VATI Comprehensive Predictor — Master
Review & Preparation Guide 2025/2026
<Latest Version>
Safe and Effective Care Environment: Management of Care
1. A client is scheduled for a paracentesis. What is the nurse's priority action before the
procedure?
a) Administer prescribed sedatives.
b) Instruct the client to empty their bladder. ✓
c) Place the client in a prone position.
d) Cleanse the abdomen with chlorhexidine.
2. A client with a do-not-resuscitate (DNR) order begins to choke on food. What is the nurse's
first action?
a) Begin chest compressions.
b) Administer abdominal thrusts. ✓
c) Call a code blue.
d) Suction the oropharynx.
3. The nurse is caring for a client with active tuberculosis. Which type of personal protective
equipment (PPE) is required?
a) Gloves and gown only.
b) Standard precautions only.
c) N95 respirator mask, gloves, gown, and eye protection. ✓
d) Surgical mask and gloves.
4. When delegating a task to an unlicensed assistive personnel (UAP), the nurse is responsible
for which of the following?
a) The UAP's understanding of the procedure and its reporting parameters. ✓
b) The UAP's annual performance evaluation.
c) Ensuring the UAP has a nursing license.
d) The UAP's personal schedule.
5. A client is being discharged and requires teaching for self-administration of insulin. Which
action should the nurse take first?
,a) Provide written instructions.
b) Assess the client's readiness to learn. ✓
c) Demonstrate the procedure.
d) Ask the client to demonstrate the procedure.
6. A client with heart failure has a potassium level of 5.7 mEq/L. The nurse should anticipate
an order for which medication?
a) Potassium Chloride IV
b) Sodium Polystyrene Sulfonate (Kayexalate) ✓
c) Furosemide (Lasix)
d) Spironolactone (Aldactone)
7. The nurse discovers a client on the floor beside their bed. After assessing the client and
notifying the healthcare provider, what is the nurse's next legal obligation?
a) Move the client back to bed.
b) Complete an incident report. ✓
c) Document the event in the chart.
d) Inform the family.
8. Which client should the nurse assess first?
a) A client with Crohn's disease complaining of abdominal cramps.
b) A client with heart failure who has 2+ pitting edema in the ankles.
c) A client with pneumonia who is dyspneic with a respiratory rate of 32. ✓
d) A client post-hip replacement requesting pain medication.
9. A client is refusing a blood transfusion for religious reasons. The nurse's best action is to:
a) Inform the client of the risks of refusal.
b) Document the refusal and notify the provider. ✓
c) Ask the family to convince the client.
d) Administer the transfusion as it is life-saving.
10. The nurse is preparing to administer a unit of packed red blood cells. Which step is critical
prior to initiation?
a) Flush the IV line with 5% Dextrose in Water.
b) Confirm the blood product and client identity with a second nurse. ✓
c) Administer a prophylactic dose of acetaminophen.
d) Ensure the client has signed a consent form.
Safe and Effective Care Environment: Safety and Infection Control
,11. To prevent ventilator-associated pneumonia (VAP), which intervention is most effective?
a) Administering prophylactic antibiotics.
b) Maintaining the head of the bed at 30-45 degrees. ✓
c) Suctioning the endotracheal tube every hour.
d) Using sterile water in the humidifier.
12. A client with Clostridium difficile (C. diff) has diarrhea. The nurse should use which
precaution?
a) Contact Precautions with soap and water for hand hygiene. ✓
b) Contact Precautions with alcohol-based hand sanitizer.
c) Droplet Precautions.
d) Standard Precautions only.
13. A fire starts in a client's room. The nurse's first action should be to:
a) Activate the fire alarm.
b) Confine the fire by closing doors.
c) Rescue and remove the client from danger. ✓
d) Use the fire extinguisher.
14. When a medication error occurs, the nurse's priority is to:
a) Complete an incident report.
b) Notify the nursing supervisor.
c) Assess the client for adverse effects. ✓
d) Document the error in the chart.
15. The nurse is caring for a client who is confused and pulling at IV lines. Which is the least
restrictive intervention?
a) Apply wrist restraints.
b) Administer a sedative.
c) Assign a sitter to stay with the client. ✓
d) Use soft mittens on the client's hands.
