PN VATI COMPREHENSIVE PREDICTOR GREEN LIGHT | 2025/2026
Actual Exam with Verified Predictor Questions & Answers | Latest Edition
Overview
This 2025/2026 updated resource contains the actual PN VATI Comprehensive Predictor
exam used to achieve the “Green Light” readiness indicator. Includes verified predictor
questions and answers for the final PN licensure assessment.
Key Features
✓ Actual predictor exam format and scoring
✓ Verified Green Light threshold questions
✓ NCLEX-PN® blueprint alignment
✓ Detailed rationales for all answer choices
✓ Predictor score analysis and interpretation guide
Core Content Areas
• Safe & Effective Care Environment (25 Qs)
• Health Promotion & Maintenance (20 Qs)
• Psychosocial Integrity (15 Qs)
• Physiological Integrity (40 Qs)
Answer Format
Correct answers are marked in bold green and include:
• NCLEX-PN® client needs category
• Clinical judgment model application
• Test-taking strategy for predictor questions
Updates for 2025/2026
Reflects Next Generation NCLEX-PN® (NGN) item types
Updated predictor scoring algorithms
Enhanced focus on clinical judgment measurement
Latest pharmacology and safety protocols
SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–25)
1. The LPN enters a client’s room and finds the 6-year-old sitting on the bedrail. Which
action should the LPN take first?
a) Ask the parents to hold the child
b) Lower the bed to the lowest position
c) Activate the bed alarm
d) Place the child in the center of the bed
b) Lower the bed to the lowest position
Rationale: Reduces fall height/injury risk immediately (safety first).
2. A client on contact precautions for MRSA asks to go to the chapel. Which response is
best?
a) “You must stay in your room.”
, b) “You may go if you wear a mask.”
c) “Let me check with infection control for escort procedures.”
d) “The chapel is closed.”
c) “Let me check with infection control for escort procedures.”
Rationale: Balances psychosocial need and infection-prevention policy.
3. The LPN discovers an empty, unlabeled syringe on the counter. The first action is:
a) Discard in sharps container
b) Ask coworkers whose it is
c) Label it “unknown”
d) Place in locked narcotic box
a) Discard in sharps container
Rationale: Unknown substance = immediate safety disposal; never leave unattended.
4. During a fire drill, the LPN smells smoke on the unit. The first priority is:
a) Extinguish fire
b) Move clients away from fire zone
c) Call switchboard
d) Close doors
b) Move clients away from fire zone
Rationale: RACE—Rescue, Alarm, Contain, Extinguish; rescue comes first.
5. Which assignment is appropriate for a newly oriented AP?
a) Empty Foley catheter bag and record output
b) Give a PRN sublingual nitroglycerin
c) Perform sterile suctioning of tracheostomy
d) Insert a rectal suppository
a) Empty Foley catheter bag and record output
Rationale: Non-invasive, routine task within AP scope after orientation.
6. A client is being discharged with a new colostomy. The LPN should delegate which
teaching to the RN?
a) How to empty the pouch
b) How to change the pouch
c) Dietary modifications
d) All above
c) Dietary modifications
Rationale: Diet teaching is licensed-scope assessment/education; cannot delegate to
AP.
7. The LPN hears an alarm from a client’s room. Upon entry, the client is cyanotic and
grabbing their throat. The first action is:
a) Call code blue
b) Administer oxygen
c) Perform abdominal thrusts
d) Check pulse
c) Perform abdominal thrusts
Rationale: Universal choking sign → immediate obstructed-airway algorithm.
8. A visitor slips on a wet floor. The LPN should first:
a) Help visitor up immediately
b) Call security
c) Assess for injury and ensure scene safety
d) Fill out incident form
, c) Assess for injury and ensure scene safety
Rationale: ABCs apply to visitors; prevent further harm.
9. The LPN notes frayed cord on a vital-sign machine. The correct action is:
a) Tag “Out of Order” and remove from service
b) Continue using cautiously
c) Tape cord with duct tape
d) Use only for stable clients
a) Tag “Out of Order” and remove from service
Rationale: Prevents electrical hazard; follows equipment-safety policy.
10. A client on restraints is found with hands free. The LPN should:
a) Tighten restraints
b) Assess circulation and reapply per order
c) Remove restraints
d) Sedate client
b) Assess circulation and reapply per order
Rationale: Restraints must be secure yet safe; circulation check is mandatory every
15 min.
11. Which finding requires immediate follow-up during hourly safety rounds?
a) Side-rail left down on confused client
b) TV volume high
c) Tray table left in hallway
d) Call light on floor but client sleeping
a) Side-rail left down on confused client
Rationale: Immediate fall-risk violation.
12. A client’s pulse oximeter keeps alarming low readings, but client appears pink. The
first step is:
a) Increase oxygen
b) Check sensor placement and circulation
c) Call respiratory therapy
d) Document artifact
b) Check sensor placement and circulation
Rationale: False alarms common with cold fingers or loose probes.
13. The LPN finds an empty, unlabeled bottle of pills in a client’s drawer. The first action
is:
a) Discard pills
b) Ask client what they are
c) Secure bottle and notify RN/pharmacist
d) Leave for next shift
c) Secure bottle and notify RN/pharmacist
Rationale: Unknown medications are safety risk; follow facility medication-
reconciliation policy.
14. A fire alarm sounds on the unit. The LPN with ambulatory clients should:
a) Use elevator to exit quickly
b) Close client room doors and move ambulatory clients to nearest exit
c) Open all windows
d) Stay in room
b) Close client room doors and move ambulatory clients to nearest exit
Rationale: RACE protocol; ambulatory clients are moved first, avoid elevators.
