2026 VATI PN COMPREHENSIVE
PREDICTOR FORM A, B & C QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF.
MANAGEMENT OF CARE
SAFETY AND INFECTION CONTROL
HEALTH PROMOTION AND MAINTENANCE
PSYCHOSOCIAL INTEGRITY
BASIC CARE AND COMFORT
PHARMACOLOGICAL AND PARENTERAL THERAPIES
REDUCTION OF RISK POTENTIAL
PHYSIOLOGICAL ADAPTATION
NGN CLINICAL JUDGMENT AND CASE STUDIES
This examination assesses the practical nursing candidate's readiness for
entry-level practice. It evaluates clinical judgment, prioritization, delegation,
safety, pharmacology, and application of the nursing process across the
lifespan. The test utilizes multiple-choice, select-all-that-apply, and unfolding
case study formats to measure decision-making and critical thinking.
Emphasis is placed on real-world application, evidence-based practice, and
managing complex client scenarios. Candidates must demonstrate competency
in all core domains to ensure safe and effective care delivery.
SECTION ONE
1. A PN is caring for four clients at the start of the shift. Which client
should be assessed FIRST?
A. Client with diabetes requesting pain medication for neuropathy
B. Client with COPD who has a new cough producing green sputum
,C. Client post-op day 1 with new-onset confusion and BP 88/50
D. Client with a fractured tibia requesting help to the bathroom
Correct answer: C
RATIONALE: New-onset confusion accompanied by hypotension suggests
possible sepsis, hemorrhage, or shock—an unstable priority. Airway and
circulation precede stable complaints.
2. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN?
A. Client with stable CHF receiving daily Lasix
B. Client requiring a blood transfusion for symptomatic anemia
C. Client with a new diagnosis of diabetes needing insulin instruction
D. Client with a PEG tube requiring intermittent feedings
Correct answer: B
RATIONALE: Blood transfusions require complex assessment and
monitoring that is typically within the RN scope. The PN can administer
stable medications and perform routine monitoring.
3. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a client's capillary refill
B. Teaching a client how to keep a cast dry
C. Assisting a client with ambulation to the bathroom
D. Evaluating a client's pain level
Correct answer: C
RATIONALE: Assisting with ambulation is a standard, stable task that
falls within the scope of AP practice. The PN cannot delegate assessment,
evaluation, or teaching.
, 4. A client is placed on airborne precautions for active tuberculosis. Which
action is required?
A. Place the client in a room with positive pressure
B. Wear a surgical mask when entering the room
C. Place the client in a negative pressure room
D. Keep the door open for ventilation
Correct answer: C
RATIONALE: TB is an airborne pathogen spread via droplet nuclei that
remain suspended in the air. Airborne precautions require a negative pressure
room and the use of an N95 respirator.
5. A client with dementia has a physician's order for bilateral soft wrist
restraints. Which action is required?
A. Secure the restraint ties to the side rails
B. Apply the restraint snugly against the skin
C. Obtain a written prescription for the restraint application
D. Observe the client every 60 minutes after application
Correct answer: C
RATIONALE: Restraints require a physician's written order, specifying the
duration and reason. Ties must never be secured to the side rails.
6. A client is postoperative day 1 following a total knee replacement. The
client reports pain of 7/10 and is due for hydromorphone 2 mg IV PRN.
What is the PN's priority action?
A. Administer the medication as prescribed
B. Assess the client's respiratory rate and sedation level
C. Notify the provider before administering
D. Encourage the client to use non-pharmacological methods
Correct answer: B
, RATIONALE: Opioids can cause respiratory depression. The PN must
assess respiratory rate and sedation level before administering
hydromorphone.
7. A nurse is reinforcing teaching with a client who is postoperative
following cataract surgery. Which statement by the client indicates an
understanding of the instructions?
A. "I will bend over at the waist to put on my shoes."
B. "I can resume my high-impact aerobic exercise routine in one week."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
D. "It is safe to resume driving the day after surgery."
Correct answer: C
RATIONALE: After cataract surgery, increasing intraocular pressure (IOP)
must be avoided. Straining during bowel movements increases IOP, so a stool
softener is prescribed to prevent this.
8. A client vomits during a continuous nasogastric (NG) tube feeding.
What action should the nurse take first?
A. Stop the feeding and check the residual volume.
B. Flush the tube with 30 mL of sterile water.
C. Suction the nasogastric tube.
D. Remove the nasogastric tube.
Correct answer: A
RATIONALE: Vomiting during continuous NG tube feeding raises
concern for delayed gastric emptying. The nurse's first action is to stop the
feeding and check the residual volume.
9. A nurse is caring for a 3-month-old infant diagnosed with dehydration.
Which clinical manifestation should the nurse expect to observe?
