VATI RN COMPREHENSIVE
PREDICTOR RETAKE EXAM
1. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the
following actions should the nurse take prior to the procedure?
A. Instruct the client to fast for 6 hours
B. Place the client in a prone position
C. Verify that informed consent has been obtained
D. Administer a bowel prep solution
✅ Answer: C. Verify that informed consent has been obtained
Rationale: The nurse must ensure informed consent is obtained prior to invasive
procedures. Thoracentesis requires consent, positioning the client upright and
leaning forward.
2. A nurse is teaching a client who has a new prescription for digoxin. Which of the
following statements by the client indicates understanding?
A. "I should take my pulse before taking this medication."
B. "This medication will increase my blood pressure."
C. "I should take an antacid with the medication to reduce stomach upset."
D. "If I miss a dose, I can double the next one."
✅ Answer: A. "I should take my pulse before taking this medication."
Rationale: Digoxin slows heart rate; patients should check their pulse and withhold if
under 60 bpm.
,3. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse anticipate administering?
A. Methadone
B. Varenicline
C. Lorazepam
D. Bupropion
✅ Answer: C. Lorazepam
Rationale: Lorazepam is a benzodiazepine used to treat symptoms of alcohol
withdrawal, including seizures and agitation.
4. A nurse is teaching a client about using a metered-dose inhaler (MDI). Which of
the following instructions should the nurse include?
A. "Inhale quickly while releasing the medication."
B. "Shake the inhaler before each use."
C. "Hold your breath for 3 seconds after inhaling."
D. "Store the inhaler in the refrigerator."
✅ Answer: B. "Shake the inhaler before each use."
Rationale: Shaking helps mix the medication for even dosing.
5. A client who is postpartum is experiencing uterine atony. Which of the following
medications should the nurse anticipate administering?
A. Terbutaline
B. Misoprostol
C. Magnesium sulfate
D. Betamethasone
✅ Answer: B. Misoprostol
Rationale: Misoprostol is a uterotonic that helps contract the uterus and control
bleeding from uterine atony.
,6. A nurse is assessing a client who has a chest tube. Which of the following findings
should the nurse report to the provider?
A. Continuous bubbling in the suction control chamber
B. Tidaling in the water seal chamber
C. Drainage of 150 mL in 1 hour
D. The presence of fluid in the collection chamber
✅ Answer: C. Drainage of 150 mL in 1 hour
Rationale: Drainage >100 mL/hr may indicate hemorrhage and should be reported.
7. A nurse is caring for a client who has a new ileostomy. Which of the following
client statements indicates a need for further teaching?
A. "I will empty my pouch when it’s one-third full."
B. "My stoma should be pink and moist."
C. "I can expect my stool to be formed."
D. "I will change my appliance every 3 to 5 days."
✅ Answer: C. "I can expect my stool to be formed."
Rationale: Ileostomy output is liquid or semi-liquid, not formed.
8. A nurse is reviewing laboratory data of a client receiving warfarin. Which of the
following findings should the nurse report to the provider?
A. INR 4.2
B. Platelets 250,000/mm³
C. Hematocrit 42%
D. Hemoglobin 14.0 g/dL
✅ Answer: A. INR 4.2
Rationale: INR >3 increases bleeding risk; requires intervention.
9. A nurse is preparing to administer a blood transfusion. Which of the following
actions should the nurse take?
, A. Verify the client’s identification with one nurse
B. Use a 24-gauge IV catheter
C. Prime the IV tubing with normal saline
D. Infuse over 8 hours
✅ Answer: C. Prime the IV tubing with normal saline
Rationale: Normal saline is used to prevent hemolysis; blood must not be infused
with dextrose or LR.
10. A nurse is assessing a client who is receiving magnesium sulfate for preeclampsia.
Which of the following findings requires immediate intervention?
A. Deep tendon reflexes +1
B. Respiratory rate 10/min
C. Urine output 35 mL/hr
D. Blood pressure 150/90 mm Hg
✅ Answer: B. Respiratory rate 10/min
Rationale: A respiratory rate <12 may indicate magnesium toxicity; discontinue
infusion and notify provider.11. A nurse is planning care for a client who has
impaired mobility. Which of the following interventions should the nurse include to
prevent skin breakdown?
A. Reposition the client every 3 hours
B. Massage bony prominences every shift
C. Use a draw sheet when repositioning the client
D. Limit fluid intake to prevent incontinence
✅ Answer: C. Use a draw sheet when repositioning the client
Rationale: A draw sheet reduces friction and shear, helping to prevent skin
breakdown.
12. A nurse is teaching a client about levothyroxine. Which of the following
statements indicates understanding?
