2025 RN VATI Comprehensive Predictor
ACTUAL EXAM VERIFIED QUESTIONS
AND ANSWERS WITH DETAILED
RATIONALES 2025, VATI NGN Exam, VATI
Test Bank, RN Predictor Exam Questions,
Next Gen NCLEX VATI, VATI Verified
Answers, RN VATI Study Guide GRADED
A+
---
**Q1. Which action should the nurse take first to prevent client injury during the seizure?**
A) Place the client in a prone position
B) Insert a padded tongue blade into the client's mouth
C) Lower the client to the floor and place a pillow under the head
D) Restrain the client's arms and legs
**Correct Answer: C**
**Rationale:** The priority is to protect the client from injury. The nurse should ease the client to the
floor (if not already in bed) and place something soft (pillow, blanket) under the head to prevent head
injury. A padded tongue blade should never be inserted during a seizure as it can cause injury, broken
teeth, or airway obstruction. Restraints are contraindicated. Prone position increases aspiration risk .
,---
**Q2. The nurse has lowered the client to the floor. Which action should the nurse take next?**
A) Insert an oral airway
B) Place the client in a side-lying (recovery) position
C) Administer diazepam IV
D) Check the client's blood pressure
**Correct Answer: B**
**Rationale:** After lowering the client to the floor, the nurse should position the client in a side-lying
(recovery) position to allow secretions to drain and prevent aspiration. An oral airway should not be
inserted during active seizure activity. Diazepam is indicated for prolonged seizures (status epilepticus)
or repeated seizures, not for a single seizure. Blood pressure is not the priority during the active seizure .
---
**Q3. (Select all that apply) Which actions should the nurse take during a client's seizure?**
A) Time the duration of the seizure
B) Loosen tight clothing around the client's neck
C) Restrain the client's limbs to prevent injury
D) Move furniture away from the client
E) Place a padded tongue blade between the client's teeth
**Correct Answers: A, B, D**
,**Rationale:** During a seizure, the nurse should time the seizure, loosen restrictive clothing to allow
for breathing, and move furniture away to prevent injury. Restraints are contraindicated and can cause
injury. Padded tongue blades should never be inserted during a seizure .
---
**Q4. A nurse is providing discharge teaching to a client with a new prescription for phenytoin. Which
statement indicates understanding?**
A) "I will need to practice good oral hygiene and see my dentist regularly."
B) "I can stop taking this medication if my seizures stop."
C) "I will take this medication with food to prevent gingival hyperplasia."
D) "I will have regular blood tests to check my medication level."
**Correct Answer: A**
**Rationale:** Phenytoin can cause gingival hyperplasia, so regular dental care and good oral hygiene
are essential. The medication must be taken consistently and never stopped abruptly. Taking with food
reduces GI upset but does not prevent gingival hyperplasia. Regular blood tests monitor therapeutic
levels .
---
**Q5. A nurse is caring for a client who is receiving phenytoin for seizure control. Which adverse effect
should the nurse monitor for?**
A) Gingival hyperplasia
B) Hepatotoxicity
C) Hypercalcemia
D) Hypertension
, **Correct Answer: A**
**Rationale:** Gingival hyperplasia (overgrowth of gum tissue) is a common adverse effect of
phenytoin. Good oral hygiene and regular dental care are essential. Hepatotoxicity, hypercalcemia, and
hypertension are not typical adverse effects of phenytoin .
