PRACTICAL NURSING • NCLEX-PN READINESS • NGN INTEGRATED
VATI PN Comprehensive Predictor
RETAKE 2026
Actual Exam — 180 NGN Questions with Correct Detailed Answers
Already Graded A+
Course VATI PN Comprehensive Predictor Retake (2026 Edition)
Examination 180 Multiple-Choice + NGN Items (4 options, single best
answer)
NGN Integration EMR, Matrix, Drag-Drop, Cloze, Highlight, Bowtie/Trend
Cognitive Mix 25% Recall · 55% Application · 20% Analysis
Question Style 80% Scenario-Based · 20% Direct Recall
Section Coverage 8 NCLEX-PN Client Needs Subdomains
Format Question · Options A–D · Correct Answer · Detailed Rationale
Practical Nursing Licensure Preparation · NGN-Ready
,Examination Instructions
EXAMINATION INSTRUCTIONS: This VATI PN Comprehensive Predictor retake examination consists
of 180 questions organized across eight (8) NCLEX-PN Client Needs subdomains, fully integrated with
Next Generation NCLEX (NGN) item formats. Each question has four (4) options (A-D) with exactly ONE
best answer unless otherwise indicated in the stem. Question styles include Traditional Multiple
Choice, Extended Multiple Response (Select All That Apply), Matrix/Grid, Drag-and-Drop Ordered
Response, Cloze/Drop-Down Completion, Highlight/Select Text, and Bowtie/Trend Analysis items.
Select the single most appropriate response based on current NCLEX-PN Test Plan (2026) standards,
clinical judgment measurement model (Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate
Solutions, Take Action, Evaluate Outcomes), LPN/VN scope of practice, and evidence-based safety
principles. Rationales incorporate VATI PN Predictor-specific clinical reasoning, NGN testing
strategies, and NCLEX-PN content alignment. Cognitive distribution: 25% recall, 55% application, 20%
analysis. Question style: 80% scenario-based, 20% direct recall.
NGN Item Format Distribution
NGN ITEM FORMAT DISTRIBUTION: Traditional Multiple Choice (60) | Extended Multiple Response
(30) | Matrix/Grid (20) | Drag-and-Drop Ordered Response (20) | Cloze/Drop-Down Completion (20) |
Highlight/Select Text (15) | Bowtie/Trend Analysis (15). NGN formats are distributed throughout all
eight sections to mirror the 2026 NCLEX-PN testing experience.
Content Domain Map
Sectio Content Domain Question
n Range
1 Management of Care Q1 – Q22
2 Safety and Infection Control Q23 – Q40
3 Health Promotion and Maintenance Q41 – Q58
4 Psychosocial Integrity Q59 – Q76
5 Basic Care and Comfort Q77 – Q94
6 Pharmacological and Parenteral Therapies Q95 – Q116
7 Reduction of Risk Potential Q117 – Q140
8 Physiological Adaptation Q141 – Q180
How to Read Each Question
Each question follows a consistent format. The stem presents a clinical scenario or direct
pharmacology concept, followed by four options labeled A through D. Only ONE option is the single
best answer; the correct option is marked [CORRECT]. Below the options, the line Correct Answer: X
identifies the correct letter, and the rationale paragraph explains the NCLEX-PN clinical reasoning
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 2
,supporting the correct answer and addressing why the distractors are incorrect. NGN item format types
(EMR, Matrix, Drag-Drop, Cloze, Highlight, Bowtie/Trend) are embedded throughout all sections to
mirror the 2026 NCLEX-PN testing experience and integrate the Clinical Judgment Measurement Model
(Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, Evaluate
Outcomes).
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 3
, Section 1: Management of Care
(Advocacy, Delegation, Prioritization, Continuity of Care, & Legal/Ethical Issues) - Q1-22
Q1:
An LPN on a medical-surgical unit is receiving change-of-shift report on four assigned clients. Using
the ABC prioritization framework, which client should the LPN assess FIRST?
A. A 68-year-old client with COPD who has an SpO2 of 92% on 2 L/min nasal cannula and is resting
comfortably.
