RN VATI COMPREHENSIVE PREDICTOR 2025 UPDATE FORM A & B, Exams of Nursing

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RN VATI COMPREHENSIVE PREDICTOR 2025

UPDATE FORM A & B

1. A nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? A. Digoxin B. Lorazepam C. Atomoxetine D. Ceftriaxone 2. 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? (Comprehensive Review page 95) A. Extend the client’s legs above heart level B. Place the client in low fowlers position. C. Instruct the client to perform the Valsalva maneuver D. Apply a dry gauze dressing to the incision. 3. A nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? (Comprehensive Review page 159) A. Wear a lead apron when providing care for the client. 4. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? (Med Surg page 300) A. Apply the tourniquet 15cm (6 in) above the insertion site B. Check for pulsation at sited proximal to the tourniquet C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site D. Wipe the skin dry before inserting the catheter 5. A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended-release tablets. Which of the following actions should the nurse take? A. Administer the medication with applesauce. 6. A nurse is completing a dietary assessment for a client who is Jewish and observes kosher dietary practices. Which of the following behaviors would the nurse expect to find? (Comprehensive Review page 26) A. Leavened bread maybe eaten during Passover. B. Shellfish is commonly consumed in the diet. C. Meat and dairy products are eaten separately. D. Fasting from meat occurs during Hanukkah. 7. A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the alarm stage of

A. "You only need to receive Rh immune globulin if you have a positive blood type. " B. "You should receive Rh immune globulin within 72 hours of delivery." C. "Both you and your baby should receive Rh immune globulin at your week appointment." D. "Immune globulin is not necessary since this is your second pregnancy."

14. A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The client’s sibling comes to visit but has obvious manifestations of an upper respiratory infection. Which of the following nursing actions is appropriate at this time? A. Allow the sibling to wave at the client through the window or door. B. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit physical contact. C. D. 15. A nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. Which of the following should the nurse include in the plan of care? A. Monitor the client for hypothermia B. Screen the client for tardive dyskinesia C. Check the client’s weekly potassium level D. Schedule the client for a 24hr urine collection 16. A nurse is performing a vision screening for a client. Which of the following findings should the nurse identify as an indication that the client has cataracts? (Med Surg page 67) A. Report of a chronic dull ache in the eyes B. Bilateral redness of the sclerae C. Increased opacity of the lens of the eye D. Report of seeing halos around lights 17. 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 18. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increases in their diet during lactation? A. Vitamin D B. Iron C. Vitamin A D. Calcium

19. A nurse is providing nutritional counseling to the parents of a toddler. Which of the following instructions should the nurse include in the teaching? A. Offer snacks throughout the day. 20. A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (Selectable areas or Hot Spots" can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer A. option A 21. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? A. Set up the sterile field 7.6 cm below waist level B. Hold the bottle of sterile solution with the palm over the label while pouring C. Place the sterile items within 1 cm of the edge of the sterile border D. Place the lid of a bottle of sterile solution within the sterile field 22. A nurse is planning an education session for a client who has type 1 diabetes mellitus. which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? A. diaphoresis B. polyuria C. abdominal pain D. thirst 23. A nurse is instructing a group of newly hired nurses about medication to promote fetal lung maturation. which of the following medications should the nurse include in the instructions? A. Betamethasone 24. A nurse is caring for a client who has atypical depression and is taking phenelzine. Which of the following is appropriate for the nurses to offer as an evening snack? A. Low fat yogurt

C. A client who had a hip arthroplasty reports pain and erythema in their calf

D. A client who had Addison’s disease and blood glucose level of 75mg/dL

32. A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client’s medical history, the nurse should recognize which of the following diagnosis as a contraindication to the administration of methylergonovine? A. Hypertension B. Diabetes mellitus C. Migraine headaches D. Hepatitis B 33. A nurse is caring for a client who is undergoing peritoneal dialysis and notes that the dialysate outflow has become cloudy. Which of the following complications of this procedure should the nurse suspect? Peritonitis 34. A home health nurse is teaching a guardian about administering tube feedings to their 3- month-old infant. Which of the following information should the nurse include in the teaching? A. Place enough formula for 12 hr in the feeding container B. Allow the infant to suck on a pacifier during feedings C. Change the tube feeding setup every 36 hr D. Flush the tube with 30 ml of water between feedings 35. A nurse in an inpatient psychiatric unit is setting short-term goals for an adolescent client who was admitted for treatment of anorexia nervosa. Which of the following is an appropriate short-term goal the nurse should set? A. The client will reach an appropriate body weight B. The client will gain 2 to 3 lb weekly C. The client will verbalize a realistic body image D. The client will develop a personalize meal plan 36. 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 am thankful there are no serious complications from this type of surgery" B. "I wonder if the metal in my knee will show up in airport screenings" C. "The physical therapy has not been working, so I will need to have the surgery" D. "I look forward to being able to bend my knee again when I sit in a chair" 37. A nurse is caring for a client who reports chest pain. Which of the following laboratory findings indicates myocardial damage? A. aPTT 80 secs B. Troponin I 1.8ng/ml

45. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? The test said 4 out of 10 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. INA 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38. 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 46. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personal requires the nurse to intervene? A. Encourages the client to use the incentive spirometer. B. Elevates the head of the client’s bed. C. Offers oral fluids to the client. D. Checks the client’s pulse oximetry 47. A nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport which of the following should the nurse say? "Let’s talk about what happened to you" 48. A client at 38 weeks of gestations enters the emergency department. the nurse should recognize that which of the following indications that the client is in the latent phase of labor? A. Contractions are 2 to 3 min apart. B. The cervix is dilated 2 cm C. The client reports nausea and vomiting. D. The client reports the urge to push 49. A nurse is caring for a client who is 2hr postoperative following an Ileal conduit procedures for bladder cancer. For which of the following findings should the nurse notify the provider? The test said 3 days postoperative so I answered absent bowel sounds because of the time frame. A. A dusky-colored stoma B. Absence of bowel sounds C. Serosanguineous drainage D. Urinary output 40ml/hr 50. A nurse is teaching a client who has a low-literacy level about home management of diabetes mellitus. Which of the following actions is appropriate? Show the client an educational video 51. A nurse is caring for a group of clients. The nurse should request a referral for a speech language pathologist for which of the following clients?

A. A client who has difficulty swallowing

52. A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following client findings medication toxicity? A. Blood glucose of 150 mg/dL B. Urine output of 20 mL per hour C. Systolic blood pressure at 140 mm Hg D. BUN 20 mg/dL 53. A nurse is assessing a client who has pneumonia. Which of the following findings is priority for the nurse to report to the provider? A. Change in vocal tone after drinking liquids B. Nocturia with episodes of incontinence C. Oral temp of 100.4 F degree D. Weight loss 1.8 kg in a month 54. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include? A. "Wear an underwire bra between feedings." B. "Cover your breasts immediately after feedings." C. "Apply cold compresses to your breasts before feedings." D. "Try to have your baby empty your breasts with each feeding." 55. A nurse is caring for a client who will be receiving a transfusion of platelets. The nurse recognizes that the expected outcome of this treatment will be which of the following? Decreases in bleeding from puncture sites 56. A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the following is the priority task for the nurse to facilitate in the client’s grief process? A. Overcoming feeling of guilt about the NB death B. Dealing with feelings of anger resulting from NB death C. Acknowledging the reality of NB death D. Understanding the reason for NB death 57. 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. Place the newborn 45cm (18in) from the light source B. Clothe the newborn in light cotton. C. Check the newborn’s temperature every 8 hr. D. Administer 120 mL (4 oz) of water between feedings. 58. A nurse is precepting a nursing student who brings the following client observations to the nurse’s attention. Which of the following clients should the nurse assess first? A. A client who is 3hr post Foley catheter removal and has not voided

parents. Which of the following information should be included? Select all that apply.

66. A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of B. “Place an amber teething necklace on your child before bedtime.” C. “Administer acetaminophen drops to your child before bedtime.” D. “Apply a teething product containing benzocaine to your child’s gums before bedtime.” 65. A nurse is admitting a client who has antisocial personality disorder. Which of the following client’s 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 (I picked this one because antisocial behavior is mischievous and goes against the norm some can actually be quite charming.) D. Socially awkward in group situations A. Newborn swallowing sounds are audible while breastfeeding B. Newborns stools are yellow and seedy after 7 days of breastfeeding C. Maternal breasts become soft following feedings 67. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? A. Constipation B. Blurred vision C. Fever D. Dry Mouth 68. A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? "I will use my cell phone on the ear opposite of my pacemaker" 69. The nurse is caring for a client who is receiving lactated ringers to treat fluid volume deficit. The nurse should identify that which of the following findings indicates a therapeutic response to the treatment? Increased hemoglobin and hematocrit levels 70. A nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. Which of the following client statements should indicate to the nurse that the treatment has been effective? A. “I have been able to watch a church service on television without anxiety.” B. “I was able to sit on a park bench for 30 minutes.” C. “I enjoyed a visit from four of my work friends at my house.” D. “I had a panic attack when driving by the grocery store.”

71. A nurse is assessing a client who has pericarditis. Which of the following findings is the priority? A. Paradoxical pulse B. Dependent edema C. Pericardial friction rub D. Substernal chest pain 72. A nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1hr ago. Which of the following is an appropriate intervention? Not exactly the same answer but it was to elevate the extremity. Support the affected leg on a pillow 73. A nurse is caring for a client who is taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? A. Uric acid level B. Serum chloride C. Serum albumin D. Magnesium level 74. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following foods can indicate that the client has an allergy to latex? A. Avocados B. Eggs C. Peanuts D. Shellfish 75. A nurse is delegating tasks to an assistive personnel. For which of the following clients should the nurse have the AP measure vital signs? A client who is requesting pain medication 2 days after surgery 76. 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 77. A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? A. Monitor fort abdominal ascites B. Implement a low-carbohydrate diet.

