RN VATI Predictor Green Light
Review Updated 2023
EXAM
1. Prioritization / ABCs
Q1: A nurse has four clients. Which should be seen first?
A) Client with asthma reporting chest tightness and peak flow
50% of personal best
B) Client post-appendectomy with pain 6/10
C) Client with diabetes and blood glucose 250 mg/dL
D) Client with heart failure and 1+ pitting edema
Answer: A
Rationale: Chest tightness + low peak flow indicates respiratory
compromise (ABCs). Asthma exacerbation could progress to
respiratory failure. Pain, hyperglycemia, and mild edema are
important but not immediately life-threatening.
2. Delegation (LPN/UAP)
Q2: Which task can the nurse delegate to an LPN?
A) Initial admission assessment
B) Administering oral metformin to a stable diabetic client
C) Teaching a client how to use an inhaler
D) Evaluating the effectiveness of pain medication
,Answer: B
Rationale: LPNs can administer oral medications to stable clients.
Initial assessment, teaching, and evaluation require RN judgment.
3. NGN Case Study – Hypovolemic Shock
Q3: A client with vomiting and diarrhea has BP 80/50, HR 130,
urine output 15 mL/hr. Which action first?
A) Insert Foley catheter
B) Infuse 500 mL lactated Ringer’s over 1 hour
C) Draw serum electrolytes
D) Administer antiemetic
Answer: B
Rationale: Hypovolemic shock requires volume resuscitation
FIRST. Fluid replacement restores perfusion. Foley and labs can be
done after or simultaneously but not before starting fluids.
4. Pharmacology – Anticoagulants
Q4: A client on warfarin has INR 4.5. No bleeding noted. What
should the nurse give?
A) Vitamin K
B) Protamine sulfate
C) Fresh frozen plasma
D) Hold warfarin and monitor
,Answer: D
Rationale: INR 4.5 is above therapeutic (2-3 for most), but
without bleeding, holding warfarin and monitoring is standard.
Vitamin K is for serious elevation or bleeding.
5. Maternal-Newborn – Late Decelerations
Q5: On fetal monitoring, late decelerations occur. What is the
priority?
A) Increase IV fluids
B) Turn mother to left lateral position
C) Administer oxygen 10 L via mask
D) Notify provider
Answer: B
Rationale: First action for late decels (uteroplacental insufficiency)
is reposition to left side to improve placental flow. Then oxygen,
fluids, notify.
6. Pediatrics – RSV Bronchiolitis
Q6: A 6-month-old with RSV has nasal flaring, grunting, and O2
sat 88%. Which intervention first?
A) Suction nares
B) Start IV fluids
C) Give antipyretic
D) Place in prone position
, Answer: A
Rationale: Nasal suctioning clears airway, reduces work of
breathing. RSV causes thick secretions. Oxygenation improves
after suction.
7. Psych – Bipolar Mania
Q7: A client in manic phase is pacing, yelling, and not eating.
What should nurse say?
A) “You need to sit down and be quiet.”
B) “Why are you so angry?”
C) “Let’s walk to the dining room together to get some juice.”
D) “If you don’t calm down, you’ll get a shot.”
Answer: C
Rationale: Redirection with concrete, calm, simple suggestions
supports safety and nutrition. Avoid power struggles, “why”
questions, or threats.
8. Fundamentals – Living Will
Q8: A client with terminal cancer has a living will. The family wants
continued aggressive care. What should nurse do?
A) Follow the family’s wishes
B) Follow the living will
C) Consult ethics committee
D) Do nothing until provider orders
Review Updated 2023
EXAM
1. Prioritization / ABCs
Q1: A nurse has four clients. Which should be seen first?
A) Client with asthma reporting chest tightness and peak flow
50% of personal best
B) Client post-appendectomy with pain 6/10
C) Client with diabetes and blood glucose 250 mg/dL
D) Client with heart failure and 1+ pitting edema
Answer: A
Rationale: Chest tightness + low peak flow indicates respiratory
compromise (ABCs). Asthma exacerbation could progress to
respiratory failure. Pain, hyperglycemia, and mild edema are
important but not immediately life-threatening.
2. Delegation (LPN/UAP)
Q2: Which task can the nurse delegate to an LPN?
A) Initial admission assessment
B) Administering oral metformin to a stable diabetic client
C) Teaching a client how to use an inhaler
D) Evaluating the effectiveness of pain medication
,Answer: B
Rationale: LPNs can administer oral medications to stable clients.
Initial assessment, teaching, and evaluation require RN judgment.
3. NGN Case Study – Hypovolemic Shock
Q3: A client with vomiting and diarrhea has BP 80/50, HR 130,
urine output 15 mL/hr. Which action first?
A) Insert Foley catheter
B) Infuse 500 mL lactated Ringer’s over 1 hour
C) Draw serum electrolytes
D) Administer antiemetic
Answer: B
Rationale: Hypovolemic shock requires volume resuscitation
FIRST. Fluid replacement restores perfusion. Foley and labs can be
done after or simultaneously but not before starting fluids.
4. Pharmacology – Anticoagulants
Q4: A client on warfarin has INR 4.5. No bleeding noted. What
should the nurse give?
A) Vitamin K
B) Protamine sulfate
C) Fresh frozen plasma
D) Hold warfarin and monitor
,Answer: D
Rationale: INR 4.5 is above therapeutic (2-3 for most), but
without bleeding, holding warfarin and monitoring is standard.
Vitamin K is for serious elevation or bleeding.
5. Maternal-Newborn – Late Decelerations
Q5: On fetal monitoring, late decelerations occur. What is the
priority?
A) Increase IV fluids
B) Turn mother to left lateral position
C) Administer oxygen 10 L via mask
D) Notify provider
Answer: B
Rationale: First action for late decels (uteroplacental insufficiency)
is reposition to left side to improve placental flow. Then oxygen,
fluids, notify.
6. Pediatrics – RSV Bronchiolitis
Q6: A 6-month-old with RSV has nasal flaring, grunting, and O2
sat 88%. Which intervention first?
A) Suction nares
B) Start IV fluids
C) Give antipyretic
D) Place in prone position
, Answer: A
Rationale: Nasal suctioning clears airway, reduces work of
breathing. RSV causes thick secretions. Oxygenation improves
after suction.
7. Psych – Bipolar Mania
Q7: A client in manic phase is pacing, yelling, and not eating.
What should nurse say?
A) “You need to sit down and be quiet.”
B) “Why are you so angry?”
C) “Let’s walk to the dining room together to get some juice.”
D) “If you don’t calm down, you’ll get a shot.”
Answer: C
Rationale: Redirection with concrete, calm, simple suggestions
supports safety and nutrition. Avoid power struggles, “why”
questions, or threats.
8. Fundamentals – Living Will
Q8: A client with terminal cancer has a living will. The family wants
continued aggressive care. What should nurse do?
A) Follow the family’s wishes
B) Follow the living will
C) Consult ethics committee
D) Do nothing until provider orders
