[VATI RN COMPREHENSIVE PREDICTOR 1]
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
CORE DOMAINS
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
INTRODUCTION
The VATI RN Comprehensive Predictor 1 is a standardized assessment designed to
evaluate the readiness of nursing students and graduates for professional practice.
This comprehensive examination assesses essential nursing knowledge, clinical
judgment, and critical thinking skills required for safe and effective patient care. The
test employs a multiple-choice and scenario-based structure that emphasizes real-
world application, clinical decision-making, and the integration of foundational nursing
theory with applied professional practice. This assessment serves as a benchmark for
identifying areas of strength and opportunities for remediation prior to licensure.
SECTION ONE: QUESTIONS 1-300
Question 1
,A nurse is caring for a client who has a new prescription for warfarin. Which of the
following laboratory values should the nurse monitor to evaluate the effectiveness of
the medication?
A. Platelet count
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Bleeding time
+CORRECT ANSWER: B. International normalized ratio (INR)
RATIONALE: Warfarin is an anticoagulant that inhibits vitamin K-dependent clotting
factors. The INR is the standard laboratory test used to monitor warfarin therapy and
evaluate its therapeutic effectiveness, with a typical target range of 2.0 to 3.0 for most
indications.
Question 2
A nurse is assessing a client who has been taking furosemide. Which of the following
findings should the nurse report to the provider immediately?
A. Blood pressure 138/86 mm Hg
B. Potassium level 2.8 mEq/L
C. Urine output of 50 mL/hr
D. Weight loss of 0.5 kg in 24 hours
+CORRECT ANSWER: B. Potassium level 2.8 mEq/L
RATIONALE: Furosemide is a loop diuretic that causes potassium loss, potentially
leading to hypokalemia. A potassium level of 2.8 mEq/L is critically low and places the
client at risk for cardiac dysrhythmias, requiring immediate notification of the provider.
Question 3
,A nurse is providing discharge teaching to a client who had a total hip arthroplasty.
Which of the following instructions should the nurse include?
A. Cross your legs at the ankles when sitting
B. Bend at the waist to pick up objects from the floor
C. Use an abduction pillow between your legs while in bed
D. Sit in a low chair for extended periods
+CORRECT ANSWER: C. Use an abduction pillow between your legs while in bed
RATIONALE: Following total hip arthroplasty, clients must maintain proper hip
alignment to prevent dislocation. An abduction pillow keeps the legs separated and
prevents adduction, which is a key preventive measure.
Question 4
A nurse is caring for a client who is receiving a blood transfusion and develops chills,
fever, and lower back pain. Which of the following actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion immediately
C. Obtain a urine specimen
D. Recheck the client's vital signs
+CORRECT ANSWER: B. Stop the transfusion immediately
RATIONALE: The client is exhibiting signs of an acute hemolytic transfusion reaction.
The priority action is to stop the transfusion immediately to prevent further infusion of
incompatible blood, then maintain IV access with normal saline and notify the provider.
Question 5
, A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the
following manifestations should the nurse include?
A. Polyuria
B. Diaphoresis
C. Kussmaul respirations
D. Fruity breath odor
+CORRECT ANSWER: B. Diaphoresis
RATIONALE: Hypoglycemia activates the sympathetic nervous system, causing
manifestations such as diaphoresis, tremors, tachycardia, and anxiety. Polyuria,
Kussmaul respirations, and fruity breath odor are signs of hyperglycemia.
Question 6
A nurse is caring for a client who has been prescribed lithium carbonate. Which of the
following findings indicates the client is experiencing lithium toxicity?
A. Blood pressure 150/90 mm Hg
B. Serum lithium level of 0.8 mEq/L
C. Coarse hand tremors
D. Weight gain of 1 kg
+CORRECT ANSWER: C. Coarse hand tremors
RATIONALE: Coarse hand tremors are a sign of lithium toxicity. Fine hand tremors may
occur with therapeutic use. A serum lithium level of 0.8 mEq/L is within the therapeutic
range of 0.6 to 1.2 mEq/L.
