VATI Comprehensive Predictor NCLEX Questions
Low-residue diet ANS: 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. ANS: 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. ANS: 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. ANS: (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 ANS: (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 ANS: 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 ANS: 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 the RACE. Please indicate
what each letter in the acronym means. ANS: 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 and turn off all oxygen sources and any
electrical devices. Ventilate the patient who are on life support by using a bag-valve mask
E - Extinguish the fire with a general/appropriate fire extinguisher (Class A)
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 ANS: (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.
Next, notify the MD. Third, complete an incident report. Fourth, instruct the patient to remain in bed
and lastly notify the risk manager.
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 ANS: Medical command physical - (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
NOTE - Expect the media liaison to communicate with members of the media and press on behalf of the
facility
A RN prepares the ER to admit patients who were exposed to inhalation anthrax during a bioterrorism
attack. Which antibiotic is used to treat patients who have been exposed to inhalation anthrax? ANS:
Ciprofloxacin (Cipro) will treat and prevent the spread of anthrax
(RAT) Ciprofloxacin and doxycycline IV/PO is used following exposure. Treatment includes one or two
additional antibiotic (vancomycin, penicillin and anthrax antitoxin)
A RN at a mental health clinic is caring for four patients. The RN should recognize the following patients
is using dissociation as a defense mechanism? ANS: A patient who was abused as a child describes the
abuse as if it happened to someone else
What are the signs and symptoms of hypoglycemia? Use the mnemonic He IS TIRED! ANS: He -
Headache
IS - Irritability/ Sweating
T - Tachycardia
Low-residue diet ANS: 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. ANS: 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. ANS: 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. ANS: (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 ANS: (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 ANS: 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 ANS: 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 the RACE. Please indicate
what each letter in the acronym means. ANS: 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 and turn off all oxygen sources and any
electrical devices. Ventilate the patient who are on life support by using a bag-valve mask
E - Extinguish the fire with a general/appropriate fire extinguisher (Class A)
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 ANS: (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.
Next, notify the MD. Third, complete an incident report. Fourth, instruct the patient to remain in bed
and lastly notify the risk manager.
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 ANS: Medical command physical - (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
NOTE - Expect the media liaison to communicate with members of the media and press on behalf of the
facility
A RN prepares the ER to admit patients who were exposed to inhalation anthrax during a bioterrorism
attack. Which antibiotic is used to treat patients who have been exposed to inhalation anthrax? ANS:
Ciprofloxacin (Cipro) will treat and prevent the spread of anthrax
(RAT) Ciprofloxacin and doxycycline IV/PO is used following exposure. Treatment includes one or two
additional antibiotic (vancomycin, penicillin and anthrax antitoxin)
A RN at a mental health clinic is caring for four patients. The RN should recognize the following patients
is using dissociation as a defense mechanism? ANS: A patient who was abused as a child describes the
abuse as if it happened to someone else
What are the signs and symptoms of hypoglycemia? Use the mnemonic He IS TIRED! ANS: He -
Headache
IS - Irritability/ Sweating
T - Tachycardia