PREDICTOR FORM A, B & C QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF.
MANAGEMENT OF CARE
SAFETY AND INFECTION CONTROL
HEALTH PROMOTION AND MAINTENANCE
PSYCHOSOCIAL INTEGRITY
BASIC CARE AND COMFORT
PHARMACOLOGICAL AND PARENTERAL THERAPIES
REDUCTION OF RISK POTENTIAL
PHYSIOLOGICAL ADAPTATION
NGN CLINICAL JUDGMENT AND CASE STUDIES
This examination assesses the practical nursing candidate's readiness for
entry-level practice. It evaluates clinical judgment, prioritization, delegation,
safety, pharmacology, and application of the nursing process across the
lifespan. The test utilizes multiple-choice, select-all-that-apply, and unfolding
case study formats to measure decision-making and critical thinking.
Emphasis is placed on real-world application, evidence-based practice, and
managing complex client scenarios. Candidates must demonstrate competency
in all core domains to ensure safe and effective care delivery.
SECTION ONE
1. A PN is caring for four clients at the start of the shift. Which client
should be assessed FIRST?
A. Client with diabetes requesting pain medication for neuropathy
B. Client with COPD who has a new cough producing green sputum
,C. Client post-op day 1 with new-onset confusion and BP 88/50
D. Client with a fractured tibia requesting help to the bathroom
Correct answer: C
RATIONALE: New-onset confusion accompanied by hypotension suggests
possible sepsis, hemorrhage, or shock—an unstable priority. Airway and
circulation precede stable complaints.
2. A charge nurse is assigning staff for the shift. Which client should be
assigned to an RN rather than a PN?
A. Client with stable CHF receiving daily Lasix
B. Client requiring a blood transfusion for symptomatic anemia
C. Client with a new diagnosis of diabetes needing insulin instruction
D. Client with a PEG tube requiring intermittent feedings
Correct answer: B
RATIONALE: Blood transfusions require complex assessment and
monitoring that is typically within the RN scope. The PN can administer
stable medications and perform routine monitoring.
3. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a client's capillary refill
B. Teaching a client how to keep a cast dry
C. Assisting a client with ambulation to the bathroom
D. Evaluating a client's pain level
Correct answer: C
RATIONALE: Assisting with ambulation is a standard, stable task that
falls within the scope of AP practice. The PN cannot delegate assessment,
evaluation, or teaching.
, 4. A client is placed on airborne precautions for active tuberculosis. Which
action is required?
A. Place the client in a room with positive pressure
B. Wear a surgical mask when entering the room
C. Place the client in a negative pressure room
D. Keep the door open for ventilation
Correct answer: C
RATIONALE: TB is an airborne pathogen spread via droplet nuclei that
remain suspended in the air. Airborne precautions require a negative pressure
room and the use of an N95 respirator.
5. A client with dementia has a physician's order for bilateral soft wrist
restraints. Which action is required?
A. Secure the restraint ties to the side rails
B. Apply the restraint snugly against the skin
C. Obtain a written prescription for the restraint application
D. Observe the client every 60 minutes after application
Correct answer: C
RATIONALE: Restraints require a physician's written order, specifying the
duration and reason. Ties must never be secured to the side rails.
6. A client is postoperative day 1 following a total knee replacement. The
client reports pain of 7/10 and is due for hydromorphone 2 mg IV PRN.
What is the PN's priority action?
A. Administer the medication as prescribed
B. Assess the client's respiratory rate and sedation level
C. Notify the provider before administering
D. Encourage the client to use non-pharmacological methods
Correct answer: B
, RATIONALE: Opioids can cause respiratory depression. The PN must
assess respiratory rate and sedation level before administering
hydromorphone.
7. A nurse is reinforcing teaching with a client who is postoperative
following cataract surgery. Which statement by the client indicates an
understanding of the instructions?
A. "I will bend over at the waist to put on my shoes."
B. "I can resume my high-impact aerobic exercise routine in one week."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
D. "It is safe to resume driving the day after surgery."
Correct answer: C
RATIONALE: After cataract surgery, increasing intraocular pressure (IOP)
must be avoided. Straining during bowel movements increases IOP, so a stool
softener is prescribed to prevent this.
8. A client vomits during a continuous nasogastric (NG) tube feeding.
What action should the nurse take first?
A. Stop the feeding and check the residual volume.
B. Flush the tube with 30 mL of sterile water.
C. Suction the nasogastric tube.
D. Remove the nasogastric tube.
Correct answer: A
RATIONALE: Vomiting during continuous NG tube feeding raises
concern for delayed gastric emptying. The nurse's first action is to stop the
feeding and check the residual volume.
9. A nurse is caring for a 3-month-old infant diagnosed with dehydration.
Which clinical manifestation should the nurse expect to observe?
