VATI RN COMPREHENSIVE PREDICTOR 2
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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Core Domains
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
This comprehensive assessment is designed to evaluate the readiness of nursing
candidates for professional practice through a rigorous, exam-style format. It assesses
foundational nursing theory, applied clinical judgment, regulatory and legal
compliance, ethical standards, and safety-focused decision-making. The multiple-
choice and scenario-based questions mirror real-world nursing situations, emphasizing
critical thinking, prioritization, and evidence-based practice. Candidates must
demonstrate the ability to synthesize knowledge across diverse domains, make sound
clinical decisions under pressure, and uphold professional standards. This assessment
,serves as a benchmark for competency and a tool for targeted remediation in
preparation for the national licensure examination.
SECTION ONE: QUESTIONS 1–300
Question 1
A nurse is caring for a client who has just returned from surgery and has a closed-
suction drain in place. Which action should the nurse take first?
A. Milk the tubing toward the drainage collection chamber
B. Compress the drainage collection chamber to re-establish suction
C. Assess the patency and security of the drain tubing
D. Document the character and amount of drainage
✅ Correct Answer: C
RATIONALE: The first action is to assess the patency and security of the drain tubing
because a dislodged or kinked drain can cause harm. Milking tubing and compressing
the chamber are appropriate but only after patency is verified. Documentation follows
assessment and intervention.
Question 2
A nurse is reviewing the medication administration record for a client prescribed
warfarin. Which laboratory value should the nurse monitor to evaluate therapeutic
effectiveness?
A. Activated partial thromboplastin time (aPTT)
B. International normalized ratio (INR)
C. Platelet count
D. Fibrinogen level
✅ Correct Answer: B
,RATIONALE: Warfarin therapy is monitored with the INR, which reflects the extrinsic
clotting pathway. aPTT monitors heparin, platelet count assesses thrombocytopenia
risk, and fibrinogen evaluates clotting factor consumption.
Question 3
A nurse is teaching a client who has a new prescription for levothyroxine. Which
statement by the client indicates understanding of the teaching?
A. "I will take this medication at bedtime with a snack."
B. "I will take this medication in the morning on an empty stomach."
C. "I will stop the medication if my heart races."
D. "I will take this medication with calcium supplements."
✅ Correct Answer: B
RATIONALE: Levothyroxine should be taken in the morning on an empty stomach to
enhance absorption. Taking it at bedtime, with food, or with calcium reduces
absorption. The client should not stop the medication without provider instruction.
Question 4
A nurse is assessing a client who has been receiving IV furosemide. Which finding
should the nurse report to the provider immediately?
A. Urine output of 60 mL/hr
B. Blood pressure 98/60 mm Hg and muscle weakness
C. Weight loss of 1 kg in 24 hours
D. Serum potassium of 4.0 mEq/L
✅ Correct Answer: B
RATIONALE: Hypotension and muscle weakness may indicate hypokalemia and
hypovolemia from excessive diuresis, requiring immediate notification. Urine output,
gradual weight loss, and normal potassium are expected findings.
Question 5
, A nurse is performing an admission assessment on a client who is homeless and has a
foot wound. Which finding should the nurse prioritize?
A. The client reports not eating for two days
B. The wound has a foul odor and purulent drainage
C. The client states he has no health insurance
D. The client has not bathed in one week
✅ Correct Answer: B
RATIONALE: A foul odor with purulent drainage suggests infection, which is the priority
physiological concern. Nutrition, insurance, and hygiene are important but secondary
to treating infection.
Question 6
A nurse is preparing to administer packed red blood cells to a client. Which action is
essential before initiating the transfusion?
A. Obtain a urine specimen
B. Verify the client's identity with a second nurse
C. Administer a diuretic
D. Premedicate with acetaminophen
✅ Correct Answer: B
RATIONALE: Two-person verification of client identity and blood product compatibility
is required to prevent transfusion reactions. Urine specimens and diuretics are not
routine, and premedication is not universally indicated.
Question 7
A nurse in the emergency department is triaging clients. Which client should the nurse
see first?
