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VATI COMPREHENSIVE PREDICTOR EXAM
2026-2027: COMPLETE Q&A BANK – 200+
GRADED A+ QUESTIONS WITH RATIONALES –
NCLEX READINESS – FIRST-TIME PASS
GUARANTEED
# TABLE OF CONTENTS
| Section | Topic | Number of Questions |
|---------|-------|---------------------|
| 1 | Prioritization, Delegation & Leadership | 20 |
| 2 | Pharmacology & Medication Administration | 25 |
| 3 | Medical-Surgical Nursing | 25 |
| 4 | Maternal-Newborn Nursing | 20 |
| 5 | Pediatric Nursing | 15 |
| 6 | Mental Health Nursing | 20 |
| 7 | Fundamentals & Safe Care Environment | 20 |
| 8 | Critical Care & Emergency Nursing | 15 |
| 9 | Health Promotion & Disease Prevention | 15 |
| 10 | Comprehensive Mock Exam – Mixed Topics | 25 |
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# SECTION 1: PRIORITIZATION, DELEGATION & LEADERSHIP (20
Questions)
**Q1.** A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to the
float nurse?
A) A 10-year-old client who has pneumonia and is receiving respiratory treatments
B) A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C) An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D) A 14-year-old client who is scheduled for discharge today following placement
of a Harrington rod
**Answer: A** – Rationale: The float nurse from the medical unit is familiar with
respiratory conditions like pneumonia. The other options require specialized
pediatric oncology, cardiac, or orthopedic postoperative care beyond the float
nurse's expertise .
**Q2.** An assistive personnel (AP) tells the nurse that several client
measurements were obtained with morning vital signs. Which of the following
clients should the nurse plan to assess FIRST?
A) A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73
mm Hg
B) A 2-year-old child who has Kawasaki disease and a temperature of 39°C
(102.2°F)
C) A 4-year-old child who has a closed-head injury and a heart rate of 60/min
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D) An 8-year-old child who has type I diabetes mellitus and a respiratory rate of
26/min
**Answer: C** – Rationale: Bradycardia in a child with a head injury is a sign of
increased intracranial pressure (Cushing's triad). This is a life-threatening finding
requiring immediate intervention. While the other findings are abnormal,
bradycardia with head injury is the highest priority .
**Q3.** A nurse receives change-of-shift report. Which of the following clients
should the nurse attend to FIRST?
A) A client who has a productive cough and an oral temperature of 36°C (96.8°F)
B) A client who reports tingling in the fingers following a thyroidectomy
C) A client who is in a long leg cast and has +2 pedal pulses bilaterally
D) A client who has dark, foul-smelling urine and a urine output of 320 mL in the
last 8 hours
**Answer: B** – Rationale: Tingling in the fingers after thyroidectomy indicates
hypocalcemia due to accidental parathyroid gland damage. This can progress
rapidly to laryngospasm, tetany, and cardiac arrhythmias – a post-thyroidectomy
emergency .
**Q4.** A nurse is caring for four clients. Which of the following client statements
should the nurse attend to FIRST?
A) "My heartburn pain is going into my jaw now"
B) "I feel tired all the time"
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C) "I have a dull ache in my lower back"
D) "My stomach feels queasy after eating"
**Answer: A** – Rationale: Jaw pain associated with heartburn can be referred
cardiac pain. This could indicate myocardial ischemia or infarction and requires
immediate assessment. The other symptoms are less urgent .
**Q5.** The "E.A.T." delegation rule states that the nurse should never delegate
which tasks to an LPN/LVN or UAP?
A) Elimination, Ambulation, Transfer
B) Evaluation, Assessment, Teaching
C) Emergency, Airway, Treatment
D) Electrolytes, Antibiotics, Temperature
**Answer: B** – Rationale: Evaluation, Assessment, and Teaching require nursing
judgment and cannot be delegated to UAP or LPN/LVN. These tasks are the legal
responsibility of the RN .
**Q6.** A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel requires
the nurse to intervene?
