RN VATI COMPREHENSIVE ASSESSMENT REAL EXAM
2026/2027 | 180 Questions 100% Correct Answers | Recently
Updated NCLEX-RN Test Plan | Pass Guaranteed - A+ Graded
[Section 1: Safe & Effective Care Environment: Management of Care
(Questions 1-28)]
Question 1
A nurse manager is reviewing assignments for the day shift on a medical-surgical unit.
Which client should the nurse manager assign to the most experienced RN?
A. A 45-year-old client 2 days post-op appendectomy requiring wound irrigation and
dressing changes
B. A 68-year-old client with stable heart failure on day 3 of hospitalization needing
discharge teaching
C. A 52-year-old client admitted 6 hours ago with chest pain, now chest pain-free, on
telemetry monitoring
D. A 39-year-old client with newly diagnosed type 1 diabetes requiring insulin
administration and carbohydrate counting education
Correct Answer: C
C. A 52-year-old client admitted 6 hours ago with chest pain, now chest pain-free, on
telemetry monitoring [CORRECT]
Rationale: A client admitted within 6 hours with chest pain requires continuous cardiac
monitoring and assessment for potential MI, even if currently pain-free. This unstable
client requires the most experienced nurse. Option A is stable post-op care appropriate
,for any RN. Option B is stable and ready for discharge. Option D, while requiring
teaching, is hemodynamically stable. (NCLEX: Safe & Effective Care Environment -
Management of Care; Assignment)
Question 2
The charge nurse receives report on four clients. Which client requires the charge
nurse's immediate attention?
A. A client with a potassium level of 3.2 mEq/L scheduled for discharge today
B. A client with a blood pressure of 88/52 mmHg who received a new antihypertensive
medication 2 hours ago
C. A client reporting pain of 6/10 two hours after receiving PRN morphine
D. A client with a temperature of 100.4°F (38°C) 24 hours post-operatively
Correct Answer: B
B. A client with a blood pressure of 88/52 mmHg who received a new antihypertensive
medication 2 hours ago [CORRECT]
Rationale: A blood pressure of 88/52 mmHg represents hypotension potentially caused
by the new antihypertensive medication, requiring immediate assessment for shock and
potential intervention. This is a safety priority. Option A requires monitoring but is not
immediately life-threatening. Option C requires reassessment but is not urgent. Option D
is a low-grade fever common post-operatively. (NCLEX: Safe & Effective Care
Environment - Management of Care; Prioritization)
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP) on a busy medical
unit. Which task is appropriate to delegate to the UAP?
,A. Assessing a post-operative client's incision for signs of infection
B. Performing blood glucose monitoring on a stable diabetic client per protocol
C. Administering oral medications to a client with pneumonia
D. Teaching a client how to use an incentive spirometer after surgery
Correct Answer: B
B. Performing blood glucose monitoring on a stable diabetic client per protocol
[CORRECT]
Rationale: Blood glucose monitoring is within the UAP scope of practice when following
established protocols and the client is stable. Assessment (Option A), medication
administration (Option C), and client teaching (Option D) require nursing judgment and
licensure, making them inappropriate for delegation to UAP. (NCLEX: Safe & Effective
Care Environment - Management of Care; Delegation)
Question 4
A nurse is caring for a client who states, "I don't want any more treatment. I want to go
home and die in peace." The client's family insists that "everything possible" be done.
What is the nurse's priority action?
A. Contact the hospital ethics committee immediately
B. Honor the family's wishes and continue aggressive treatment
C. Assess the client's decision-making capacity and ensure the advance directive is
current
D. Tell the client that the family's wishes must be respected
Correct Answer: C
C. Assess the client's decision-making capacity and ensure the advance directive is
current [CORRECT]
, Rationale: The nurse must first determine if the client has decision-making capacity and
verify any existing advance directives. Client autonomy is paramount when the client is
competent. Option A may be needed later but is not the first step. Options B and D
violate client autonomy and the nurse's role as patient advocate. (NCLEX: Safe &
Effective Care Environment - Management of Care; Advocacy/Legal Rights)
Question 5
During a code blue, the nurse notes that the physician has ordered epinephrine 1 mg IV
push. The nurse has never administered this medication during a code before. What is
the nurse's best action?
A. Ask another nurse to verify the dose and medication before administering
B. Refuse to administer the medication and ask the physician to give it
C. Administer the medication immediately and document it afterward
D. Look up the medication in the drug reference before administering
Correct Answer: A
A. Ask another nurse to verify the dose and medication before administering [CORRECT]
Rationale: During a code, verifying high-alert medications with another nurse is standard
safety protocol and does not delay care. Option B is inappropriate during an emergency.
Option C bypasses safety checks. Option D would delay critical care. (NCLEX: Safe &
Effective Care Environment - Management of Care; Safety/Error Prevention)
Question 6
A nurse is supervising a newly licensed nurse who is caring for four clients. Which
observation requires the supervising nurse to intervene immediately?
