NGN VATI PN COMPREHENSIVE PREDICTOR EXAM
2026 (175 QUESTIONS): COMPLETE PRACTICE TEST |
VERIFIED ANSWERS, DETAILED RATIONALES &
FINAL PN LICENSURE EXAM PREPARATION GUIDE
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Management of Care, Safety &
Infection Control)
Questions 1-25
A nurse is reinforcing teaching with a client about advance directives. Which of the
following statements by the client indicates an understanding of the information?
A. "My advance directives only go into effect if I am unable to make decisions."
B. "I cannot change my advance directives once they are signed."
C. "My advance directives must be reviewed by a lawyer."
D. "My advance directives will be valid in any country I visit."
Answer: A
A charge nurse is making assignments for a medical-surgical unit. Which of the following
clients should be assigned to the most experienced nurse?
A. A client with type 2 diabetes requiring insulin administration
B. A client 2 days post-appendectomy who is stable
C. A client with a new tracheostomy requiring frequent suctioning
,D. A client with a urinary tract infection receiving IV antibiotics
Answer: C
A nurse is caring for a client who refuses a blood transfusion. Which of the following
actions should the nurse take first?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
Answer: B
A nurse is preparing to discharge a client who speaks a different language. Which of the
following is the appropriate action?
A. Use the client's family member to translate
B. Provide written instructions in English only
C. Use a certified medical interpreter
D. Have the client repeat instructions in English to confirm understanding
Answer: C
A nurse is caring for a client who has a history of falls. Which of the following interventions
is most important to include in the plan of care?
A. Keep the bed in the highest position
B. Raise all four side rails
C. Place a fall risk bracelet on the client
,D. Ensure the call light is within reach
Answer: D
A charge nurse is observing a newly licensed nurse perform suctioning for a client who has
a tracheostomy. For which of the following actions should the charge nurse intervene?
A. Suctioning for 10 seconds
B. Applying suction while inserting the catheter
C. Using sterile technique during the procedure
D. Pre-oxygenating the client before suctioning
Answer: B
A nurse is reinforcing teaching with a postpartum client. Which of the following should the
nurse explain as the most important reason for staff to wear identification?
A. Preventing medication errors
B. Reducing the risk of newborn abduction
C. Ensuring proper documentation
D. Maintaining professional appearance
Answer: B
A charge nurse in a long-term care unit is planning care for a group of clients. Which of the
following care tasks should the nurse plan to delegate to an assistive personnel?
A. Reinforcing teaching about incentive spirometer use
B. Measuring urine output every 2 hours for a client with a urinary tract infection
C. Administering a large-volume enema
, D. Assessing a client's wound drainage
Answer: B
A nurse is preparing an in-service for staff about fire safety. The nurse is demonstrating the
use of a fire extinguisher. Which of the following mnemonics should the nurse use?
A. RACE
B. PASS
C. ABC
D. SAFE
Answer: B
A nurse is caring for a client who is to have an advance directive signed. The client states, "I
don't want a living will. I want my sister to make decisions for me if I'm unable." Which of
the following responses should the nurse make?
A. "A living will is the only type of advance directive available."
B. "You can designate a health care proxy to make decisions for you."
C. "Your sister will need to be present to sign the document."
D. "You cannot change your mind once you designate someone."
Answer: B
A nurse is reinforcing teaching with a group of expectant parents regarding the proper use
of a car seat. Which of the following statements by a parent indicates an understanding of
the teaching?
A. "I can place the car seat in the front seat if the airbag is turned off."
2026 (175 QUESTIONS): COMPLETE PRACTICE TEST |
VERIFIED ANSWERS, DETAILED RATIONALES &
FINAL PN LICENSURE EXAM PREPARATION GUIDE
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Management of Care, Safety &
Infection Control)
Questions 1-25
A nurse is reinforcing teaching with a client about advance directives. Which of the
following statements by the client indicates an understanding of the information?
A. "My advance directives only go into effect if I am unable to make decisions."
B. "I cannot change my advance directives once they are signed."
C. "My advance directives must be reviewed by a lawyer."
D. "My advance directives will be valid in any country I visit."
Answer: A
A charge nurse is making assignments for a medical-surgical unit. Which of the following
clients should be assigned to the most experienced nurse?
A. A client with type 2 diabetes requiring insulin administration
B. A client 2 days post-appendectomy who is stable
C. A client with a new tracheostomy requiring frequent suctioning
,D. A client with a urinary tract infection receiving IV antibiotics
Answer: C
A nurse is caring for a client who refuses a blood transfusion. Which of the following
actions should the nurse take first?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
Answer: B
A nurse is preparing to discharge a client who speaks a different language. Which of the
following is the appropriate action?
A. Use the client's family member to translate
B. Provide written instructions in English only
C. Use a certified medical interpreter
D. Have the client repeat instructions in English to confirm understanding
Answer: C
A nurse is caring for a client who has a history of falls. Which of the following interventions
is most important to include in the plan of care?
A. Keep the bed in the highest position
B. Raise all four side rails
C. Place a fall risk bracelet on the client
,D. Ensure the call light is within reach
Answer: D
A charge nurse is observing a newly licensed nurse perform suctioning for a client who has
a tracheostomy. For which of the following actions should the charge nurse intervene?
A. Suctioning for 10 seconds
B. Applying suction while inserting the catheter
C. Using sterile technique during the procedure
D. Pre-oxygenating the client before suctioning
Answer: B
A nurse is reinforcing teaching with a postpartum client. Which of the following should the
nurse explain as the most important reason for staff to wear identification?
A. Preventing medication errors
B. Reducing the risk of newborn abduction
C. Ensuring proper documentation
D. Maintaining professional appearance
Answer: B
A charge nurse in a long-term care unit is planning care for a group of clients. Which of the
following care tasks should the nurse plan to delegate to an assistive personnel?
A. Reinforcing teaching about incentive spirometer use
B. Measuring urine output every 2 hours for a client with a urinary tract infection
C. Administering a large-volume enema
, D. Assessing a client's wound drainage
Answer: B
A nurse is preparing an in-service for staff about fire safety. The nurse is demonstrating the
use of a fire extinguisher. Which of the following mnemonics should the nurse use?
A. RACE
B. PASS
C. ABC
D. SAFE
Answer: B
A nurse is caring for a client who is to have an advance directive signed. The client states, "I
don't want a living will. I want my sister to make decisions for me if I'm unable." Which of
the following responses should the nurse make?
A. "A living will is the only type of advance directive available."
B. "You can designate a health care proxy to make decisions for you."
C. "Your sister will need to be present to sign the document."
D. "You cannot change your mind once you designate someone."
Answer: B
A nurse is reinforcing teaching with a group of expectant parents regarding the proper use
of a car seat. Which of the following statements by a parent indicates an understanding of
the teaching?
A. "I can place the car seat in the front seat if the airbag is turned off."
