ATI RN VATI COMPREHENSIVE PREDICTOR FORM A EXAM 2026/2027 – 200 +
NGN Practice Questions with Correct Answers and Detailed Rationales for the
Proctored Assessment
INTRODUCTION:
Earn Your Green Light with Confidence – The Ultimate Test Bank for Nursing Students Preparing for
the VATI Comprehensive Predictor
The ATI RN VATI Comprehensive Predictor is the final and most critical milestone in your Virtual ATI
(VATI) journey. This high-stakes exam determines whether you receive the "Green Light" to sit for the
NCLEX-RN, making it one of the most important assessments of your nursing career. The exam consists
of 200+ questions formatted in the Next Generation NCLEX (NGN) style, including multiple-choice,
multiple-select, drag-and-drop, ordered response, and case study scenarios.
1. A nurse is caring for a client who has schizophrenia. Which of the following findings is the
nurse's priority?
A. The client asks other clients on the unit for help with bathing and getting dressed
B. The client refuses to take prescribed oral risperidone
C. The client reports hearing voices
D. The client's thoughts jump rapidly from one idea to the next when speaking - ANSWER-The client
reports hearing voices
2. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list
of client reports. Which of the following client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency - ANSWER-Indigestion
, 3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy.
Which of the following actions by the assistive personnel requires the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry - ANSWER-Offers oral fluids to the client
4. A nurse is reviewing the medical history of a client who is taking a garlic supplement. The
nurse should identify that which of the following findings is a contraindication for taking this
supplement?
A. The client is taking an antidepressant
B. The client has a history of a seizure disorder
C. The client takes aspirin daily
D. The client has a history of rheumatoid arthritis - ANSWER-The client takes aspirin daily
5. A nurse in a mental health facility is interviewing a newly admitted client. Which of the following
actions should the nurse take when conducting the interview?
A. Insist the client use direct eye contact during the interview
B. Seat the client at least 3.7m from the nurse
C. Position the client's chair between the nurse's chair and the door
D. Lean in slightly when speaking to the client - ANSWER-Lean in slightly when speaking to the client
6. A nurse on a medical unit has just received change-of-shift report. Which of the following
clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a
scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C
(101F) C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an
oxygen saturation of 89%
,D. A 26-year-old female client who has pelvic inflammatory disease and is unable to void - ANSWER-A
68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a scale of 0 to
10
7. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an
allergy to which of the following food can indicate that the client has an allergy to latex?
A. Peanuts
B. Shellfish
C. Avocados
D. Eggs - ANSWER-Avocados
8. A nurse is planning discharge teaching for a client who is scheduled to receive intravenous
infusions at home. Which of the following instructions should the nurse plan to include?
A. Plug the infusion pump in an outlet next to the bathroom
B. Pull the cord when unplugging the infusion pump
C. Clean the infusion pump when it is turned on
D. Place the infusion pump cord against the baseboards - ANSWER-Place the infusion pump cord against
the baseboards
9. A nurse is preparing to witness a client's signature on an informed consent for a total knee
arthroplasty. Which of the following client statements indicates the nurse should contact the
surgeon?
A. I wonder if the metal in my knee will show up in airport screenings
B. The physical therapy has not been working, so I will need to have the surgery
C. I look forward to being able to bend my knee again when I sit in a chair
D. I am thankful there are no serious complications from this type of surgery - ANSWER-I am thankful
there are no serious complications from this type of surgery
10. A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the following
interventions should the nurse take so that the client will best tolerate ambulation?
, A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing - ANSWER-Premedicate the client with the prescribed
analgesic
11. A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates
the need for which of the following equipment?
A. Portable suction
B. Cervical collar
C. Hemodialyzer
D. Pulse oximeter - ANSWER-Pulse oximeter
12. A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations - ANSWER-Uses others for personal gain
13. A nurse is teaching the parent of a school-age child who has scabies about the application of
permethrin 5% cream. The nurse should include which of the following as a potential adverse
effect of the medication? A. Burning
B. Discoloration
C. Photosensitivity
D. Alopecia - ANSWER-Burning
14. A nurse is teaching a client who has a new prescription for digoxin. Which of the following
statements should the nurse include in the teaching?
A. "Notify your provider if you experience muscle weakness."
NGN Practice Questions with Correct Answers and Detailed Rationales for the
Proctored Assessment
INTRODUCTION:
Earn Your Green Light with Confidence – The Ultimate Test Bank for Nursing Students Preparing for
the VATI Comprehensive Predictor
The ATI RN VATI Comprehensive Predictor is the final and most critical milestone in your Virtual ATI
(VATI) journey. This high-stakes exam determines whether you receive the "Green Light" to sit for the
NCLEX-RN, making it one of the most important assessments of your nursing career. The exam consists
of 200+ questions formatted in the Next Generation NCLEX (NGN) style, including multiple-choice,
multiple-select, drag-and-drop, ordered response, and case study scenarios.
1. A nurse is caring for a client who has schizophrenia. Which of the following findings is the
nurse's priority?
A. The client asks other clients on the unit for help with bathing and getting dressed
B. The client refuses to take prescribed oral risperidone
C. The client reports hearing voices
D. The client's thoughts jump rapidly from one idea to the next when speaking - ANSWER-The client
reports hearing voices
2. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list
of client reports. Which of the following client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency - ANSWER-Indigestion
, 3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy.
Which of the following actions by the assistive personnel requires the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry - ANSWER-Offers oral fluids to the client
4. A nurse is reviewing the medical history of a client who is taking a garlic supplement. The
nurse should identify that which of the following findings is a contraindication for taking this
supplement?
A. The client is taking an antidepressant
B. The client has a history of a seizure disorder
C. The client takes aspirin daily
D. The client has a history of rheumatoid arthritis - ANSWER-The client takes aspirin daily
5. A nurse in a mental health facility is interviewing a newly admitted client. Which of the following
actions should the nurse take when conducting the interview?
A. Insist the client use direct eye contact during the interview
B. Seat the client at least 3.7m from the nurse
C. Position the client's chair between the nurse's chair and the door
D. Lean in slightly when speaking to the client - ANSWER-Lean in slightly when speaking to the client
6. A nurse on a medical unit has just received change-of-shift report. Which of the following
clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a
scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C
(101F) C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an
oxygen saturation of 89%
,D. A 26-year-old female client who has pelvic inflammatory disease and is unable to void - ANSWER-A
68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a scale of 0 to
10
7. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an
allergy to which of the following food can indicate that the client has an allergy to latex?
A. Peanuts
B. Shellfish
C. Avocados
D. Eggs - ANSWER-Avocados
8. A nurse is planning discharge teaching for a client who is scheduled to receive intravenous
infusions at home. Which of the following instructions should the nurse plan to include?
A. Plug the infusion pump in an outlet next to the bathroom
B. Pull the cord when unplugging the infusion pump
C. Clean the infusion pump when it is turned on
D. Place the infusion pump cord against the baseboards - ANSWER-Place the infusion pump cord against
the baseboards
9. A nurse is preparing to witness a client's signature on an informed consent for a total knee
arthroplasty. Which of the following client statements indicates the nurse should contact the
surgeon?
A. I wonder if the metal in my knee will show up in airport screenings
B. The physical therapy has not been working, so I will need to have the surgery
C. I look forward to being able to bend my knee again when I sit in a chair
D. I am thankful there are no serious complications from this type of surgery - ANSWER-I am thankful
there are no serious complications from this type of surgery
10. A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the following
interventions should the nurse take so that the client will best tolerate ambulation?
, A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing - ANSWER-Premedicate the client with the prescribed
analgesic
11. A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates
the need for which of the following equipment?
A. Portable suction
B. Cervical collar
C. Hemodialyzer
D. Pulse oximeter - ANSWER-Pulse oximeter
12. A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations - ANSWER-Uses others for personal gain
13. A nurse is teaching the parent of a school-age child who has scabies about the application of
permethrin 5% cream. The nurse should include which of the following as a potential adverse
effect of the medication? A. Burning
B. Discoloration
C. Photosensitivity
D. Alopecia - ANSWER-Burning
14. A nurse is teaching a client who has a new prescription for digoxin. Which of the following
statements should the nurse include in the teaching?
A. "Notify your provider if you experience muscle weakness."
