2026 VATI PN
COMPREHENSIVE PREDICTOR
FORM B
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• FORM B HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Question 1
Complete the following sentence by using the list of options.
The nurse understands that the patient has likely developed
__________ and will need to be monitored for __________.
Table
Options
LITHIUM TOXICITY
SEI𝓏URE ACTIVITY
HYPERGLYCEMIA
RESPIRATORY
ARREST
HYPOTENSION
Correct Answer: LITHIUM TOXICITY | SEI𝓏URE ACTIVITY
Rationale: Lithium toxicity is a serious complication that can occur with
lithium therapy, particularly if dehydration or renal impairment develops.
Sei𝓏ure activity is a critical manifestation of severe lithium toxicity that
requires immediate monitoring. The nurse must monitor for neurological
changes, including sei𝓏ures, tremors, and altered mental status. Other signs
of lithium toxicity include coarse tremors, ataxia, severe diarrhea, and
persistent vomiting.
Question 2
A nurse is preparing to initiate intravenous fluids via infusion pump
for a client. Which of the following actions should the nurse take?
,A. Obtain a surge protector that can accommodate the pump and several
other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on safety inspection sticker of the pump
Correct Answer: D
Rationale: The nurse must verify equipment safety before use. Checking
the expiration date on the safety inspection sticker ensures the infusion
pump has been properly maintained and inspected according to facility
protocol. Option A is incorrect because surge protectors should not be
overloaded with multiple appliances. Option B is incorrect because
ungrounded cords pose an electrical ha𝓏ard. Option C is incorrect because a
frayed cord is an electrical ha𝓏ard that requires the pump to be removed
from service immediately, not used.
Question 3
A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to access the
port?
A. A non-coring needle
B. An angiocatheter
C. A butterfly needle
D. A 25-gauge needle
Correct Answer: A
Rationale: A non-coring (Huber) needle is specifically designed to access
implanted venous access ports. The needle has a deflected tip that slices
through the port's septum rather than coring it, which prevents damage to
the septum and extends the port's lifespan. Using standard needles can
damage the port septum, leading to leakage and potential infection.
Question 4
A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the
, information received during the shift report. Which of the following
actions should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
B. Complete an incident report and place it in the client's medical record
C. Submit a written warning for the nurse involved in the incident
D. Compare the current infusion with the prescription and the client's
medication record
Correct Answer: D
Rationale: When a discrepancy is identified, the nurse's first action is to
verify the current situation by comparing the actual infusion with the original
prescription and medication administration record (MAR). This ensures client
safety by confirming whether an error exists before taking further action.
Incident reports (Option B) are completed after the situation is assessed and
resolved, and they are never placed in the medical record. Options A and C
involve actions that may be taken after verification but are not the first
priority.
Question 5 (NGN - Select All That Apply)
A nurse is caring for an older adult client. The adult child accompanying the
parent reports cognitive and physical decline, expressing concern over
memory loss, thought processes, appetite, and self-care.
Click the highlighted findings that require immediate follow-up:
Table
Findings
☐ "I found the title of my car signed over to me"
☐ Client makes poor eye contact, speaks in a monotone voice, and has
lack of facial expressions
☐ Client reports not wanting to eat anymore
☐ Client's child reports their parent lost 8 lbs in the past month
COMPREHENSIVE PREDICTOR
FORM B
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• FORM B HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Question 1
Complete the following sentence by using the list of options.
The nurse understands that the patient has likely developed
__________ and will need to be monitored for __________.
Table
Options
LITHIUM TOXICITY
SEI𝓏URE ACTIVITY
HYPERGLYCEMIA
RESPIRATORY
ARREST
HYPOTENSION
Correct Answer: LITHIUM TOXICITY | SEI𝓏URE ACTIVITY
Rationale: Lithium toxicity is a serious complication that can occur with
lithium therapy, particularly if dehydration or renal impairment develops.
Sei𝓏ure activity is a critical manifestation of severe lithium toxicity that
requires immediate monitoring. The nurse must monitor for neurological
changes, including sei𝓏ures, tremors, and altered mental status. Other signs
of lithium toxicity include coarse tremors, ataxia, severe diarrhea, and
persistent vomiting.
Question 2
A nurse is preparing to initiate intravenous fluids via infusion pump
for a client. Which of the following actions should the nurse take?
,A. Obtain a surge protector that can accommodate the pump and several
other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on safety inspection sticker of the pump
Correct Answer: D
Rationale: The nurse must verify equipment safety before use. Checking
the expiration date on the safety inspection sticker ensures the infusion
pump has been properly maintained and inspected according to facility
protocol. Option A is incorrect because surge protectors should not be
overloaded with multiple appliances. Option B is incorrect because
ungrounded cords pose an electrical ha𝓏ard. Option C is incorrect because a
frayed cord is an electrical ha𝓏ard that requires the pump to be removed
from service immediately, not used.
Question 3
A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to access the
port?
A. A non-coring needle
B. An angiocatheter
C. A butterfly needle
D. A 25-gauge needle
Correct Answer: A
Rationale: A non-coring (Huber) needle is specifically designed to access
implanted venous access ports. The needle has a deflected tip that slices
through the port's septum rather than coring it, which prevents damage to
the septum and extends the port's lifespan. Using standard needles can
damage the port septum, leading to leakage and potential infection.
Question 4
A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the
, information received during the shift report. Which of the following
actions should the nurse take?
A. Contact the charge nurse to see if the prescription was changed
B. Complete an incident report and place it in the client's medical record
C. Submit a written warning for the nurse involved in the incident
D. Compare the current infusion with the prescription and the client's
medication record
Correct Answer: D
Rationale: When a discrepancy is identified, the nurse's first action is to
verify the current situation by comparing the actual infusion with the original
prescription and medication administration record (MAR). This ensures client
safety by confirming whether an error exists before taking further action.
Incident reports (Option B) are completed after the situation is assessed and
resolved, and they are never placed in the medical record. Options A and C
involve actions that may be taken after verification but are not the first
priority.
Question 5 (NGN - Select All That Apply)
A nurse is caring for an older adult client. The adult child accompanying the
parent reports cognitive and physical decline, expressing concern over
memory loss, thought processes, appetite, and self-care.
Click the highlighted findings that require immediate follow-up:
Table
Findings
☐ "I found the title of my car signed over to me"
☐ Client makes poor eye contact, speaks in a monotone voice, and has
lack of facial expressions
☐ Client reports not wanting to eat anymore
☐ Client's child reports their parent lost 8 lbs in the past month
