VATI PN COMPREHENSIVE PREDICTOR
RETAKE EXAM 2026/2027| Updated
Exam Aligned with NCSBN NCLEX
PART 1: FUNDAMENTALS OF NURSING & SAFETY (Questions 1–20)
Question 1
A nurse is caring for a client diagnosed with Clostridioides difficile. Which action by
the nurse demonstrates proper infection control?
A. Using an alcohol-based hand sanitizer after removing gloves
B. Placing the client in a negative-pressure isolation room
C. Washing hands with soap and water for at least 20 seconds after client care
D. Wearing an N95 respirator upon entering the client's room
Correct Answer: C
Rationale: C. difficile produces spores that are not killed by alcohol-based
hand sanitizers. Mechanical friction with soap and water is required to physically
remove the spores from the hands. Negative-pressure rooms and N95 respirators
are used for airborne precautions (e.g., tuberculosis), whereas C. difficile requires
Contact Precautions (gown and gloves) .
Question 2
A nurse is caring for a client who is postoperative following abdominal surgery and
reports sudden shortness of breath and anxiety. The client's oxygen saturation is
88% on room air. Which action should the nurse take FIRST?
A. Notify the provider
B. Apply oxygen via nasal cannula
,C. Encourage coughing and deep breathing
D. Obtain vital signs
Correct Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation), oxygenation
is the priority. Applying oxygen immediately addresses the hypoxia before further
interventions. The nurse should then notify the provider and obtain vital signs .
Question 3
A nurse is preparing to administer a medication to a client. Which action is the
priority prior to medication administration?
A. Verify the client's allergies
B. Check the client's vital signs
C. Identify the client using two identifiers
D. Review the client's laboratory results
Correct Answer: C
Rationale: The priority action prior to medication administration is to identify
the client using two identifiers (e.g., name and date of birth) to ensure the right
client receives the medication. This is a critical safety measure to prevent
medication errors. While verifying allergies, checking vital signs, and reviewing lab
results are important, client identification is the first and most essential step .
Question 4
A nurse is caring for a client who has a DNR order and goes into cardiac arrest. The
family begs the nurse to "do something." What is the appropriate nursing action?
A. Initiate CPR as the family is requesting it
B. Honor the DNR and provide comfort measures
,C. Call the ethics committee immediately
D. Ask the provider to rescind the DNR order
Correct Answer: B
Rationale: A DNR order is a medical order that must be followed regardless of
family requests at the time of arrest. The nurse honors the DNR, provides comfort
measures (positioning, oral care, pain medication if indicated), and supports the
family. Initiating CPR violates the medical order and the client's wishes. Rescinding
a DNR requires the provider and legal process, which is not appropriate during an
arrest .
Question 5
A nurse witnesses a client fall while ambulating to the bathroom. Which action
should the nurse take FIRST?
A. Complete an incident report
B. Assess the client for injuries
C. Notify the provider
D. Return the client to bed
Correct Answer: B
Rationale: Following any client fall, the nurse's first action is to assess the
client for injuries (ABCs, neuro check, pain, deformity). The client must not be
moved until spinal injury is ruled out. Incident reports are completed after client
assessment and stabilization. Provider notification follows assessment .
Question 6
A nurse is caring for a client who is Jehovah's Witness and refuses a blood
transfusion despite a hemoglobin of 6.2 g/dL. Which action should the nurse take?
, A. Administer the transfusion as the client's life is in danger
B. Respect the client's refusal and notify the provider
C. Have the family convince the client to accept the transfusion
D. Request an ethics committee override
Correct Answer: B
Rationale: Competent adults have the right to refuse any treatment, including
life-saving interventions, based on religious or personal beliefs. The nurse must
respect the client's autonomy, notify the provider for alternative treatments (e.g.,
erythropoietin, iron), and document the refusal. Administering against the client's
will is battery. Family pressure violates the client's autonomous decision-making
right .
Question 7
Which situation requires the nurse to file an incident report?
A. A visitor slips on a wet floor but is not injured
B. A client refuses to take a prescribed medication
C. A provider writes an illegible order
D. A client requests a different food choice
Correct Answer: A
Rationale: Incident reports are required for any event that could have caused
or did cause harm, including visitor falls (even without injury). A non-injury visitor
fall requires documentation for risk management and trend analysis. Food
complaints, medication refusals, and illegible orders are handled through other
channels .
Question 8
A nurse is caring for a client with a nasogastric (NG) tube. Which action ensures
proper placement before feeding?
