VATI - EXIT RN COMPREHENSIVE
PREDICTOR | COMPLETE QUESTIONS &
ANSWERS LATEST 2024
VATI- RN COMPREHENSIVE ASSMT -180 QUESTIONS & ANSWERS
1. A nurse on a mental health unit is admitting a client who has posttraumatic stress
disorder. Which of the following findings should the nurse expect?
• Talks continuously about the event
• Preoccupied with having a serious illness
• Has difficulty concentrating on a task
• Experiences frequent grandiose thoughts
2. A nurse is administering a scheduled medication to a client. The client reports
that the medication appears different than what they take home. Which of the
following responses should the nurse make?
• "Did the doctor discuss with you that there was a change in this medication? "
• "Do you know why this medication is being prescribed for you?"
• "I will call the pharmacist now to check on this medication "
• "I recommend that you take this medication as prescribed"
3. A nurse is assessing a client who is in skeletal traction for a fractured lef t tibia.
The nurse should Identify that which the following findings indicates altered tissue
perfusion of the affected extremity?
• Purulent drainage at the site
• Faint pedal pulse of lef t leg
• Pain with movement of the left great toe
• Warm skin temperature distal to pin site
4. A nurse is providing teaching to an adolescent who has peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the
teaching?
• "I will decrease my daily protein intake to 15 grams per day"
• "I will use ibuprofen as needed to control abdominal pain"
• "I will take sucralfate with meals three times per"
• "I will avoid food and beverages that contain caffeine"
,5. A nurse is caring for a client who is in the advanced stage of amyotrophic lateral
sclerosis (ALS). Which of the following referrals is the nurse's priority?
• Occupational therapist
• Social worker
• Speech-language pathologist
• Psychologist
6. A nurse administers digoxin 0.125 mg PO to an adult client. For which of the
following findings should the nurse notify the provider?
• Constipation for 2 days
• Potassium level 4.2 mEq/L
2
• Digoxin level 1 ng/mL ** normal levels 0.5- 2.0
• Apical pulse 58/ min
7. A nurse is updating the plan of care for a client who has an exacerbation of
psoriasis. Which of the following interventions should the nurse include in the
plan?
• Discontinue ultraviolet light therapy if lesions become itchy
• Cover lesions with an occlusive dressing after applying a corticosteroid.
• Scrub external lesions with a pumice stone
• Instruct the client to add rubbing alcohol to bath water
8. A nurse is verifying a record of informed consent for a client who scheduled for
surgery. Which of the following actions should the nurse take?
• Provide Information on the informed consent form about the benefits of the surgery
• Confirm the client's signature is authentic
• Inform the client about the condition that requires treatment
• Explain the procedure to the client before verifying informed consent.???
9. A nurse is caring for a client who requests the creation of a living will. Which of
the following actions should the nurse take?
• Schedule a meeting between the hospital ethics committee and client
• Determine the client's preferences about postmortem care
• Evaluate the client's understanding of life sustaining measures
• Request a conference with the client's family
10. A nurse in an emergency department caring for a toddler who has burns
following a house fire. Which of the following actions should the nurse take first?
,• Administer antibiotics prophylactically to prevent sepsis.
• Determine the location and depth of the burns.
• Calculate fluid replacement based on vital signs and urinary output.
• Check the mouth for soot and smoky breath. ABC’S
11. A nurse is caring for an older adult client who has prescriptions for multiple
medications. Which of the following factors should the nurse identify as an age-
related change that increases the risk for adverse effects from medications?
• Prolonged medication half-life
• Increased medication elimination
• Decreased medication sensitivity
• Rapid gastric emptying
3
12. A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the
following actions should the nurse take?
• Express sympathy for the client's situation.
• Confront the client about this behavior.
• Speak assertively to the client.
• Stand within 30 cm (1 fu of the client when speaking with them.
13. A nurse is reviewing the medical record of a client who is requesting
combination oral contraceptives. Which of the following conditions in the client's
history is a contraindication to the use of combination oral contraceptives?
• Hypocalcemia
• Diverticulosis
• Hyperthyroidism
• Thrombophlebitis
14. A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections. Which of the following interventions should the nurse include in
the plan?
• Wear loose-fitting underwear.
• Take a bubble bath after intercourse
• Drink four 240 mL (8 oz) glasses of water each day
• Void every to 6 hr during the day. NO
, 15. A nurse is consulting a pharmacological reference about medication
compatibility prior to administering warfarin to a client. Which of the following
medications should the nurse identify as being incompatible with warfarin?
• Magnesium hydroxide
• Naproxen NSAID’S
• Lisinopril
• Propranolol
16. A nurse in an emergency department is caring for a client following a motor-
vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following
findings should the nurse expect?
• The withdraws from pain.
• The client is oriented times three.
• The dent is unable to obey commands non.
• The client opens eyes to sound.
17. A nurse is admitting a client who is 1 week postpartum and reports excessive
vaginal bleeding. The nurse speaks a different language than the client. The
client's partner and 10- year-old child are accompanying her. Which of the
following actions should the nurse take to gather the client’s admission data?
• Request a female interpreter through the facility
• Ask nursing student who speaks the same language as the client to translate
• Allow the client’s partner to translate
• Have the client’s child translate
18. A nurse is planning care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following interventions should the
nurse Include?
• Perform an ECG every 12hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation.
19. A nurse in the infectious disease division of the local health department is
caring for a client. Which of the following infections should the nurse identify
should be reported to the health department?
