Latest)
A charge nurse is observing a newly licensed RN irrigate a patient's ear, which is impacted with
cerumen. Which of the following actions requires the charge RN to intervene?
A. Visualizing the eardrum before irrigating
B. Instilling 50 mL of fluid with each irrigation
C. Using firm, continuous pressure while irrigating
D. Warming the irrigation fluid to at least 37C (98F) - ✔✔✔-B. Instilling 50 mL of fluid with each
irrigation
(RAT) When irrigating a patient's ear the RN should use no more than 5 - 10 mL of irrigating fluid
at a time to decrease the chance of stimulating the vestibular nerve of the inner ear, which
would result in N&V or dizziness.
A charge nurse is preparing an educational session for a group of new nurses to review patient
rights under the law. Which of the following statements should the RN make?
A. "Information regarding clients should remain confidential until after their death."
B. "Failure to report suspected maltreatment or neglect of a disabled adult is a felony in all
states."
C. "As long as client identity is disguised, their health information can be shared between
professionals on the internet."
,VATI Comprehensive Predictor NCLEX Complete Questions and Answers (2026
Latest)
D. "In the event a client threatens harm to others, medications can be administered without
consent." - ✔✔✔-D. "In the event a client threatens harm to others, medications can be
administered without consent."
(RAT) The charge nurse should inform the participants that their primary commitment is to the
client and their priority is always to advocate for and protect their health and safety. During an
emergency situation, if the client is threatening harm to self or others, medications can be
administered without the client's consent and without a court order.
(NOTE) Because laws vary from state to state, nurses should become familiar with the
requirements as it relates to reporting neglect or maltreatment of clients. The nurse should
inform the participants that in most states failure to report the suspected neglect, physical
maltreatment, or exploitation of a disabled adult results in a misdemeanor charge - (B) is
incorrect.
A charge nurse is teaching the patient how to identify the difference between antisocial
personality d/o and narcissistic personality disorder. Please use the mnemonic CALLOUS MAN to
describe antisocial personality d/o. - ✔✔✔-C - conduct d/o before age 15yr, charming
A - arrests
L - lies
L - lacks a superego & empathy for others
O - obligations not honored
U - unstable, can't plan ahead
S - sense of entitlement, seductive, not safe
M - manipulative, $ problems & irresponsible
A - aggressive and assaultive
N - not calm, actions are impulsive
,VATI Comprehensive Predictor NCLEX Complete Questions and Answers (2026
Latest)
A charge RN is teaching a group of unit nurses about the policy for patients who have a history
of MRSA. Which of the following information should the nurse include?
A. A patient who has a history of MRSA will need antibiotics
B. A patient who has a Hx of MRSA can develop immunity to the infection
C. A patient who has a Hx of MRSA requires a protective environment
D. A patient who has a Hx of MRSA can still transmit the infection - ✔✔✔-D. A patient who has
a Hx of MRSA can still transmit the infection
A nurse in a pediatric emergency dept is caring for four patients. The nurse should suspect
possible abuse with which of the following patients?
A. A 14-month-old toddler who has recently learned to walk and has many bruises on bony
prominences in various stages of healing
B. A 9-month-old infant who reportedly nearly drowned after climbing into the tub and turning
on the water
C. A 6-year-old toddler who has a fracture of the tibia and fibula, which reportedly occurred
while riding a bicycle
D. A 3-year-old toddler who has burns in a splash pattern over the face and chest, reportedly
sustained when a tablecloth was pulled, spilling a teapot - ✔✔✔-B. A 9-month-old infant who
reportedly nearly drowned after climbing into the tub and turning on the water
, VATI Comprehensive Predictor NCLEX Complete Questions and Answers (2026
Latest)
(RAT) The nurse should identify that, while a 9-month-old might have the ability to climb into
the tub, it is unlikely that he could turn the water on. The nurse should suspect possible abuse
because the reported cause of the accident seems inconsistent with the developmental abilities
of most 9-month-old infants.
(NOTE) Toddlers have recently mastered walking and experience many falls and collisions.
Because the bruises are in various stages of healing and are located over bony prominences, this
likely indicates falling on several occasions (A) is incorrect
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 - ✔✔✔-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