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RN VATI Comprehensive Predictor
(2026) | Actual Exam Questions &
Verified Answers with Detailed
Rationales | NGN / Next Gen
NCLEX | Grade A
Exam Structure:
Subject: Nursing (NCLEX/VATI-style exam preparation)
Source: 2026 RN VATI Comprehensive Predictor Actual Exam
Format: Multiple-choice questions with answers,& rationales
1. A mother runs into the emergency room with a toddler and tells the
nurse that the child has some type of chemical on their clothes. After
assessing airway is patent, what is the next intervention the nurse
should take?
A. Assess for altered mental sensorium
B. Determine the type of chemical exposure
C. Obtain equipment for lavage
D. Call poison control
Correct Answer: B. Determine the type of chemical exposure
Rationale:
1. Identifying the specific chemical is essential before implementing any
decontamination or treatment measures.
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2. Different chemicals require different management strategies (e.g.,
some should not be rinsed with water).
3. This step ensures the correct antidote or supportive care is given and
prevents further harm.
2. A patient was admitted for treatment of bipolar into the mental
health unit. He exhibited signs and symptoms of slightly slurred
speech patterns. Which of the following would be crucial to report to
the HCP?
A. Lithium level of 1.6
B. Only 6 hours of sleep in the past 72 hrs
C. Weight loss of 15lb in the last two months
Correct Answer: A. Lithium level of 1.6
Rationale:
1. A lithium level of 1.6 mEq/L is within the toxic range (therapeutic
range is typically 0.6–1.2 mEq/L).
2. Slurred speech is a sign of lithium toxicity.
3. Immediate reporting is necessary to prevent severe toxicity, which
can lead to seizures, coma, or permanent neurological damage.
3. A patient was admitted with the diagnosis of urolithiasis. Which
finding is significant to report to the HCP?
A. Voiding more than 300ml with each void
B. Elevating potassium
C. Relief of flank pain in the groin area
D. Hematuria beginning to turn pinkish
Correct Answer: B. Elevating potassium
Rationale:
1. Hyperkalemia (elevated potassium) is not a typical finding in
urolithiasis and may indicate renal impairment or another serious
condition.
2. Elevated potassium can cause life-threatening cardiac dysrhythmias.
3. This finding requires immediate intervention and further assessment
by the HCP.
4. The nurse is planning care for a patient with JIA. The care plan
includes activities that include to strengthen and mobilize the joints
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and surrounding muscle. Which is the appropriate physical therapy
regimen?
A. Passive range of motion twice a day
B. Exercise in a swimming pool
C. Splint affected joints during movement
D. Begin lifting weights and running
Correct Answer: B. Exercise in a swimming pool
Rationale:
1. Aquatic therapy reduces stress on weight-bearing joints while
improving mobility and strength.
2. The buoyancy of water decreases pain and allows for fuller range of
motion.
3. This is a safe, effective way to exercise without exacerbating joint
inflammation or causing injury.
5. A patient is immediately administered thrombolytic therapy
following an MI. The client has a bowel movement during this time.
What is intervention that the nurse should do?
A. Observe stool for clay appearance
B. Obtain a culture for sensitivity analysis
C. Send sample for guaiac test
D. Assess for fatty yellow streaks
Correct Answer: C. Send sample for guaiac test
Rationale:
1. Thrombolytic therapy increases the risk of bleeding, including
gastrointestinal bleeding.
2. Testing stool for occult blood (guaiac test) can detect internal
bleeding early.
3. Early detection allows for prompt intervention to prevent significant
blood loss.
6. A nurse working in a long-term care facility is caring for an older
adult client who has dementia. The client is often agitated and
frequently wanders the halls. Which of the following interventions
should the nurse include in the plan of care?
A. Give the client several choices when scheduling activities.
B. Confront the client regarding unacceptable behavior
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C. Maintain nutritional requirements by offering finger foods
D. Stimulate the client by leaving the television on throughout the day
Correct Answer: C. Maintain nutritional requirements by offering
finger foods
Rationale:
1. Clients with dementia may have difficulty using utensils and may
forget to eat.
2. Finger foods promote independence, ensure adequate intake, and
reduce frustration.
3. This approach supports nutritional status while accommodating
cognitive and motor deficits.
7. A nurse on a mental health unit receives report on four clients.
Which of the following clients should the nurse attend to first?
A. A client who has begun to demonstrate catatonic behavior
B. The client with compulsive behavior and is frequently drinking from the
water fountain
C. Client who is having auditory hallucinations is becoming agitated
D. A client who is making sexual comments to clients of the opposite sex
Correct Answer: C. Client who is having auditory hallucinations is
becoming agitated
Rationale:
1. Agitation in a client experiencing hallucinations indicates escalating
psychosis and a high risk for violence or self-harm.
2. Immediate intervention is needed to de-escalate the situation and
ensure safety.
3. This client requires prompt assessment and possible
pharmacological or behavioral interventions.
