ATI RN VATI COMPREHENSIVE PREDICTOR / VATI COMP RN ATI COMPLETE
STUDY GUIDE WITH 260+ HIGH-YIELD PRACTICE QUESTIONS, DETAILED
ANSWER EXPLANATIONS AND VERIFIED RATIONALES, NEXT GENERATION
NCLEX (NGN) CLINICAL JUDGMENT CASE SCENARIOS, PRIORITIZATION AND
DELEGATION STRATEGIES, TEST-TAKING TECHNIQUES, AND COMPREHENSIVE
NURSING EXAM SUCCESS TOOLKIT – 2026/2027 LATEST UPDATED EDITION
1. A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place
the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.
(Selectable areas or Hot Spots" can be found by moving your cursor over the artwork until
the cursor changes appearance, usually into a hand. Click only on the Hot Spot that
corresponds to your answer.)
A. option A
2. A nurse is planning to perform wound irrigation for a client who has an open secondary
wound. When creating a sterile field. which of the following actions should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field
3. A nurse is planning an education session for a client who has type 1 diabetes mellitus.
which of the following should the nurse plan to include when teaching the client to
monitor for hypoglycemia?
A. diaphoresis
B. polyuria
C. abdominal pain
D. thirst
,4. A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions
should the nurse clarify with the provider?
A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxone
5. A nurse is assessing a client who is postoperative following abdominal surgery. The client
states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which
of the following actions should the nurse take?
A. Extend the client’s legs above heart level
B. Place the client in low fowlers position.
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision.
6. A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take?
Wear a lead apron when providing care for the client.
7. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of
the following actions should the nurse take?
A. Apply the tourniquet 15cm (6 in) above the insertion site
B. Check for pulsation at sited proximal to the tourniquet
C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site
D. Wipe the skin dry before inserting the catheter
8. A nurse is administering medications to a client who has dysphagia and a new
prescription for divalproex sodium extended-release tablets. Which of the following actions
should the nurse take?
Administer the medication with applesauce
,9. A nurse is completing a dietary assessment for a client who is Jewish and observes
kosher dietary practices. Which of the following behaviors would the nurse expect to fine?
A. Leavened bread maybe eaten during Passover.
B. Shellfish is commonly consumed in the diet.
C. Meat and dairy products are eaten separately.
D. Fasting from meat occurs during Hanukkah.
10. A nurse is assessing a client who has minor injuries following a motor-vehicle crash
and appears agitated and apprehensive. The nurse identifies that the client is in the arm
stage of general adaptation syndrome and should expect which of the following findings.
Tachycardia
11. A nurse is caring for a client who has a femur fracture and is on bedrest with Buck’s
extension traction. which of the following actions should the nurse take?
A. Inspect the client’s skin under the device every 8 hours
12. A charge nurse is creating assignments for the next shift for several nurses and one of
them is pregnant. Which of the following clients should the charge nurse assign to a nurse
who is not pregnant?
A. A 60-year-old client who is recovering from shingles
B. A 20-year-old client who is HIV positive
C. A 40-year-old client who is suspected of having tuberculosis
D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo
13. A nurse is caring for a client who has a partial laryngectomy and is receiving
continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the
following findings requires immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following two hours of infusion.
B. The client is lying in a supine position.
C. The infusion pump for administering continuous feeding is turned off.
D. Interior feeding bag and tubing are not dated.
14. A nurse is teaching a client about smoking cessation. Which of the following client
statements should the nurse identify as an understanding of the teaching?
A. If I stop abruptly I cannot use a nicotine replacement.
, B. After 6 months, my risk of heart disease is the same as that of a nonsmoker
C. I will set a specific date to stop smoking
D. I will use high carbohydrate snacks as a substitute for cigarette.
15. A nurse has been caring for a female client who has bruises on her arms that are a result
of physical abuse by her partner. The client states, "I don't know how much longer I can take
this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate
nursing intervention?
A. Assist the client to identity personal behaviors that trigger abusive behavior
B. Insist that the client report the abusive behavior to the proper authority
C. Offer to speak to the client’s partner regarding his abusive behavior
D. Help the client to recognize the signs of escalation of abusive behavior
16. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune
globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's
blood type is B Positive. Which of the following statements is appropriate?
A. "You only need to receive Rh immune globulin if you have a positive blood type. "
B. "You should receive Rh immune globulin within 72 hours of delivery."
C. "Both you and your baby should receive Rh immune globulin at your week appointment."
D. "immune globulin is not necessary since this is your second pregnancy."
17. A client hospitalized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. The client’s sibling comes to visit
but has obvious manifestations of an upper respiratory infection. which of the following
nursing actions is appropriate at this time?
A. Allow the sibling to wave at the client through the window or door.
B. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit
physical contact. C.
D.
18. A nurse is planning care for a client who takes haloperidol for the treatment of
schizophrenia. which of the following should the nurse include in the plan of care?