PREDICTOR RETAKE EXAM
1. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the
following actions should the nurse take prior to the procedure?
A. Instruct the client to fast for 6 hours
B. Place the client in a prone position
C. Verify that informed consent has been obtained
D. Administer a bowel prep solution
✅ Answer: C. Verify that informed consent has been obtained
Rationale: The nurse must ensure informed consent is obtained prior to invasive
procedures. Thoracentesis requires consent, positioning the client upright and
leaning forward.
2. A nurse is teaching a client who has a new prescription for digoxin. Which of the
following statements by the client indicates understanding?
A. "I should take my pulse before taking this medication."
B. "This medication will increase my blood pressure."
C. "I should take an antacid with the medication to reduce stomach upset."
D. "If I miss a dose, I can double the next one."
✅ Answer: A. "I should take my pulse before taking this medication."
Rationale: Digoxin slows heart rate; patients should check their pulse and withhold if
under 60 bpm.
,3. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse anticipate administering?
A. Methadone
B. Varenicline
C. Lorazepam
D. Bupropion
✅ Answer: C. Lorazepam
Rationale: Lorazepam is a benzodiazepine used to treat symptoms of alcohol
withdrawal, including seizures and agitation.
4. A nurse is teaching a client about using a metered-dose inhaler (MDI). Which of
the following instructions should the nurse include?
A. "Inhale quickly while releasing the medication."
B. "Shake the inhaler before each use."
C. "Hold your breath for 3 seconds after inhaling."
D. "Store the inhaler in the refrigerator."
✅ Answer: B. "Shake the inhaler before each use."
Rationale: Shaking helps mix the medication for even dosing.
5. A client who is postpartum is experiencing uterine atony. Which of the following
medications should the nurse anticipate administering?
A. Terbutaline
B. Misoprostol
C. Magnesium sulfate
D. Betamethasone
✅ Answer: B. Misoprostol
Rationale: Misoprostol is a uterotonic that helps contract the uterus and control
bleeding from uterine atony.
,6. A nurse is assessing a client who has a chest tube. Which of the following findings
should the nurse report to the provider?
A. Continuous bubbling in the suction control chamber
B. Tidaling in the water seal chamber
C. Drainage of 150 mL in 1 hour
D. The presence of fluid in the collection chamber
✅ Answer: C. Drainage of 150 mL in 1 hour
Rationale: Drainage >100 mL/hr may indicate hemorrhage and should be reported.
7. A nurse is caring for a client who has a new ileostomy. Which of the following
client statements indicates a need for further teaching?
A. "I will empty my pouch when it’s one-third full."
B. "My stoma should be pink and moist."
C. "I can expect my stool to be formed."
D. "I will change my appliance every 3 to 5 days."
✅ Answer: C. "I can expect my stool to be formed."
Rationale: Ileostomy output is liquid or semi-liquid, not formed.
8. A nurse is reviewing laboratory data of a client receiving warfarin. Which of the
following findings should the nurse report to the provider?
A. INR 4.2
B. Platelets 250,000/mm³
C. Hematocrit 42%
D. Hemoglobin 14.0 g/dL
✅ Answer: A. INR 4.2
Rationale: INR >3 increases bleeding risk; requires intervention.
9. A nurse is preparing to administer a blood transfusion. Which of the following
actions should the nurse take?
, A. Verify the client’s identification with one nurse
B. Use a 24-gauge IV catheter
C. Prime the IV tubing with normal saline
D. Infuse over 8 hours
✅ Answer: C. Prime the IV tubing with normal saline
Rationale: Normal saline is used to prevent hemolysis; blood must not be infused
with dextrose or LR.
10. A nurse is assessing a client who is receiving magnesium sulfate for preeclampsia.
Which of the following findings requires immediate intervention?
A. Deep tendon reflexes +1
B. Respiratory rate 10/min
C. Urine output 35 mL/hr
D. Blood pressure 150/90 mm Hg
✅ Answer: B. Respiratory rate 10/min
Rationale: A respiratory rate <12 may indicate magnesium toxicity; discontinue
infusion and notify provider.11. A nurse is planning care for a client who has
impaired mobility. Which of the following interventions should the nurse include to
prevent skin breakdown?
A. Reposition the client every 3 hours
B. Massage bony prominences every shift
C. Use a draw sheet when repositioning the client
D. Limit fluid intake to prevent incontinence
✅ Answer: C. Use a draw sheet when repositioning the client
Rationale: A draw sheet reduces friction and shear, helping to prevent skin
breakdown.
12. A nurse is teaching a client about levothyroxine. Which of the following
statements indicates understanding?
