2026 VATI RN COMPREHENSIVE PREDICTOR 1
150 PRACTICE QUESTIONS WITH ANSWERS AND RATIONALES
LATEST UPDATE FOR GUARANTEED SUCCESS
FUNDAMENTALS & PATIENT SAFETY
1. Before administering any medication, which action is the
nurse's priority for verifying client identity?
A. Ask the client to state the room number
B. Read the name on the door
C. Check two client identifiers, such as name and date of birth,
against the MAR
D. Ask a family member to confirm the name
Answer: C. Check two client identifiers, such as name and
date of birth, against the MAR
Rationale: Two identifiers (never room number) are required to
prevent errors.
2. Which action is the single most effective way to prevent the
spread of infection?
A. Wearing a surgical mask
B. Wearing sterile gloves for all care
C. Isolating all clients
D. Hand hygiene
Answer: D. Hand hygiene
Rationale: Hand hygiene is the most effective measure in
preventing healthcare-associated infection.
Page 1
,3. A client is admitted with suspected active tuberculosis. Which
precaution is required?
A. Airborne precautions in a negative-pressure room with an N95
respirator for staff
B. Droplet precautions with a surgical mask
C. Contact precautions with gown and gloves only
D. Standard precautions only
Answer: A. Airborne precautions in a negative-pressure room
with an N95 respirator for staff
Rationale: TB spreads by airborne particles and requires negative
pressure and an N95 respirator.
4. Which hand hygiene method is required for a client with
Clostridioides difficile infection?
A. Use alcohol-based hand rub only
B. Wash with soap and water
C. Rinse with water only
D. Wear gloves and skip washing
Answer: B. Wash with soap and water
Rationale: Alcohol does not kill C. difficile spores; soap and water
physically remove them.
5. A client with influenza is placed on droplet precautions. Which
statement by the nurse is correct?
A. A negative-pressure room is mandatory
B. An N95 is required for all contact
C. No isolation is needed
D. A surgical mask is worn when within about 3 feet of the client
Answer: D. A surgical mask is worn when within about 3 feet
of the client
Rationale: Droplet precautions require a surgical mask and a
private room if possible.
Page 2
,6. Which intervention best prevents falls in a postoperative client
with a high fall risk?
A. Keep the bed in the lowest position with the call light within
reach
B. Raise all four side rails
C. Apply a vest restraint
D. Keep the room dark
Answer: A. Keep the bed in the lowest position with the call
light within reach
Rationale: Low bed, call light and non-skid footwear are least
restrictive fall interventions; four rails are considered restraints.
7. Before applying a restraint, the nurse should first:
A. Obtain family permission only
B. Apply the restraint and obtain the order later
C. Sedate the client
D. Try less restrictive alternatives
Answer: D. Try less restrictive alternatives
Rationale: Restraints are a last resort; least restrictive measures
come first.
8. A fire is discovered in a client's room. According to RACE, the
nurse's first action is to:
A. Activate the alarm
B. Contain the fire by closing doors
C. Extinguish the fire
D. Rescue clients in immediate danger
Answer: D. Rescue clients in immediate danger
Rationale: RACE: Rescue, Alarm, Contain, Extinguish/Evacuate.
Page 3
, 9. To prevent pressure injury in a bedbound client, the nurse
should:
A. Massage reddened bony prominences
B. Use a donut cushion
C. Reposition at least every 2 hours
D. Keep the head of bed at 90 degrees
Answer: C. Reposition at least every 2 hours
Rationale: Repositioning relieves pressure; massage of red areas
damages tissue.
10. While setting up a sterile field, the nurse knows the field is
considered contaminated if:
A. The outer 1 inch border is left uncontaminated
B. The nurse stands one arm's length away
C. The field is kept above waist level
D. A non-sterile item touches it or it becomes wet
Answer: D. A non-sterile item touches it or it becomes wet
Rationale: Any breach or moisture compromises sterility; the outer
1 inch border is already considered non-sterile.
11. A nasal cannula delivers oxygen at a flow rate of:
A. 10 to 15 L/min
B. 15 to 20 L/min
C. 25 to 30 L/min
D. 1 to 6 L/min
Answer: D. 1 to 6 L/min
Rationale: Nasal cannula delivers approximately 24-44% oxygen at
1-6 L/min.
