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VATI RN COMPREHENSIVE PREDICTOR
FORM B NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 1 4 0 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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1. A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take? A. Rupture the amniotic sac B. Medicate the client for pain C. Prepare the client for a cesarean section D. Perform a vaginal exam 2. A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the following statements should the nurse document in an incident report? A. Client fell out of bed because an assistive personnel left the rails of the bed down B. Client's roommate thinks the client is confused and fell when getting out of bed C. Client appears to have slipped in water but reports no injuries D. Client found lying on the floor near the bedside table 3. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit. Which of the following clients is appropriate to assign to the float nurse? A. A 10 - year-old client who has pneumonia and is receiving respiratory treatments B. A 4 - year-old client who has a Wilms tumor and is receiving chemotherapy C. An 8 - month-old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow D. A 14 - year-old client who is scheduled for discharge today following placement of a Herrington rod 4. A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should plan to monitor for which of the following adverse reactions? A. Hepatotoxicity B. Ototoxicity C. Hypercalcemia
D. Hypertension
5. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? A. Generalized edema B. Elevated urine specific gravity C. Thready pulse D. Increased hematocrit 6. A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system. Which of the following is the priority nursing action? A. Inform the client of available community resources B. Assist the client in finding childcare options C. Agree upon short-term goals for the client D. Ask the client about their understanding of the diagnosis 7. A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following findings should cause the nurse to suspect a skull fracture? A. Clear fluid drainage from the nares B. Report of pain around the eyes C. Dried blood in the mouth D. Mandibular asymmetry 8. A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are associated with this infection? A. Profuse milky white discharge B. Frequency and dysuria C. Low-grade fever D. Hematuria 9. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? A. This technique prevents injury to the sciatic nerve B. This technique decreases the risk of subcutaneous infiltration C. This technique allows a larger amount of medication to be injected D. This technique increases the absorption rate of the drug
15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the followinginterventions should the nurse include in the plan? A. Encourage the client to gain 2.3 kg per week B. Weigh the client once per week throughout hospitalization C. Monitor the client for 1 hr after meals D. Allow the client to choose mealtimes Monitor the client for 1 hr after meals 16. A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is A. Asymmetric, with variegated coloring B. Scaly and red C. Brown, with a wart-like texture D. Firm and rubbery 17. A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the following actions should the nurse take? A. Position the examination light toward the client's face B. Stand on the right side of the client when examining the left eye C. Dim the lights in the room prior to the examination D. Place the ophthalmoscope directly against the client's forehead 18. A nurse is observing a newly licensed nurse irrigate a client's wound. Which of the following actions should the nurse identify as an indication that the newly licensed nurse understands wound irrigation? A. Cleanses the wound with povidone-iodine with cotton balls B. Administers PO analgesia 20 min prior to irrigation C. Warms the irrigation solution in the microwave oven prior to application D. Irrigates the wound from the top to the bottom 19. A nurse is planning care for a child who has increased intracranial pressure with a decrease in level of consciousness. Which of the following interventions should the nurse include in the plan of care? A. Perform active range-of-motion exercises B. Maintain the head at a midline position C. Suction the airway frequently D. Perform neurological checks every 4 hrs Maintain the head at a midline position
