing to auscultate a client's apical pulse at the
point of maximal impulse (PMI). The nurse should place the
diaphragm of the stethoscope at which of the following locations?
A. Within the angle of Louis
B. 5th intercostal space at the left midclavicular line
C. Second intercostal space to the right of the sternum
D. Over the xiphoid process
Correct answer: B
RATIONALE: The point of maximal impulse is located at the
5th intercostal space at the left midclavicular line, where the
apical pulse is best heard.
Question 4
A nurse is caring for a client who is receiving a blood transfusion
at 125 mL/hour and develops a hemolytic reaction. Which of the
following actions should the nurse perform?
A. Infuse 0.9% sodium chloride IV
B. Administer an antipyretic
C. Decrease the infusion rate to 75 mL/hour
D. Place the client in a left lateral position
Correct answer: A
RATIONALE: For a hemolytic reaction, the nurse must stop the
transfusion immediately and infuse 0.9% sodium chloride to
maintain IV access and support blood pressure.
Question 5
A nurse is planning care for a client who is prescribed a cane for
ambulation. Which of the following nursing actions should the
nurse include in the plan of care?
, A. Remind the client to place the cane on the unaffected side
B. Adjust the length of the cane to equal the distance from the
client's iliac crest to the floor
C. Remove the rubber tip from the cane to enhance ambulation
D. Place the cane safely in the closet during naps and at bedtime
Correct answer: A
RATIONALE: The cane should be placed on the unaffected side
to provide widest support and stability during ambulation.
Question 6
A nurse is caring for a client who had a partial laryngectomy and
is receiving continuous enteral feedings at 65 mL/hour through a
gastrostomy tube. Which of the following findings requires
immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following two hours of
infusion
B. The client is lying in a supine position
C. The infusion pump for administering continuous feeding is
turned off
D. Enteral feeding bag and tubing are not dated
Correct answer: B
RATIONALE: A client receiving enteral feedings should be
positioned with the head of the bed elevated at least 30 degrees
to prevent aspiration. A supine position requires immediate
intervention.
Question 7
A nurse is caring for a group of clients. Which of the following
tasks is appropriate for the nurse to delegate to assistive
personnel (AP)? (Select all that apply.)
