2026 VATI PN COMPREHENSIVE
PREDICTOR FORM A, B & C EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Integrated Clinical Scenarios and NGN
Introduction
The VATI PN Comprehensive Predictor Exam assesses the clinical
judgment and nursing knowledge required for safe, effective entry-
level practical nursing practice. It evaluates competency across
major client-need categories, including management of care, safety,
,pharmacology, physiological adaptation, and psychosocial integrity.
The exam employs Next Generation NCLEX-style multiple-choice
and scenario-based questions to test real-world application and
decision-making. Candidates must demonstrate the ability to
analyze clinical data, prioritize care, and apply evidence-based
nursing interventions across diverse patient populations.
Section One: Questions 1–100
Question 1
A charge nurse on a medical-surgical unit is planning client
assignments for the shift. Which of the following clients should the
charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing
routine wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for
lymphoma
D. A client with new-onset chest pain requiring STAT cardiac
enzymes and telemetry
B. A client who is 2 days post-op from a hip replacement
needing routine wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for
stable clients with predictable outcomes, performing routine wound
care, and reinforcing teaching. A 2-day post-op hip replacement
client with routine needs fits this scope. Clients with acute GI
,bleeding, first-dose IV chemotherapy, and new-onset chest pain are
unstable and require RN-level assessment and intervention.
Question 2
A nurse is preparing to administer a subcutaneous injection to a
client. Which of the following actions should the nurse take to
minimize discomfort?
A. Use a 22-gauge needle
B. Administer the injection quickly without aspiration
C. Apply pressure to the site for 1 minute after injection
D. Use the Z-track method for all subcutaneous injections
B. Administer the injection quickly without aspiration
RATIONALE: For subcutaneous injections, aspiration is not
recommended as it can cause tissue trauma. Using a smaller gauge
needle (e.g., 25-27 gauge) and administering the injection quickly
minimizes discomfort. The Z-track method is used for
intramuscular injections, not subcutaneous.
Question 3
A home health nurse is caring for a child who has Lyme disease.
Which of the following is an appropriate action for the nurse to
take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
A. Ensure the state health department has been notified
, RATIONALE: Lyme disease is a reportable infectious disease in
most states. The nurse must ensure proper notification to public
health authorities for disease tracking and prevention. Antitoxin is
used for tetanus, not Lyme disease. Avoiding shared belongings is
not relevant as Lyme disease is transmitted via tick bites, not
person-to-person contact.
Question 4
A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
A. Pale color and a 24-hour fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C and pulse rate of 124/min
B. Sunken fontanels and dry mucous membranes
RATIONALE: Sunken fontanels and dry mucous membranes
indicate moderate to severe dehydration requiring immediate
intervention. A 30 mL deficit is minimal. Decreased appetite and
irritability are expected with gastroenteritis. Temperature 38°C and
pulse 124 are within acceptable ranges for an infant.
Question 5
A nurse is caring for a client with a new colostomy. Which action
should the nurse take to promote stoma health?
A. Apply petroleum jelly around the stoma
B. Cleanse the stoma with alcohol-based wipes
PREDICTOR FORM A, B & C EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Integrated Clinical Scenarios and NGN
Introduction
The VATI PN Comprehensive Predictor Exam assesses the clinical
judgment and nursing knowledge required for safe, effective entry-
level practical nursing practice. It evaluates competency across
major client-need categories, including management of care, safety,
,pharmacology, physiological adaptation, and psychosocial integrity.
The exam employs Next Generation NCLEX-style multiple-choice
and scenario-based questions to test real-world application and
decision-making. Candidates must demonstrate the ability to
analyze clinical data, prioritize care, and apply evidence-based
nursing interventions across diverse patient populations.
Section One: Questions 1–100
Question 1
A charge nurse on a medical-surgical unit is planning client
assignments for the shift. Which of the following clients should the
charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid
resuscitation
B. A client who is 2 days post-op from a hip replacement needing
routine wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for
lymphoma
D. A client with new-onset chest pain requiring STAT cardiac
enzymes and telemetry
B. A client who is 2 days post-op from a hip replacement
needing routine wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for
stable clients with predictable outcomes, performing routine wound
care, and reinforcing teaching. A 2-day post-op hip replacement
client with routine needs fits this scope. Clients with acute GI
,bleeding, first-dose IV chemotherapy, and new-onset chest pain are
unstable and require RN-level assessment and intervention.
Question 2
A nurse is preparing to administer a subcutaneous injection to a
client. Which of the following actions should the nurse take to
minimize discomfort?
A. Use a 22-gauge needle
B. Administer the injection quickly without aspiration
C. Apply pressure to the site for 1 minute after injection
D. Use the Z-track method for all subcutaneous injections
B. Administer the injection quickly without aspiration
RATIONALE: For subcutaneous injections, aspiration is not
recommended as it can cause tissue trauma. Using a smaller gauge
needle (e.g., 25-27 gauge) and administering the injection quickly
minimizes discomfort. The Z-track method is used for
intramuscular injections, not subcutaneous.
Question 3
A home health nurse is caring for a child who has Lyme disease.
Which of the following is an appropriate action for the nurse to
take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
A. Ensure the state health department has been notified
, RATIONALE: Lyme disease is a reportable infectious disease in
most states. The nurse must ensure proper notification to public
health authorities for disease tracking and prevention. Antitoxin is
used for tetanus, not Lyme disease. Avoiding shared belongings is
not relevant as Lyme disease is transmitted via tick bites, not
person-to-person contact.
Question 4
A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
A. Pale color and a 24-hour fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C and pulse rate of 124/min
B. Sunken fontanels and dry mucous membranes
RATIONALE: Sunken fontanels and dry mucous membranes
indicate moderate to severe dehydration requiring immediate
intervention. A 30 mL deficit is minimal. Decreased appetite and
irritability are expected with gastroenteritis. Temperature 38°C and
pulse 124 are within acceptable ranges for an infant.
Question 5
A nurse is caring for a client with a new colostomy. Which action
should the nurse take to promote stoma health?
A. Apply petroleum jelly around the stoma
B. Cleanse the stoma with alcohol-based wipes