8. A nurse is caring for the full term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes.
B. Place identification bracelets on the newborn.
C. Weigh the newborn.
D. Dry the newborn
Correct Answer: D. Dry the newborn
Rationale:
RN VATI Comprehensive Predictor
(2026) | Actual Exam Questions &
Verified Answers with Detailed
Rationales | NGN / Next Gen
NCLEX | Grade A
Exam Structure:
Subject: Nursing (NCLEX/VATI-style exam preparation)
Source: 2026 RN VATI Comprehensive Predictor Actual Exam
Format: Multiple-choice questions with answers,& rationales
1. A mother runs into the emergency room with a toddler and tells the
nurse that the child has some type of chemical on their clothes. After
assessing airway is patent, what is the next intervention the nurse
should take?
A. Assess for altered mental sensorium
B. Determine the type of chemical exposure
C. Obtain equipment for lavage
D. Call poison control
Correct Answer: B. Determine the type of chemical exposure
Rationale:
1. Identifying the specific chemical is essential before implementing any
decontamination or treatment measures.
, 2|Page
2. Different chemicals require different management strategies (e.g.,
some should not be rinsed with water).
3. This step ensures the correct antidote or supportive care is given and
prevents further harm.
2. A patient was admitted for treatment of bipolar into the mental
health unit. He exhibited signs and symptoms of slightly slurred
speech patterns. Which of the following would be crucial to report to
the HCP?
A. Lithium level of 1.6
B. Only 6 hours of sleep in the past 72 hrs
C. Weight loss of 15lb in the last two months
Correct Answer: A. Lithium level of 1.6
Rationale:
1. A lithium level of 1.6 mEq/L is within the toxic range (therapeutic
range is typically 0.6–1.2 mEq/L).
2. Slurred speech is a sign of lithium toxicity.
3. Immediate reporting is necessary to prevent severe toxicity, which
can lead to seizures, coma, or permanent neurological damage.
3. A patient was admitted with the diagnosis of urolithiasis. Which
finding is significant to report to the HCP?
A. Voiding more than 300ml with each void
B. Elevating potassium
C. Relief of flank pain in the groin area
D. Hematuria beginning to turn pinkish
Correct Answer: B. Elevating potassium
Rationale:
1. Hyperkalemia (elevated potassium) is not a typical finding in
urolithiasis and may indicate renal impairment or another serious
condition.
2. Elevated potassium can cause life-threatening cardiac dysrhythmias.
3. This finding requires immediate intervention and further assessment
by the HCP.
4. The nurse is planning care for a patient with JIA. The care plan
includes activities that include to strengthen and mobilize the joints
, 3|Page
and surrounding muscle. Which is the appropriate physical therapy
regimen?
A. Passive range of motion twice a day
B. Exercise in a swimming pool
C. Splint affected joints during movement
D. Begin lifting weights and running
Correct Answer: B. Exercise in a swimming pool
Rationale:
1. Aquatic therapy reduces stress on weight-bearing joints while
improving mobility and strength.
2. The buoyancy of water decreases pain and allows for fuller range of
motion.
3. This is a safe, effective way to exercise without exacerbating joint
inflammation or causing injury.
5. A patient is immediately administered thrombolytic therapy
following an MI. The client has a bowel movement during this time.
What is intervention that the nurse should do?
A. Observe stool for clay appearance
B. Obtain a culture for sensitivity analysis
C. Send sample for guaiac test
D. Assess for fatty yellow streaks
Correct Answer: C. Send sample for guaiac test
Rationale:
1. Thrombolytic therapy increases the risk of bleeding, including
gastrointestinal bleeding.
2. Testing stool for occult blood (guaiac test) can detect internal
bleeding early.
3. Early detection allows for prompt intervention to prevent significant
blood loss.
6. A nurse working in a long-term care facility is caring for an older
adult client who has dementia. The client is often agitated and
frequently wanders the halls. Which of the following interventions
should the nurse include in the plan of care?
A. Give the client several choices when scheduling activities.
B. Confront the client regarding unacceptable behavior
, 4|Page
C. Maintain nutritional requirements by offering finger foods
D. Stimulate the client by leaving the television on throughout the day
Correct Answer: C. Maintain nutritional requirements by offering
finger foods
Rationale:
1. Clients with dementia may have difficulty using utensils and may
forget to eat.
2. Finger foods promote independence, ensure adequate intake, and
reduce frustration.
3. This approach supports nutritional status while accommodating
cognitive and motor deficits.
7. A nurse on a mental health unit receives report on four clients.
Which of the following clients should the nurse attend to first?
A. A client who has begun to demonstrate catatonic behavior
B. The client with compulsive behavior and is frequently drinking from the
water fountain
C. Client who is having auditory hallucinations is becoming agitated
D. A client who is making sexual comments to clients of the opposite sex
Correct Answer: C. Client who is having auditory hallucinations is
becoming agitated
Rationale:
1. Agitation in a client experiencing hallucinations indicates escalating
psychosis and a high risk for violence or self-harm.
2. Immediate intervention is needed to de-escalate the situation and
ensure safety.
3. This client requires prompt assessment and possible
pharmacological or behavioral interventions.
8. A nurse is caring for the full term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes.
B. Place identification bracelets on the newborn.
C. Weigh the newborn.
D. Dry the newborn
Correct Answer: D. Dry the newborn
Rationale:
