VATI Comprehensive Predictor Exam |
2025/2026 Latest Edition
Real Exam Questions and Verified Answers | 100% Correct | Nursing Exams
Introduction
This resource contains 100% verified and correct answers from the 2025/2026 VATI
Comprehensive Predictor Exam. Designed to align with current testing standards, it
supports nursing students preparing for clinical application, NCLEX readiness, and final
predictor success.
Answer Format
All correct answers are highlighted in bold and green to allow fast, effective review. Each
item promotes clinical judgment and exam confidence.
Question 1 (Multiple Choice)
A nurse is caring for a client with suspected meningitis. Which action should the nurse
prioritize in the Take Action phase?
A. Encourage oral fluids
B. Initiate droplet precautions
C. Administer analgesics without a prescription
D. Dim room lights
Rationale: Droplet precautions prevent the spread of meningitis, a priority for infection
control (Take Action). Fluids are secondary, analgesics require a prescription, and dimming
lights addresses symptoms but not urgency.
Question 2 (Select All That Apply)
A nurse is assessing a client with preeclampsia at 36 weeks gestation. Which findings require
immediate reporting? (Select all that apply.)
A. Blood pressure 140/90 mmHg
B. Severe headache
C. Epigastric pain
D. Trace proteinuria
E. Blurred vision
Rationale: Severe headache, epigastric pain, and blurred vision indicate worsening
preeclampsia, risking seizures or organ damage (Recognize Cues). Mild hypertension and
trace proteinuria are less urgent.
Question 3 (Case Study - Enhanced Hot Spot)
Case Study: A 4-year-old child presents with wheezing, tachypnea, and retractions. Vital
signs: HR 130 bpm, RR 36/min, SpO2 89%. History of asthma.
Question: Highlight the findings indicating an acute asthma exacerbation.
Answer: Wheezing, tachypnea, retractions, SpO2 89%
Rationale: These findings confirm acute asthma exacerbation (Recognize Cues).
,Wheezing, tachypnea, retractions, and low SpO2 indicate airway obstruction and hypoxia
(Analyze Cues).
Question 4 (Multiple Choice)
A nurse is administering medications to a client with depression. Which medication should
the nurse question in the Prioritize Hypotheses phase?
A. Sertraline
B. St. John’s wort
C. Fluoxetine
D. Bupropion
Rationale: St. John’s wort can interact with antidepressants, risking serotonin syndrome
(Prioritize Hypotheses). Sertraline, fluoxetine, and bupropion are appropriate for depression.
Question 5 (Select All That Apply)
A nurse is caring for a client post-cesarean section. Which findings indicate potential
complications? (Select all that apply.)
A. Lochia serosa
B. Foul-smelling lochia
C. Fever 101.2°F
D. Mild incisional pain
E. Calf tenderness
Rationale: Foul lochia, fever, and calf tenderness suggest infection or DVT post-cesarean
(Recognize Cues). Lochia serosa and mild pain are normal.
Question 6 (Case Study - Matrix)
Case Study: A 70-year-old client presents with confusion, lethargy, and poor skin turgor.
Labs show blood glucose 650 mg/dL and serum osmolality 320 mOsm/kg.
Question: Match the interventions to the clinical judgment step:
Clinical
Intervention Judgment
Step
Recognize
Assess mental status
Cues
Administer IV insulin Take Action
Evaluate
Monitor glucose levels
Outcomes
Generate
Plan for IV fluid therapy
Solutions
Rationale: Mental status assessment identifies hyperglycemic
hyperosmolar state (HHS) (Recognize Cues), insulin lowers glucose (Take
Action), glucose monitoring evaluates response (Evaluate Outcomes), and
IV fluids address dehydration (Generate Solutions).
Question 7 (Multiple Choice)
, A nurse is delegating tasks for a client with a new tracheostomy. Which task is appropriate to
delegate to a licensed practical nurse (LPN)?