Question 7
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
CORE DOMAINS
Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
INTRODUCTION
The VATI RN Comprehensive Predictor 1 is a standardized assessment designed to
evaluate the readiness of nursing students and graduates for professional practice.
This comprehensive examination assesses essential nursing knowledge, clinical
judgment, and critical thinking skills required for safe and effective patient care. The
test employs a multiple-choice and scenario-based structure that emphasizes real-
world application, clinical decision-making, and the integration of foundational nursing
theory with applied professional practice. This assessment serves as a benchmark for
identifying areas of strength and opportunities for remediation prior to licensure.
SECTION ONE: QUESTIONS 1-300
Question 1
,A nurse is caring for a client who has a new prescription for warfarin. Which of the
following laboratory values should the nurse monitor to evaluate the effectiveness of
the medication?
A. Platelet count
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Bleeding time
+CORRECT ANSWER: B. International normalized ratio (INR)
RATIONALE: Warfarin is an anticoagulant that inhibits vitamin K-dependent clotting
factors. The INR is the standard laboratory test used to monitor warfarin therapy and
evaluate its therapeutic effectiveness, with a typical target range of 2.0 to 3.0 for most
indications.
Question 2
A nurse is assessing a client who has been taking furosemide. Which of the following
findings should the nurse report to the provider immediately?
A. Blood pressure 138/86 mm Hg
B. Potassium level 2.8 mEq/L
C. Urine output of 50 mL/hr
D. Weight loss of 0.5 kg in 24 hours
+CORRECT ANSWER: B. Potassium level 2.8 mEq/L
RATIONALE: Furosemide is a loop diuretic that causes potassium loss, potentially
leading to hypokalemia. A potassium level of 2.8 mEq/L is critically low and places the
client at risk for cardiac dysrhythmias, requiring immediate notification of the provider.
Question 3
,A nurse is providing discharge teaching to a client who had a total hip arthroplasty.
Which of the following instructions should the nurse include?
A. Cross your legs at the ankles when sitting
B. Bend at the waist to pick up objects from the floor
C. Use an abduction pillow between your legs while in bed
D. Sit in a low chair for extended periods
+CORRECT ANSWER: C. Use an abduction pillow between your legs while in bed
RATIONALE: Following total hip arthroplasty, clients must maintain proper hip
alignment to prevent dislocation. An abduction pillow keeps the legs separated and
prevents adduction, which is a key preventive measure.
Question 4
A nurse is caring for a client who is receiving a blood transfusion and develops chills,
fever, and lower back pain. Which of the following actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion immediately
C. Obtain a urine specimen
D. Recheck the client's vital signs
+CORRECT ANSWER: B. Stop the transfusion immediately
RATIONALE: The client is exhibiting signs of an acute hemolytic transfusion reaction.
The priority action is to stop the transfusion immediately to prevent further infusion of
incompatible blood, then maintain IV access with normal saline and notify the provider.
Question 5
, A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the
following manifestations should the nurse include?
A. Polyuria
B. Diaphoresis
C. Kussmaul respirations
D. Fruity breath odor
+CORRECT ANSWER: B. Diaphoresis
RATIONALE: Hypoglycemia activates the sympathetic nervous system, causing
manifestations such as diaphoresis, tremors, tachycardia, and anxiety. Polyuria,
Kussmaul respirations, and fruity breath odor are signs of hyperglycemia.
Question 6
A nurse is caring for a client who has been prescribed lithium carbonate. Which of the
following findings indicates the client is experiencing lithium toxicity?
A. Blood pressure 150/90 mm Hg
B. Serum lithium level of 0.8 mEq/L
C. Coarse hand tremors
D. Weight gain of 1 kg
+CORRECT ANSWER: C. Coarse hand tremors
RATIONALE: Coarse hand tremors are a sign of lithium toxicity. Fine hand tremors may
occur with therapeutic use. A serum lithium level of 0.8 mEq/L is within the therapeutic
range of 0.6 to 1.2 mEq/L.
Question 7
