VATI PN Comprehensive Predictor Questions Bank | Exit Exam
Study Guide 2 Versions
This comprehensive study resource is a premier test bank designed for practical nursing
students preparing for the Virtual ATI (VATI) PN Comprehensive Predictor Examination.
It features high-yield practice questions, 100% verified answers, and detailed clinical
rationales mapped directly to the latest NCLEX-PN blueprint. Preparing with these
targeted assessment materials will optimize your remediation paths, sharpen your
clinical judgment across core nursing domains, and guarantee a 99% predicted
probability of passing your licensure exam on the first attempt.
1. A nurse is caring for a client who has just returned from surgery. Which
assessment finding requires immediate notification of the provider?
A) Heart rate 92/min
B) Blood pressure 88/52 mm Hg
C) Respiratory rate 18/min
D) Temperature 37.2°C
Answer: B
Rationale: Hypotension postoperatively may indicate hemorrhage or shock and requires
immediate intervention.
2. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate for the PN to delegate?
A) Administering oral medications
B) Assessing a client's incision
C) Measuring a client's intake and output
D) Teaching a client about a new diet
Answer: C
Rationale: Measuring intake and output is a routine, non-invasive task within the AP's
scope. Medication administration, assessment, and teaching require a licensed nurse.
3. A nurse is caring for a client who has active tuberculosis. Which type of
precautions should the nurse implement?
,A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Answer: C
Rationale: Tuberculosis requires airborne precautions, including a negative-pressure room
and an N95 respirator.
4. A nurse is preparing to administer metoprolol to a client. The nurse notes an
apical pulse of 52 beats/min. What action should the nurse take?
A) Administer the medication as prescribed
B) Hold the medication and notify the provider
C) Give half the dose
D) Recheck the pulse in 30 minutes
Answer: B
Rationale: Beta-blockers are withheld for bradycardia (apical pulse <60 beats/min) and
the provider should be notified.
5. A client has a serum potassium level of 5.9 mEq/L. Which finding should the
nurse expect?
A) Muscle weakness
B) Cardiac dysrhythmias
C) Increased deep tendon reflexes
D) Hypertension
Answer: B
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
6. A nurse is assessing a client who is 6 hours postoperative following abdominal
surgery. Which finding indicates a possible complication?
A) Serous drainage on the dressing
B) Pain rated 5/10
C) Urine output of 200 mL over 6 hours
D) Temperature of 38.5°C (101.3°F)
,Answer: D
Rationale: A temperature above 38°C (100.4°F) postoperatively may indicate infection or
other complication.
7. A nurse is caring for an infant who has dehydration. Which finding should the
nurse expect?
A) Bulging fontanel
B) Sunken fontanel
C) Increased urine output
D) Moist mucous membranes
Answer: B
Rationale: A sunken fontanel is a classic sign of dehydration in infants.
8. A nurse is assessing a client who is 2 hours postpartum. Which finding requires
immediate intervention?
A) Lochia rubra
B) Fundus firm at the umbilicus
C) Saturated perineal pad in 15 minutes
D) Blood pressure 118/76 mm Hg
Answer: C
Rationale: A saturated pad in 15 minutes indicates postpartum hemorrhage and requires
immediate action.
9. A nurse is caring for a client who has major depressive disorder. Which
statement indicates a need for immediate intervention?
A) "I feel sad most of the day."
B) "I have trouble sleeping."
C) "I wish I were dead."
D) "I don't enjoy things anymore."
Answer: C
Rationale: Expressing a wish to be dead indicates suicidal ideation and requires immediate
safety interventions.
, 10. A client is experiencing a panic attack. Which action should the nurse take
first?
A) Encourage the client to describe their feelings
B) Stay with the client and speak in a calm, reassuring voice
C) Administer a PRN anxiolytic
D) Move the client to a quiet area
Answer: B
Rationale: Staying with the client and speaking calmly helps reduce anxiety during a panic
attack.
11. A nurse is assessing a client's pressure ulcer. The ulcer extends into the
subcutaneous tissue but not muscle or bone. What stage is this?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: C
Rationale: Stage 3 pressure ulcers extend into subcutaneous tissue but not to muscle,
tendon, or bone.
12. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
finding indicates oxygen toxicity?
A) Oxygen saturation 94%
B) Somnolence and decreased respiratory rate
C) Respiratory rate 22/min
D) Pink mucous membranes
Answer: B
Rationale: Excessive oxygen can suppress the hypoxic drive in COPD, leading to
hypoventilation and somnolence.
13. A nurse notices that a client's IV site is swollen, cool, and pale. What
complication is occurring?