---
**Q6. (Ordered Response) Place the following nursing actions in order of priority for a client
experiencing a seizure.**
A) Protect the head from injury
B) Turn the client to a side-lying position
C) Time the duration of the seizure
D) Loosen restrictive clothing
**Correct Order:** A → B → D → C
**Rationale:**
1. Protect the head from injury (immediate safety)
2. Turn to side-lying position (prevents aspiration)
3. Loosen restrictive clothing (allows for breathing)
4. Time the duration of the seizure (assessment after safety)
---
ACTUAL EXAM VERIFIED QUESTIONS
AND ANSWERS WITH DETAILED
RATIONALES 2025, VATI NGN Exam, VATI
Test Bank, RN Predictor Exam Questions,
Next Gen NCLEX VATI, VATI Verified
Answers, RN VATI Study Guide GRADED
A+
---
**Q1. Which action should the nurse take first to prevent client injury during the seizure?**
A) Place the client in a prone position
B) Insert a padded tongue blade into the client's mouth
C) Lower the client to the floor and place a pillow under the head
D) Restrain the client's arms and legs
**Correct Answer: C**
**Rationale:** The priority is to protect the client from injury. The nurse should ease the client to the
floor (if not already in bed) and place something soft (pillow, blanket) under the head to prevent head
injury. A padded tongue blade should never be inserted during a seizure as it can cause injury, broken
teeth, or airway obstruction. Restraints are contraindicated. Prone position increases aspiration risk .
,---
**Q2. The nurse has lowered the client to the floor. Which action should the nurse take next?**
A) Insert an oral airway
B) Place the client in a side-lying (recovery) position
C) Administer diazepam IV
D) Check the client's blood pressure
**Correct Answer: B**
**Rationale:** After lowering the client to the floor, the nurse should position the client in a side-lying
(recovery) position to allow secretions to drain and prevent aspiration. An oral airway should not be
inserted during active seizure activity. Diazepam is indicated for prolonged seizures (status epilepticus)
or repeated seizures, not for a single seizure. Blood pressure is not the priority during the active seizure .
---
**Q3. (Select all that apply) Which actions should the nurse take during a client's seizure?**
A) Time the duration of the seizure
B) Loosen tight clothing around the client's neck
C) Restrain the client's limbs to prevent injury
D) Move furniture away from the client
E) Place a padded tongue blade between the client's teeth
**Correct Answers: A, B, D**
,**Rationale:** During a seizure, the nurse should time the seizure, loosen restrictive clothing to allow
for breathing, and move furniture away to prevent injury. Restraints are contraindicated and can cause
injury. Padded tongue blades should never be inserted during a seizure .
---
**Q4. A nurse is providing discharge teaching to a client with a new prescription for phenytoin. Which
statement indicates understanding?**
A) "I will need to practice good oral hygiene and see my dentist regularly."
B) "I can stop taking this medication if my seizures stop."
C) "I will take this medication with food to prevent gingival hyperplasia."
D) "I will have regular blood tests to check my medication level."
**Correct Answer: A**
**Rationale:** Phenytoin can cause gingival hyperplasia, so regular dental care and good oral hygiene
are essential. The medication must be taken consistently and never stopped abruptly. Taking with food
reduces GI upset but does not prevent gingival hyperplasia. Regular blood tests monitor therapeutic
levels .
---
**Q5. A nurse is caring for a client who is receiving phenytoin for seizure control. Which adverse effect
should the nurse monitor for?**
A) Gingival hyperplasia
B) Hepatotoxicity
C) Hypercalcemia
D) Hypertension
, **Correct Answer: A**
**Rationale:** Gingival hyperplasia (overgrowth of gum tissue) is a common adverse effect of
phenytoin. Good oral hygiene and regular dental care are essential. Hepatotoxicity, hypercalcemia, and
hypertension are not typical adverse effects of phenytoin .
---
**Q6. (Ordered Response) Place the following nursing actions in order of priority for a client
experiencing a seizure.**
A) Protect the head from injury
B) Turn the client to a side-lying position
C) Time the duration of the seizure
D) Loosen restrictive clothing
**Correct Order:** A → B → D → C
**Rationale:**
1. Protect the head from injury (immediate safety)
2. Turn to side-lying position (prevents aspiration)
3. Loosen restrictive clothing (allows for breathing)
4. Time the duration of the seizure (assessment after safety)
---