Page 4
150 PRACTICE QUESTIONS WITH ANSWERS AND RATIONALES
LATEST UPDATE FOR GUARANTEED SUCCESS
FUNDAMENTALS & PATIENT SAFETY
1. Before administering any medication, which action is the
nurse's priority for verifying client identity?
A. Ask the client to state the room number
B. Read the name on the door
C. Check two client identifiers, such as name and date of birth,
against the MAR
D. Ask a family member to confirm the name
Answer: C. Check two client identifiers, such as name and
date of birth, against the MAR
Rationale: Two identifiers (never room number) are required to
prevent errors.
2. Which action is the single most effective way to prevent the
spread of infection?
A. Wearing a surgical mask
B. Wearing sterile gloves for all care
C. Isolating all clients
D. Hand hygiene
Answer: D. Hand hygiene
Rationale: Hand hygiene is the most effective measure in
preventing healthcare-associated infection.
Page 1
,3. A client is admitted with suspected active tuberculosis. Which
precaution is required?
A. Airborne precautions in a negative-pressure room with an N95
respirator for staff
B. Droplet precautions with a surgical mask
C. Contact precautions with gown and gloves only
D. Standard precautions only
Answer: A. Airborne precautions in a negative-pressure room
with an N95 respirator for staff
Rationale: TB spreads by airborne particles and requires negative
pressure and an N95 respirator.
4. Which hand hygiene method is required for a client with
Clostridioides difficile infection?
A. Use alcohol-based hand rub only
B. Wash with soap and water
C. Rinse with water only
D. Wear gloves and skip washing
Answer: B. Wash with soap and water
Rationale: Alcohol does not kill C. difficile spores; soap and water
physically remove them.
5. A client with influenza is placed on droplet precautions. Which
statement by the nurse is correct?
A. A negative-pressure room is mandatory
B. An N95 is required for all contact
C. No isolation is needed
D. A surgical mask is worn when within about 3 feet of the client
Answer: D. A surgical mask is worn when within about 3 feet
of the client
Rationale: Droplet precautions require a surgical mask and a
private room if possible.
Page 2
,6. Which intervention best prevents falls in a postoperative client
with a high fall risk?
A. Keep the bed in the lowest position with the call light within
reach
B. Raise all four side rails
C. Apply a vest restraint
D. Keep the room dark
Answer: A. Keep the bed in the lowest position with the call
light within reach
Rationale: Low bed, call light and non-skid footwear are least
restrictive fall interventions; four rails are considered restraints.
7. Before applying a restraint, the nurse should first:
A. Obtain family permission only
B. Apply the restraint and obtain the order later
C. Sedate the client
D. Try less restrictive alternatives
Answer: D. Try less restrictive alternatives
Rationale: Restraints are a last resort; least restrictive measures
come first.
8. A fire is discovered in a client's room. According to RACE, the
nurse's first action is to:
A. Activate the alarm
B. Contain the fire by closing doors
C. Extinguish the fire
D. Rescue clients in immediate danger
Answer: D. Rescue clients in immediate danger
Rationale: RACE: Rescue, Alarm, Contain, Extinguish/Evacuate.
Page 3
, 9. To prevent pressure injury in a bedbound client, the nurse
should:
A. Massage reddened bony prominences
B. Use a donut cushion
C. Reposition at least every 2 hours
D. Keep the head of bed at 90 degrees
Answer: C. Reposition at least every 2 hours
Rationale: Repositioning relieves pressure; massage of red areas
damages tissue.
10. While setting up a sterile field, the nurse knows the field is
considered contaminated if:
A. The outer 1 inch border is left uncontaminated
B. The nurse stands one arm's length away
C. The field is kept above waist level
D. A non-sterile item touches it or it becomes wet
Answer: D. A non-sterile item touches it or it becomes wet
Rationale: Any breach or moisture compromises sterility; the outer
1 inch border is already considered non-sterile.
11. A nasal cannula delivers oxygen at a flow rate of:
A. 10 to 15 L/min
B. 15 to 20 L/min
C. 25 to 30 L/min
D. 1 to 6 L/min
Answer: D. 1 to 6 L/min
Rationale: Nasal cannula delivers approximately 24-44% oxygen at
1-6 L/min.
Page 4