B. A 54-year-old client who is 4 hours postoperative colon resection and has not voided since surgery.
C. A 72-year-old client with heart failure who has new-onset dyspnea, bilateral crackles in the lung
bases, and an SpO2 of 88% on room air. [CORRECT]
D. A 60-year-old client with type 2 diabetes who is receiving IV antibiotics for cellulitis and reports mild
nausea.
Correct Answer: C
Rationale:
The ABC framework (Airway, Breathing, Circulation) is the foundational prioritization principle on the
NCLEX-PN. The client in option C demonstrates acute respiratory compromise (new dyspnea, basilar
crackles, SpO2 88%) consistent with acute decompensated heart failure — a life-threatening condition
requiring immediate assessment and intervention. Options A, B, and D involve stable or non-emergent
findings. NGN Strategy: Apply Recognize Cues (acute respiratory distress) → Analyze Cues (possible
pulmonary edema) → Prioritize Hypotheses (acute HF exacerbation requires urgent action). This client must
be seen first; the LPN should also notify the RN/provider.
Q2:
EMR ITEM - SELECT ALL THAT APPLY: A charge nurse is planning assignments for an LPN and a UAP
on a medical unit. Which of the following tasks are appropriate to delegate to the UAP? (Select the best
single answer that represents the most appropriate UAP delegation.)
A. Reinforcing teaching about a new low-sodium diet for a client recently diagnosed with heart failure.
B. Measuring vital signs on a stable postoperative client and reporting any abnormalities to the nurse.
[CORRECT]
C. Administering scheduled oral acetaminophen to a client with a mild headache.
D. Performing an initial admission assessment on a newly admitted client with pneumonia.
Correct Answer: B
Rationale:
Per the Five Rights of Delegation, UAPs may perform routine, non-invasive tasks with predictable outcomes
that do not require clinical judgment. Measuring vital signs on a stable client and reporting abnormal
findings to the nurse is within the UAP scope. Option A requires teaching, which must be done by licensed
staff (LPN/RN). Option C involves medication administration, which is outside UAP scope. Option D requires
initial assessment and clinical judgment, which is the RN's responsibility (LPN may collect data but cannot
perform comprehensive admission assessment). NGN Strategy: Recognize that delegation must match scope
of practice, predictability of outcome, and client stability.
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 4
VATI PN Comprehensive Predictor
RETAKE 2026
Actual Exam — 180 NGN Questions with Correct Detailed Answers
Already Graded A+
Course VATI PN Comprehensive Predictor Retake (2026 Edition)
Examination 180 Multiple-Choice + NGN Items (4 options, single best
answer)
NGN Integration EMR, Matrix, Drag-Drop, Cloze, Highlight, Bowtie/Trend
Cognitive Mix 25% Recall · 55% Application · 20% Analysis
Question Style 80% Scenario-Based · 20% Direct Recall
Section Coverage 8 NCLEX-PN Client Needs Subdomains
Format Question · Options A–D · Correct Answer · Detailed Rationale
Practical Nursing Licensure Preparation · NGN-Ready
,Examination Instructions
EXAMINATION INSTRUCTIONS: This VATI PN Comprehensive Predictor retake examination consists
of 180 questions organized across eight (8) NCLEX-PN Client Needs subdomains, fully integrated with
Next Generation NCLEX (NGN) item formats. Each question has four (4) options (A-D) with exactly ONE
best answer unless otherwise indicated in the stem. Question styles include Traditional Multiple
Choice, Extended Multiple Response (Select All That Apply), Matrix/Grid, Drag-and-Drop Ordered
Response, Cloze/Drop-Down Completion, Highlight/Select Text, and Bowtie/Trend Analysis items.
Select the single most appropriate response based on current NCLEX-PN Test Plan (2026) standards,
clinical judgment measurement model (Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate
Solutions, Take Action, Evaluate Outcomes), LPN/VN scope of practice, and evidence-based safety
principles. Rationales incorporate VATI PN Predictor-specific clinical reasoning, NGN testing
strategies, and NCLEX-PN content alignment. Cognitive distribution: 25% recall, 55% application, 20%
analysis. Question style: 80% scenario-based, 20% direct recall.
NGN Item Format Distribution
NGN ITEM FORMAT DISTRIBUTION: Traditional Multiple Choice (60) | Extended Multiple Response
(30) | Matrix/Grid (20) | Drag-and-Drop Ordered Response (20) | Cloze/Drop-Down Completion (20) |
Highlight/Select Text (15) | Bowtie/Trend Analysis (15). NGN formats are distributed throughout all
eight sections to mirror the 2026 NCLEX-PN testing experience.
