NGN VATI PN Comprehensive Predictor (300 Questions)
– Full Practice Exam with Correct Answers and Detailed
Rationales Latest Update
1. A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification?
A. To ensure proper billing for services
B. To identify staff roles for visitors
C. To comply with hospital policy
D. Reducing the risk of newborn abduction
Correct Answer: D
Rationale: Wearing visible identification helps prevent unauthorized individuals
from accessing the newborn area, which is a key strategy to reduce the risk of
infant abduction.
2. A nurse in a prenatal clinic is reinforcing teaching with a client about a
nonstress test. Which of the following statements should the nurse include?
A. "You will need to have a full bladder for the test."
B. "You will receive medication to induce contractions."
C. "You will be asked to press a button when you feel your baby move."
D. "The test requires a small needle to be placed in your abdomen."
Correct Answer: C
Rationale: During a nonstress test, the client presses a button each time fetal
movement is felt, allowing the monitor to record fetal heart rate accelerations in
response to movement.
1
,3. A nurse is preparing to instill an otic suspension into an adult client's ear. Which
of the following methods should the nurse plan to use?
A. Pull the auricle downward and straight back
B. Pull the auricle upward and backward
C. Pull the auricle upward and forward
D. Pull the auricle downward and forward
Correct Answer: B
Rationale: For an adult, the auricle is pulled upward and backward to straighten
the ear canal for proper instillation of ear drops. For a child, pull downward and
back.
4. A nurse is reinforcing teaching about colostomy care with a client. Which of the
following client statements indicates an understanding of how to care for the
colostomy?
A. "I will change the entire appliance every day."
B. "I will empty the colostomy bag when it is one-half full."
C. "I will apply lotion to the skin around the stoma."
D. "I will avoid drinking water to reduce output."
Correct Answer: B
Rationale: Emptying the pouch when it is one‑third to one‑half full prevents
leakage, odor, and skin breakdown due to excessive weight on the seal.
5. A nurse is caring for a client who is postoperative following a hemicolectomy.
Which of the following is the best indication that the client needs PRN pain
medication?
A. The client's heart rate is elevated
2
,B. The client is grimacing and guarding the incision
C. The client reports pain
D. The client's blood pressure is decreased
Correct Answer: C
Rationale: Pain is a subjective experience; the client's self‑report of pain is the
most reliable indicator and should prompt administration of PRN analgesics
according to the pain scale.
6. A nurse is assessing a client who has heart failure. Which of the following
findings is an early indication of fluid overload?
A. Jugular venous distention
B. Weight gain of 1 kg (2.2 lb) in 24 hours
C. Pitting edema in the lower extremities
D. Crackles auscultated in the lung bases
Correct Answer: B
Rationale: Daily weight is the most sensitive indicator of fluid status. A gain of 1 kg
(2.2 lb) in 24 hours reflects fluid retention, often before physical signs like edema
or crackles appear.
7. A nurse is administering a subcutaneous injection of heparin. Which of the
following actions should the nurse take?
A. Aspirate before injecting the medication
B. Massage the site after injection
C. Use a 1‑inch needle for injection
D. Insert the needle at a 45‑ to 90‑degree angle
Correct Answer: D
3
, Rationale: For subcutaneous heparin, the needle is inserted at a 45‑ to 90‑degree
angle depending on the client's body habitus. Aspiration is not recommended
because it may cause hematoma; massage is avoided to prevent bleeding.
8. A nurse is reinforcing discharge teaching with a client who has a new diagnosis
of type 1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of hypoglycemia management?
A. "I will drink 8 ounces of orange juice if my blood sugar is low."
B. "I should eat a protein bar immediately when I feel shaky."
C. "I will take an extra dose of insulin if my blood sugar is 60 mg/dL."
D. "I can wait 30 minutes after eating candy to recheck my blood sugar."
Correct Answer: A
Rationale: The rule of 15: consume 15 g of fast‑acting carbohydrate (4 oz juice,
glucose tablets) and recheck in 15 minutes. Orange juice provides rapid glucose
absorption.
9. A nurse is caring for a client who is 2 hours postpartum and reports excessive
bleeding. The nurse notes large clots and a boggy fundus. Which of the following
actions should the nurse take first?
A. Administer oxytocin as prescribed
B. Perform fundal massage
C. Place the client in Trendelenburg position
D. Increase the IV fluid rate
Correct Answer: B
Rationale: The priority action for a boggy fundus with hemorrhage is fundal
massage to stimulate uterine contraction and reduce atony, which is the most
common cause of early postpartum hemorrhage.