A. A client with a sprained ankle and moderate pain
B. A client with abdominal pain and vomiting for 12 hours
C. A client with a new onset of slurred speech and facial droop
D. A client requesting a refill of a blood pressure medication
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
This comprehensive assessment is designed to evaluate the readiness of nursing
candidates for professional practice through a rigorous, exam-style format. It assesses
foundational nursing theory, applied clinical judgment, regulatory and legal
compliance, ethical standards, and safety-focused decision-making. The multiple-
choice and scenario-based questions mirror real-world nursing situations, emphasizing
critical thinking, prioritization, and evidence-based practice. Candidates must
demonstrate the ability to synthesize knowledge across diverse domains, make sound
clinical decisions under pressure, and uphold professional standards. This assessment
,serves as a benchmark for competency and a tool for targeted remediation in
preparation for the national licensure examination.
SECTION ONE: QUESTIONS 1–300
Question 1
A nurse is caring for a client who has just returned from surgery and has a closed-
suction drain in place. Which action should the nurse take first?
A. Milk the tubing toward the drainage collection chamber
B. Compress the drainage collection chamber to re-establish suction
C. Assess the patency and security of the drain tubing
D. Document the character and amount of drainage
✅ Correct Answer: C
RATIONALE: The first action is to assess the patency and security of the drain tubing
because a dislodged or kinked drain can cause harm. Milking tubing and compressing
the chamber are appropriate but only after patency is verified. Documentation follows
assessment and intervention.
Question 2
A nurse is reviewing the medication administration record for a client prescribed
warfarin. Which laboratory value should the nurse monitor to evaluate therapeutic
effectiveness?
A. Activated partial thromboplastin time (aPTT)
B. International normalized ratio (INR)
C. Platelet count
D. Fibrinogen level
✅ Correct Answer: B
,RATIONALE: Warfarin therapy is monitored with the INR, which reflects the extrinsic
clotting pathway. aPTT monitors heparin, platelet count assesses thrombocytopenia
risk, and fibrinogen evaluates clotting factor consumption.
Question 3
A nurse is teaching a client who has a new prescription for levothyroxine. Which
statement by the client indicates understanding of the teaching?
A. "I will take this medication at bedtime with a snack."
B. "I will take this medication in the morning on an empty stomach."
C. "I will stop the medication if my heart races."
D. "I will take this medication with calcium supplements."
✅ Correct Answer: B
RATIONALE: Levothyroxine should be taken in the morning on an empty stomach to
enhance absorption. Taking it at bedtime, with food, or with calcium reduces
absorption. The client should not stop the medication without provider instruction.
Question 4
A nurse is assessing a client who has been receiving IV furosemide. Which finding
should the nurse report to the provider immediately?
A. Urine output of 60 mL/hr
B. Blood pressure 98/60 mm Hg and muscle weakness
C. Weight loss of 1 kg in 24 hours
D. Serum potassium of 4.0 mEq/L
✅ Correct Answer: B
RATIONALE: Hypotension and muscle weakness may indicate hypokalemia and
hypovolemia from excessive diuresis, requiring immediate notification. Urine output,
gradual weight loss, and normal potassium are expected findings.
Question 5
, A nurse is performing an admission assessment on a client who is homeless and has a
foot wound. Which finding should the nurse prioritize?
A. The client reports not eating for two days
B. The wound has a foul odor and purulent drainage
C. The client states he has no health insurance
D. The client has not bathed in one week
✅ Correct Answer: B
RATIONALE: A foul odor with purulent drainage suggests infection, which is the priority
physiological concern. Nutrition, insurance, and hygiene are important but secondary
to treating infection.
Question 6
A nurse is preparing to administer packed red blood cells to a client. Which action is
essential before initiating the transfusion?
A. Obtain a urine specimen
B. Verify the client's identity with a second nurse
C. Administer a diuretic
D. Premedicate with acetaminophen
✅ Correct Answer: B
RATIONALE: Two-person verification of client identity and blood product compatibility
is required to prevent transfusion reactions. Urine specimens and diuretics are not
routine, and premedication is not universally indicated.
Question 7
A nurse in the emergency department is triaging clients. Which client should the nurse
see first?
A. A client with a sprained ankle and moderate pain
B. A client with abdominal pain and vomiting for 12 hours
C. A client with a new onset of slurred speech and facial droop
D. A client requesting a refill of a blood pressure medication
