RN VATI COMPREHENSIVE PREDICTOR
EXAM (FORM A, B, C, & D) COMPLETE
NGN PRACTICE EXAM QUESTIONS & ANS
1. A nurse is caring for a client who is receiving a blood transfusion and
reports low back pain and chills. Which of the following actions should the
nurse take first?
• A) Notify the provider.
• B) Stop the transfusion.
• C) Slow the infusion rate.
• D) Administer an antihistamine.
Correct ,,,,answer,,,,: B) Stop the transfusion.
<details> <summary>📝 Rationale</summary> Low back pain and chills are
classic signs of an acute hemolytic reaction, a life-threatening complication. The
priority action is to immediately stop the transfusion to prevent further
complications. After stopping, the nurse should replace the blood tubing, infuse
normal saline, and then notify the provider. [citation:4] </details>
2. A nurse is assessing a client who has heart failure and is taking furosemide.
Which of the following findings indicates an adverse effect of this medication?
• A) Hypoglycemia
• B) Tinnitus
• C) Weight gain
, • D) Bradycardia
Correct ,,,,answer,,,,: B) Tinnitus.
<details> <summary>📝 Rationale</summary> Furosemide is a loop diuretic that
can cause ototoxicity, leading to tinnitus and hearing loss. Other adverse effects
include hypokalemia, dehydration, and hypotension. [citation:4] </details>
3. A nurse is preparing to administer vancomycin IV to a client who has an
infected wound. The nurse should monitor for which of the following adverse
reactions during infusion?
• A) "Red man syndrome"
• B) Hypertensive crisis
• C) Anaphylaxis
• D) Extravasation
Correct ,,,,answer,,,,: A) "Red man syndrome."
<details> <summary>📝 Rationale</summary> Rapid infusion of vancomycin
can cause a non-allergic reaction known as "Red man syndrome," characterized by
flushing, rash, and pruritus on the upper body. The nurse should infuse the
medication over at least 60 minutes to prevent this. [citation:4] </details>
4. A nurse is caring for a client who has a new prescription for digoxin. Which
of the following adverse effects should the nurse include in the teaching?
• A) "Report blurred or yellow vision to your provider."
, • B) "This medication can increase your potassium level."
• C) "You should check your blood pressure before taking this medication."
• D) "Take this medication with high-fiber foods."
Correct ,,,,answer,,,,: A) "Report blurred or yellow vision to your provider."
<details> <summary>📝 Rationale</summary> Digoxin can cause visual
disturbances such as blurred or yellow-green vision (xanthopsia), which are signs
of toxicity. It can also cause bradycardia, and patients should be taught to check
their pulse. Digoxin can cause hypokalemia, not hyperkalemia, and high-fiber
foods can impair absorption. [citation:2] </details>
5. A nurse is providing teaching to a client who is prescribed an MAOI for
depression. Which of the following foods should the nurse instruct the client to
avoid?
• A) Crackers
• B) Aged cheese
• C) Apples
• D) Pasta
Correct ,,,,answer,,,,: B) Aged cheese.
<details> <summary>📝 Rationale</summary> MAOIs (monoamine oxidase
inhibitors) such as phenelzine interact with tyramine-rich foods, which can lead to
a hypertensive crisis. Foods high in tyramine include aged cheeses, cured meats,
fermented products, and some red wines. [citation:4] </details>
, 6. A nurse is caring for a client who is having a tonic-clonic seizure. The nurse
should take which of the following actions first to prevent injury?
• A) Insert a padded tongue blade into the client's mouth.
• B) Restrain the client's arms and legs.
• C) Lower the client to the floor and place a pillow under the head.
• D) Place the client in a prone position.
Correct ,,,,answer,,,,: C) Lower the client to the floor and place a pillow under the
head.
<details> <summary>📝 Rationale</summary> The priority during a seizure is to
protect the client from injury. The nurse should ease the client to the floor and
place something soft (pillow, blanket) under the head to prevent head injury.
Padded tongue blades should never be inserted during a seizure as they can cause
injury or airway obstruction. Restraints are contraindicated. [citation:7] </details>
7. A nurse is providing discharge teaching to a client who is postoperative
following a total knee arthroplasty. The client has a prescription for
enoxaparin. Which of the following statements indicates an understanding of
the teaching?
• A) "I will take this medication with food."
• B) "I will inject this medication into my abdomen."
• C) "I should expect to have blood in my urine."
• D) "I will take this medication once a week."
Correct ,,,,answer,,,,: B) "I will inject this medication into my abdomen."