16. To prevent falls in an elderly client, the nurse should:
a) Keep all four side rails up at all times.
b) Place the client in a chair with a tray table.
c) Use a bedside commode and ensure the call light is within reach. ✓
d) Restrain the client as needed.
17. The nurse is preparing to administer an intramuscular injection. To ensure safety, the
nurse should:
, a) Recap the needle after giving the injection.
b) Use the Z-track technique for all medications.
c) Engage the safety device on the needle immediately after administration. ✓
d) Break the needle off after use.
18. A client with a known seizure disorder begins to have a tonic-clonic seizure. The nurse's
priority action is to:
a) Place a tongue blade in the client's mouth.
b) Restrain the client's limbs.
c) Turn the client onto their side and protect the head. ✓
d) Administer PRN diazepam immediately.
19. The primary purpose of using a gait belt when ambulating a client is to:
a) Restrict the client's movement.
b) Provide a handle to hold onto for support. ✓
c) Prevent the client from falling.
d) Assess the client's abdominal girth.
20. Which action by a nurse requires immediate intervention by the charge nurse?
a) The nurse washes their hands for 15 seconds with soap and water.
b) The nurse dons a gown and gloves before entering a contact precaution room.
c) The nurse recaps a used needle before disposing of it. ✓
d) The nurse disposes of a regular syringe in a sharps container.
Health Promotion and Maintenance
21. The nurse is providing education to the parents of a 2-month-old infant. Which
immunization is typically given at this age?
a) MMR (Measles, Mumps, Rubella)
b) Varicella (Chickenpox)
c) DTaP (Diphtheria, Tetanus, Pertussis) ✓
d) HPV (Human Papillomavirus)
22. A 55-year-old client with no significant family history asks about cancer screening. The
nurse should recommend:
a) A colonoscopy every 10 years. ✓
b) A prostate-specific antigen (PSA) test annually.
c) A mammogram every 2 years starting at age 60.
d) A low-dose CT scan for lung cancer.
Review & Preparation Guide 2025/2026
<Latest Version>
Safe and Effective Care Environment: Management of Care
1. A client is scheduled for a paracentesis. What is the nurse's priority action before the
procedure?
a) Administer prescribed sedatives.
b) Instruct the client to empty their bladder. ✓
c) Place the client in a prone position.
d) Cleanse the abdomen with chlorhexidine.
2. A client with a do-not-resuscitate (DNR) order begins to choke on food. What is the nurse's
first action?
a) Begin chest compressions.
b) Administer abdominal thrusts. ✓
c) Call a code blue.
d) Suction the oropharynx.
3. The nurse is caring for a client with active tuberculosis. Which type of personal protective
equipment (PPE) is required?
a) Gloves and gown only.
b) Standard precautions only.
c) N95 respirator mask, gloves, gown, and eye protection. ✓
d) Surgical mask and gloves.
4. When delegating a task to an unlicensed assistive personnel (UAP), the nurse is responsible
for which of the following?
a) The UAP's understanding of the procedure and its reporting parameters. ✓
b) The UAP's annual performance evaluation.
c) Ensuring the UAP has a nursing license.
d) The UAP's personal schedule.
5. A client is being discharged and requires teaching for self-administration of insulin. Which
action should the nurse take first?
,a) Provide written instructions.
b) Assess the client's readiness to learn. ✓
c) Demonstrate the procedure.
d) Ask the client to demonstrate the procedure.
6. A client with heart failure has a potassium level of 5.7 mEq/L. The nurse should anticipate
an order for which medication?
a) Potassium Chloride IV
b) Sodium Polystyrene Sulfonate (Kayexalate) ✓
c) Furosemide (Lasix)
d) Spironolactone (Aldactone)
7. The nurse discovers a client on the floor beside their bed. After assessing the client and
notifying the healthcare provider, what is the nurse's next legal obligation?
a) Move the client back to bed.
b) Complete an incident report. ✓
c) Document the event in the chart.
d) Inform the family.
