RN VATI COMPREHENSIVE PREDICTOR FORMS A–C
2026 COMPLETE REVIEW | FULL STUDY
COMPANION & LEARNING THEMES || NEW
VERSION
review, designed to test critical thinking and prioritization. Correct answers are marked with .
Theme 1: Safe and Effective Care Environment
1. Q: A client with heart failure is receiving IV furosemide. Which finding by the nurse
indicates the medication is effective?
o A. Increased urine output.
o B. Decreased respiratory rate.
o C. Increased blood pressure.
o D. Decreased heart rate.
A: A. Increased urine output. (Furosemide is a loop diuretic; its primary
therapeutic effect is diuresis.)
2. Q: When delegating tasks to a Licensed Practical Nurse (LPN), which client should the
Registered Nurse (RN) assign?
o A. A client with a new tracheostomy needing suctioning for the first time.
o B. A stable post-op client requiring routine vital signs and oral medication
administration.
o C. A client receiving a first dose of chemotherapy.
o D. A client being discharged with complex new wound care instructions.
A: B. A stable post-op client requiring routine vital signs and oral medication
administration. (This is within the stable, predictable scope of practice for an
LPN.)
3. Q: A client is scheduled for an abdominal CT scan with IV contrast. What is
the priority question the nurse should ask before the procedure?
o A. "Are you wearing any metal jewelry?"
, o B. "Do you have any allergies, especially to iodine or shellfish?"
o C. "When was your last meal?"
o D. "Are you claustrophobic?"
A: B. "Do you have any allergies, especially to iodine or shellfish?" (IV
contrast can cause severe anaphylactic reactions; this is the primary safety
screening.)
4. Q: A nurse discovers a small fire in a client's room. What is the nurse's first action?
o A. Activate the fire alarm.
o B. Evacuate clients from the area.
o C. Use the fire extinguisher.
o D. Turn off all oxygen sources in the room.
A: B. Evacuate clients from the area. (The priority in the RACE protocol is
Rescue/Remove clients from immediate danger.)
5. Q: A client on contact precautions for C. diff asks for a glass of water. What is the most
important action by the nurse when leaving the room?
o A. Remove the gown and gloves, then perform hand hygiene with soap and
water.
o B. Perform hand hygiene with alcohol-based sanitizer at the door.
o C. Place the used gown in the regular linen hamper.
o D. Inform the next caregiver about the water request.
A: A. Remove the gown and gloves, then perform hand hygiene with soap and
water. (C. diff spores are not killed by alcohol; soap and water is required for
hand hygiene after contact.)
Theme 2: Health Promotion and Maintenance
6. Q: A nurse is teaching a prenatal class. Which food should the nurse recommend as the
best source of folate?
o A. Lean beef
o B. Fortified breakfast cereal
o C. Yogurt
, o D. Bananas
A: B. Fortified breakfast cereal. (Folate/folic acid is crucial for preventing
neural tube defects, and fortified grains are a primary dietary source.)
7. Q: During a well-child visit, the parent of a 4-month-old asks about introducing solid
foods. What is the nurse's best response?
o A. "You can start with small amounts of iron-fortified rice cereal."
o B. "Infants should not have solid foods until 6 months of age."
o C. "You can try pureed fruits like bananas or applesauce."
o D. "Solids are not needed if the baby is breastfeeding well."
A: A. "You can start with small amounts of iron-fortified rice cereal."
(Current guidelines support starting iron-fortified single-grain cereal around 4-6
months when the infant shows readiness signs.)
8. Q: A 55-year-old client with no personal history of disease asks about recommended
health screenings. Which screening should the nurse recommend first?
o A. Colonoscopy
o B. Bone density scan
o C. Prostate-specific antigen (PSA) test
o D. Annual chest x-ray
A: A. Colonoscopy. (Routine colorectal cancer screening begins at age 45-50
for average-risk adults.)