A. Monitor the client for hypothermia
B. Screen the client for tardive dyskinesia
C. Check the client’s weekly potassium level
D. Schedule the client for a 24hr urine collection
STUDY GUIDE WITH 260+ HIGH-YIELD PRACTICE QUESTIONS, DETAILED
ANSWER EXPLANATIONS AND VERIFIED RATIONALES, NEXT GENERATION
NCLEX (NGN) CLINICAL JUDGMENT CASE SCENARIOS, PRIORITIZATION AND
DELEGATION STRATEGIES, TEST-TAKING TECHNIQUES, AND COMPREHENSIVE
NURSING EXAM SUCCESS TOOLKIT – 2026/2027 LATEST UPDATED EDITION
1. A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place
the diaphragm of the stethoscope to best hear the closing of the aortic heart valve.
(Selectable areas or Hot Spots" can be found by moving your cursor over the artwork until
the cursor changes appearance, usually into a hand. Click only on the Hot Spot that
corresponds to your answer.)
A. option A
2. A nurse is planning to perform wound irrigation for a client who has an open secondary
wound. When creating a sterile field. which of the following actions should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field
3. A nurse is planning an education session for a client who has type 1 diabetes mellitus.
which of the following should the nurse plan to include when teaching the client to
monitor for hypoglycemia?
A. diaphoresis
B. polyuria
C. abdominal pain
D. thirst
,4. A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions
should the nurse clarify with the provider?
A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxone
5. A nurse is assessing a client who is postoperative following abdominal surgery. The client
states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which
of the following actions should the nurse take?
A. Extend the client’s legs above heart level
B. Place the client in low fowlers position.
C. Instruct the client to perform the Valsalva maneuver
D. Apply a dry gauze dressing to the incision.
6. A nurse is caring for a client who is receiving radiation therapy through a sealed
implant. Which of the following actions should the nurse take?
Wear a lead apron when providing care for the client.
7. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of
the following actions should the nurse take?
A. Apply the tourniquet 15cm (6 in) above the insertion site
B. Check for pulsation at sited proximal to the tourniquet
C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site
D. Wipe the skin dry before inserting the catheter
8. A nurse is administering medications to a client who has dysphagia and a new
prescription for divalproex sodium extended-release tablets. Which of the following actions
should the nurse take?
Administer the medication with applesauce
,9. A nurse is completing a dietary assessment for a client who is Jewish and observes
kosher dietary practices. Which of the following behaviors would the nurse expect to fine?
A. Leavened bread maybe eaten during Passover.
B. Shellfish is commonly consumed in the diet.
C. Meat and dairy products are eaten separately.
D. Fasting from meat occurs during Hanukkah.
10. A nurse is assessing a client who has minor injuries following a motor-vehicle crash
and appears agitated and apprehensive. The nurse identifies that the client is in the arm
stage of general adaptation syndrome and should expect which of the following findings.
Tachycardia
11. A nurse is caring for a client who has a femur fracture and is on bedrest with Buck’s
extension traction. which of the following actions should the nurse take?
A. Inspect the client’s skin under the device every 8 hours
12. A charge nurse is creating assignments for the next shift for several nurses and one of
them is pregnant. Which of the following clients should the charge nurse assign to a nurse
who is not pregnant?
A. A 60-year-old client who is recovering from shingles
B. A 20-year-old client who is HIV positive
C. A 40-year-old client who is suspected of having tuberculosis
D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo
13. A nurse is caring for a client who has a partial laryngectomy and is receiving
continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the
following findings requires immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following two hours of infusion.
B. The client is lying in a supine position.
C. The infusion pump for administering continuous feeding is turned off.
D. Interior feeding bag and tubing are not dated.
14. A nurse is teaching a client about smoking cessation. Which of the following client
statements should the nurse identify as an understanding of the teaching?
A. If I stop abruptly I cannot use a nicotine replacement.
, B. After 6 months, my risk of heart disease is the same as that of a nonsmoker
C. I will set a specific date to stop smoking
D. I will use high carbohydrate snacks as a substitute for cigarette.
15. A nurse has been caring for a female client who has bruises on her arms that are a result
of physical abuse by her partner. The client states, "I don't know how much longer I can take
this, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate
nursing intervention?
A. Assist the client to identity personal behaviors that trigger abusive behavior
B. Insist that the client report the abusive behavior to the proper authority
C. Offer to speak to the client’s partner regarding his abusive behavior
D. Help the client to recognize the signs of escalation of abusive behavior
16. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune
globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's
blood type is B Positive. Which of the following statements is appropriate?
A. "You only need to receive Rh immune globulin if you have a positive blood type. "
B. "You should receive Rh immune globulin within 72 hours of delivery."
C. "Both you and your baby should receive Rh immune globulin at your week appointment."
D. "immune globulin is not necessary since this is your second pregnancy."
17. A client hospitalized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. The client’s sibling comes to visit
but has obvious manifestations of an upper respiratory infection. which of the following
nursing actions is appropriate at this time?
A. Allow the sibling to wave at the client through the window or door.
B. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit
physical contact. C.
D.
18. A nurse is planning care for a client who takes haloperidol for the treatment of
schizophrenia. which of the following should the nurse include in the plan of care?
A. Monitor the client for hypothermia
B. Screen the client for tardive dyskinesia
C. Check the client’s weekly potassium level
D. Schedule the client for a 24hr urine collection
