VATI PN Comprehensive Predictor Questions Bank | Exit Exam
Study Guide
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.
Section 1: Management of Care (Questions 1–30)
1. A nurse is caring for a client who is postoperative following abdominal surgery.
Which finding requires immediate intervention?
A) Serous drainage on the dressing
B) Dehiscence with evisceration
C) Pain rated 6/10
D) Temperature 37.8°C
Answer: B
Rationale: Dehiscence with evisceration is a surgical emergency requiring immediate
covering with sterile saline-soaked gauze and notification of the surgeon.
2. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Answer: C
,Rationale: New-onset confusion accompanied by hypotension suggests possible sepsis,
hemorrhage, or shock—an unstable priority. Airway and circulation precede stable
complaints.
3. A charge nurse is assigning staff for the shift. Which client should be assigned
to an RN rather than a PN?
A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Answer: B
Rationale: Blood transfusions require complex assessment and monitoring that is typically
within the RN scope.
4. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Assessing a client's capillary refill
B) Teaching a client how to keep a cast dry
C) Assisting a client with ambulation to the bathroom
D) Evaluating a client's pain level
Answer: C
Rationale: Assisting with ambulation is a standard, stable task that falls within the scope
of AP practice.
5. A nurse is reinforcing teaching with a client about advance directives. Which
statement by the client indicates understanding?
A) "I will need to have my attorney present when I sign the document."
B) "My family can make changes to the document after I sign it."
C) "I can change my advance directives at any time."
D) "Advance directives can only be completed in the hospital."
Answer: C
Rationale: Clients have the right to change or revoke advance directives at any time as
long as they are competent.
,6. A nurse is receiving change-of-shift report for four clients. Which client should
the nurse see first?
A) A client whose urinary output was 100 mL for the past 12 hours
B) A client requesting pain medication for chronic arthritis
C) A client who needs discharge teaching about wound care
D) A client who is scheduled for a chest X-ray in 1 hour
Answer: A
Rationale: A urinary output of 100 mL over 12 hours is below the expected minimum of 30
mL/hr, indicating possible renal impairment.
7. A practical nurse (PN) is supervising an assistive personnel (AP) who is
providing care to a client on contact precautions due to Clostridium difficile
infection. Which action by the AP requires intervention?
A) The AP performs hand hygiene with soap and water after care.
B) The AP wears a gown and gloves when entering the room.
C) The AP uses an alcohol-based hand rub after removing gloves.
D) The AP dedicates equipment to the client's room.
Answer: C
Rationale: Alcohol-based hand rubs are not effective against C. difficile spores; soap and
water must be used.
8. A PN is caring for a client who has a new prescription for digoxin. Which finding
should the PN report before administering the dose?
A) Heart rate 88 bpm
B) Apical pulse 52 bpm
C) Blood pressure 118/76 mm Hg
D) Respiratory rate 18/min
Answer: B
Rationale: Digoxin is withheld for an apical pulse below 60 bpm in adults because
bradycardia increases the risk of toxicity.
9. A nurse is contributing to the plan of care for a client who is at risk of
developing pressure injuries. Which intervention should the nurse include?
, A) Place the client in a 30-degree lateral position
B) Massage bony prominences vigorously
C) Keep the head of the bed elevated at 90 degrees
D) Use a donut-shaped cushion for sitting
Answer: A
Rationale: The 30-degree lateral position reduces pressure on bony prominences and is
recommended for preventing pressure injuries.
10. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A) "I will take ibuprofen for headaches."
B) "I will keep my intake of green leafy vegetables consistent."
C) "I will stop the medication if I see bruising."
D) "I will double my dose if I miss one."
Answer: B
Rationale: Consistent vitamin K intake is essential for stable INR; ibuprofen increases
bleeding risk, and doses should never be doubled.
11. A PN is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which finding should the PN report to the provider?
A) Serosanguineous drainage on the abdominal dressing
B) Urine output of 100 mL over the past 4 hours
C) Pain rating of 4 on a scale of 0 to 10
D) Temperature of 38.3°C (101°F)
Answer: D
Rationale: A temperature of 38.3°C (101°F) 24 hours postoperatively may indicate
infection.
12. A charge nurse on a medical-surgical unit is planning client assignments for
the shift. Which client should the charge nurse assign to the PN?
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
Study Guide
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.
Section 1: Management of Care (Questions 1–30)
1. A nurse is caring for a client who is postoperative following abdominal surgery.
Which finding requires immediate intervention?