A) Encourages the client to use the incentive spirometer
B) Elevates the head of the client's bed
C) Offers oral fluids to the client
VATI COMPREHENSIVE PREDICTOR EXAM
2026-2027: COMPLETE Q&A BANK – 200+
GRADED A+ QUESTIONS WITH RATIONALES –
NCLEX READINESS – FIRST-TIME PASS
GUARANTEED
# TABLE OF CONTENTS
| Section | Topic | Number of Questions |
|---------|-------|---------------------|
| 1 | Prioritization, Delegation & Leadership | 20 |
| 2 | Pharmacology & Medication Administration | 25 |
| 3 | Medical-Surgical Nursing | 25 |
| 4 | Maternal-Newborn Nursing | 20 |
| 5 | Pediatric Nursing | 15 |
| 6 | Mental Health Nursing | 20 |
| 7 | Fundamentals & Safe Care Environment | 20 |
| 8 | Critical Care & Emergency Nursing | 15 |
| 9 | Health Promotion & Disease Prevention | 15 |
| 10 | Comprehensive Mock Exam – Mixed Topics | 25 |
---
,2|Page
# SECTION 1: PRIORITIZATION, DELEGATION & LEADERSHIP (20
Questions)
**Q1.** A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to the
float nurse?
A) A 10-year-old client who has pneumonia and is receiving respiratory treatments
B) A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C) An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D) A 14-year-old client who is scheduled for discharge today following placement
of a Harrington rod
**Answer: A** – Rationale: The float nurse from the medical unit is familiar with
respiratory conditions like pneumonia. The other options require specialized
pediatric oncology, cardiac, or orthopedic postoperative care beyond the float
nurse's expertise .
**Q2.** An assistive personnel (AP) tells the nurse that several client
measurements were obtained with morning vital signs. Which of the following
clients should the nurse plan to assess FIRST?
A) A 6-year-old child who has glomerulonephritis and a blood pressure of 130/73
mm Hg
B) A 2-year-old child who has Kawasaki disease and a temperature of 39°C
(102.2°F)
C) A 4-year-old child who has a closed-head injury and a heart rate of 60/min
,3|Page
D) An 8-year-old child who has type I diabetes mellitus and a respiratory rate of
26/min
**Answer: C** – Rationale: Bradycardia in a child with a head injury is a sign of
increased intracranial pressure (Cushing's triad). This is a life-threatening finding
requiring immediate intervention. While the other findings are abnormal,
bradycardia with head injury is the highest priority .
**Q3.** A nurse receives change-of-shift report. Which of the following clients
should the nurse attend to FIRST?
A) A client who has a productive cough and an oral temperature of 36°C (96.8°F)
B) A client who reports tingling in the fingers following a thyroidectomy
C) A client who is in a long leg cast and has +2 pedal pulses bilaterally
D) A client who has dark, foul-smelling urine and a urine output of 320 mL in the
last 8 hours
**Answer: B** – Rationale: Tingling in the fingers after thyroidectomy indicates
hypocalcemia due to accidental parathyroid gland damage. This can progress
rapidly to laryngospasm, tetany, and cardiac arrhythmias – a post-thyroidectomy
emergency .
**Q4.** A nurse is caring for four clients. Which of the following client statements
should the nurse attend to FIRST?
A) "My heartburn pain is going into my jaw now"
B) "I feel tired all the time"
, 4|Page
C) "I have a dull ache in my lower back"
D) "My stomach feels queasy after eating"
**Answer: A** – Rationale: Jaw pain associated with heartburn can be referred
cardiac pain. This could indicate myocardial ischemia or infarction and requires
immediate assessment. The other symptoms are less urgent .
**Q5.** The "E.A.T." delegation rule states that the nurse should never delegate
which tasks to an LPN/LVN or UAP?
A) Elimination, Ambulation, Transfer
B) Evaluation, Assessment, Teaching
C) Emergency, Airway, Treatment
D) Electrolytes, Antibiotics, Temperature
**Answer: B** – Rationale: Evaluation, Assessment, and Teaching require nursing
judgment and cannot be delegated to UAP or LPN/LVN. These tasks are the legal
responsibility of the RN .
**Q6.** A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel requires
the nurse to intervene?
A) Encourages the client to use the incentive spirometer
B) Elevates the head of the client's bed
C) Offers oral fluids to the client