2026/2027 | 180 Questions 100% Correct Answers | Recently
Updated NCLEX-RN Test Plan | Pass Guaranteed - A+ Graded
[Section 1: Safe & Effective Care Environment: Management of Care
(Questions 1-28)]
Question 1
A nurse manager is reviewing assignments for the day shift on a medical-surgical unit.
Which client should the nurse manager assign to the most experienced RN?
A. A 45-year-old client 2 days post-op appendectomy requiring wound irrigation and
dressing changes
B. A 68-year-old client with stable heart failure on day 3 of hospitalization needing
discharge teaching
C. A 52-year-old client admitted 6 hours ago with chest pain, now chest pain-free, on
telemetry monitoring
D. A 39-year-old client with newly diagnosed type 1 diabetes requiring insulin
administration and carbohydrate counting education
Correct Answer: C
C. A 52-year-old client admitted 6 hours ago with chest pain, now chest pain-free, on
telemetry monitoring [CORRECT]
Rationale: A client admitted within 6 hours with chest pain requires continuous cardiac
monitoring and assessment for potential MI, even if currently pain-free. This unstable
client requires the most experienced nurse. Option A is stable post-op care appropriate
,for any RN. Option B is stable and ready for discharge. Option D, while requiring
teaching, is hemodynamically stable. (NCLEX: Safe & Effective Care Environment -
Management of Care; Assignment)
Question 2
The charge nurse receives report on four clients. Which client requires the charge
nurse's immediate attention?
A. A client with a potassium level of 3.2 mEq/L scheduled for discharge today
B. A client with a blood pressure of 88/52 mmHg who received a new antihypertensive
medication 2 hours ago
C. A client reporting pain of 6/10 two hours after receiving PRN morphine
D. A client with a temperature of 100.4°F (38°C) 24 hours post-operatively
Correct Answer: B
B. A client with a blood pressure of 88/52 mmHg who received a new antihypertensive
medication 2 hours ago [CORRECT]
Rationale: A blood pressure of 88/52 mmHg represents hypotension potentially caused
by the new antihypertensive medication, requiring immediate assessment for shock and
potential intervention. This is a safety priority. Option A requires monitoring but is not
immediately life-threatening. Option C requires reassessment but is not urgent. Option D
is a low-grade fever common post-operatively. (NCLEX: Safe & Effective Care
Environment - Management of Care; Prioritization)
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP) on a busy medical
unit. Which task is appropriate to delegate to the UAP?
,A. Assessing a post-operative client's incision for signs of infection
B. Performing blood glucose monitoring on a stable diabetic client per protocol
C. Administering oral medications to a client with pneumonia
D. Teaching a client how to use an incentive spirometer after surgery
Correct Answer: B
B. Performing blood glucose monitoring on a stable diabetic client per protocol
[CORRECT]
Rationale: Blood glucose monitoring is within the UAP scope of practice when following
established protocols and the client is stable. Assessment (Option A), medication
administration (Option C), and client teaching (Option D) require nursing judgment and
licensure, making them inappropriate for delegation to UAP. (NCLEX: Safe & Effective
Care Environment - Management of Care; Delegation)
Question 4
A nurse is caring for a client who states, "I don't want any more treatment. I want to go
home and die in peace." The client's family insists that "everything possible" be done.
What is the nurse's priority action?
A. Contact the hospital ethics committee immediately
B. Honor the family's wishes and continue aggressive treatment
C. Assess the client's decision-making capacity and ensure the advance directive is
current
D. Tell the client that the family's wishes must be respected
Correct Answer: C
C. Assess the client's decision-making capacity and ensure the advance directive is
current [CORRECT]
, Rationale: The nurse must first determine if the client has decision-making capacity and
verify any existing advance directives. Client autonomy is paramount when the client is
competent. Option A may be needed later but is not the first step. Options B and D
violate client autonomy and the nurse's role as patient advocate. (NCLEX: Safe &
Effective Care Environment - Management of Care; Advocacy/Legal Rights)
Question 5
During a code blue, the nurse notes that the physician has ordered epinephrine 1 mg IV
push. The nurse has never administered this medication during a code before. What is
the nurse's best action?
A. Ask another nurse to verify the dose and medication before administering
B. Refuse to administer the medication and ask the physician to give it
C. Administer the medication immediately and document it afterward
D. Look up the medication in the drug reference before administering
Correct Answer: A
A. Ask another nurse to verify the dose and medication before administering [CORRECT]
Rationale: During a code, verifying high-alert medications with another nurse is standard
safety protocol and does not delay care. Option B is inappropriate during an emergency.
Option C bypasses safety checks. Option D would delay critical care. (NCLEX: Safe &
Effective Care Environment - Management of Care; Safety/Error Prevention)
Question 6
A nurse is supervising a newly licensed nurse who is caring for four clients. Which
observation requires the supervising nurse to intervene immediately?