4
– Full Practice Exam with Correct Answers and Detailed
Rationales Latest Update
1. A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification?
A. To ensure proper billing for services
B. To identify staff roles for visitors
C. To comply with hospital policy
D. Reducing the risk of newborn abduction
Correct Answer: D
Rationale: Wearing visible identification helps prevent unauthorized individuals
from accessing the newborn area, which is a key strategy to reduce the risk of
infant abduction.
2. A nurse in a prenatal clinic is reinforcing teaching with a client about a
nonstress test. Which of the following statements should the nurse include?
A. "You will need to have a full bladder for the test."
B. "You will receive medication to induce contractions."
C. "You will be asked to press a button when you feel your baby move."
D. "The test requires a small needle to be placed in your abdomen."
Correct Answer: C
Rationale: During a nonstress test, the client presses a button each time fetal
movement is felt, allowing the monitor to record fetal heart rate accelerations in
response to movement.
1
,3. A nurse is preparing to instill an otic suspension into an adult client's ear. Which
of the following methods should the nurse plan to use?
A. Pull the auricle downward and straight back
B. Pull the auricle upward and backward
C. Pull the auricle upward and forward
D. Pull the auricle downward and forward
Correct Answer: B
Rationale: For an adult, the auricle is pulled upward and backward to straighten
the ear canal for proper instillation of ear drops. For a child, pull downward and
back.
4. A nurse is reinforcing teaching about colostomy care with a client. Which of the
following client statements indicates an understanding of how to care for the
colostomy?
A. "I will change the entire appliance every day."
B. "I will empty the colostomy bag when it is one-half full."
C. "I will apply lotion to the skin around the stoma."
D. "I will avoid drinking water to reduce output."
Correct Answer: B
Rationale: Emptying the pouch when it is one‑third to one‑half full prevents
leakage, odor, and skin breakdown due to excessive weight on the seal.
5. A nurse is caring for a client who is postoperative following a hemicolectomy.
Which of the following is the best indication that the client needs PRN pain
medication?
A. The client's heart rate is elevated
2
,B. The client is grimacing and guarding the incision
C. The client reports pain
D. The client's blood pressure is decreased
Correct Answer: C
Rationale: Pain is a subjective experience; the client's self‑report of pain is the
most reliable indicator and should prompt administration of PRN analgesics
according to the pain scale.
6. A nurse is assessing a client who has heart failure. Which of the following
findings is an early indication of fluid overload?
A. Jugular venous distention
B. Weight gain of 1 kg (2.2 lb) in 24 hours
C. Pitting edema in the lower extremities
D. Crackles auscultated in the lung bases
Correct Answer: B
Rationale: Daily weight is the most sensitive indicator of fluid status. A gain of 1 kg
(2.2 lb) in 24 hours reflects fluid retention, often before physical signs like edema
or crackles appear.
7. A nurse is administering a subcutaneous injection of heparin. Which of the
following actions should the nurse take?
A. Aspirate before injecting the medication
B. Massage the site after injection
C. Use a 1‑inch needle for injection
D. Insert the needle at a 45‑ to 90‑degree angle
Correct Answer: D
3
, Rationale: For subcutaneous heparin, the needle is inserted at a 45‑ to 90‑degree
angle depending on the client's body habitus. Aspiration is not recommended
because it may cause hematoma; massage is avoided to prevent bleeding.
8. A nurse is reinforcing discharge teaching with a client who has a new diagnosis
of type 1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of hypoglycemia management?
A. "I will drink 8 ounces of orange juice if my blood sugar is low."
B. "I should eat a protein bar immediately when I feel shaky."
C. "I will take an extra dose of insulin if my blood sugar is 60 mg/dL."
D. "I can wait 30 minutes after eating candy to recheck my blood sugar."
Correct Answer: A
Rationale: The rule of 15: consume 15 g of fast‑acting carbohydrate (4 oz juice,
glucose tablets) and recheck in 15 minutes. Orange juice provides rapid glucose
absorption.
9. A nurse is caring for a client who is 2 hours postpartum and reports excessive
bleeding. The nurse notes large clots and a boggy fundus. Which of the following
actions should the nurse take first?
A. Administer oxytocin as prescribed
B. Perform fundal massage
C. Place the client in Trendelenburg position
D. Increase the IV fluid rate
Correct Answer: B
Rationale: The priority action for a boggy fundus with hemorrhage is fundal
massage to stimulate uterine contraction and reduce atony, which is the most
common cause of early postpartum hemorrhage.
4
