Page 1 of 71
VATI COMPREHENSIVE ASSMT 2025|2026
REAL EXAM 180 QUESTIONS AND 100%
CORRECT ANSWERS
Question 1
Scenario: A nurse is caring for a client who has a new diagnosis
of terminal cancer. The client tells the nurse, "I don't want any
more treatments. I just want to go home and be with my family."
Which of the following responses by the nurse demonstrates
advocacy?
A) "You should discuss this with your oncologist before making
any decisions."
B) "I will make sure your healthcare team knows your wishes and
supports your decision."
C) "Let's wait until your family arrives so they can help you
decide."
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D) "I think you should reconsider because there are still treatment
options available."
Answer: B
Rationale: Advocacy means supporting the client's right to make
informed decisions about their own care. The nurse's role is to
communicate the client's wishes to the healthcare team and
ensure they are respected. The nurse should not persuade or
delay the client's decision.
Question 2
Scenario: A nurse is assigned to care for four clients. Which client
should the nurse assess first?
A) A client with pneumonia who has a temperature of 38.3°C
(101°F) and oxygen saturation of 94%
B) A client with heart failure who has a new onset of confusion
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and crackles in the lung bases
C) A client post-operative day 2 who reports pain of 4 on a
0-10 scale at the incision site
D) A client with diabetes mellitus who has a blood glucose level
of 180 mg/dL and reports thirst
Answer: B
Rationale: New onset confusion in a client with heart failure may
indicate worsening cerebral perfusion due to decreased cardiac
output or fluid overload. Crackles suggest pulmonary edema.
This client requires immediate assessment for fluid overload and
potential respiratory compromise.
Question 3
Scenario: A charge nurse is delegating tasks to a licensed
practical nurse (LPN) and an assistive personnel (AP). Which of
the following tasks is appropriate for the LPN?
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A) Administer a unit of packed red blood cells to a stable client
B) Initiate an IV line for a client requiring IV fluids
C) Reinforce teaching about insulin self-administration to a client
with diabetes
D) Perform an initial admission assessment for a client with
pneumonia
Answer: C
Rationale: LPNs can reinforce teaching that has already been
initiated by an RN. Administering blood (A) and initiating IV lines
(B) require RN scope in many states. Initial admission assessment
(D) must be performed by an RN.
Question 4
Scenario: A nurse is preparing a client for a procedure that
requires informed consent. The client states, "I don't really
VATI COMPREHENSIVE ASSMT 2025|2026
REAL EXAM 180 QUESTIONS AND 100%
CORRECT ANSWERS
Question 1
Scenario: A nurse is caring for a client who has a new diagnosis
of terminal cancer. The client tells the nurse, "I don't want any
more treatments. I just want to go home and be with my family."
Which of the following responses by the nurse demonstrates
advocacy?
A) "You should discuss this with your oncologist before making
any decisions."
B) "I will make sure your healthcare team knows your wishes and
supports your decision."
C) "Let's wait until your family arrives so they can help you
decide."
,Page 2 of 71
D) "I think you should reconsider because there are still treatment
options available."
Answer: B
Rationale: Advocacy means supporting the client's right to make
informed decisions about their own care. The nurse's role is to
communicate the client's wishes to the healthcare team and
ensure they are respected. The nurse should not persuade or
delay the client's decision.
Question 2
Scenario: A nurse is assigned to care for four clients. Which client
should the nurse assess first?
A) A client with pneumonia who has a temperature of 38.3°C
(101°F) and oxygen saturation of 94%
B) A client with heart failure who has a new onset of confusion
,Page 3 of 71
and crackles in the lung bases
C) A client post-operative day 2 who reports pain of 4 on a
0-10 scale at the incision site
D) A client with diabetes mellitus who has a blood glucose level
of 180 mg/dL and reports thirst
Answer: B
Rationale: New onset confusion in a client with heart failure may
indicate worsening cerebral perfusion due to decreased cardiac
output or fluid overload. Crackles suggest pulmonary edema.
This client requires immediate assessment for fluid overload and
potential respiratory compromise.
Question 3
Scenario: A charge nurse is delegating tasks to a licensed
practical nurse (LPN) and an assistive personnel (AP). Which of
the following tasks is appropriate for the LPN?
, Page 4 of 71
A) Administer a unit of packed red blood cells to a stable client
B) Initiate an IV line for a client requiring IV fluids
C) Reinforce teaching about insulin self-administration to a client
with diabetes
D) Perform an initial admission assessment for a client with
pneumonia
Answer: C
Rationale: LPNs can reinforce teaching that has already been
initiated by an RN. Administering blood (A) and initiating IV lines
(B) require RN scope in many states. Initial admission assessment
(D) must be performed by an RN.
Question 4
Scenario: A nurse is preparing a client for a procedure that
requires informed consent. The client states, "I don't really