• Clostridium difficile
• Human papilloma virus
• Herpes simplex virus
• Chlamydia trachomatis
PREDICTOR | COMPLETE QUESTIONS &
ANSWERS LATEST 2024
VATI- RN COMPREHENSIVE ASSMT -180 QUESTIONS & ANSWERS
1. A nurse on a mental health unit is admitting a client who has posttraumatic stress
disorder. Which of the following findings should the nurse expect?
• Talks continuously about the event
• Preoccupied with having a serious illness
• Has difficulty concentrating on a task
• Experiences frequent grandiose thoughts
2. A nurse is administering a scheduled medication to a client. The client reports
that the medication appears different than what they take home. Which of the
following responses should the nurse make?
• "Did the doctor discuss with you that there was a change in this medication? "
• "Do you know why this medication is being prescribed for you?"
• "I will call the pharmacist now to check on this medication "
• "I recommend that you take this medication as prescribed"
3. A nurse is assessing a client who is in skeletal traction for a fractured lef t tibia.
The nurse should Identify that which the following findings indicates altered tissue
perfusion of the affected extremity?
• Purulent drainage at the site
• Faint pedal pulse of lef t leg
• Pain with movement of the left great toe
• Warm skin temperature distal to pin site
4. A nurse is providing teaching to an adolescent who has peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the
teaching?
• "I will decrease my daily protein intake to 15 grams per day"
• "I will use ibuprofen as needed to control abdominal pain"
• "I will take sucralfate with meals three times per"
• "I will avoid food and beverages that contain caffeine"
,5. A nurse is caring for a client who is in the advanced stage of amyotrophic lateral
sclerosis (ALS). Which of the following referrals is the nurse's priority?
• Occupational therapist
• Social worker
• Speech-language pathologist
• Psychologist
6. A nurse administers digoxin 0.125 mg PO to an adult client. For which of the
following findings should the nurse notify the provider?
• Constipation for 2 days
• Potassium level 4.2 mEq/L
2
• Digoxin level 1 ng/mL ** normal levels 0.5- 2.0
• Apical pulse 58/ min
7. A nurse is updating the plan of care for a client who has an exacerbation of
psoriasis. Which of the following interventions should the nurse include in the
plan?
• Discontinue ultraviolet light therapy if lesions become itchy
• Cover lesions with an occlusive dressing after applying a corticosteroid.
• Scrub external lesions with a pumice stone
• Instruct the client to add rubbing alcohol to bath water
8. A nurse is verifying a record of informed consent for a client who scheduled for
surgery. Which of the following actions should the nurse take?
• Provide Information on the informed consent form about the benefits of the surgery
• Confirm the client's signature is authentic
• Inform the client about the condition that requires treatment
• Explain the procedure to the client before verifying informed consent.???
9. A nurse is caring for a client who requests the creation of a living will. Which of
the following actions should the nurse take?
• Schedule a meeting between the hospital ethics committee and client
• Determine the client's preferences about postmortem care
• Evaluate the client's understanding of life sustaining measures
• Request a conference with the client's family
10. A nurse in an emergency department caring for a toddler who has burns
following a house fire. Which of the following actions should the nurse take first?
,• Administer antibiotics prophylactically to prevent sepsis.
• Determine the location and depth of the burns.
• Calculate fluid replacement based on vital signs and urinary output.
• Check the mouth for soot and smoky breath. ABC’S
11. A nurse is caring for an older adult client who has prescriptions for multiple
medications. Which of the following factors should the nurse identify as an age-
related change that increases the risk for adverse effects from medications?
• Prolonged medication half-life
• Increased medication elimination
• Decreased medication sensitivity
• Rapid gastric emptying
3
12. A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the
following actions should the nurse take?
• Express sympathy for the client's situation.
• Confront the client about this behavior.
• Speak assertively to the client.
• Stand within 30 cm (1 fu of the client when speaking with them.
13. A nurse is reviewing the medical record of a client who is requesting
combination oral contraceptives. Which of the following conditions in the client's
history is a contraindication to the use of combination oral contraceptives?
• Hypocalcemia
• Diverticulosis
• Hyperthyroidism
• Thrombophlebitis
14. A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections. Which of the following interventions should the nurse include in
the plan?
• Wear loose-fitting underwear.
• Take a bubble bath after intercourse
• Drink four 240 mL (8 oz) glasses of water each day
• Void every to 6 hr during the day. NO
, 15. A nurse is consulting a pharmacological reference about medication
compatibility prior to administering warfarin to a client. Which of the following
medications should the nurse identify as being incompatible with warfarin?
• Magnesium hydroxide
• Naproxen NSAID’S
• Lisinopril
• Propranolol
16. A nurse in an emergency department is caring for a client following a motor-
vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following
findings should the nurse expect?
• The withdraws from pain.
• The client is oriented times three.
• The dent is unable to obey commands non.
• The client opens eyes to sound.
17. A nurse is admitting a client who is 1 week postpartum and reports excessive
vaginal bleeding. The nurse speaks a different language than the client. The
client's partner and 10- year-old child are accompanying her. Which of the
following actions should the nurse take to gather the client’s admission data?
• Request a female interpreter through the facility
• Ask nursing student who speaks the same language as the client to translate
• Allow the client’s partner to translate
• Have the client’s child translate
18. A nurse is planning care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following interventions should the
nurse Include?
• Perform an ECG every 12hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation.
19. A nurse in the infectious disease division of the local health department is
caring for a client. Which of the following infections should the nurse identify
should be reported to the health department?
• Clostridium difficile
• Human papilloma virus
• Herpes simplex virus
• Chlamydia trachomatis
