ATI RN VATI COMPREHENSIVE EXAM
2025
ATI RN VATI COMPREHENSIVE
PREDICTOR FORM A&B EXAM
PREPARATION FOR 2025/2026
COMPLETE 400 VERIFIED QUESTIONS
AND CORRECT ANSWERS |ALREADY
GRADED A+||LATEST
A nurse is preparing to administer a long-acting insulin to a client who has diabetes mellitus. Which of
the following actions should the nurse plan to take first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse.
Administer the insulin at a 90° angle.
Clean the insertion site.
Check the insulin dose with another licensed nurse.
The greatest risk to the client is injury due to a medication error. Therefore, the priority action is for
the nurse to validate the correct dose of insulin with another licensed nurse prior to administration.
Insulin is a high-alert medication and incorrect dosages can be fatal for the client.
---
The nurse should teach the client adverse effects to report to reduce harm to the client; however,
there is another action the nurse should take first.
The nurse should administer the insulin at a 90° angle to ensure subcutaneous administration;
however, there is another action the nurse should take first.
The nurse should clean the insertion site before injecting the medication to prevent an infection;
however, there is another action the nurse should take first.
A nurse is caring for a newborn whose parent asks why the baby is receiving vitamin K. The nurse
should explain to the parent that the newborn should receive vitamin K to prevent which of the
following?
Bleeding
A+ TEST BANK 1
, ATI RN VATI COMPREHENSIVE EXAM
2025
Potassium deficiency
Infection
Hyperbilirubinemia
Bleeding
The nurse should explain to the parent that newborns are deficient in vitamin K and should receive it
following birth because this deficiency can lead to bleeding.
---
Vitamin K does not prevent potassium deficiency in a newborn.
Vitamin K does not prevent infection in a newborn.
Vitamin K does not prevent hyperbilirubinemia in a newborn.
A nurse is caring for a client who is at 37 weeks of gestation and is experiencing abruptio placentae.
Which of the following findings should the nurse expect?
Persistent uterine contractions
Bright red vaginal bleeding
Hyperactive deep-tendon reflexes
Fundal height of 40 cm
Persistent uterine contractions
The nurse should expect a client who has abruptio placentae to experience persistent uterine
contractions, board-like abdomen, and dark red vaginal bleeding.
---
The nurse should expect a client who has placenta previa to experience a relaxed uterus and bright
red vaginal bleeding. With abruptio placentae the nurse should expect to find dark red vaginal
bleeding.
The nurse should expect a client who has preeclampsia to have hyperactive deep-tendon reflexes.
The nurse should expect a client who has placenta previa to have a fundal height that is greater than
expected gestational age.
A nurse is planning teaching about allowable foods for a client who has a history of uric acid-based
urinary calculi formation. Which of the following foods should the nurse include in the teaching?
Liver
Oranges
Chicken
Red wine
Oranges
A+ TEST BANK 2
, ATI RN VATI COMPREHENSIVE EXAM
2025
A client who is prone to uric acid calculi formation can eat citrus fruits.
---
A client who is prone to uric acid calculi should avoid eating organ meats, which contain purine.
A client who is prone to uric acid calculi should avoid eating chicken, which contains purine.
A client who is prone to uric acid calculi should avoid consuming red wines, which contain purine.
A nurse is administering cyclophosphamide orally to a school-age child who has neuroblastoma.
Which of the following actions should the nurse take when administering this medication?
Give an antiemetic 30 min after medication administration.
Monitor blood glucose levels.
Maintain hydration with liberal fluid intake.
Monitor for tumor lysis syndrome.
Maintain hydration with liberal fluid intake.
The nurse should offer fluids frequently to maintain hydration and prevent hemorrhagic cystitis,
which is an adverse effect of this medication.
---
The nurse should administer an antiemetic 30 min before administration of the medication to
decrease gastrointestinal effects.
Cyclophosphamide does not affect blood glucose levels.
Tumor lysis syndrome can occur in clients who are diagnosed with acute lymphoblastic leukemia, not
neuroblastoma.
A nurse is reviewing the ABG results of a client who has COPD. The results include a pH of 7.3, PaO2
56 mm Hg, PaCO2 54 mm Hg, HCO3- 26 mEq/L, SaO2 87%. Which of the following is the correct
interpretation of these values?
Uncompensated metabolic acidosis
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Compensated metabolic acidosis
Uncompensated respiratory acidosis
A pH of 7.3 is below the expected reference range and indicates the client has acidosis. The PaCO2 of
54 mm Hg is above the expected reference range, which, when combined with the low pH, indicates
that the acidosis has a respiratory origin. The HCO3- of 26 mEq/L is within the expected reference
range, indicating that the acidosis is not metabolic in origin and the body has not yet corrected the
imbalance through compensation.
