VATI Comprehensive Assessment 2025/2026:
200 Must-Know Questions with Answers &
Rationales — The Definitive Exam Review |
Guaranteed Pass A+ | Instant Download
Covered Areas
Management of Care & Prioritization
Safety & Infection Control
Health Promotion & Maintenance
Psychosocial Integrity
Basic Care & Comfort
Pharmacological & Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation (Cardiac, Respiratory, Renal, Neuro, Endocrine)
Section 1: Management of Care (17% — Questions 1–34)
1. A nurse is planning care for a client prescribed a continuous IV infusion of heparin
for DVT. Which lab value should the nurse monitor to adjust the heparin dosage?
A) Prothrombin time (PT)
B) International Normalized Ratio (INR)
,C) Activated partial thromboplastin time (aPTT)
D) Platelet count
Correct Answer: C
Rationale: The aPTT is used to monitor the therapeutic effectiveness of continuous
unfractionated heparin infusions, with a typical therapeutic range of 1.5 to 2.5 times the
normal control. PT and INR monitor warfarin. Platelet counts detect heparin-induced
thrombocytopenia but are not used to titrate the dose .
2. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A) A client requesting pain medication for chronic arthritis
B) A client with new-onset shortness of breath and SpO₂ of 88%
C) A client who needs discharge teaching
D) A client requesting a snack
Correct Answer: B
Rationale: Using the ABC framework, a client with new hypoxemia (SpO₂ 88%) and
respiratory distress requires immediate assessment. Non-urgent requests can wait .
3. A charge nurse is assigning clients. Which client is most appropriate for the LPN?
A) A client with acute GI bleeding
B) A client on a titratable heparin infusion
C) A client with a chronic wound requiring a sterile dressing change
D) A client with new-onset chest pain
Correct Answer: C
,Rationale: The LPN scope includes caring for stable clients with predictable outcomes, such
as routine wound care. Acute bleeding, titratable infusions, and new chest pain require RN
assessment .
4. A nurse delegates vital signs on stable clients to a UAP. Which task is appropriate
to delegate?
A) Administering oral medications
B) Teaching a diabetic client about foot care
C) Measuring vital signs on a stable client
D) Performing the initial admission assessment
Correct Answer: C
Rationale: The UAP scope includes vital signs on stable clients. Medication administration,
teaching, and initial assessment are RN responsibilities .
5. A client requests to leave against medical advice (AMA). What is the nurse's
priority action?
A) Restrain the client until the provider arrives
B) Notify the provider and document the client's refusal
C) Allow the client to leave without documentation
D) Ask the family to persuade the client to stay
Correct Answer: B
Rationale: The competent client has the right to leave AMA. The nurse must notify the
provider and document the discussion, stated reasons, and risks explained .
6. A nurse is caring for a client with a living will declining intubation who becomes
dyspneic. Family insists on "doing everything." What is the nurse's best INITIAL
, action?
A) Call rapid response and prepare intubation
B) Review the living will with family and notify the provider of the conflict
C) Ask the client privately whether the living will still reflects current wishes
D) Document the family request and continue oxygen
Correct Answer: C
Rationale: When capacity remains, clarify the client's current wishes before acting on the
directive or family demands. This protects autonomy .
7. A nurse is reviewing an illegible medication order. What is the priority action?
A) Administer as best as the nurse can read it
B) Clarify the order with the prescribing provider
C) Ask another nurse to interpret
D) Skip the medication and document "illegible order"
Correct Answer: B
Rationale: Illegible orders must be clarified with the prescriber before administration to
prevent medication errors .
8. A nurse is using SBAR to communicate. The nurse states: "The patient's HR is 120
and BP is 80/40." Which SBAR component is this?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: C
200 Must-Know Questions with Answers &
Rationales — The Definitive Exam Review |
Guaranteed Pass A+ | Instant Download
Covered Areas
Management of Care & Prioritization
Safety & Infection Control
Health Promotion & Maintenance
Psychosocial Integrity
Basic Care & Comfort
Pharmacological & Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation (Cardiac, Respiratory, Renal, Neuro, Endocrine)
Section 1: Management of Care (17% — Questions 1–34)
1. A nurse is planning care for a client prescribed a continuous IV infusion of heparin
for DVT. Which lab value should the nurse monitor to adjust the heparin dosage?
A) Prothrombin time (PT)
B) International Normalized Ratio (INR)
,C) Activated partial thromboplastin time (aPTT)
D) Platelet count
Correct Answer: C
Rationale: The aPTT is used to monitor the therapeutic effectiveness of continuous
unfractionated heparin infusions, with a typical therapeutic range of 1.5 to 2.5 times the
normal control. PT and INR monitor warfarin. Platelet counts detect heparin-induced
thrombocytopenia but are not used to titrate the dose .
2. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A) A client requesting pain medication for chronic arthritis
B) A client with new-onset shortness of breath and SpO₂ of 88%
C) A client who needs discharge teaching
D) A client requesting a snack
Correct Answer: B
Rationale: Using the ABC framework, a client with new hypoxemia (SpO₂ 88%) and
respiratory distress requires immediate assessment. Non-urgent requests can wait .
3. A charge nurse is assigning clients. Which client is most appropriate for the LPN?
A) A client with acute GI bleeding
B) A client on a titratable heparin infusion
C) A client with a chronic wound requiring a sterile dressing change
D) A client with new-onset chest pain
Correct Answer: C
,Rationale: The LPN scope includes caring for stable clients with predictable outcomes, such
as routine wound care. Acute bleeding, titratable infusions, and new chest pain require RN
assessment .
4. A nurse delegates vital signs on stable clients to a UAP. Which task is appropriate
to delegate?
A) Administering oral medications
B) Teaching a diabetic client about foot care
C) Measuring vital signs on a stable client
D) Performing the initial admission assessment
Correct Answer: C
Rationale: The UAP scope includes vital signs on stable clients. Medication administration,
teaching, and initial assessment are RN responsibilities .
5. A client requests to leave against medical advice (AMA). What is the nurse's
priority action?
A) Restrain the client until the provider arrives
B) Notify the provider and document the client's refusal
C) Allow the client to leave without documentation
D) Ask the family to persuade the client to stay
Correct Answer: B
Rationale: The competent client has the right to leave AMA. The nurse must notify the
provider and document the discussion, stated reasons, and risks explained .
6. A nurse is caring for a client with a living will declining intubation who becomes
dyspneic. Family insists on "doing everything." What is the nurse's best INITIAL
, action?
A) Call rapid response and prepare intubation
B) Review the living will with family and notify the provider of the conflict
C) Ask the client privately whether the living will still reflects current wishes
D) Document the family request and continue oxygen
Correct Answer: C
Rationale: When capacity remains, clarify the client's current wishes before acting on the
directive or family demands. This protects autonomy .
7. A nurse is reviewing an illegible medication order. What is the priority action?
A) Administer as best as the nurse can read it
B) Clarify the order with the prescribing provider
C) Ask another nurse to interpret
D) Skip the medication and document "illegible order"
Correct Answer: B
Rationale: Illegible orders must be clarified with the prescriber before administration to
prevent medication errors .
8. A nurse is using SBAR to communicate. The nurse states: "The patient's HR is 120
and BP is 80/40." Which SBAR component is this?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: C
