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Focused Review PN VATI Fundamentals : 200+ Practice Questions & Rationales – Practical Nursing – Pass First Attempt

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This comprehensive PN VATI Fundamentals review features 200+ high-yield practice questions with detailed rationales, updated for . Covers all core practical nursing topics: safety & infection control (C. diff, TB, MRSA, airborne/contact/droplet precautions, restraints, fall prevention), legal & ethical issues (informed consent, advance directives, DNR, impaired colleague reporting), therapeutic communication (active listening, open-ended questions, responding to delusions/hallucinations), health assessment & vital signs (BP measurement, pulse deficit, PERRLA, GCS, edema grading), basic care & comfort (pressure injury staging, colostomy/stoma care, NG tubes, dysphagia precautions, perineal care), pharmacology (insulin mixing, heparin, warfarin, digoxin toxicity, opioid reversal), fluid/electrolyte balance (ABG interpretation, hyponatremia, hyperkalemia), perioperative care, pain management, oxygenation, mobility, nutrition, elimination, and NGN case studies. Graded A+.

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FOCUSED REVIEW PN VATI FUNDAMENTALS
2026-2027 | 200+ PRACTICE QUESTIONS &
RATIONALES | PRACTICAL NURSING | HIGH-
YIELD | PASS FIRST ATTEMPT




## Table of Contents


1. **Safety & Infection Control** (Q1–Q25)
2. **Legal & Ethical Issues in Nursing** (Q26–Q40)
3. **Therapeutic Communication** (Q41–Q55)
4. **Health Assessment & Vital Signs** (Q56–Q75)
5. **Basic Care & Comfort** (Q76–Q95)
6. **Pharmacology & Medication Administration** (Q96–Q120)
7. **Fluid, Electrolyte & Acid-Base Balance** (Q121–Q135)
8. **Perioperative Nursing** (Q136–Q150)
9. **Pain Management** (Q151–Q160)
10. **Oxygenation & Respiratory Care** (Q161–Q175)
11. **Mobility & Immobility** (Q176–Q185)
12. **Nutrition & Elimination** (Q186–Q200)
13. **High-Yield NGN Case Scenarios** (Q201–Q210)

,2|Page


Section 1: Safety & Infection Control (Q1–Q25)


**Q1.** A practical nurse (PN) is caring for a client with
*Clostridioides difficile*. Which type of precautions should the PN
implement?
A. Contact precautions with soap and water for hand hygiene
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only


**Correct Answer: A – Contact precautions with soap and water for
hand hygiene**
*Rationale: Alcohol-based hand rub does not kill C. diff spores; soap
and water are required.*


**Q2.** A client is on fall precautions. Which intervention is most
important?
A. Keep the bed in the lowest position with brakes locked
B. Raise all side rails
C. Keep the room dark at night
D. Encourage the client to wear slippery socks


**Correct Answer: A – Keep the bed in the lowest position with brakes
locked**

,3|Page


*Rationale: A low bed height reduces injury risk; side rails may increase
the fall risk if the client climbs over.*


**Q3.** A PN is applying restraints to a client. Which action is correct?
A. Tie the restraint to the bed frame (movable part)
B. Tie the restraint to the side rail
C. Remove the restraint every 2 hours for range of motion
D. Apply restraints tightly to prevent movement


**Correct Answer: C – Remove the restraint every 2 hours for range of
motion**
*Rationale: Restraints require frequent release, skin checks, and ROM
exercises.*


**Q4.** A PN is caring for a client with tuberculosis. Which type of
precautions is required?
A. Airborne precautions (N95 mask, negative pressure room)
B. Droplet precautions
C. Contact precautions
D. Standard precautions only


**Correct Answer: A – Airborne precautions**

, 4|Page


*Rationale: TB spreads via small airborne particles; an N95 or PAPR is
required.*


**Q5.** A PN is preparing to insert a urinary catheter. Which technique
is required?
A. Surgical asepsis (sterile technique)
B. Medical asepsis (clean technique)
C. Hand hygiene with soap and water only
D. Double gloving


**Correct Answer: A – Surgical asepsis**
*Rationale: Indwelling catheter insertion requires sterile technique to
prevent CAUTI.*


**Q6.** A client is on isolation precautions. The PN should place a
mask on the client when:
A. Transporting the client outside the room
B. The client is alone in the room
C. The PN enters the room
D. The client is eating


**Correct Answer: A – Transporting the client outside the room**

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