RETAKE EXAM 2026/2027| Updated
Exam Aligned with NCSBN NCLEX
PART 1: FUNDAMENTALS OF NURSING & SAFETY (Questions 1–20)
Question 1
A nurse is caring for a client diagnosed with Clostridioides difficile. Which action by
the nurse demonstrates proper infection control?
A. Using an alcohol-based hand sanitizer after removing gloves
B. Placing the client in a negative-pressure isolation room
C. Washing hands with soap and water for at least 20 seconds after client care
D. Wearing an N95 respirator upon entering the client's room
Correct Answer: C
Rationale: C. difficile produces spores that are not killed by alcohol-based
hand sanitizers. Mechanical friction with soap and water is required to physically
remove the spores from the hands. Negative-pressure rooms and N95 respirators
are used for airborne precautions (e.g., tuberculosis), whereas C. difficile requires
Contact Precautions (gown and gloves) .
Question 2
A nurse is caring for a client who is postoperative following abdominal surgery and
reports sudden shortness of breath and anxiety. The client's oxygen saturation is
88% on room air. Which action should the nurse take FIRST?
A. Notify the provider
B. Apply oxygen via nasal cannula
,C. Encourage coughing and deep breathing
D. Obtain vital signs
Correct Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation), oxygenation
is the priority. Applying oxygen immediately addresses the hypoxia before further
interventions. The nurse should then notify the provider and obtain vital signs .
Question 3
A nurse is preparing to administer a medication to a client. Which action is the
priority prior to medication administration?
A. Verify the client's allergies
B. Check the client's vital signs
C. Identify the client using two identifiers
D. Review the client's laboratory results
Correct Answer: C
Rationale: The priority action prior to medication administration is to identify
the client using two identifiers (e.g., name and date of birth) to ensure the right
client receives the medication. This is a critical safety measure to prevent
medication errors. While verifying allergies, checking vital signs, and reviewing lab
results are important, client identification is the first and most essential step .
Question 4
A nurse is caring for a client who has a DNR order and goes into cardiac arrest. The
family begs the nurse to "do something." What is the appropriate nursing action?
A. Initiate CPR as the family is requesting it
B. Honor the DNR and provide comfort measures
,C. Call the ethics committee immediately
D. Ask the provider to rescind the DNR order
Correct Answer: B
Rationale: A DNR order is a medical order that must be followed regardless of
family requests at the time of arrest. The nurse honors the DNR, provides comfort
measures (positioning, oral care, pain medication if indicated), and supports the
family. Initiating CPR violates the medical order and the client's wishes. Rescinding
a DNR requires the provider and legal process, which is not appropriate during an
arrest .
Question 5
A nurse witnesses a client fall while ambulating to the bathroom. Which action
should the nurse take FIRST?
A. Complete an incident report
B. Assess the client for injuries
C. Notify the provider
D. Return the client to bed
Correct Answer: B
Rationale: Following any client fall, the nurse's first action is to assess the
client for injuries (ABCs, neuro check, pain, deformity). The client must not be
moved until spinal injury is ruled out. Incident reports are completed after client
assessment and stabilization. Provider notification follows assessment .
Question 6
A nurse is caring for a client who is Jehovah's Witness and refuses a blood
transfusion despite a hemoglobin of 6.2 g/dL. Which action should the nurse take?
, A. Administer the transfusion as the client's life is in danger
B. Respect the client's refusal and notify the provider
C. Have the family convince the client to accept the transfusion
D. Request an ethics committee override
Correct Answer: B
Rationale: Competent adults have the right to refuse any treatment, including
life-saving interventions, based on religious or personal beliefs. The nurse must
respect the client's autonomy, notify the provider for alternative treatments (e.g.,
erythropoietin, iron), and document the refusal. Administering against the client's
will is battery. Family pressure violates the client's autonomous decision-making
right .
Question 7
Which situation requires the nurse to file an incident report?
A. A visitor slips on a wet floor but is not injured
B. A client refuses to take a prescribed medication
C. A provider writes an illegible order
D. A client requests a different food choice
Correct Answer: A
Rationale: Incident reports are required for any event that could have caused
or did cause harm, including visitor falls (even without injury). A non-injury visitor
fall requires documentation for risk management and trend analysis. Food
complaints, medication refusals, and illegible orders are handled through other
channels .
Question 8
A nurse is caring for a client with a nasogastric (NG) tube. Which action ensures
proper placement before feeding?