9. Q: The nurse is teaching a postmenopausal client about osteoporosis prevention. Which
instruction is most important?
o A. "Limit your caffeine intake."
o B. "Engage in weight-bearing exercise like walking most days."
o C. "Take a calcium supplement with vitamin D daily."
o D. "Consider hormone replacement therapy."
A: B. "Engage in weight-bearing exercise like walking most days." (While all
are relevant, weight-bearing exercise is a fundamental, non-pharmacological
intervention to maintain bone density.)
, 10. Q: A new mother is concerned her 2-week-old infant is not getting enough breast milk.
What is the best indicator of adequate intake the nurse should assess?
o A. The infant sleeps 4 hours between feedings.
o B. The infant has 6-8 wet diapers per day.
o C. The mother's breasts feel full before feeding.
o D. The infant feeds for 15 minutes on each breast.
A: B. The infant has 6-8 wet diapers per day. (Output is the most reliable
objective sign of adequate fluid/nutritional intake in a newborn.)
Theme 3: Psychosocial Integrity
11. Q: A client diagnosed with major depressive disorder states, "What's the use? Nothing
ever gets better." What is the nurse's therapeutic response?
o A. "You have so much to live for. Don't talk like that."
o B. "Tell me more about what feels hopeless to you."
o C. "Have you had thoughts of harming yourself?"
o D. "Things will get better, I promise."
A: B. "Tell me more about what feels hopeless to you." (This is an open-
ended, empathetic response that encourages exploration of feelings.)
12. Q: A nurse is caring for a client who is experiencing a panic attack. Which intervention
should the nurse implement first?
o A. Administer prescribed PRN anxiolytic medication.
o B. Stay with the client and speak in a calm, firm voice.
o C. Encourage the client to identify the trigger.
o D. Place the client in a quiet, dimly lit room.
A: B. Stay with the client and speak in a calm, firm voice. (Safety and
presence are the immediate priorities to prevent injury and provide reassurance
during a panic attack.)
13. Q: The family of a client with Alzheimer's disease expresses frustration about the client's
repeated questions. What should the nurse advise?
o A. "Place a sign with the answer on it to avoid repeating yourself."
2026 COMPLETE REVIEW | FULL STUDY
COMPANION & LEARNING THEMES || NEW
VERSION
review, designed to test critical thinking and prioritization. Correct answers are marked with .
Theme 1: Safe and Effective Care Environment
1. Q: A client with heart failure is receiving IV furosemide. Which finding by the nurse
indicates the medication is effective?
o A. Increased urine output.
o B. Decreased respiratory rate.
o C. Increased blood pressure.
o D. Decreased heart rate.
A: A. Increased urine output. (Furosemide is a loop diuretic; its primary
therapeutic effect is diuresis.)
2. Q: When delegating tasks to a Licensed Practical Nurse (LPN), which client should the
Registered Nurse (RN) assign?
o A. A client with a new tracheostomy needing suctioning for the first time.
o B. A stable post-op client requiring routine vital signs and oral medication
administration.
o C. A client receiving a first dose of chemotherapy.
o D. A client being discharged with complex new wound care instructions.
A: B. A stable post-op client requiring routine vital signs and oral medication
administration. (This is within the stable, predictable scope of practice for an
LPN.)
3. Q: A client is scheduled for an abdominal CT scan with IV contrast. What is
the priority question the nurse should ask before the procedure?
o A. "Are you wearing any metal jewelry?"
, o B. "Do you have any allergies, especially to iodine or shellfish?"
o C. "When was your last meal?"
o D. "Are you claustrophobic?"
A: B. "Do you have any allergies, especially to iodine or shellfish?" (IV
contrast can cause severe anaphylactic reactions; this is the primary safety
screening.)
4. Q: A nurse discovers a small fire in a client's room. What is the nurse's first action?
o A. Activate the fire alarm.
o B. Evacuate clients from the area.
o C. Use the fire extinguisher.
o D. Turn off all oxygen sources in the room.
A: B. Evacuate clients from the area. (The priority in the RACE protocol is
Rescue/Remove clients from immediate danger.)
