VATI Comprehensive Predictor NCLEX Questions
Latest Update 2024 -2025 Test Bank Actual Exam
Questions with Correct Detailed Answers
(Verified Answers) Graded A+
A RN is caring for a patient who has osteoporosis and a new order for calcium
supplements. Which of the following foods should the RN recommend to promote
calcium absorption?
A. Fortified milk
B. Ripe bananas
C. Steamed broccoli
D. Green leafy vegetables - Correct Answer - A. Fortified milk
(RAT) Provides nearly 2.5 mcg of Vit D, which promotes calcium absorption from the GI
tract. Adults up to age 70 require 600 IU of Vit D/per day and 800 IU thereafter.
Therefore, fortified milk is a good source of Vit D.
A RN is providing teaching to a patient who has schizophrenia and is taking quetiapine
fumarate. The nurse should instruct the patient that which of the following blood tests
should be performed periodically?
A. Potassium
B. Uric acid
C. Glucose
D. Calcium - Correct Answer - C. Glucose
(RAT) Clients taking quetiapine are at risk for abnormal glucose metabolism, which can
result in diabetes mellitus. Therefore, the client should have glucose testing periodically.
(NOTE) Clients who have gout should have uric acid testing periodically (B) is incorrect
pg. 1
,A nurse is assessing a patient who has a psychotic d/o and a new script for haloperidol.
The patient is pacing in the hallway and states, " I can't seem to sit still." Which of the
following extrapyramidal side effects is the patient likely experiencing?
A. Dystonia
B. Parkinsonism
C. Tardive dyskinesia
D. Akathisia - Correct Answer - D. Akathisia
(RAT) Akathisia is an extrapyramidal adverse effect characterized by the client's report
of a sense of inner restlessness and by observable behaviors such as pacing, rocking
forward and backward in a chair, and constant foot tapping.
(NOTE) Tardive dyskinesia is an irreversible finding characterized by involuntary
movements of extremities (C) is incorrect
A RN is assessing a patient who has been taking an antipsychotic medication for 6
years and the provider has started tapering off the dosage. The RN should monitor the
patient for which of the following manifestations of tardive dyskinesia?
A. Muscular weakness
B. Muscle spasms
C. Involuntary tongue protrusion
D. Uncontrolled rolling of the eyes - Correct Answer - C. Involuntary tongue protrusion
(RAT) Tardive dyskinesia begins with mouth and facial movements and then progresses
to involve other muscle groups. All clients receiving antipsychotic therapy for months to
years are at risk. This adverse effect is potentially irreversible and discontinuing the
drug rarely relieves these manifestations.
(NOTE) Dystonia is a condition in which the client experiences involuntary muscular
movements of the face, arms, legs, and neck. This adverse effect occurs most often in
men and clients 25 years of age and younger. The nurse should assess for dystonia in
the first days of antipsychotic medication therapy (B) is incorrect
pg. 2
,A RN in a MH facility is caring for a patient who has generalized anxiety d/o. Which of
the following statements should the RN make?
A. "We'll assist you with making decisions."
B. "Someone will work with you when you have flashbacks."
C. "You'll be going through aversion therapy to help you cope."
D. "The therapy will help you control your impulses." - Correct Answer - A. "We'll assist
you with making decisions."
(RAT) Clients who have generalized anxiety disorder are often indecisive and dread
making decisions. Therefore, the nurse should reassure the client that they will receive
help with making decisions.
(NOTE) Clients who have behaviors that might not be successfully treated by other
methods, such as alcohol use disorder or aggression, can benefit from aversion
therapy. Aversion therapy is not a treatment method for clients who have generalized
anxiety disorder ( C) is incorrect
A RN is caring for a patient who has dementia. Which of the following findings should
the RN expect?
A. Altered level of consciousness
B. Impaired judgment
C. Rapid change in personality
D. Disturbances in perception - Correct Answer - B. Impaired judgment
(RAT) Impaired judgment occurs in clients who have dementia because they lose their
ability to reason, think abstractly, and have rational thoughts.
(NOTE) Disturbance in perception is an expected finding in a client who has psychosis
(D) is in correct
A RN in the emergency dept is assessing a patient who has cocaine intoxication. Which
of the following findings should the nurse expect?
A. Pinpoint pupils
B. Drowsiness
pg. 3
, C. Nystagmus
D. Hypervigilance - Correct Answer - Hypervigilance
(RAT) Paranoid behavior is an expected finding for a client who has cocaine
intoxication.
(NOTE) Dilated pupils are a common finding associated with cocaine intoxication (A) is
incorrect
A RN is assessing a patient who has an anxiety d/o and is taking benzodiazepine. For
which of the following AE should the RN monitor the patient?
A. Seizures
B. Dizziness
C. Polyuria
D. Insomnia - Correct Answer - B. Dizziness
(RAT) Dizziness is a common adverse effect the nurse would expect in a client who has
a prescription for a benzodiazepine. Other common adverse effects are drowsiness and
sedation.
(NOTE) Benzodiazepines are often prescribed for the treatment of seizure disorder.
However, sudden withdrawal of benzodiazepines can be associated with the
development of seizures (A) is incorrect
A RN is caring for a newly admitted patient who is experiencing ETOH withdrawal.
Which of the following findings should the RN expect?
A. Bradycardia
B. Increased somnolence
C. Slurred speech
D. HA - Correct Answer - D. HA
(RAT) Headache is an expected finding in a client who is experiencing alcohol
withdrawal. This can occur 4 to 12 hr following cessation of alcohol use. Other findings
include hand tremors, nausea, vomiting, sweating, depression, or irritability.
pg. 4
Latest Update 2024 -2025 Test Bank Actual Exam
Questions with Correct Detailed Answers
(Verified Answers) Graded A+
A RN is caring for a patient who has osteoporosis and a new order for calcium
supplements. Which of the following foods should the RN recommend to promote
calcium absorption?