20. A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? A. Notify the facility operator B. Close the fire doors on the unit C. Turn off oxygen sources D. Put out the fire with the appropriate extinguisher 21. A nurse is talking with an adult child of a client who was involuntarily admitted to an inpatient mental health facility. Which of the following statements should the nurse make? A. The provider will notify your patient's employer about admission to the facility B. Your parent will have to take the medication that the doctor prescribes C. Your parent might have electroconvulsive therapy without providing consent D. The provider can prescribe restraints if your parent tries to harm others 22. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? A. Hallucinations B. Agnosia C. Bradycardia D. Aphasia 23. A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The nurse should identify that which of the following findings indicates fluid overload? A. Diminished bowel sounds B. Bradycardia C. Hypotension D. Bounding pulses 24. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? A. INR 1. B. Hyperemesis C. HbA1c 5.6% D. Uncontrolled pain 25. A nurse is assessing a client who has a complete heart block and is receiving transcutaneous pacing. Which of the following findings indicates to the nurse that the treatment is effective? A. Heart rate greater than 60/min
C. Use systematic desensitization to decrease gambling behaviors D. Learn to use projection to adapt to stressful experiences
31. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? A. Encourage the client to ambulate in the hallway 1 hr before bedtime B. Tell the client to avoid drinking fluids 1 hr before bedtime C. Schedule routine care tasks during hours when the client is awake D. Advise the client to leave the television in the room on when trying to fall asleep 32. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? A. Clothe the newborn in light cotton B. Check the newborn's temperature every 8 hrs. C. Administer 120 mL of water between feedings D. Place the newborn 45 cm from the light source 33. A nurse is providing teaching to a client who is at 8 - week gestation and experiencing episodes of nausea and vomiting. Which of the following instructions should the nurse include? A. Brush teeth immediately after eating B. Lay down for 30 min after meals C. Drink 12 oz of water with each meal D. Eat a dry carbohydrate before getting out of bed 34. A nurse is teaching a client who is scheduled for placement of a peripherally inserted central catheter line. Which of the following information should the nurse include in the teaching? A. Your PICC line will allow long-term access for antibiotic therapy B. You should use a 5 - milliliter barrel syringe to flush your PICC line at home C. Your PICC line must be placed in your nondominant arm D. You should immobilize the arm with the PICC line using a sling 35. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? A. Art therapist B. Speech-language pathologist C. Social worker D. Recreational therapist
36. A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic? A. You looked like you would be the most likely to talk back with me B. Let's go see what activities are going on outside C. Why shouldn't I talk to you? You looked lonely D. You're curious why I am interested in you and not the others? 37. An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. The nurse should identify that which of the following activities is a secondary level of prevention? A. Influenzas immunizations B. Tuberculosis screenings C. Presentations about safer sex practices D. Evaluations of bloodborne pathogen policies 38. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication? A. Decreased reflexes B. Weight gain of 1.4 kg C. Increased urinary output D. Jugular vein distention 39. A nurse is caring for a client who is postoperative following a bowel surgery and has an NG tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube might not be functioning properly? A. Wall suction set to 60 mmHg B. Drainage fluid is greenish-yellow C. Aspirate pH of 3 D. Abdominal rigidity 40. A nurse is caring for a 7 - year-old child who has severe dehydration. Which of the following findings should the nurse expect? A. Blood pressure 94/68 mmHg B. Urinary output 30 mL/hr C. Respiratory rate 24/min D. Heart rate 152/min
A. Insist the client use direct eye contact during the interview B. Seat the client at least 3.7m from the nurse C. Position the client's chair between the nurse's chair and the door D. Lean in slightly when speaking to the client
47. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? A. A 68 - year-old client who had a myocardial infarction 2 days ago and reports chest pain on a scale of 0 to 10 B. A 48 - year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C (101F) C. A 60 - year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an oxygen saturation of 89% D. A 26 - year-old female client who has pelvic inflammatory disease and is unable to void 48. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? A. Peanuts B. Shellfish C. Avocados D. Eggs 49. A nurse is planning discharge teaching for a client who is scheduled to receive intravenous infusions at home. Which of the following instructions should the nurse plan to include? A. Plug the infusion pump in an outlet next to the bathroom B. Pull the cord when unplugging the infusion pump C. Clean the infusion pump when it is turned on D. Place the infusion pump cord against the baseboards 50. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? A. I wonder if the metal in my knee will show up in airport screenings B. The physical therapy has not been working, so I will need to have the surgery C. I look forward to being able to bend my knee again when I sit in a chair D. I am thankful there are no serious complications from this type of surgery 51. A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the following interventions should the nurse take so that the client will best tolerate ambulation? A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic C. Obtain the client's vital signs and oximetry prior to ambulation D. Reinforce the client's surgical dressing
52. A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates the need for which of the following equipment? A. Portable suction B. Cervical collar C. Hemodialyzer D. Pulse oximeter 53. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? A. Compulsive attention to details B. Avoids interacting with others C. Uses others for personal gain D. Socially awkward in group situations 54. A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? A. Burning B. Discoloration C. Photosensitivity D. Alopecia 55. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? A. "Notify your provider if you experience muscle weakness." B. "Reports a weight gain of one-half pound per day." C. "Expect this medication to increase your blood pressure." D. "You will need to take a diuretic while taking this medication." 150. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? A. Decrease intake of citrus foods and beverages
C. Erythrocyte sedimentation rate 17 mm/hr D. Human B-type natriuretic peptide 88 pg/mL
160. A nurse is assessing a client who has a fentanyl patch in place for chronic pain. Which of the following findings should the nurse report to the provider? A. No bowel movement for 3 days B. Report of dry mouth C. Respiratory rate 14/min D. Potassium level 4.8 mEq/L 161. A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take this medication within 15 minutes of eating." B. "I will take this medication at bedtime." C. "I will take this medication with 8 ounces of water." D. "I will increase my caffeine intake while taking this medication." 162. A nurse is caring for a client who experienced a stroke and has dysphagia. Which of the following findings should indicate to the nurse the client is at risk for aspiration? A. The client tucks his chin while swallowing food B. The client sits upright in bed during meals C. The client pockets food on one side of his mouth D. The client has a cough reflex 167. A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an assistive personnel? A. A client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry B. A client who had a myocardial infarction 3 days ago and reports chest pain C. A client who had a stroke 2 days ago and needs help toileting D. A client who has awoken following a bronchoscopy and requests a drink 168. A nurse is caring for a client who is receiving continuous enteral feedings and reports diarrhea. Which of the following actions should the nurse take? A. Discard opened cans of formula after 24 hrs B. Replace the extension tubing every 48 hrs C. Irrigate the tubing every 12 hr with 50 mL of warm water
D. Increase the infusion rate
169. A nurse is caring for an adolescent who is receiving treatment for heart failure. Based on the client's chart findings, which of the following actions should the nurse plan to take? A. Administer furosemide B. Withhold digoxin C. Withhold spironolactone D. Administer ferrous sulfate 171. A nurse is reviewing the employee health program for new employees. Which of the following diagnostic assessments should the nurse recommend for all new employees to screen for the presence of tuberculosis? A. Sputum culture B. Chest x-ray C. QuantiFERON-TB Gold blood analysis D. Mantoux test 172. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should place a rolled blanket along each side of my baby's head in the car seat." B. "I should place my baby's car seat rear-facing until 6 months of age." C. "I should put the car seat retainer clip at the level of my baby's belly button." D. "I should position my baby's car seat at a 90 - degree angle in the car."
