VATI PN COMPREHENSIVE PREDICTOR EXAM NGN
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
NGN VATI PN COMPREHENSIVE PREDICTOR EXAM
MOST-TESTED COVERAGE AREAS
1. Clinical Judgment, Prioritization, and Patient Safety
2. Adult Medical-Surgical Nursing and Acute Care
3. Pharmacology, Medication Administration, and Adverse Reactions
4. Cardiovascular, Respiratory, and Neurologic Disorders
5. Fluid, Electrolyte, Acid-Base, and Renal Disorders
6. Maternal-Newborn and Reproductive Nursing
7. Pediatric Growth, Development, and Childhood Disorders
8. Mental Health, Behavioral Health, and Therapeutic Communication
9. Infection Prevention, Nutrition, Wound Care, and Chronic Conditions
10. Leadership, Delegation, Legal/Ethical Practice, and Health Promotion
COVERAGE AREA 1 — CLINICAL JUDGMENT, PRIORITIZATION, AND PATIENT SAFETY
Question 1
,A practical nurse is beginning the morning assessment on a medical-surgical unit and receives reports on
four clients with different conditions. Which client should the nurse assess first based on the greatest
immediate threat to airway, breathing, or circulation?
A. A client with pneumonia reporting fatigue after breakfast
B. A client with heart failure reporting mild ankle swelling
C. A client with asthma developing audible expiratory wheezing
D. A client with diabetes requesting assistance with breakfast
Answer: C
Rationale:
• Audible wheezing in a client with asthma may indicate worsening bronchoconstriction and
impaired ventilation.
• The nurse should immediately assess respiratory effort, oxygen saturation, breath sounds, and
ability to speak.
• Airway and breathing concerns take priority over stable chronic findings.
• Mild edema and fatigue require assessment but do not represent the most immediate threat.
Question 2
,A practical nurse is caring for an older adult who suddenly becomes confused, restless, and unable to
correctly identify the location. The client's oxygen saturation has decreased from 96% to 88%. Which
action should the nurse take first?
A. Reorient the client to the hospital environment
B. Apply oxygen according to the prescribed protocol
C. Document the change in the client's mental status
D. Ask the family whether confusion is normally present
Answer: B
Rationale:
• Acute confusion accompanied by hypoxemia requires immediate attention to oxygenation.
• Applying prescribed oxygen can correct the underlying physiologic problem while further
assessment occurs.
• Reorientation and obtaining history are appropriate later but should not delay correction of
hypoxemia.
• Documentation is important after the client has been stabilized.
Question 3
A practical nurse receives change-of-shift report about four clients. Which client requires the most
immediate follow-up assessment?
, A. A client with postoperative pain rated 6/10
B. A client with diabetes whose glucose is 184 mg/dL
C. A client with COPD whose oxygen saturation is 91%
D. A client receiving a blood transfusion who develops chills
Answer: D
Rationale:
• Chills developing during a blood transfusion may indicate an acute transfusion reaction.
• The nurse should stop the transfusion immediately according to facility protocol and maintain
appropriate intravenous access with compatible solution.
• The client requires prompt assessment of vital signs and notification of the appropriate
provider.
• The other findings may require intervention but are not as immediately concerning.
Question 4
A client who is receiving an opioid analgesic becomes difficult to arouse and has a respiratory rate of
7/min. Which intervention should the practical nurse anticipate as the priority?
A. Encourage the client to drink additional fluids
B. Place the client in a quiet environment
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
NGN VATI PN COMPREHENSIVE PREDICTOR EXAM
MOST-TESTED COVERAGE AREAS
1. Clinical Judgment, Prioritization, and Patient Safety
2. Adult Medical-Surgical Nursing and Acute Care
3. Pharmacology, Medication Administration, and Adverse Reactions
4. Cardiovascular, Respiratory, and Neurologic Disorders
5. Fluid, Electrolyte, Acid-Base, and Renal Disorders
6. Maternal-Newborn and Reproductive Nursing
7. Pediatric Growth, Development, and Childhood Disorders
8. Mental Health, Behavioral Health, and Therapeutic Communication
9. Infection Prevention, Nutrition, Wound Care, and Chronic Conditions
10. Leadership, Delegation, Legal/Ethical Practice, and Health Promotion
COVERAGE AREA 1 — CLINICAL JUDGMENT, PRIORITIZATION, AND PATIENT SAFETY
Question 1
,A practical nurse is beginning the morning assessment on a medical-surgical unit and receives reports on
four clients with different conditions. Which client should the nurse assess first based on the greatest
immediate threat to airway, breathing, or circulation?
A. A client with pneumonia reporting fatigue after breakfast
B. A client with heart failure reporting mild ankle swelling
C. A client with asthma developing audible expiratory wheezing
D. A client with diabetes requesting assistance with breakfast
Answer: C
Rationale:
• Audible wheezing in a client with asthma may indicate worsening bronchoconstriction and
impaired ventilation.
• The nurse should immediately assess respiratory effort, oxygen saturation, breath sounds, and
ability to speak.
• Airway and breathing concerns take priority over stable chronic findings.
• Mild edema and fatigue require assessment but do not represent the most immediate threat.
Question 2
,A practical nurse is caring for an older adult who suddenly becomes confused, restless, and unable to
correctly identify the location. The client's oxygen saturation has decreased from 96% to 88%. Which
action should the nurse take first?
A. Reorient the client to the hospital environment
B. Apply oxygen according to the prescribed protocol
C. Document the change in the client's mental status
D. Ask the family whether confusion is normally present
Answer: B
Rationale:
• Acute confusion accompanied by hypoxemia requires immediate attention to oxygenation.
• Applying prescribed oxygen can correct the underlying physiologic problem while further
assessment occurs.
• Reorientation and obtaining history are appropriate later but should not delay correction of
hypoxemia.
• Documentation is important after the client has been stabilized.
Question 3
A practical nurse receives change-of-shift report about four clients. Which client requires the most
immediate follow-up assessment?
, A. A client with postoperative pain rated 6/10
B. A client with diabetes whose glucose is 184 mg/dL
C. A client with COPD whose oxygen saturation is 91%
D. A client receiving a blood transfusion who develops chills
Answer: D
Rationale:
• Chills developing during a blood transfusion may indicate an acute transfusion reaction.
• The nurse should stop the transfusion immediately according to facility protocol and maintain
appropriate intravenous access with compatible solution.
• The client requires prompt assessment of vital signs and notification of the appropriate
provider.
• The other findings may require intervention but are not as immediately concerning.
Question 4
A client who is receiving an opioid analgesic becomes difficult to arouse and has a respiratory rate of
7/min. Which intervention should the practical nurse anticipate as the priority?
A. Encourage the client to drink additional fluids
B. Place the client in a quiet environment
