Page 1 of 147
VATI PN Comprehensive Predictor Exam (Form B) –
Green Light QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED
VATI PN Comprehensive Predictor Exam (Form B) – Green Light
Coverage
1. Health Assessment and Clinical Data Collection — focused assessment, vital signs, physical
findings, clinical observations, and recognition of abnormal findings
2. Fundamentals of Nursing Care — safety, infection prevention, hygiene, mobility, positioning,
comfort, and basic nursing procedures
3. Pharmacology and Medication Administration — medication safety, dosage principles, adverse
effects, therapeutic responses, routes, and client teaching
4. Adult Medical-Surgical Nursing — common acute and chronic disorders, nursing interventions,
complications, and clinical priorities
5. Maternal and Newborn Nursing — pregnancy, labor, postpartum care, newborn assessment,
complications, and client education
6. Pediatric Nursing — developmental considerations, common childhood disorders, medication
safety, nutrition, and family-centered care
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7. Mental Health and Psychosocial Nursing — therapeutic communication, psychiatric disorders,
crisis intervention, behavioral changes, and safety
8. Leadership, Delegation, and Professional Practice — prioritization, scope of practice,
delegation, documentation, ethics, and client advocacy
9. Community Health and Health Promotion — prevention, screening, immunization, teaching,
risk reduction, and population-focused nursing care
10. Emergency, Critical Care, and Comprehensive Clinical Judgment — prioritization, deterioration,
ABCs, emergency interventions, complications, and integrated nursing decision-making
Questions 1–25 — Health Assessment and Clinical Data Collection
1. Which assessment finding in a client with suspected respiratory deterioration requires the practical
nurse to recognize an immediate need for further evaluation?
A. Respiratory rate of 18/min with regular depth
B. Oxygen saturation of 98% on room air
C. New onset of circumoral cyanosis with increasing respiratory effort
D. Mild respiratory variation during sleep
Answer: C
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Rationale: Circumoral cyanosis combined with increased respiratory effort can indicate significant
hypoxemia and respiratory compromise requiring immediate assessment and intervention.
2. What finding should the practical nurse identify as most concerning when assessing a postoperative
client during routine vital-sign monitoring?
A. Temperature of 37.2°C
B. Heart rate of 112/min with new dizziness
C. Respiratory rate of 18/min
D. Blood pressure of 124/78 mm Hg
Answer: B
Rationale: Tachycardia accompanied by dizziness may indicate hypovolemia, bleeding, or another
postoperative complication and requires prompt assessment.
3. Which technique should the nurse use when assessing posterior lung sounds to obtain the most
reliable comparison between corresponding lung fields?
A. Auscultate only over the upper lobes
B. Compare symmetrical areas from side to side
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C. Listen exclusively over the anterior chest
D. Ask the client to breathe rapidly throughout assessment
Answer: B
Rationale: Comparing corresponding areas bilaterally helps identify differences in breath sounds and
improves recognition of localized abnormalities.
4. A client reports sudden severe chest discomfort and shortness of breath while resting in bed, so
what should the nurse assess first?
A. Recent dietary intake
B. Bowel elimination pattern
C. Sleep history
D. Airway, breathing, and circulation status
Answer: D
Rationale: Sudden chest discomfort and dyspnea can indicate a life-threatening condition, so immediate
ABC assessment takes priority.
VATI PN Comprehensive Predictor Exam (Form B) –
Green Light QUESTIONS AND DETAILED
SOLUTIONS JUST RELEASED
VATI PN Comprehensive Predictor Exam (Form B) – Green Light
Coverage
1. Health Assessment and Clinical Data Collection — focused assessment, vital signs, physical
findings, clinical observations, and recognition of abnormal findings
2. Fundamentals of Nursing Care — safety, infection prevention, hygiene, mobility, positioning,
comfort, and basic nursing procedures
3. Pharmacology and Medication Administration — medication safety, dosage principles, adverse
effects, therapeutic responses, routes, and client teaching
4. Adult Medical-Surgical Nursing — common acute and chronic disorders, nursing interventions,
complications, and clinical priorities
5. Maternal and Newborn Nursing — pregnancy, labor, postpartum care, newborn assessment,
complications, and client education
6. Pediatric Nursing — developmental considerations, common childhood disorders, medication
safety, nutrition, and family-centered care
, Page 2 of 147
7. Mental Health and Psychosocial Nursing — therapeutic communication, psychiatric disorders,
crisis intervention, behavioral changes, and safety
8. Leadership, Delegation, and Professional Practice — prioritization, scope of practice,
delegation, documentation, ethics, and client advocacy
9. Community Health and Health Promotion — prevention, screening, immunization, teaching,
risk reduction, and population-focused nursing care
10. Emergency, Critical Care, and Comprehensive Clinical Judgment — prioritization, deterioration,
ABCs, emergency interventions, complications, and integrated nursing decision-making
Questions 1–25 — Health Assessment and Clinical Data Collection
1. Which assessment finding in a client with suspected respiratory deterioration requires the practical
nurse to recognize an immediate need for further evaluation?
A. Respiratory rate of 18/min with regular depth
B. Oxygen saturation of 98% on room air
C. New onset of circumoral cyanosis with increasing respiratory effort
D. Mild respiratory variation during sleep
Answer: C
, Page 3 of 147
Rationale: Circumoral cyanosis combined with increased respiratory effort can indicate significant
hypoxemia and respiratory compromise requiring immediate assessment and intervention.
2. What finding should the practical nurse identify as most concerning when assessing a postoperative
client during routine vital-sign monitoring?
A. Temperature of 37.2°C
B. Heart rate of 112/min with new dizziness
C. Respiratory rate of 18/min
D. Blood pressure of 124/78 mm Hg
Answer: B
Rationale: Tachycardia accompanied by dizziness may indicate hypovolemia, bleeding, or another
postoperative complication and requires prompt assessment.
3. Which technique should the nurse use when assessing posterior lung sounds to obtain the most
reliable comparison between corresponding lung fields?
A. Auscultate only over the upper lobes
B. Compare symmetrical areas from side to side
, Page 4 of 147
C. Listen exclusively over the anterior chest
D. Ask the client to breathe rapidly throughout assessment
Answer: B
Rationale: Comparing corresponding areas bilaterally helps identify differences in breath sounds and
improves recognition of localized abnormalities.
4. A client reports sudden severe chest discomfort and shortness of breath while resting in bed, so
what should the nurse assess first?
A. Recent dietary intake
B. Bowel elimination pattern
C. Sleep history
D. Airway, breathing, and circulation status
Answer: D
Rationale: Sudden chest discomfort and dyspnea can indicate a life-threatening condition, so immediate
ABC assessment takes priority.