<details> <summary>📝 Rationale</summary> Enoxaparin is a low-molecular-
weight heparin (LMWH) administered subcutaneously in the abdomen to prevent
EXAM (FORM A, B, C, & D) COMPLETE
NGN PRACTICE EXAM QUESTIONS & ANS
1. A nurse is caring for a client who is receiving a blood transfusion and
reports low back pain and chills. Which of the following actions should the
nurse take first?
• A) Notify the provider.
• B) Stop the transfusion.
• C) Slow the infusion rate.
• D) Administer an antihistamine.
Correct ,,,,answer,,,,: B) Stop the transfusion.
<details> <summary>📝 Rationale</summary> Low back pain and chills are
classic signs of an acute hemolytic reaction, a life-threatening complication. The
priority action is to immediately stop the transfusion to prevent further
complications. After stopping, the nurse should replace the blood tubing, infuse
normal saline, and then notify the provider. [citation:4] </details>
2. A nurse is assessing a client who has heart failure and is taking furosemide.
Which of the following findings indicates an adverse effect of this medication?
• A) Hypoglycemia
• B) Tinnitus
• C) Weight gain
, • D) Bradycardia
Correct ,,,,answer,,,,: B) Tinnitus.
<details> <summary>📝 Rationale</summary> Furosemide is a loop diuretic that
can cause ototoxicity, leading to tinnitus and hearing loss. Other adverse effects
include hypokalemia, dehydration, and hypotension. [citation:4] </details>
3. A nurse is preparing to administer vancomycin IV to a client who has an
infected wound. The nurse should monitor for which of the following adverse
reactions during infusion?
• A) "Red man syndrome"
• B) Hypertensive crisis
• C) Anaphylaxis
• D) Extravasation
Correct ,,,,answer,,,,: A) "Red man syndrome."
<details> <summary>📝 Rationale</summary> Rapid infusion of vancomycin
can cause a non-allergic reaction known as "Red man syndrome," characterized by
flushing, rash, and pruritus on the upper body. The nurse should infuse the
medication over at least 60 minutes to prevent this. [citation:4] </details>
4. A nurse is caring for a client who has a new prescription for digoxin. Which
of the following adverse effects should the nurse include in the teaching?
• A) "Report blurred or yellow vision to your provider."
, • B) "This medication can increase your potassium level."
• C) "You should check your blood pressure before taking this medication."
• D) "Take this medication with high-fiber foods."
Correct ,,,,answer,,,,: A) "Report blurred or yellow vision to your provider."
<details> <summary>📝 Rationale</summary> Digoxin can cause visual
disturbances such as blurred or yellow-green vision (xanthopsia), which are signs
of toxicity. It can also cause bradycardia, and patients should be taught to check
their pulse. Digoxin can cause hypokalemia, not hyperkalemia, and high-fiber
foods can impair absorption. [citation:2] </details>
5. A nurse is providing teaching to a client who is prescribed an MAOI for
depression. Which of the following foods should the nurse instruct the client to
avoid?
• A) Crackers
• B) Aged cheese
• C) Apples
• D) Pasta
Correct ,,,,answer,,,,: B) Aged cheese.
<details> <summary>📝 Rationale</summary> MAOIs (monoamine oxidase
inhibitors) such as phenelzine interact with tyramine-rich foods, which can lead to
a hypertensive crisis. Foods high in tyramine include aged cheeses, cured meats,
fermented products, and some red wines. [citation:4] </details>
, 6. A nurse is caring for a client who is having a tonic-clonic seizure. The nurse
should take which of the following actions first to prevent injury?
• A) Insert a padded tongue blade into the client's mouth.
• B) Restrain the client's arms and legs.
• C) Lower the client to the floor and place a pillow under the head.
• D) Place the client in a prone position.
Correct ,,,,answer,,,,: C) Lower the client to the floor and place a pillow under the
head.
<details> <summary>📝 Rationale</summary> The priority during a seizure is to
protect the client from injury. The nurse should ease the client to the floor and
place something soft (pillow, blanket) under the head to prevent head injury.
Padded tongue blades should never be inserted during a seizure as they can cause
injury or airway obstruction. Restraints are contraindicated. [citation:7] </details>
7. A nurse is providing discharge teaching to a client who is postoperative
following a total knee arthroplasty. The client has a prescription for
enoxaparin. Which of the following statements indicates an understanding of
the teaching?
• A) "I will take this medication with food."
• B) "I will inject this medication into my abdomen."
• C) "I should expect to have blood in my urine."
• D) "I will take this medication once a week."
Correct ,,,,answer,,,,: B) "I will inject this medication into my abdomen."
<details> <summary>📝 Rationale</summary> Enoxaparin is a low-molecular-
weight heparin (LMWH) administered subcutaneously in the abdomen to prevent
