VATI Comprehensive Predictor NCLEX
Questions and Answers Rated A
Low-residue diet Correct Answer: Dairy products & eggs, such as custard and
yogurt
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to
digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as
lentils and black beans are high in fiber and are not considered low in residue.
A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the
BMI and determine if the patients BMI indicates a healthy weight, underweight,
overweight, or obese. Correct Answer: Use the formula (wt. in lbs)/(ht in in^2)
multiply by 703 to get the BMI.
BMI is 31 (obese)
(Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates
overweight. A BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates
underweight.
A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
Calculate the BMI of the female patient. Correct Answer: Use the formula
(lbs)/(in^2) multiply by 703
BMI 42 indicates the patient is obese
A RN is reviewing discharge instructions regarding car seat safety to the parent of
a newborn. Which of the following instructions will the nurse include in the
discharge teaching (SATA)
A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. Correct Answer: (A, C, E, G)
,A. Position the infant rear-facing in the backseat - (RAT) the car seat should never
be in the front seat of a car due to the increased risk for injury from the air bags
during a MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a
45 degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should
be in the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-
facing car seat until the child reaches 2yo or until the child reaches the maximum
ht and wt for the seat.
A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions
should the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment Correct Answer: (C,D,E)
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment
Note- You do not put all the side rails up in the bed because this is considered a
restraint.
A RN is caring for a patient who has a Hx of falls. Which of the following actions
is the RNs priority?
A. Complete a fall-risk assessment
,B. Educate the patient and family about fall risks
C. Eliminate safety hazards from the patients environment
D. Make sure the patient uses assistive aids in their possession Correct Answer: A.
Complete a fall-risk assessment
(Rat) this is a priority nursing question therefore the question should direct you to
the nursing process. The first action the nurse should take using the nursing
process is to assess or collect data from the patient.
A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following
actions should the RN take?
A. Open the windows in the patients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from the patient room
D. Place wet towels along the base of the door to the patients room Correct
Answer: D. Place wet towels along the base of the door to the patients room -
(RAT) to contain the fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.
A nurse manager is completing an in-service on a group of new nurses in the
transition to practice program. The nurse manager asks one nurse student to define
the acronym "RACE". Please indicate what each letter in the acronym means.
Correct Answer: R - Rescue and protect the patients who are at or near the fire.
Patients who can walk are able to do so on command to a safe location.
A - Activate the alarm
C - Contain/confine the fire by closing doors and windows, by placing a wet towel
under the door in the patients room, and by turning off all oxygen sources and any
electrical devices. Ventilate patient's who are on life support by using a bag-valve
mask
, E - Extinguish the fire with a general/appropriate fire extinguisher (Class A) for
your normal combustables
A RN discovers that she administered an antihypertensive medication to a patient
in error. Identify the appropriate sequence of steps that the RN should take using
the following actions.
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice Correct Answer: (A, B,
C, D, E)
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice
Note - If the question was a priority question, what would the RN do first? First, I
would check the VS.
A RN is discussing disaster planning with the board members of a hospital. Which
of the following actions should the RN take?
A. Incident commander
B. Medical command physician
C. Triage officer
D. Media liaison Correct Answer: Medical command physician - (RAT) oversee's
the use of resources (equipment and personnel)
NOTE - the incident commander manages the incident and key leaders within the
facility
NOTE - Expect the triage officer to prioritize the treatment of patients coming in
for treatment
Questions and Answers Rated A
Low-residue diet Correct Answer: Dairy products & eggs, such as custard and
yogurt
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to
digest such as eggs, custard, yogurt and ripe bananas - NOTE Legumes such as
lentils and black beans are high in fiber and are not considered low in residue.
A RN is caring for a patient who weighs 80 kg and is 5 ft 3 in tall. Calculate the
BMI and determine if the patients BMI indicates a healthy weight, underweight,
overweight, or obese. Correct Answer: Use the formula (wt. in lbs)/(ht in in^2)
multiply by 703 to get the BMI.
BMI is 31 (obese)
(Rat) A BMI greater than 30 indicates obesity. A BMI of 25-29.9 indicates
overweight. A BMI of 18.5-24.9 is a normal/healthy BMI. A BMI <18.5 indicates
underweight.
A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in.
Calculate the BMI of the female patient. Correct Answer: Use the formula
(lbs)/(in^2) multiply by 703
BMI 42 indicates the patient is obese
A RN is reviewing discharge instructions regarding car seat safety to the parent of
a newborn. Which of the following instructions will the nurse include in the
discharge teaching (SATA)
A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. Correct Answer: (A, C, E, G)
,A. Position the infant rear-facing in the backseat - (RAT) the car seat should never
be in the front seat of a car due to the increased risk for injury from the air bags
during a MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a
45 degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should
be in the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-
facing car seat until the child reaches 2yo or until the child reaches the maximum
ht and wt for the seat.
A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions
should the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment Correct Answer: (C,D,E)
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment
Note- You do not put all the side rails up in the bed because this is considered a
restraint.
A RN is caring for a patient who has a Hx of falls. Which of the following actions
is the RNs priority?
A. Complete a fall-risk assessment
,B. Educate the patient and family about fall risks
C. Eliminate safety hazards from the patients environment
D. Make sure the patient uses assistive aids in their possession Correct Answer: A.
Complete a fall-risk assessment
(Rat) this is a priority nursing question therefore the question should direct you to
the nursing process. The first action the nurse should take using the nursing
process is to assess or collect data from the patient.
A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following
actions should the RN take?
A. Open the windows in the patients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from the patient room
D. Place wet towels along the base of the door to the patients room Correct
Answer: D. Place wet towels along the base of the door to the patients room -
(RAT) to contain the fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.
A nurse manager is completing an in-service on a group of new nurses in the
transition to practice program. The nurse manager asks one nurse student to define
the acronym "RACE". Please indicate what each letter in the acronym means.
Correct Answer: R - Rescue and protect the patients who are at or near the fire.
Patients who can walk are able to do so on command to a safe location.
A - Activate the alarm
C - Contain/confine the fire by closing doors and windows, by placing a wet towel
under the door in the patients room, and by turning off all oxygen sources and any
electrical devices. Ventilate patient's who are on life support by using a bag-valve
mask
, E - Extinguish the fire with a general/appropriate fire extinguisher (Class A) for
your normal combustables
A RN discovers that she administered an antihypertensive medication to a patient
in error. Identify the appropriate sequence of steps that the RN should take using
the following actions.
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice Correct Answer: (A, B,
C, D, E)
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice
Note - If the question was a priority question, what would the RN do first? First, I
would check the VS.
A RN is discussing disaster planning with the board members of a hospital. Which
of the following actions should the RN take?
A. Incident commander
B. Medical command physician
C. Triage officer
D. Media liaison Correct Answer: Medical command physician - (RAT) oversee's
the use of resources (equipment and personnel)
NOTE - the incident commander manages the incident and key leaders within the
facility
NOTE - Expect the triage officer to prioritize the treatment of patients coming in
for treatment