Actual Exam with Verified Predictor Questions & Answers | Latest Edition
Overview
This 2025/2026 updated resource contains the actual PN VATI Comprehensive Predictor
exam used to achieve the “Green Light” readiness indicator. Includes verified predictor
questions and answers for the final PN licensure assessment.
Key Features
✓ Actual predictor exam format and scoring
✓ Verified Green Light threshold questions
✓ NCLEX-PN® blueprint alignment
✓ Detailed rationales for all answer choices
✓ Predictor score analysis and interpretation guide
Core Content Areas
• Safe & Effective Care Environment (25 Qs)
• Health Promotion & Maintenance (20 Qs)
• Psychosocial Integrity (15 Qs)
• Physiological Integrity (40 Qs)
Answer Format
Correct answers are marked in bold green and include:
• NCLEX-PN® client needs category
• Clinical judgment model application
• Test-taking strategy for predictor questions
Updates for 2025/2026
Reflects Next Generation NCLEX-PN® (NGN) item types
Updated predictor scoring algorithms
Enhanced focus on clinical judgment measurement
Latest pharmacology and safety protocols
SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–25)
1. The LPN enters a client’s room and finds the 6-year-old sitting on the bedrail. Which
action should the LPN take first?
a) Ask the parents to hold the child
b) Lower the bed to the lowest position
c) Activate the bed alarm
d) Place the child in the center of the bed
b) Lower the bed to the lowest position
Rationale: Reduces fall height/injury risk immediately (safety first).
2. A client on contact precautions for MRSA asks to go to the chapel. Which response is
best?
a) “You must stay in your room.”
, b) “You may go if you wear a mask.”
c) “Let me check with infection control for escort procedures.”
d) “The chapel is closed.”
c) “Let me check with infection control for escort procedures.”
Rationale: Balances psychosocial need and infection-prevention policy.
3. The LPN discovers an empty, unlabeled syringe on the counter. The first action is:
a) Discard in sharps container
b) Ask coworkers whose it is
c) Label it “unknown”
d) Place in locked narcotic box
a) Discard in sharps container
Rationale: Unknown substance = immediate safety disposal; never leave unattended.
4. During a fire drill, the LPN smells smoke on the unit. The first priority is:
a) Extinguish fire
b) Move clients away from fire zone
c) Call switchboard
d) Close doors
b) Move clients away from fire zone
Rationale: RACE—Rescue, Alarm, Contain, Extinguish; rescue comes first.
5. Which assignment is appropriate for a newly oriented AP?
a) Empty Foley catheter bag and record output
b) Give a PRN sublingual nitroglycerin
c) Perform sterile suctioning of tracheostomy
d) Insert a rectal suppository
a) Empty Foley catheter bag and record output
Rationale: Non-invasive, routine task within AP scope after orientation.
6. A client is being discharged with a new colostomy. The LPN should delegate which
teaching to the RN?
a) How to empty the pouch
b) How to change the pouch
c) Dietary modifications
d) All above
c) Dietary modifications
Rationale: Diet teaching is licensed-scope assessment/education; cannot delegate to
AP.
7. The LPN hears an alarm from a client’s room. Upon entry, the client is cyanotic and
grabbing their throat. The first action is:
a) Call code blue
b) Administer oxygen
c) Perform abdominal thrusts
d) Check pulse
c) Perform abdominal thrusts
Rationale: Universal choking sign → immediate obstructed-airway algorithm.
8. A visitor slips on a wet floor. The LPN should first:
a) Help visitor up immediately
b) Call security
c) Assess for injury and ensure scene safety
d) Fill out incident form
, c) Assess for injury and ensure scene safety
Rationale: ABCs apply to visitors; prevent further harm.
9. The LPN notes frayed cord on a vital-sign machine. The correct action is:
a) Tag “Out of Order” and remove from service
b) Continue using cautiously
c) Tape cord with duct tape
d) Use only for stable clients
a) Tag “Out of Order” and remove from service
Rationale: Prevents electrical hazard; follows equipment-safety policy.
10. A client on restraints is found with hands free. The LPN should:
a) Tighten restraints
b) Assess circulation and reapply per order
c) Remove restraints
d) Sedate client
b) Assess circulation and reapply per order
Rationale: Restraints must be secure yet safe; circulation check is mandatory every
15 min.
11. Which finding requires immediate follow-up during hourly safety rounds?
a) Side-rail left down on confused client
b) TV volume high
c) Tray table left in hallway
d) Call light on floor but client sleeping
a) Side-rail left down on confused client
Rationale: Immediate fall-risk violation.
12. A client’s pulse oximeter keeps alarming low readings, but client appears pink. The
first step is:
a) Increase oxygen
b) Check sensor placement and circulation
c) Call respiratory therapy
d) Document artifact
b) Check sensor placement and circulation
Rationale: False alarms common with cold fingers or loose probes.
13. The LPN finds an empty, unlabeled bottle of pills in a client’s drawer. The first action
is:
a) Discard pills
b) Ask client what they are
c) Secure bottle and notify RN/pharmacist
d) Leave for next shift
c) Secure bottle and notify RN/pharmacist
Rationale: Unknown medications are safety risk; follow facility medication-
reconciliation policy.
14. A fire alarm sounds on the unit. The LPN with ambulatory clients should:
a) Use elevator to exit quickly
b) Close client room doors and move ambulatory clients to nearest exit
c) Open all windows
d) Stay in room
b) Close client room doors and move ambulatory clients to nearest exit
Rationale: RACE protocol; ambulatory clients are moved first, avoid elevators.
