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VATI PN COMPREHENSIVE PREDICTOR — NGN
QUESTIONS AND CORRECT ANSWERS
VATI PN COMPREHENSIVE PREDICTOR — NGN
COVERAGE
1. Fundamentals and Safety: infection prevention, standard precautions, mobility, falls, skin
integrity, vital signs, oxygenation, basic nursing care.
2. Clinical Judgment and Prioritization: recognizing cues, analyzing cues, prioritizing hypotheses,
generating solutions, taking action, evaluating outcomes.
3. Adult Medical-Surgical Nursing: cardiovascular, respiratory, neurological, renal, gastrointestinal,
endocrine, hematological, musculoskeletal, and oncological disorders.
4. Pharmacology: medication administration, adverse effects, contraindications, therapeutic
responses, high-alert medications, client teaching, and medication safety.
5. Maternal-Newborn Nursing: pregnancy complications, labor, postpartum care, newborn
assessment, complications, and maternal-newborn emergencies.
6. Pediatric Nursing: growth and development, common childhood disorders, congenital
conditions, medication safety, immunizations, and family-centered care.
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7. Mental Health Nursing: therapeutic communication, psychiatric disorders, crisis intervention,
suicide precautions, medications, and behavioral safety.
8. Leadership, Management, and Delegation: assignment decisions, scope of practice, supervision,
prioritization, documentation, and client advocacy.
9. Nutrition, Fluids, and Electrolytes: nutritional assessment, enteral feeding, dehydration, fluid
overload, electrolyte abnormalities, and acid-base balance.
10. Emergency and Perioperative Nursing: shock, burns, postoperative complications, emergency
assessment, airway management, transfusion reactions, and rapid intervention.
QUESTIONS 1–250
DOMAIN 1 — FUNDAMENTALS, SAFETY, AND INFECTION CONTROL
1. A practical nurse is caring for several hospitalized clients during the beginning of a shift; which
client should receive immediate assessment first?
A. A client requesting assistance with bathing
B. A client reporting sudden difficulty breathing
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C. A client requesting scheduled pain medication
D. A client waiting for discharge instructions
Answer: B
Rationale: Sudden difficulty breathing indicates a potential airway or oxygenation problem and takes
priority over comfort, hygiene, and discharge needs.
2. A nurse prepares to enter the room of a client with suspected tuberculosis; which infection-control
action is most appropriate before entering?
A. Wear a surgical mask and gloves
B. Wear a face shield and gown only
C. Wear a fit-tested particulate respirator
D. Wear gloves without respiratory protection
Answer: C
Rationale: Tuberculosis requires airborne precautions, including an appropriate fit-tested particulate
respirator such as an N95 or equivalent.
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3. A client receiving oxygen through a nasal cannula asks why the nurse frequently assesses the nares
and ears; what is the best explanation?
A. Oxygen tubing can cause pressure-related skin injury
B. Oxygen therapy commonly causes bacterial infections
C. Nasal cannulas frequently cause systemic dehydration
D. Oxygen tubing prevents accurate respiratory assessment
Answer: A
Rationale: Nasal cannula tubing can create pressure and friction around the ears, cheeks, and nares,
increasing the risk of skin breakdown.
4. A postoperative client suddenly becomes restless and confused while receiving opioid analgesia;
which assessment finding requires the nurse's immediate attention?
A. Mild incisional discomfort
B. Decreased bowel sounds
C. Respiratory rate of 8/minute
D. Temperature of 37.4°C
VATI PN COMPREHENSIVE PREDICTOR — NGN
QUESTIONS AND CORRECT ANSWERS
VATI PN COMPREHENSIVE PREDICTOR — NGN
COVERAGE
1. Fundamentals and Safety: infection prevention, standard precautions, mobility, falls, skin
integrity, vital signs, oxygenation, basic nursing care.
2. Clinical Judgment and Prioritization: recognizing cues, analyzing cues, prioritizing hypotheses,
generating solutions, taking action, evaluating outcomes.
3. Adult Medical-Surgical Nursing: cardiovascular, respiratory, neurological, renal, gastrointestinal,
endocrine, hematological, musculoskeletal, and oncological disorders.
4. Pharmacology: medication administration, adverse effects, contraindications, therapeutic
responses, high-alert medications, client teaching, and medication safety.
5. Maternal-Newborn Nursing: pregnancy complications, labor, postpartum care, newborn
assessment, complications, and maternal-newborn emergencies.
6. Pediatric Nursing: growth and development, common childhood disorders, congenital
conditions, medication safety, immunizations, and family-centered care.
, Page 2 of 148
7. Mental Health Nursing: therapeutic communication, psychiatric disorders, crisis intervention,
suicide precautions, medications, and behavioral safety.
8. Leadership, Management, and Delegation: assignment decisions, scope of practice, supervision,
prioritization, documentation, and client advocacy.
9. Nutrition, Fluids, and Electrolytes: nutritional assessment, enteral feeding, dehydration, fluid
overload, electrolyte abnormalities, and acid-base balance.
10. Emergency and Perioperative Nursing: shock, burns, postoperative complications, emergency
assessment, airway management, transfusion reactions, and rapid intervention.
QUESTIONS 1–250
DOMAIN 1 — FUNDAMENTALS, SAFETY, AND INFECTION CONTROL
1. A practical nurse is caring for several hospitalized clients during the beginning of a shift; which
client should receive immediate assessment first?
A. A client requesting assistance with bathing
B. A client reporting sudden difficulty breathing
, Page 3 of 148
C. A client requesting scheduled pain medication
D. A client waiting for discharge instructions
Answer: B
Rationale: Sudden difficulty breathing indicates a potential airway or oxygenation problem and takes
priority over comfort, hygiene, and discharge needs.
2. A nurse prepares to enter the room of a client with suspected tuberculosis; which infection-control
action is most appropriate before entering?
A. Wear a surgical mask and gloves
B. Wear a face shield and gown only
C. Wear a fit-tested particulate respirator
D. Wear gloves without respiratory protection
Answer: C
Rationale: Tuberculosis requires airborne precautions, including an appropriate fit-tested particulate
respirator such as an N95 or equivalent.
, Page 4 of 148
3. A client receiving oxygen through a nasal cannula asks why the nurse frequently assesses the nares
and ears; what is the best explanation?
A. Oxygen tubing can cause pressure-related skin injury
B. Oxygen therapy commonly causes bacterial infections
C. Nasal cannulas frequently cause systemic dehydration
D. Oxygen tubing prevents accurate respiratory assessment
Answer: A
Rationale: Nasal cannula tubing can create pressure and friction around the ears, cheeks, and nares,
increasing the risk of skin breakdown.
4. A postoperative client suddenly becomes restless and confused while receiving opioid analgesia;
which assessment finding requires the nurse's immediate attention?
A. Mild incisional discomfort
B. Decreased bowel sounds
C. Respiratory rate of 8/minute
D. Temperature of 37.4°C