---
A+ TEST BANK 3
, ATI RN VATI COMPREHENSIVE EXAM
2025
An HCO3- of 26 mEq/L is within the expected reference range. In metabolic acidosis, the HCO3- and
the pH are below the expected reference range. Therefore, these laboratory values do not indicate
metabolic acidosis.
In compensated respiratory acidosis, the pH is within the expected reference range. The laboratory
values do not indicate compensation has occurred.
An HCO3- of 26 mEq/L is within the expected reference range. In compensated metabolic acidosis
the HCO3- is below the expected reference range and the pH is within the expected reference range.
Therefore, these laboratory values do not indicate metabolic acidosis.
A nurse is preparing to administer 2 units of fresh frozen plasma to a client. Which of the following
actions should the nurse plan to take?
Allow the plasma to warm for 30 min before transfusion.
Confirm the client's identification by checking the room number.
Enter the plasma product number into the client's medical record.
Administer each unit of plasma over 4 hr.
Enter the plasma product number into the client's medical record.
The nurse should complete documentation following blood product therapy, which includes
recording the type of product, amount administered, product number, infusion time, and client
response.
---
The nurse should transfuse the plasma immediately after obtaining it from the blood bank to
maintain integrity of the clotting factors.
The nurse should confirm the client's identification by verifying that the client's name and facility-
assigned number on the identification bracelet match the information provided on the units of
plasma.
The nurse should plan to administer each unit of plasma over 30 to 60 min. The nurse should slow
the rate of infusion if the client shows indications of fluid overload.
A nurse is caring for four clients at the beginning of a shift. After receiving change-of-shift report,
which of the following clients should the nurse attend to first?
A client who has a temperature of 38.2° C (100.8° F) and requests a cup of ice chips
A client who is postoperative and reports a pain level of 5 on a scale from 0 to 10
A client who has voided and is ready for a bladder scan
A client who is confused and has been attempting to get out of bed
A client who is confused and has been attempting to get out of bed
The nurse should recognize that a client who is confused and has been attempting to get out of bed
is at greatest risk for injury from a fall. Therefore, the nurse should attend to this client first.
A+ TEST BANK 4
2025
ATI RN VATI COMPREHENSIVE
PREDICTOR FORM A&B EXAM
PREPARATION FOR 2025/2026
COMPLETE 400 VERIFIED QUESTIONS
AND CORRECT ANSWERS |ALREADY
GRADED A+||LATEST
A nurse is preparing to administer a long-acting insulin to a client who has diabetes mellitus. Which of
the following actions should the nurse plan to take first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse.
Administer the insulin at a 90° angle.
Clean the insertion site.
Check the insulin dose with another licensed nurse.
The greatest risk to the client is injury due to a medication error. Therefore, the priority action is for
the nurse to validate the correct dose of insulin with another licensed nurse prior to administration.
Insulin is a high-alert medication and incorrect dosages can be fatal for the client.
---
The nurse should teach the client adverse effects to report to reduce harm to the client; however,
there is another action the nurse should take first.
The nurse should administer the insulin at a 90° angle to ensure subcutaneous administration;
however, there is another action the nurse should take first.
The nurse should clean the insertion site before injecting the medication to prevent an infection;
however, there is another action the nurse should take first.
A nurse is caring for a newborn whose parent asks why the baby is receiving vitamin K. The nurse
should explain to the parent that the newborn should receive vitamin K to prevent which of the
following?
Bleeding
A+ TEST BANK 1
, ATI RN VATI COMPREHENSIVE EXAM
2025
Potassium deficiency
Infection
Hyperbilirubinemia
Bleeding
The nurse should explain to the parent that newborns are deficient in vitamin K and should receive it
following birth because this deficiency can lead to bleeding.
---
Vitamin K does not prevent potassium deficiency in a newborn.
Vitamin K does not prevent infection in a newborn.
Vitamin K does not prevent hyperbilirubinemia in a newborn.
A nurse is caring for a client who is at 37 weeks of gestation and is experiencing abruptio placentae.
Which of the following findings should the nurse expect?
Persistent uterine contractions
Bright red vaginal bleeding
Hyperactive deep-tendon reflexes
Fundal height of 40 cm
Persistent uterine contractions
The nurse should expect a client who has abruptio placentae to experience persistent uterine
contractions, board-like abdomen, and dark red vaginal bleeding.