- A nurse in the labor and delivery unit is reviewing medications for a group of clients. Which of the following medications places the fetus at risk for teratogenic effects? A. Levothyroxine for hypothyroidism B. Phenytoin for seizure disorder C. Magnesium oxide for constipation D. Ferrous sulfate for chronic anemia
- An emergency department nurse triages a group of school children injured in a school bus crash. Which of the following children should the nurse have the provider evaluate first? A. A child who has a forehead wound that is bleeding copiously B. A child who has a compound fracture of the femur and is crying in pain C. A child who reports diplopia and nausea and was unconscious at the scene but is now awake D. A child who has several missing permanent teeth and a swollen, ecchymotic upper lip
- A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? A. Administer an antitoxin B. Quarantine the client C. Monitor the client for a productive cough D. Begin prophylactic treatment with ciprofloxacin
- A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? A. Prohibit visitors for the first 24 hrs B. Keep a 3 - foot distance from the radiation implant C. Maintain the client on bed rest for 72 hr D. Require the client wear a dosimeter badge
- A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first? A. Place the client's valuables in the facility's safe B. Observe the client's level of mobility C. Administer prescribed medications D. Electronically enter the prescriptions from the provider
- A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? A. Oliguria B. Constricted pupils C. Shivering D. Bradypnea
- A nurse in a newborn nursery is performing assessments on four neonates that are all less than 24 hr old. The nurse should plan to notify the provider of which of the following findings? A. Head circumference 1 cm greater than chest B. Positive Babinski reflex on bilateral feet C. Passage of meconium stool D. Pinna below the outer canthus of the eye
- A nurse is providing teaching to the guardian of a school-age child who has a new prescription for ferrous sulfate capsules PO. Which of the following instructions should the nurse include in the teaching? A. Add the contents of the capsules to food B. Dissolve the capsules in a glass of chocolate milk C. Administer the medication with a glass of orange juice D. Administer the medication at bedtime 51. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? A. Herpes simplex virus (HSV) type 1 B. Hepatitis A C. Human papillomavirus (HPV) D. Pediculosis capitis 52. A nurse is giving change of shift report about a client who is 36 hr postoperative to another nurse. Which of the following should the nurse include? A. Daily bath given at 1000 B. Vomited a large amount of emesis immediately after surgery C. Flushed IV with 0.9% sodium chloride D. Pain relieved by position change 54. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? A. Delegates creation of a client's teaching plan to a licensed practical nurse B. Completes activities for one client before moving to the next client C. Focuses on activities rather than objectives D. Skips break times to catch up on charting Completes activities for one client before moving to the next client 55. A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client conditions is a contraindication to this medication? A. Hepatitis C B. Crohn's disease C. Peptic ulcer disease D. Bronchitis
61. A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? A. Head compression B. Fetal hypoxia C. Abruptio placentae D. Postmaturity 62. A nurse is caring for a client who is requesting treatment for a gambling disorder. Which of the following medications should the nurse expect the provider to prescribe? A. Varenicline B. Disulfiram C. Sertraline D. Clonidine 63. A charge nurse overhears two assistive personnel in the unit lobby discussing the HIV status of a client. Which of the following response is the priority for the nurse to make? A. Do you understand HIPAA regulations? B. This discussion is only appropriate in a private area C. Please stop this discussion D. Did you know you can be liable if you breach confidentiality? 64. A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following actions should the nurse include in the plan of care? A. Remind the client to place the cane on the unaffected side B. Adjust the length of the cane to equal the distance from the client's iliac crest to the floor C. Remove the rubber tip from the cane to enhance ambulation D. Place the cane safely in the closet during naps and at bedtime 65. A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? A. Limit each of the client's visitors to 1 hr per day B. Remove dirty linens from the room after double bagging C. Wear a dosimeter film badge while in the client's room D. Ensure family members remain at least 1 m from the client
66. A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? A. Report the incident to Adult Protective Services B. Interview the client with his adult child present C. Tell the client he must answer every assessment question D. Advise the client to consult a social worker 67. A home health nurse is assessing a client who reports a headache and appears confused and drowsy. The client has a kerosene space heater in use. Which of the following actions should the nurse take first? A. Take the client outdoors B. Wrap blankets around the client C. Loosen the client's clothing D. Open the client's windows 68. A nurse is caring for a client who reports the use of chondroitin and glucosamine. The health benefit of this supplement combination is to do which of the following? A. Treat mild to moderate depression B. Enhance the immune system C. Prevent and treat prostate enlargement D. Improve joint functioning 69. A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? A. Extend the client's legs above heart level B. Place the client in a low-Fowler's position C. Instruct the client to perform the Valsalva maneuver D. Apply a dry gauze dressing to the incision 71. A nurse is caring for a client who has a hearing impairment. When speaking to the client, the nurse should incorporate which of the following communication methods? A. Speak directly into one of the client's ears B. Rephrase sentences the client does not understand C. Drop voice volume at the end of sentences D. Exaggerate lip movements