A. Assess airway patency
B. Suction the tracheostomy
C. Develop a care plan
D. Evaluate respiratory status
Rationale: Suctioning is within an LPN’s scope of practice (Take Action). Assessment,
planning, and evaluation are RN responsibilities.
Question 8 (Select All That Apply)
A nurse is teaching a client with type 1 diabetes. Which instructions promote glycemic
control? (Select all that apply.)
A. Skip insulin if not eating
B. Monitor blood glucose regularly
C. Rotate injection sites
D. Ignore hypoglycemia symptoms
E. Follow a consistent carbohydrate diet
Rationale: Monitoring glucose, rotating sites, and consistent diet prevent complications in
type 1 diabetes (Generate Solutions). Skipping insulin and ignoring hypoglycemia are
dangerous.
Question 9 (Case Study - Bowtie)
Case Study: A 45-year-old client presents with sudden shortness of breath, chest pain, and
cyanosis. D-dimer is elevated, and SpO2 is 88%.
Question: Identify the primary diagnosis, two priority interventions, and two potential
complications.
Answer:
• Primary Diagnosis: Pulmonary embolism
• Priority Interventions: Administer oxygen, Initiate heparin therapy
• Potential Complications: Respiratory failure, Right heart failure
Rationale: Pulmonary embolism is indicated by symptoms and D-dimer (Recognize
Cues). Oxygen and heparin address hypoxia and clotting (Take Action). Respiratory
and heart failure are risks (Evaluate Outcomes).
Question 10 (Multiple Choice)
A nurse is evaluating a pediatric client post-tonsillectomy. Which finding indicates a
complication in the Evaluate Outcomes phase?
A. Mild throat pain
B. Frequent swallowing and restlessness
C. Refusal to eat
D. Low-grade fever
Rationale: Frequent swallowing and restlessness suggest post-tonsillectomy
hemorrhage, a serious complication (Evaluate Outcomes). Pain, refusal to eat, and fever are
expected.
2025/2026 Latest Edition
Real Exam Questions and Verified Answers | 100% Correct | Nursing Exams
Introduction
This resource contains 100% verified and correct answers from the 2025/2026 VATI
Comprehensive Predictor Exam. Designed to align with current testing standards, it
supports nursing students preparing for clinical application, NCLEX readiness, and final
predictor success.
Answer Format
All correct answers are highlighted in bold and green to allow fast, effective review. Each
item promotes clinical judgment and exam confidence.
Question 1 (Multiple Choice)
A nurse is caring for a client with suspected meningitis. Which action should the nurse
prioritize in the Take Action phase?
A. Encourage oral fluids
B. Initiate droplet precautions
C. Administer analgesics without a prescription
D. Dim room lights
Rationale: Droplet precautions prevent the spread of meningitis, a priority for infection
control (Take Action). Fluids are secondary, analgesics require a prescription, and dimming
lights addresses symptoms but not urgency.
Question 2 (Select All That Apply)
A nurse is assessing a client with preeclampsia at 36 weeks gestation. Which findings require
immediate reporting? (Select all that apply.)
A. Blood pressure 140/90 mmHg
B. Severe headache
C. Epigastric pain
D. Trace proteinuria
E. Blurred vision
Rationale: Severe headache, epigastric pain, and blurred vision indicate worsening
preeclampsia, risking seizures or organ damage (Recognize Cues). Mild hypertension and
trace proteinuria are less urgent.
Question 3 (Case Study - Enhanced Hot Spot)
Case Study: A 4-year-old child presents with wheezing, tachypnea, and retractions. Vital
signs: HR 130 bpm, RR 36/min, SpO2 89%. History of asthma.
Question: Highlight the findings indicating an acute asthma exacerbation.
Answer: Wheezing, tachypnea, retractions, SpO2 89%
Rationale: These findings confirm acute asthma exacerbation (Recognize Cues).