D. Family history of malignant hyperthermia

82. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal chamber. Which of the following actions should the nurse take? (Similar questioning but they asked the opposite what if there was no bubbling even after respirations) A. Turn down the wall suction B. Observe the system for an air leak C. Obtain a prescription to discontinue the chest tube D. Empty the drainage from the collection chamber 83. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care? A. Assist the client to a supine position. B. Recommend prophylactic acyclovir (Zovirax) for the client's family. C. Initiate droplet precautions for the client. D. Perform a Glasgow Coma Scale every 24 hr 84. A nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. Which of the following is an appropriate nursing action? A. Administer chlorpromazine with a loop diuretic B. Check orthostatic blood pressure 1 hr after administration C. Administer once daily 30 min before breakfast D. Check weekly calcium levels 85. A nurse is planning care for a child who is unresponsive and has increased intracranial pressure. Which of the following actions should the nurse take? (similar question but child is responsive and different answer options) A. Schedule routine oral suctioning B. Pad the side rails of the bed C. Obtain isolation supplies D. Place the child in the Trendelenburg position 86. A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? A. Beef liver B. Egg whites C. Steamed claims D. Broiled lobster 87. A nurse is caring for a client who has meningitis. Which of the following assessments should the nurse perform? A. Homans’ sign (DVT)

B. Trousseau’s sign (Hypocalcemia) C. Brudzinski’s sign D. Chvostek’s sign (hypocalcemia)

88. A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider? A. Respiratory rate 14/min B. Blood pressure 150/98 mm Hg C. Magnesium 9 mEq/L (level 1.3-2.1) D. 2+ deep tendon reflexes 89. 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." (I picked this one) 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." 90. An infection control nurse is reviewing the medical records of several clients. Which of the following infections should the nurse report to the centers for disease control and prevention? Different diseases but same question A. Candidiasis B. Pelvic inflammatory disease C. MRSA D. Syphilis 91. A nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. Which of the following actions should the nurse take? A. Maintain the child in a sitting position for 3 min following administration B. Administer the drops directly to the center of the eyeball C. Apply pressure to the lacrimal punctum for 1 min following administration (I picked this one) D. Wipe excess medication from the outer canthus toward the nose 92. A nurse is caring for a client who has schizophrenia. the client’s states "run cats soon the rain throwing procedure mechanical paper lake." The nurse should document that the client is demonstrating which of the following speech alterations? A. Echolalia B. Word salad C. Neolgisms D. Clang association

99. A home health nurse is admitting a client who has prescribed peritoneal dialysis. Which of the following actions should the nurse take first? A. Confirm schedule for delivery of supplies B. Coordinate interdisciplinary health care services C. Demonstrate how to perform the procedure D. Clarify the clients actual and perceived health needs 100. A nurse is assessing a client for pitting edema. when pressing into the dorsal side of the client’s foot, the nurse’s fingers leaves a depression in the skin that is 8mm (0.3 in) deep. With which of the following clarifications should the nurse document this finding? A. 1+ edema B. 2+ edema C. 3+ edema D. 4+ edema 101. A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? A. Administer antitoxin B. Quarantine the client C. Monitor the client for a productive cough D. Begin prophylactic treatment with ciprofloxacin 102. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions 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 103. A nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity? A. Lethargy B. Weight gain C. Tinnitus D. Blurred vision 104. A nurse is preparing to discharge a newborn who has an atrial septal defect. The nurse should expect the provider to refer the client to which of the following Interprofessional team members? A. Case manager B. Physical therapist C. Occupational therapist D. Nurse manager

105. A nurse is assessing an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect? A. Hypertension B. Menorrhagia C. Hypokalemia D. Diarrhea 106. 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 I picked this one safety first fall precautions C. Administer prescribed medications D. Electronically enter the prescriptions from the provider 107. A nurse is teaching a group of farmworkers who works with pesticides about minimizing exposure. Which of the following information should the nurse include in the teaching? A. Change clothes after working in the field B. Apply petroleum jelly to the nostrils prior to working in the field C. Wipe fruits and vegetables from the field with a dry cloth before consuming D. Take a hot shower 1 hr after finishing work 108. A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? A. Participating in a basketball game with other clients B. Playing a computer game with another client C. Taking a daily walk on the hospital grounds D. Reading quietly in the room 109. A nurse is performing disaster triage following a natural disaster. Which of the following should the nurse identify as the highest priority to receive care? A. A client who has agonal respirations B. A client who has an open skull fracture and is unresponsive C. A client who has a traumatic arm amputation D. A client who has a fracture of the femur 110. A nurse in the clinic is providing information to a client who has mastitis of the left breast. The client asks the nurse, "does this mean that I must stop nursing my baby?" which of the following is an appropriate statement by the nurse? A. "No, you can continue to nurse from both your breasts" B. " Yes, you will have to discontinue breastfeeding " C. " No but you should alternate between the right breast and the bottle" D. " Yes, but you can resume nursing when you are done with your antibiotics"