Nursing competency predictor exam
2025(VATI verified guide)
1 A nurse is providing preoperative teaching for an adolescent who is scheduled for a
cardiac catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" - ANS>>d) "You can return to
school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of
the following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. - ANS>>D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment - ANS>>c) Contact
A nurse is caring for a client who has a cast on their left lower leg. Which of the
following actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. - ANS>>A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a
seizure disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure - ANS>>a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health
unit. The nurse tells the nurse that he is not coming out of his room anymore because
,other clients on the unit make fun of him. Which of the following responses by the nurse
is appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." - ANS>>B. "You feel
upset by the responses of others."
A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which
of the following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. - ANS>>A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination - ANS>>c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift.
Which of the following techniques should the nurse plan to use to assist with time
management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next - ANS>>d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be
mixed? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro - ANS>>A. Insulin aspart
B. Regular insulin
E. Insulin lispro
A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the
following findings should the nurse report to the provider?
a) The toddler can remove her own socks
b) The toddler has a security blanket
,c) The toddler can say four words
d) The toddler throws a ball without falling - ANS>>c) The toddler can say four words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse
should identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is
indicated for which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler - ANS>>a) A 2-month-old infant
A nurse in a mental health unit asks a client who has schizophrenia, "How are you?"
Which of the following responses should the nurse identify as the speech alteration of
echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" - ANS>>c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the
following prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
d) Gentamicin - ANS>>c) Cefazolin
. A nurse is reinforcing discharge teaching with a client who is postoperative following
laser surgery for open-angel glaucoma. Which of the following statements by the client
indicates an understanding of the instructions?
A. "I will take a stool softener to prevent constipation."
B. "I will ask to work the night shift, so I will not be driving in bright sunlight."
C. "I will need to use my eye drops for 1 year."
D. "I will need to follow a low-protein diet." - ANS>>A. "I will take a stool softener to
prevent constipation."
A nurse is caring for a client who is recovering from electroconvulsive therapy. Which of
the following findings should the nurse identify as an adverse effect of the treatment?
a) Cough
b) Confusion
c) Hoarseness
d) Tingling of the scalp - ANS>>b) Confusion
A nurse is reinforcing teaching about confidentiality with a client. Which of the following
statements should the nurse include in the teaching?
A. "Your nurse will provide information about the risks and benefits of surgical
procedures."
, B. "Only health care staff providing care will see your medical record."
C. "The provider must grant you access to your personal health information."
D. "You have to authorize our providers to prescribe treatments for your condition." -
ANS>>B. "Only health care staff providing care will see your medical record."
A nurse is reinforcing teaching with a newly licensed nurse about HIPAA Privacy Rule.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
a) "The actual medical record belongs to the client"
b) "A client's medical record information remains confidential, even during an
emergency"
c) "If the client dies, their family receives their medical record"
d) "A client has the right to view their medical record" - ANS>>b) "A client's medical
record information remains confidential, even during an emergency"
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's surgical dressing. Which of
the following actions should the nurse take to demonstrate sensitivity to age-related
changes?
A. Ask the client to help with the dressing change.
B. Wait for the client to approach the nurse for assistance.
C. Use paper tape for securing the new dressing.
D. Apply the dressing loosely over the incision. - ANS>>C. Use paper tape for securing
the new dressing.
A nurse is collecting data from a newly admitted client. Which of the following questions
should the nurse ask to assess the client's abstract thinking ability?
A. "Who is the current President of the United States?"
B. "What dose the phrase 'butterflies in my stomach' mean?"
C. "Can you count backward from 20 to 1?"
D. "Can you draw a clock that shows the hands at 4:30?" - ANS>>B. "What dose the
phrase 'butterflies in my stomach' mean?"
A nurse is caring for a client who has new colostomy. The client tells the nurse, "I don't
want anyone to see me with this bag." Which of the following responses should the
nurse make?