5. Q: A client on contact precautions for C. diff asks for a glass of water. What is the most
important action by the nurse when leaving the room?
o A. Remove the gown and gloves, then perform hand hygiene with soap and
water.
o B. Perform hand hygiene with alcohol-based sanitizer at the door.
o C. Place the used gown in the regular linen hamper.
o D. Inform the next caregiver about the water request.
A: A. Remove the gown and gloves, then perform hand hygiene with soap and
water. (C. diff spores are not killed by alcohol; soap and water is required for
hand hygiene after contact.)
Theme 2: Health Promotion and Maintenance
6. Q: A nurse is teaching a prenatal class. Which food should the nurse recommend as the
best source of folate?
o A. Lean beef
o B. Fortified breakfast cereal
o C. Yogurt
, o D. Bananas
A: B. Fortified breakfast cereal. (Folate/folic acid is crucial for preventing
neural tube defects, and fortified grains are a primary dietary source.)
7. Q: During a well-child visit, the parent of a 4-month-old asks about introducing solid
foods. What is the nurse's best response?
o A. "You can start with small amounts of iron-fortified rice cereal."
o B. "Infants should not have solid foods until 6 months of age."
o C. "You can try pureed fruits like bananas or applesauce."
o D. "Solids are not needed if the baby is breastfeeding well."
A: A. "You can start with small amounts of iron-fortified rice cereal."
(Current guidelines support starting iron-fortified single-grain cereal around 4-6
months when the infant shows readiness signs.)
8. Q: A 55-year-old client with no personal history of disease asks about recommended
health screenings. Which screening should the nurse recommend first?
o A. Colonoscopy
o B. Bone density scan
o C. Prostate-specific antigen (PSA) test
o D. Annual chest x-ray
A: A. Colonoscopy. (Routine colorectal cancer screening begins at age 45-50
for average-risk adults.)
9. Q: The nurse is teaching a postmenopausal client about osteoporosis prevention. Which
instruction is most important?
o A. "Limit your caffeine intake."
o B. "Engage in weight-bearing exercise like walking most days."
o C. "Take a calcium supplement with vitamin D daily."
o D. "Consider hormone replacement therapy."
A: B. "Engage in weight-bearing exercise like walking most days." (While all
are relevant, weight-bearing exercise is a fundamental, non-pharmacological
intervention to maintain bone density.)
, 10. Q: A new mother is concerned her 2-week-old infant is not getting enough breast milk.
What is the best indicator of adequate intake the nurse should assess?
o A. The infant sleeps 4 hours between feedings.
o B. The infant has 6-8 wet diapers per day.
o C. The mother's breasts feel full before feeding.
o D. The infant feeds for 15 minutes on each breast.
A: B. The infant has 6-8 wet diapers per day. (Output is the most reliable
objective sign of adequate fluid/nutritional intake in a newborn.)
Theme 3: Psychosocial Integrity
11. Q: A client diagnosed with major depressive disorder states, "What's the use? Nothing
ever gets better." What is the nurse's therapeutic response?
o A. "You have so much to live for. Don't talk like that."
o B. "Tell me more about what feels hopeless to you."
o C. "Have you had thoughts of harming yourself?"
o D. "Things will get better, I promise."
A: B. "Tell me more about what feels hopeless to you." (This is an open-
ended, empathetic response that encourages exploration of feelings.)
12. Q: A nurse is caring for a client who is experiencing a panic attack. Which intervention
should the nurse implement first?
o A. Administer prescribed PRN anxiolytic medication.
o B. Stay with the client and speak in a calm, firm voice.
o C. Encourage the client to identify the trigger.
o D. Place the client in a quiet, dimly lit room.
A: B. Stay with the client and speak in a calm, firm voice. (Safety and
presence are the immediate priorities to prevent injury and provide reassurance
during a panic attack.)
13. Q: The family of a client with Alzheimer's disease expresses frustration about the client's
repeated questions. What should the nurse advise?
o A. "Place a sign with the answer on it to avoid repeating yourself."