---
The nurse should expect a client who has placenta previa to experience a relaxed uterus and bright
red vaginal bleeding. With abruptio placentae the nurse should expect to find dark red vaginal
bleeding.
The nurse should expect a client who has preeclampsia to have hyperactive deep-tendon reflexes.
The nurse should expect a client who has placenta previa to have a fundal height that is greater than
expected gestational age.
A nurse is planning teaching about allowable foods for a client who has a history of uric acid-based
urinary calculi formation. Which of the following foods should the nurse include in the teaching?
Liver
Oranges
Chicken
Red wine
Oranges
A+ TEST BANK 2
, ATI RN VATI COMPREHENSIVE EXAM
2025
A client who is prone to uric acid calculi formation can eat citrus fruits.
---
A client who is prone to uric acid calculi should avoid eating organ meats, which contain purine.
A client who is prone to uric acid calculi should avoid eating chicken, which contains purine.
A client who is prone to uric acid calculi should avoid consuming red wines, which contain purine.
A nurse is administering cyclophosphamide orally to a school-age child who has neuroblastoma.
Which of the following actions should the nurse take when administering this medication?
Give an antiemetic 30 min after medication administration.
Monitor blood glucose levels.
Maintain hydration with liberal fluid intake.
Monitor for tumor lysis syndrome.
Maintain hydration with liberal fluid intake.
The nurse should offer fluids frequently to maintain hydration and prevent hemorrhagic cystitis,
which is an adverse effect of this medication.
---
The nurse should administer an antiemetic 30 min before administration of the medication to
decrease gastrointestinal effects.
Cyclophosphamide does not affect blood glucose levels.
Tumor lysis syndrome can occur in clients who are diagnosed with acute lymphoblastic leukemia, not
neuroblastoma.
A nurse is reviewing the ABG results of a client who has COPD. The results include a pH of 7.3, PaO2
56 mm Hg, PaCO2 54 mm Hg, HCO3- 26 mEq/L, SaO2 87%. Which of the following is the correct
interpretation of these values?
Uncompensated metabolic acidosis
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Compensated metabolic acidosis
Uncompensated respiratory acidosis
A pH of 7.3 is below the expected reference range and indicates the client has acidosis. The PaCO2 of
54 mm Hg is above the expected reference range, which, when combined with the low pH, indicates
that the acidosis has a respiratory origin. The HCO3- of 26 mEq/L is within the expected reference
range, indicating that the acidosis is not metabolic in origin and the body has not yet corrected the
imbalance through compensation.
---
A+ TEST BANK 3
, ATI RN VATI COMPREHENSIVE EXAM
2025
An HCO3- of 26 mEq/L is within the expected reference range. In metabolic acidosis, the HCO3- and
the pH are below the expected reference range. Therefore, these laboratory values do not indicate
metabolic acidosis.
In compensated respiratory acidosis, the pH is within the expected reference range. The laboratory
values do not indicate compensation has occurred.
An HCO3- of 26 mEq/L is within the expected reference range. In compensated metabolic acidosis
the HCO3- is below the expected reference range and the pH is within the expected reference range.
Therefore, these laboratory values do not indicate metabolic acidosis.
A nurse is preparing to administer 2 units of fresh frozen plasma to a client. Which of the following
actions should the nurse plan to take?
Allow the plasma to warm for 30 min before transfusion.
Confirm the client's identification by checking the room number.
Enter the plasma product number into the client's medical record.
Administer each unit of plasma over 4 hr.
Enter the plasma product number into the client's medical record.
The nurse should complete documentation following blood product therapy, which includes
recording the type of product, amount administered, product number, infusion time, and client
response.
---
The nurse should transfuse the plasma immediately after obtaining it from the blood bank to
maintain integrity of the clotting factors.
The nurse should confirm the client's identification by verifying that the client's name and facility-
assigned number on the identification bracelet match the information provided on the units of
plasma.
The nurse should plan to administer each unit of plasma over 30 to 60 min. The nurse should slow
the rate of infusion if the client shows indications of fluid overload.
A nurse is caring for four clients at the beginning of a shift. After receiving change-of-shift report,
which of the following clients should the nurse attend to first?
A client who has a temperature of 38.2° C (100.8° F) and requests a cup of ice chips
A client who is postoperative and reports a pain level of 5 on a scale from 0 to 10
A client who has voided and is ready for a bladder scan
A client who is confused and has been attempting to get out of bed
A client who is confused and has been attempting to get out of bed
The nurse should recognize that a client who is confused and has been attempting to get out of bed
is at greatest risk for injury from a fall. Therefore, the nurse should attend to this client first.
A+ TEST BANK 4