Content Domain Map
Sectio Content Domain Question
n Range
1 Management of Care Q1 – Q22
2 Safety and Infection Control Q23 – Q40
3 Health Promotion and Maintenance Q41 – Q58
4 Psychosocial Integrity Q59 – Q76
5 Basic Care and Comfort Q77 – Q94
6 Pharmacological and Parenteral Therapies Q95 – Q116
7 Reduction of Risk Potential Q117 – Q140
8 Physiological Adaptation Q141 – Q180
How to Read Each Question
Each question follows a consistent format. The stem presents a clinical scenario or direct
pharmacology concept, followed by four options labeled A through D. Only ONE option is the single
best answer; the correct option is marked [CORRECT]. Below the options, the line Correct Answer: X
identifies the correct letter, and the rationale paragraph explains the NCLEX-PN clinical reasoning
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 2
,supporting the correct answer and addressing why the distractors are incorrect. NGN item format types
(EMR, Matrix, Drag-Drop, Cloze, Highlight, Bowtie/Trend) are embedded throughout all sections to
mirror the 2026 NCLEX-PN testing experience and integrate the Clinical Judgment Measurement Model
(Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, Evaluate
Outcomes).
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 3
, Section 1: Management of Care
(Advocacy, Delegation, Prioritization, Continuity of Care, & Legal/Ethical Issues) - Q1-22
Q1:
An LPN on a medical-surgical unit is receiving change-of-shift report on four assigned clients. Using
the ABC prioritization framework, which client should the LPN assess FIRST?
A. A 68-year-old client with COPD who has an SpO2 of 92% on 2 L/min nasal cannula and is resting
comfortably.
B. A 54-year-old client who is 4 hours postoperative colon resection and has not voided since surgery.
C. A 72-year-old client with heart failure who has new-onset dyspnea, bilateral crackles in the lung
bases, and an SpO2 of 88% on room air. [CORRECT]
D. A 60-year-old client with type 2 diabetes who is receiving IV antibiotics for cellulitis and reports mild
nausea.
Correct Answer: C
Rationale:
The ABC framework (Airway, Breathing, Circulation) is the foundational prioritization principle on the
NCLEX-PN. The client in option C demonstrates acute respiratory compromise (new dyspnea, basilar
crackles, SpO2 88%) consistent with acute decompensated heart failure — a life-threatening condition
requiring immediate assessment and intervention. Options A, B, and D involve stable or non-emergent
findings. NGN Strategy: Apply Recognize Cues (acute respiratory distress) → Analyze Cues (possible
pulmonary edema) → Prioritize Hypotheses (acute HF exacerbation requires urgent action). This client must
be seen first; the LPN should also notify the RN/provider.
Q2:
EMR ITEM - SELECT ALL THAT APPLY: A charge nurse is planning assignments for an LPN and a UAP
on a medical unit. Which of the following tasks are appropriate to delegate to the UAP? (Select the best
single answer that represents the most appropriate UAP delegation.)
A. Reinforcing teaching about a new low-sodium diet for a client recently diagnosed with heart failure.
B. Measuring vital signs on a stable postoperative client and reporting any abnormalities to the nurse.
[CORRECT]
C. Administering scheduled oral acetaminophen to a client with a mild headache.
D. Performing an initial admission assessment on a newly admitted client with pneumonia.
Correct Answer: B
Rationale:
Per the Five Rights of Delegation, UAPs may perform routine, non-invasive tasks with predictable outcomes
that do not require clinical judgment. Measuring vital signs on a stable client and reporting abnormal
findings to the nurse is within the UAP scope. Option A requires teaching, which must be done by licensed
staff (LPN/RN). Option C involves medication administration, which is outside UAP scope. Option D requires
initial assessment and clinical judgment, which is the RN's responsibility (LPN may collect data but cannot
perform comprehensive admission assessment). NGN Strategy: Recognize that delegation must match scope
of practice, predictability of outcome, and client stability.
VATI PN Comprehensive Predictor Retake 2026 - 180 NGN Questions Page 4