A. Fortified milk
B. Ripe bananas
C. Steamed broccoli
D. Green leafy vegetables - Correct Answer - A. Fortified milk
(RAT) Provides nearly 2.5 mcg of Vit D, which promotes calcium absorption from the GI
tract. Adults up to age 70 require 600 IU of Vit D/per day and 800 IU thereafter.
Therefore, fortified milk is a good source of Vit D.
A RN is providing teaching to a patient who has schizophrenia and is taking quetiapine
fumarate. The nurse should instruct the patient that which of the following blood tests
should be performed periodically?
A. Potassium
B. Uric acid
C. Glucose
D. Calcium - Correct Answer - C. Glucose
(RAT) Clients taking quetiapine are at risk for abnormal glucose metabolism, which can
result in diabetes mellitus. Therefore, the client should have glucose testing periodically.
(NOTE) Clients who have gout should have uric acid testing periodically (B) is incorrect
pg. 1
,A nurse is assessing a patient who has a psychotic d/o and a new script for haloperidol.
The patient is pacing in the hallway and states, " I can't seem to sit still." Which of the
following extrapyramidal side effects is the patient likely experiencing?
A. Dystonia
B. Parkinsonism
C. Tardive dyskinesia
D. Akathisia - Correct Answer - D. Akathisia
(RAT) Akathisia is an extrapyramidal adverse effect characterized by the client's report
of a sense of inner restlessness and by observable behaviors such as pacing, rocking
forward and backward in a chair, and constant foot tapping.
(NOTE) Tardive dyskinesia is an irreversible finding characterized by involuntary
movements of extremities (C) is incorrect
A RN is assessing a patient who has been taking an antipsychotic medication for 6
years and the provider has started tapering off the dosage. The RN should monitor the
patient for which of the following manifestations of tardive dyskinesia?
A. Muscular weakness
B. Muscle spasms
C. Involuntary tongue protrusion
D. Uncontrolled rolling of the eyes - Correct Answer - C. Involuntary tongue protrusion
(RAT) Tardive dyskinesia begins with mouth and facial movements and then progresses
to involve other muscle groups. All clients receiving antipsychotic therapy for months to
years are at risk. This adverse effect is potentially irreversible and discontinuing the
drug rarely relieves these manifestations.
(NOTE) Dystonia is a condition in which the client experiences involuntary muscular
movements of the face, arms, legs, and neck. This adverse effect occurs most often in
men and clients 25 years of age and younger. The nurse should assess for dystonia in
the first days of antipsychotic medication therapy (B) is incorrect
pg. 2
,A RN in a MH facility is caring for a patient who has generalized anxiety d/o. Which of
the following statements should the RN make?
A. "We'll assist you with making decisions."
B. "Someone will work with you when you have flashbacks."
C. "You'll be going through aversion therapy to help you cope."
D. "The therapy will help you control your impulses." - Correct Answer - A. "We'll assist
you with making decisions."
(RAT) Clients who have generalized anxiety disorder are often indecisive and dread
making decisions. Therefore, the nurse should reassure the client that they will receive
help with making decisions.
(NOTE) Clients who have behaviors that might not be successfully treated by other
methods, such as alcohol use disorder or aggression, can benefit from aversion
therapy. Aversion therapy is not a treatment method for clients who have generalized
anxiety disorder ( C) is incorrect
A RN is caring for a patient who has dementia. Which of the following findings should
the RN expect?
A. Altered level of consciousness
B. Impaired judgment
C. Rapid change in personality
D. Disturbances in perception - Correct Answer - B. Impaired judgment
(RAT) Impaired judgment occurs in clients who have dementia because they lose their
ability to reason, think abstractly, and have rational thoughts.
(NOTE) Disturbance in perception is an expected finding in a client who has psychosis
(D) is in correct
A RN in the emergency dept is assessing a patient who has cocaine intoxication. Which
of the following findings should the nurse expect?
A. Pinpoint pupils
B. Drowsiness
pg. 3
, C. Nystagmus
D. Hypervigilance - Correct Answer - Hypervigilance
(RAT) Paranoid behavior is an expected finding for a client who has cocaine
intoxication.
(NOTE) Dilated pupils are a common finding associated with cocaine intoxication (A) is
incorrect
A RN is assessing a patient who has an anxiety d/o and is taking benzodiazepine. For
which of the following AE should the RN monitor the patient?
A. Seizures
B. Dizziness
C. Polyuria
D. Insomnia - Correct Answer - B. Dizziness
(RAT) Dizziness is a common adverse effect the nurse would expect in a client who has
a prescription for a benzodiazepine. Other common adverse effects are drowsiness and
sedation.
(NOTE) Benzodiazepines are often prescribed for the treatment of seizure disorder.
However, sudden withdrawal of benzodiazepines can be associated with the
development of seizures (A) is incorrect
A RN is caring for a newly admitted patient who is experiencing ETOH withdrawal.
Which of the following findings should the RN expect?
A. Bradycardia
B. Increased somnolence
C. Slurred speech
D. HA - Correct Answer - D. HA
(RAT) Headache is an expected finding in a client who is experiencing alcohol
withdrawal. This can occur 4 to 12 hr following cessation of alcohol use. Other findings
include hand tremors, nausea, vomiting, sweating, depression, or irritability.
pg. 4