A. "Many people have colostomies and they live full lives."
B. "Would it help to speak with someone else who has colostomy?"
C. "Why don't you want people to see the colostomy bag?"
D. "You shouldn't worry, the colostomy is probably only temporary." - ANS>>B or C?
A nurse is reinforcing teaching with the guardian of a preschooler who has a new
diagnosis of enterobiasis. Which of the following information should the nurse include in
the teaching?
a) "One dose of medication is all that will be necessary"
2025(VATI verified guide)
1 A nurse is providing preoperative teaching for an adolescent who is scheduled for a
cardiac catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" - ANS>>d) "You can return to
school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of
the following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. - ANS>>D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment - ANS>>c) Contact
A nurse is caring for a client who has a cast on their left lower leg. Which of the
following actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. - ANS>>A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a
seizure disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure - ANS>>a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health
unit. The nurse tells the nurse that he is not coming out of his room anymore because
,other clients on the unit make fun of him. Which of the following responses by the nurse
is appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." - ANS>>B. "You feel
upset by the responses of others."
A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which
of the following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. - ANS>>A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination - ANS>>c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift.
Which of the following techniques should the nurse plan to use to assist with time
management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next - ANS>>d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be
mixed? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro - ANS>>A. Insulin aspart
B. Regular insulin
E. Insulin lispro
A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the
following findings should the nurse report to the provider?
a) The toddler can remove her own socks
b) The toddler has a security blanket
,c) The toddler can say four words
d) The toddler throws a ball without falling - ANS>>c) The toddler can say four words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse
should identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is
indicated for which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler - ANS>>a) A 2-month-old infant
A nurse in a mental health unit asks a client who has schizophrenia, "How are you?"
Which of the following responses should the nurse identify as the speech alteration of
echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" - ANS>>c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the
following prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
d) Gentamicin - ANS>>c) Cefazolin
. A nurse is reinforcing discharge teaching with a client who is postoperative following
laser surgery for open-angel glaucoma. Which of the following statements by the client
indicates an understanding of the instructions?
A. "I will take a stool softener to prevent constipation."
B. "I will ask to work the night shift, so I will not be driving in bright sunlight."
C. "I will need to use my eye drops for 1 year."
D. "I will need to follow a low-protein diet." - ANS>>A. "I will take a stool softener to
prevent constipation."
A nurse is caring for a client who is recovering from electroconvulsive therapy. Which of
the following findings should the nurse identify as an adverse effect of the treatment?
a) Cough
b) Confusion
c) Hoarseness
d) Tingling of the scalp - ANS>>b) Confusion
A nurse is reinforcing teaching about confidentiality with a client. Which of the following
statements should the nurse include in the teaching?
A. "Your nurse will provide information about the risks and benefits of surgical
procedures."
, B. "Only health care staff providing care will see your medical record."
C. "The provider must grant you access to your personal health information."
D. "You have to authorize our providers to prescribe treatments for your condition." -
ANS>>B. "Only health care staff providing care will see your medical record."
A nurse is reinforcing teaching with a newly licensed nurse about HIPAA Privacy Rule.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
a) "The actual medical record belongs to the client"
b) "A client's medical record information remains confidential, even during an
emergency"
c) "If the client dies, their family receives their medical record"
d) "A client has the right to view their medical record" - ANS>>b) "A client's medical
record information remains confidential, even during an emergency"
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's surgical dressing. Which of
the following actions should the nurse take to demonstrate sensitivity to age-related
changes?
A. Ask the client to help with the dressing change.
B. Wait for the client to approach the nurse for assistance.
C. Use paper tape for securing the new dressing.
D. Apply the dressing loosely over the incision. - ANS>>C. Use paper tape for securing
the new dressing.
A nurse is collecting data from a newly admitted client. Which of the following questions
should the nurse ask to assess the client's abstract thinking ability?
A. "Who is the current President of the United States?"
B. "What dose the phrase 'butterflies in my stomach' mean?"
C. "Can you count backward from 20 to 1?"
D. "Can you draw a clock that shows the hands at 4:30?" - ANS>>B. "What dose the
phrase 'butterflies in my stomach' mean?"
A nurse is caring for a client who has new colostomy. The client tells the nurse, "I don't
want anyone to see me with this bag." Which of the following responses should the
nurse make?
A. "Many people have colostomies and they live full lives."
B. "Would it help to speak with someone else who has colostomy?"
C. "Why don't you want people to see the colostomy bag?"
D. "You shouldn't worry, the colostomy is probably only temporary." - ANS>>B or C?
A nurse is reinforcing teaching with the guardian of a preschooler who has a new
diagnosis of enterobiasis. Which of the following information should the nurse include in
the teaching?
a) "One dose of medication is all that will be necessary"