,Wheezing, tachypnea, retractions, and low SpO2 indicate airway obstruction and hypoxia
(Analyze Cues).
Question 4 (Multiple Choice)
A nurse is administering medications to a client with depression. Which medication should
the nurse question in the Prioritize Hypotheses phase?
A. Sertraline
B. St. John’s wort
C. Fluoxetine
D. Bupropion
Rationale: St. John’s wort can interact with antidepressants, risking serotonin syndrome
(Prioritize Hypotheses). Sertraline, fluoxetine, and bupropion are appropriate for depression.
Question 5 (Select All That Apply)
A nurse is caring for a client post-cesarean section. Which findings indicate potential
complications? (Select all that apply.)
A. Lochia serosa
B. Foul-smelling lochia
C. Fever 101.2°F
D. Mild incisional pain
E. Calf tenderness
Rationale: Foul lochia, fever, and calf tenderness suggest infection or DVT post-cesarean
(Recognize Cues). Lochia serosa and mild pain are normal.
Question 6 (Case Study - Matrix)
Case Study: A 70-year-old client presents with confusion, lethargy, and poor skin turgor.
Labs show blood glucose 650 mg/dL and serum osmolality 320 mOsm/kg.
Question: Match the interventions to the clinical judgment step:
Clinical
Intervention Judgment
Step
Recognize
Assess mental status
Cues
Administer IV insulin Take Action
Evaluate
Monitor glucose levels
Outcomes
Generate
Plan for IV fluid therapy
Solutions
Rationale: Mental status assessment identifies hyperglycemic
hyperosmolar state (HHS) (Recognize Cues), insulin lowers glucose (Take
Action), glucose monitoring evaluates response (Evaluate Outcomes), and
IV fluids address dehydration (Generate Solutions).
Question 7 (Multiple Choice)
, A nurse is delegating tasks for a client with a new tracheostomy. Which task is appropriate to
delegate to a licensed practical nurse (LPN)?
A. Assess airway patency
B. Suction the tracheostomy
C. Develop a care plan
D. Evaluate respiratory status
Rationale: Suctioning is within an LPN’s scope of practice (Take Action). Assessment,
planning, and evaluation are RN responsibilities.
Question 8 (Select All That Apply)
A nurse is teaching a client with type 1 diabetes. Which instructions promote glycemic
control? (Select all that apply.)
A. Skip insulin if not eating
B. Monitor blood glucose regularly
C. Rotate injection sites
D. Ignore hypoglycemia symptoms
E. Follow a consistent carbohydrate diet
Rationale: Monitoring glucose, rotating sites, and consistent diet prevent complications in
type 1 diabetes (Generate Solutions). Skipping insulin and ignoring hypoglycemia are
dangerous.
Question 9 (Case Study - Bowtie)
Case Study: A 45-year-old client presents with sudden shortness of breath, chest pain, and
cyanosis. D-dimer is elevated, and SpO2 is 88%.
Question: Identify the primary diagnosis, two priority interventions, and two potential
complications.
Answer:
• Primary Diagnosis: Pulmonary embolism
• Priority Interventions: Administer oxygen, Initiate heparin therapy
• Potential Complications: Respiratory failure, Right heart failure
Rationale: Pulmonary embolism is indicated by symptoms and D-dimer (Recognize
Cues). Oxygen and heparin address hypoxia and clotting (Take Action). Respiratory
and heart failure are risks (Evaluate Outcomes).
Question 10 (Multiple Choice)
A nurse is evaluating a pediatric client post-tonsillectomy. Which finding indicates a
complication in the Evaluate Outcomes phase?
A. Mild throat pain
B. Frequent swallowing and restlessness
C. Refusal to eat
D. Low-grade fever
Rationale: Frequent swallowing and restlessness suggest post-tonsillectomy
hemorrhage, a serious complication (Evaluate Outcomes). Pain, refusal to eat, and fever are
expected.
