Questions Latest Update 2024-2025 Actual Exam

VATI Comprehensive Predictor NCLEX Questions Latest Update 2024-2025 Actual Exam 200 Questions and 100% Verified Correct Answers Guaranteed A+

A charge nurse is observing a newly licensed RN irrigate a patient's ear, which is impacted with cerumen. Which of the following actions requires the charge RN to intervene?

• Visualizing the eardrum before irrigating

• Instilling 50 mL of fluid with each irrigation

• Using firm, continuous pressure while irrigating

• Warming the irrigation fluid to at least 37C (98F) - CORRECT ANSWER: B. Instilling

50 mL of fluid with each irrigation

(RAT) When irrigating a patient's ear the RN should use no more than 5 - 10 mL of irrigating fluid at a time to decrease the chance of stimulating the vestibular nerve of the inner ear, which would result in N&V or dizziness.

A charge nurse is preparing an educational session for a group of new nurses to review patient rights under the law. Which of the following statements should the RN make?

• "Information regarding clients should remain confidential until after their death."

• "Failure to report suspected maltreatment or neglect of a disabled adult is a felony in

all states."

• "As long as client identity is disguised, their health information can be shared

between professionals on the internet."

• "In the event a client threatens harm to others, medications can be administered

without consent." - CORRECT ANSWER: D. "In the event a client threatens harm to others, medications can be administered without consent."

(RAT) The charge nurse should inform the participants that their primary commitment is to the client and their priority is always to advocate for and protect their health and safety. During an emergency situation, if the client is threatening harm to self or others, medications can be administered without the client's consent and without a court order.

(NOTE) Because laws vary from state to state, nurses should become familiar with the requirements as it relates to reporting neglect or maltreatment of clients. The nurse 1 / 4

should inform the participants that in most states failure to report the suspected neglect, physical maltreatment, or exploitation of a disabled adult results in a misdemeanor charge - (B) is incorrect.

A charge nurse is teaching the patient how to identify the difference between antisocial personality d/o and narcissistic personality disorder. Please use the mnemonic

CALLOUS MAN to describe antisocial personality d/o. - CORRECT ANSWER: C -

conduct d/o before age 15yr, charming A - arrests L - lies L - lacks a superego & empathy for others O - obligations not honored U - unstable, can't plan ahead S - sense of entitlement, seductive, not safe M - manipulative, $ problems & irresponsible A - aggressive and assaultive N - not calm, actions are impulsive

A charge RN is teaching a group of unit nurses about the policy for patients who have a history of MRSA. Which of the following information should the nurse include?

• A patient who has a history of MRSA will need antibiotics

• A patient who has a Hx of MRSA can develop immunity to the infection

• A patient who has a Hx of MRSA requires a protective environment

• A patient who has a Hx of MRSA can still transmit the infection - CORRECT

ANSWER: D. A patient who has a Hx of MRSA can still transmit the infection

A nurse in a pediatric emergency dept is caring for four patients. The nurse should suspect possible abuse with which of the following patients?

• A 14-month-old toddler who has recently learned to walk and has many bruises on

bony prominences in various stages of healing

• A 9-month-old infant who reportedly nearly drowned after climbing into the tub and

turning on the water

• A 6-year-old toddler who has a fracture of the tibia and fibula, which reportedly

occurred while riding a bicycle

• A 3-year-old toddler who has burns in a splash pattern over the face and chest,

reportedly sustained when a tablecloth was pulled, spilling a teapot - CORRECT ANSWER: B. A 9-month-old infant who reportedly nearly drowned after climbing into the tub and turning on the water 2 / 4

(RAT) The nurse should identify that, while a 9-month-old might have the ability to climb into the tub, it is unlikely that he could turn the water on. The nurse should suspect possible abuse because the reported cause of the accident seems inconsistent with the developmental abilities of most 9-month-old infants.

(NOTE) Toddlers have recently mastered walking and experience many falls and collisions. Because the bruises are in various stages of healing and are located over bony prominences, this likely indicates falling on several occasions (A) is incorrect

A nurse is assessing a patient who has a psychotic d/o and a new script for haloperidol.The patient is pacing in the hallway and states, " I can't seem to sit still." Which of the following extrapyramidal side effects is the patient likely experiencing?

• Dystonia

• Parkinsonism

• Tardive dyskinesia

D. Akathisia - CORRECT ANSWER: D. Akathisia

(RAT) Akathisia is an extrapyramidal adverse effect characterized by the client's report of a sense of inner restlessness and by observable behaviors such as pacing, rocking forward and backward in a chair, and constant foot tapping.

(NOTE) Tardive dyskinesia is an irreversible finding characterized by involuntary movements of extremities (C) is incorrect

A nurse is caring for a child who has vesicular rash. The parents of the child asks the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions?

A Measles

• Fifth disease
• Tetanus

D. Varicella - CORRECT ANSWER: D. Varicella

(RAT) Children who have varicella might commence with a maculopapular rash that progresses to vesicles on erythematous bases that eventually rupture and crust over.

(NOTE) A child who has fifth disease usually begins with bright red cheeks producing a "slapped-cheek" appearance. Following this, a rash appears on the extremities and trunk. The rash fades centrally, giving a lacy (reticulated) appearance to the rash (B) is incorrect

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A nurse is caring for a child who is post op following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the RN place the patient? -

CORRECT ANSWER: On the un-operated side

(RAT) the RN should position the patient on the un-operated side to prevent a rapid reduction of intracranial fluid and to protect the child from injuring the operative site.

A nurse is caring for a client with acute mania. Provide an example of one structured activity the nurse will incorporate into the client's daily schedule. - CORRECT ANSWER:

• Safety is the number one priority in patients in acute mania. Assessments are

continuous to ensure the patient will not harm self or others.

• Provide a quiet environment - seclusion may be required

• One structured activity for a patient with acute mania is walking or exercising.

• ECT can be used during manic episodes/rapid cycling, when the patient is a danger to

self or others.

A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?

• Transposition of great arteries
• Ventricular-septal defect
• Coarctation of the aorta
• Patent-ductus arteriosus - CORRECT ANSWER: A. Transposition of great arteries

(RAT) An infant who has transposition of great arteries will have severe cyanosis because reversal of the anatomic position of the aorta and pulmonary artery allows venous blood to enter the systemic circulation without oxygenation.

(NOTE) An infant who has a ventricular-septal defect, a hole in the septal wall between the ventricles, can have increased pulmonary vascular resistance but is unlikely to have cyanosis because oxygenation of the blood remains adequate for the systemic circulation (B) is incorrect

A nurse is caring for a patient who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the RN identify as an AE of this type of mediaction?

• Fluid overload

• Bronchospasm

• Electrolyte imbalance

• Tachycardia - CORRECT ANSWER: B. Bronchospasm
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