A) Serous drainage on the dressing
B) Dehiscence with evisceration
C) Pain rated 6/10
D) Temperature 37.8°C
Answer: B
Rationale: Dehiscence with evisceration is a surgical emergency requiring immediate
covering with sterile saline-soaked gauze and notification of the surgeon.
2. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A) Client with diabetes requesting pain medication for neuropathy
B) Client with COPD who has a new cough producing green sputum
C) Client post-op day 1 with new-onset confusion and BP 88/50
D) Client with a fractured tibia requesting help to the bathroom
Answer: C
,Rationale: New-onset confusion accompanied by hypotension suggests possible sepsis,
hemorrhage, or shock—an unstable priority. Airway and circulation precede stable
complaints.
3. A charge nurse is assigning staff for the shift. Which client should be assigned
to an RN rather than a PN?
A) Client with stable CHF receiving daily Lasix
B) Client requiring a blood transfusion for symptomatic anemia
C) Client with a new diagnosis of diabetes needing insulin instruction
D) Client with a PEG tube requiring intermittent feedings
Answer: B
Rationale: Blood transfusions require complex assessment and monitoring that is typically
within the RN scope.
4. A PN is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A) Assessing a client's capillary refill
B) Teaching a client how to keep a cast dry
C) Assisting a client with ambulation to the bathroom
D) Evaluating a client's pain level
Answer: C
Rationale: Assisting with ambulation is a standard, stable task that falls within the scope
of AP practice.
5. A nurse is reinforcing teaching with a client about advance directives. Which
statement by the client indicates understanding?
A) "I will need to have my attorney present when I sign the document."
B) "My family can make changes to the document after I sign it."
C) "I can change my advance directives at any time."
D) "Advance directives can only be completed in the hospital."
Answer: C
Rationale: Clients have the right to change or revoke advance directives at any time as
long as they are competent.
,6. A nurse is receiving change-of-shift report for four clients. Which client should
the nurse see first?
A) A client whose urinary output was 100 mL for the past 12 hours
B) A client requesting pain medication for chronic arthritis
C) A client who needs discharge teaching about wound care
D) A client who is scheduled for a chest X-ray in 1 hour
Answer: A
Rationale: A urinary output of 100 mL over 12 hours is below the expected minimum of 30
mL/hr, indicating possible renal impairment.
7. A practical nurse (PN) is supervising an assistive personnel (AP) who is
providing care to a client on contact precautions due to Clostridium difficile
infection. Which action by the AP requires intervention?
A) The AP performs hand hygiene with soap and water after care.
B) The AP wears a gown and gloves when entering the room.
C) The AP uses an alcohol-based hand rub after removing gloves.
D) The AP dedicates equipment to the client's room.
Answer: C
Rationale: Alcohol-based hand rubs are not effective against C. difficile spores; soap and
water must be used.
8. A PN is caring for a client who has a new prescription for digoxin. Which finding
should the PN report before administering the dose?
A) Heart rate 88 bpm
B) Apical pulse 52 bpm
C) Blood pressure 118/76 mm Hg
D) Respiratory rate 18/min
Answer: B
Rationale: Digoxin is withheld for an apical pulse below 60 bpm in adults because
bradycardia increases the risk of toxicity.
9. A nurse is contributing to the plan of care for a client who is at risk of
developing pressure injuries. Which intervention should the nurse include?
, A) Place the client in a 30-degree lateral position
B) Massage bony prominences vigorously
C) Keep the head of the bed elevated at 90 degrees
D) Use a donut-shaped cushion for sitting
Answer: A
Rationale: The 30-degree lateral position reduces pressure on bony prominences and is
recommended for preventing pressure injuries.
10. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A) "I will take ibuprofen for headaches."
B) "I will keep my intake of green leafy vegetables consistent."
C) "I will stop the medication if I see bruising."
D) "I will double my dose if I miss one."
Answer: B
Rationale: Consistent vitamin K intake is essential for stable INR; ibuprofen increases
bleeding risk, and doses should never be doubled.
11. A PN is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which finding should the PN report to the provider?
A) Serosanguineous drainage on the abdominal dressing
B) Urine output of 100 mL over the past 4 hours
C) Pain rating of 4 on a scale of 0 to 10
D) Temperature of 38.3°C (101°F)
Answer: D
Rationale: A temperature of 38.3°C (101°F) 24 hours postoperatively may indicate
infection.
12. A charge nurse on a medical-surgical unit is planning client assignments for
the shift. Which client should the charge nurse assign to the PN?
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
