VATI Comprehensive Predictor NCLEX
Questions & Answers
Low-residue diet - ANSWERSDairy products & eggs, such as custard and yogurt
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest
such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and
black beans are high in fiber and are not considered low in residue.
A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the BMI and
determine if the patients BMI indicates a healthy weight, underweight, overweight, or
obese. - ANSWERSUse the formula (wt. in lbs)/(ht in in^2) multiply by 703 to get the
BMI.
BMI is 31 (obese)
(Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates overweight. A
BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates underweight.
A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in. Calculate the
BMI of the female patient. - ANSWERSUse the formula (lbs)/(in^2) multiply by 703
BMI 42 indicates the patient is obese
A RN is reviewing discharge instructions regarding car seat safety to the parent of a
newborn. Which of the following instructions will the nurse include in the discharge
teaching (SATA)
A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
,E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. - ANSWERS(A, C, E, G)
A. Position the infant rear-facing in the backseat - (RAT) the car seat should never be in
the front seat of a car due to the increased risk for injury from the air bags during a
MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a 45
degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should be in
the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-facing
car seat until the child reaches 2yo or until the child reaches the maximum ht and wt for
the seat.
A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions should
the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment - ANSWERS(C,D,E)
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment
Note- You do not put all the side rails up in the bed because this is considered a
restraint.
A RN is caring for a patient who has a Hx of falls. Which of the following actions is the
RNs priority?
,A. Complete a fall-risk assessment
B. Educate the patient and family about fall risks
C. Eliminate safety hazards from the patients environment
D. Make sure the patient uses assistive aids in their possession - ANSWERSA.
Complete a fall-risk assessment
(Rat) this is a priority nursing question therefore the question should direct you to the
nursing process. The first action the nurse should take using the nursing process is to
assess or collect data from the patient.
A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following actions
should the RN take?
A. Open the windows in the patients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from the patient room
D. Place wet towels along the base of the door to the patients room - ANSWERSD.
Place wet towels along the base of the door to the patients room - (RAT) to contain the
fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.
A nurse manager is completing an in-service on a group of new nurses in the transition
to practice program. The nurse manager asks one nurse student to define the acronym
the RACE. Please indicate what each letter in the acronym means. - ANSWERSR -
Rescue and protect the patients who are at or near the fire. Patients who can walk are
able to do so on command to a safe location.
A - Activate the alarm
C - Contain/confine the fire by closing doors and windows and turn off all oxygen
sources and any electrical devices. Ventilate the patient who are on life support by
using a bag-valve mask
E - Extinguish the fire with a general/appropriate fire extinguisher (Class A)
, A RN discovers that she administered an antihypertensive medication to a patient in
error. Identify the appropriate sequence of steps that the RN should take using the
following actions.
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice - ANSWERS(A, B, C, D, E)
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice
Note - If the question was a priority question, what would the RN do first? First, I would
check the VS. Next, notify the MD. Third, complete an incident report. Fourth, instruct
the patient to remain in bed and lastly notify the risk manager.
A RN is discussing disaster planning with the board members of a hospital. Which of the
following actions should the RN take?
A. Incident commander
B. Medical command physician
C. Triage officer
D. Media liaison - ANSWERSMedical command physical - (RAT) oversee's the use of
resources (equipment and personnel)
NOTE - the incident commander manages the incident and key leaders within the
facility
NOTE - Expect the triage officer to prioritize the treatment of patients coming in for
treatment
Questions & Answers
Low-residue diet - ANSWERSDairy products & eggs, such as custard and yogurt
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest
such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as lentils and
black beans are high in fiber and are not considered low in residue.
A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the BMI and
determine if the patients BMI indicates a healthy weight, underweight, overweight, or
obese. - ANSWERSUse the formula (wt. in lbs)/(ht in in^2) multiply by 703 to get the
BMI.
BMI is 31 (obese)
(Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates overweight. A
BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates underweight.
A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in. Calculate the
BMI of the female patient. - ANSWERSUse the formula (lbs)/(in^2) multiply by 703
BMI 42 indicates the patient is obese
A RN is reviewing discharge instructions regarding car seat safety to the parent of a
newborn. Which of the following instructions will the nurse include in the discharge
teaching (SATA)
A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
,E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. - ANSWERS(A, C, E, G)
A. Position the infant rear-facing in the backseat - (RAT) the car seat should never be in
the front seat of a car due to the increased risk for injury from the air bags during a
MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a 45
degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should be in
the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-facing
car seat until the child reaches 2yo or until the child reaches the maximum ht and wt for
the seat.
A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions should
the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment - ANSWERS(C,D,E)
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment
Note- You do not put all the side rails up in the bed because this is considered a
restraint.
A RN is caring for a patient who has a Hx of falls. Which of the following actions is the
RNs priority?
,A. Complete a fall-risk assessment
B. Educate the patient and family about fall risks
C. Eliminate safety hazards from the patients environment
D. Make sure the patient uses assistive aids in their possession - ANSWERSA.
Complete a fall-risk assessment
(Rat) this is a priority nursing question therefore the question should direct you to the
nursing process. The first action the nurse should take using the nursing process is to
assess or collect data from the patient.
A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following actions
should the RN take?
A. Open the windows in the patients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from the patient room
D. Place wet towels along the base of the door to the patients room - ANSWERSD.
Place wet towels along the base of the door to the patients room - (RAT) to contain the
fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.
A nurse manager is completing an in-service on a group of new nurses in the transition
to practice program. The nurse manager asks one nurse student to define the acronym
the RACE. Please indicate what each letter in the acronym means. - ANSWERSR -
Rescue and protect the patients who are at or near the fire. Patients who can walk are
able to do so on command to a safe location.
A - Activate the alarm
C - Contain/confine the fire by closing doors and windows and turn off all oxygen
sources and any electrical devices. Ventilate the patient who are on life support by
using a bag-valve mask
E - Extinguish the fire with a general/appropriate fire extinguisher (Class A)
, A RN discovers that she administered an antihypertensive medication to a patient in
error. Identify the appropriate sequence of steps that the RN should take using the
following actions.
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice - ANSWERS(A, B, C, D, E)
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice
Note - If the question was a priority question, what would the RN do first? First, I would
check the VS. Next, notify the MD. Third, complete an incident report. Fourth, instruct
the patient to remain in bed and lastly notify the risk manager.
A RN is discussing disaster planning with the board members of a hospital. Which of the
following actions should the RN take?
A. Incident commander
B. Medical command physician
C. Triage officer
D. Media liaison - ANSWERSMedical command physical - (RAT) oversee's the use of
resources (equipment and personnel)
NOTE - the incident commander manages the incident and key leaders within the
facility
NOTE - Expect the triage officer to prioritize the treatment of patients coming in for
treatment