8. Which client should the nurse assess first?
a) A client with Crohn's disease complaining of abdominal cramps.
b) A client with heart failure who has 2+ pitting edema in the ankles.
c) A client with pneumonia who is dyspneic with a respiratory rate of 32. ✓
d) A client post-hip replacement requesting pain medication.
9. A client is refusing a blood transfusion for religious reasons. The nurse's best action is to:
a) Inform the client of the risks of refusal.
b) Document the refusal and notify the provider. ✓
c) Ask the family to convince the client.
d) Administer the transfusion as it is life-saving.
10. The nurse is preparing to administer a unit of packed red blood cells. Which step is critical
prior to initiation?
a) Flush the IV line with 5% Dextrose in Water.
b) Confirm the blood product and client identity with a second nurse. ✓
c) Administer a prophylactic dose of acetaminophen.
d) Ensure the client has signed a consent form.
Safe and Effective Care Environment: Safety and Infection Control
,11. To prevent ventilator-associated pneumonia (VAP), which intervention is most effective?
a) Administering prophylactic antibiotics.
b) Maintaining the head of the bed at 30-45 degrees. ✓
c) Suctioning the endotracheal tube every hour.
d) Using sterile water in the humidifier.
12. A client with Clostridium difficile (C. diff) has diarrhea. The nurse should use which
precaution?
a) Contact Precautions with soap and water for hand hygiene. ✓
b) Contact Precautions with alcohol-based hand sanitizer.
c) Droplet Precautions.
d) Standard Precautions only.
13. A fire starts in a client's room. The nurse's first action should be to:
a) Activate the fire alarm.
b) Confine the fire by closing doors.
c) Rescue and remove the client from danger. ✓
d) Use the fire extinguisher.
14. When a medication error occurs, the nurse's priority is to:
a) Complete an incident report.
b) Notify the nursing supervisor.
c) Assess the client for adverse effects. ✓
d) Document the error in the chart.
15. The nurse is caring for a client who is confused and pulling at IV lines. Which is the least
restrictive intervention?
a) Apply wrist restraints.
b) Administer a sedative.
c) Assign a sitter to stay with the client. ✓
d) Use soft mittens on the client's hands.
16. To prevent falls in an elderly client, the nurse should:
a) Keep all four side rails up at all times.
b) Place the client in a chair with a tray table.
c) Use a bedside commode and ensure the call light is within reach. ✓
d) Restrain the client as needed.
17. The nurse is preparing to administer an intramuscular injection. To ensure safety, the
nurse should:
, a) Recap the needle after giving the injection.
b) Use the Z-track technique for all medications.
c) Engage the safety device on the needle immediately after administration. ✓
d) Break the needle off after use.
18. A client with a known seizure disorder begins to have a tonic-clonic seizure. The nurse's
priority action is to:
a) Place a tongue blade in the client's mouth.
b) Restrain the client's limbs.
c) Turn the client onto their side and protect the head. ✓
d) Administer PRN diazepam immediately.
19. The primary purpose of using a gait belt when ambulating a client is to:
a) Restrict the client's movement.
b) Provide a handle to hold onto for support. ✓
c) Prevent the client from falling.
d) Assess the client's abdominal girth.
20. Which action by a nurse requires immediate intervention by the charge nurse?
a) The nurse washes their hands for 15 seconds with soap and water.
b) The nurse dons a gown and gloves before entering a contact precaution room.
c) The nurse recaps a used needle before disposing of it. ✓
d) The nurse disposes of a regular syringe in a sharps container.
Health Promotion and Maintenance
21. The nurse is providing education to the parents of a 2-month-old infant. Which
immunization is typically given at this age?
a) MMR (Measles, Mumps, Rubella)
b) Varicella (Chickenpox)
c) DTaP (Diphtheria, Tetanus, Pertussis) ✓
d) HPV (Human Papillomavirus)
22. A 55-year-old client with no significant family history asks about cancer screening. The
nurse should recommend:
a) A colonoscopy every 10 years. ✓
b) A prostate-specific antigen (PSA) test annually.
c) A mammogram every 2 years starting at age 60.
d) A low-dose CT scan for lung cancer.
