RN VATI Comprehensive Predictor
Practice Exam · 167 Questions · With Rationales
Question: 38 of 180 RN VATI Comprehensive Predictor
A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to
prevent client injury?
A. Place the client in a prone position.
B. Insert a padded tongue blade into the client's mouth.
✓ C. Loosen the client's restrictive clothing.
D. Restrict the movement of the client's extremities.
✓ Correct Answer: C
During a seizure, loosen restrictive clothing to prevent injury and allow free breathing. Never place the client prone (aspiration risk),
never insert anything into the mouth (broken teeth/injury risk), and never restrain extremities (fracture risk). Position the client on
their side, protect the head, and time the seizure.
,Question: 37 of 180 RN VATI Comprehensive Predictor
An assistive personnel tells the nurse that several client measurements were obtained with morning vital
signs. Which of the following clients should the nurse plan to assess first?
✓ A. A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73 mm Hg
B. A 2-year-old child who has Kawasaki disease and a temperature of 39°C (102.2°F)
C. A 4-year-old child who has a closed-head injury and a heart rate of 60/min
D. An 8-year-old child who has type I diabetes mellitus and a respiratory rate of 26/min
✓ Correct Answer: A
A BP of 130/73 in a 6-year-old with glomerulonephritis is significantly elevated (hypertensive) and represents the most urgent
finding. Hypertension in glomerulonephritis can rapidly progress to hypertensive crisis or encephalopathy, requiring immediate
assessment and intervention.
,Question:\47\of\180 RN\VATI\Comprehensive\Predictor
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
✓ A.\ Complete\any\exercise\at\least\2\hr\before\bedtime.
B.\ Read\a\book\in\bed\when\having\difficulty\sleeping.
C.\ Refrain\from\ingesting\alcohol\3\hr\before\bedtime.
D.\ Keep\the\bedroom\at\a\cool\temperature.
✓ Correct\Answer:\A
Exercise\at\least\2\hours\before\bedtime\allows\the\body\to\wind\down\and\promotes\better\sleep.\Reading\in\bed\conditions\the\brai
n\to\associate\the\bed\with\wakefulness.\Alcohol\should\be\avoided\entirely\near\bedtime\as\it\disrupts\sleep\architecture.\A\cool\be
droom\is\helpful\but\not\the\most\evidence-based\single\recommendation\here.
, Question:\39\of\60 RN\VATI\Comprehensive\Predictor
A\nurse\is\creating\a\plan\of\care\for\a\client\who\requires\suture\removal.\Which\of\the\following\actions\should
\the\nurse\plan\to\take?
A.\ Pull\the\visible\part\of\the\suture\through\the\underlying\tissue.
✓ B.\ Cleanse\the\wound\with\sterile\water\prior\to\removing\the\sutures.
C.\ Cut\the\sutures\as\close\to\the\skin\as\possible.
D.\ Remove\the\sutures\in\a\consecutive\order.
✓ Correct\Answer:\B
Cleansing\the\wound\with\sterile\water\(or\saline)\prior\to\suture\removal\reduces\the\risk\of\infection\by\removing\crust\and\debris.\N
ever\pull\the\external\portion\through\tissue\(introduces\bacteria).\Sutures\are\cut\close\to\the\knot\on\one\side.\Every\other\suture\i
s\typically\removed\first\to\maintain\wound\integrity.
Practice Exam · 167 Questions · With Rationales
Question: 38 of 180 RN VATI Comprehensive Predictor
A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to
prevent client injury?
A. Place the client in a prone position.
B. Insert a padded tongue blade into the client's mouth.
✓ C. Loosen the client's restrictive clothing.
D. Restrict the movement of the client's extremities.
✓ Correct Answer: C
During a seizure, loosen restrictive clothing to prevent injury and allow free breathing. Never place the client prone (aspiration risk),
never insert anything into the mouth (broken teeth/injury risk), and never restrain extremities (fracture risk). Position the client on
their side, protect the head, and time the seizure.
,Question: 37 of 180 RN VATI Comprehensive Predictor
An assistive personnel tells the nurse that several client measurements were obtained with morning vital
signs. Which of the following clients should the nurse plan to assess first?
✓ A. A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73 mm Hg
B. A 2-year-old child who has Kawasaki disease and a temperature of 39°C (102.2°F)
C. A 4-year-old child who has a closed-head injury and a heart rate of 60/min
D. An 8-year-old child who has type I diabetes mellitus and a respiratory rate of 26/min
✓ Correct Answer: A
A BP of 130/73 in a 6-year-old with glomerulonephritis is significantly elevated (hypertensive) and represents the most urgent
finding. Hypertension in glomerulonephritis can rapidly progress to hypertensive crisis or encephalopathy, requiring immediate
assessment and intervention.
,Question:\47\of\180 RN\VATI\Comprehensive\Predictor
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
recommendations should the nurse make?
✓ A.\ Complete\any\exercise\at\least\2\hr\before\bedtime.
B.\ Read\a\book\in\bed\when\having\difficulty\sleeping.
C.\ Refrain\from\ingesting\alcohol\3\hr\before\bedtime.
D.\ Keep\the\bedroom\at\a\cool\temperature.
✓ Correct\Answer:\A
Exercise\at\least\2\hours\before\bedtime\allows\the\body\to\wind\down\and\promotes\better\sleep.\Reading\in\bed\conditions\the\brai
n\to\associate\the\bed\with\wakefulness.\Alcohol\should\be\avoided\entirely\near\bedtime\as\it\disrupts\sleep\architecture.\A\cool\be
droom\is\helpful\but\not\the\most\evidence-based\single\recommendation\here.
, Question:\39\of\60 RN\VATI\Comprehensive\Predictor
A\nurse\is\creating\a\plan\of\care\for\a\client\who\requires\suture\removal.\Which\of\the\following\actions\should
\the\nurse\plan\to\take?
A.\ Pull\the\visible\part\of\the\suture\through\the\underlying\tissue.
✓ B.\ Cleanse\the\wound\with\sterile\water\prior\to\removing\the\sutures.
C.\ Cut\the\sutures\as\close\to\the\skin\as\possible.
D.\ Remove\the\sutures\in\a\consecutive\order.
✓ Correct\Answer:\B
Cleansing\the\wound\with\sterile\water\(or\saline)\prior\to\suture\removal\reduces\the\risk\of\infection\by\removing\crust\and\debris.\N
ever\pull\the\external\portion\through\tissue\(introduces\bacteria).\Sutures\are\cut\close\to\the\knot\on\one\side.\Every\other\suture\i
s\typically\removed\first\to\maintain\wound\integrity.