Study Guide 2 Versions
This comprehensive study resource is a premier test bank designed for practical nursing
students preparing for the Virtual ATI (VATI) PN Comprehensive Predictor Examination.
It features high-yield practice questions, 100% verified answers, and detailed clinical
rationales mapped directly to the latest NCLEX-PN blueprint. Preparing with these
targeted assessment materials will optimize your remediation paths, sharpen your
clinical judgment across core nursing domains, and guarantee a 99% predicted
probability of passing your licensure exam on the first attempt.
1. A nurse is caring for a client who has just returned from surgery. Which
assessment finding requires immediate notification of the provider?
A) Heart rate 92/min
B) Blood pressure 88/52 mm Hg
C) Respiratory rate 18/min
D) Temperature 37.2°C
Answer: B
Rationale: Hypotension postoperatively may indicate hemorrhage or shock and requires
immediate intervention.
2. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate for the PN to delegate?
A) Administering oral medications
B) Assessing a client's incision
C) Measuring a client's intake and output
D) Teaching a client about a new diet
Answer: C
Rationale: Measuring intake and output is a routine, non-invasive task within the AP's
scope. Medication administration, assessment, and teaching require a licensed nurse.
3. A nurse is caring for a client who has active tuberculosis. Which type of
precautions should the nurse implement?
,A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Answer: C
Rationale: Tuberculosis requires airborne precautions, including a negative-pressure room
and an N95 respirator.
4. A nurse is preparing to administer metoprolol to a client. The nurse notes an
apical pulse of 52 beats/min. What action should the nurse take?
A) Administer the medication as prescribed
B) Hold the medication and notify the provider
C) Give half the dose
D) Recheck the pulse in 30 minutes
Answer: B
Rationale: Beta-blockers are withheld for bradycardia (apical pulse <60 beats/min) and
the provider should be notified.
5. A client has a serum potassium level of 5.9 mEq/L. Which finding should the
nurse expect?
A) Muscle weakness
B) Cardiac dysrhythmias
C) Increased deep tendon reflexes
D) Hypertension
Answer: B
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias.
6. A nurse is assessing a client who is 6 hours postoperative following abdominal
surgery. Which finding indicates a possible complication?
A) Serous drainage on the dressing
B) Pain rated 5/10
C) Urine output of 200 mL over 6 hours
D) Temperature of 38.5°C (101.3°F)
,Answer: D
Rationale: A temperature above 38°C (100.4°F) postoperatively may indicate infection or
other complication.
7. A nurse is caring for an infant who has dehydration. Which finding should the
nurse expect?
A) Bulging fontanel
B) Sunken fontanel
C) Increased urine output
D) Moist mucous membranes
Answer: B
Rationale: A sunken fontanel is a classic sign of dehydration in infants.
8. A nurse is assessing a client who is 2 hours postpartum. Which finding requires
immediate intervention?
A) Lochia rubra
B) Fundus firm at the umbilicus
C) Saturated perineal pad in 15 minutes
D) Blood pressure 118/76 mm Hg
Answer: C
Rationale: A saturated pad in 15 minutes indicates postpartum hemorrhage and requires
immediate action.
9. A nurse is caring for a client who has major depressive disorder. Which
statement indicates a need for immediate intervention?
A) "I feel sad most of the day."
B) "I have trouble sleeping."
C) "I wish I were dead."
D) "I don't enjoy things anymore."
Answer: C
Rationale: Expressing a wish to be dead indicates suicidal ideation and requires immediate
safety interventions.
, 10. A client is experiencing a panic attack. Which action should the nurse take
first?
A) Encourage the client to describe their feelings
B) Stay with the client and speak in a calm, reassuring voice
C) Administer a PRN anxiolytic
D) Move the client to a quiet area
Answer: B
Rationale: Staying with the client and speaking calmly helps reduce anxiety during a panic
attack.
11. A nurse is assessing a client's pressure ulcer. The ulcer extends into the
subcutaneous tissue but not muscle or bone. What stage is this?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: C
Rationale: Stage 3 pressure ulcers extend into subcutaneous tissue but not to muscle,
tendon, or bone.
12. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
finding indicates oxygen toxicity?
A) Oxygen saturation 94%
B) Somnolence and decreased respiratory rate
C) Respiratory rate 22/min
D) Pink mucous membranes
Answer: B
Rationale: Excessive oxygen can suppress the hypoxic drive in COPD, leading to
hypoventilation and somnolence.
13. A nurse notices that a client's IV site is swollen, cool, and pale. What
complication is occurring?
