2026 VATI PN
COMPREHENSIVE PREDICTOR
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• EACH SET HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, PREVIEW
Preview Pages Below
Get the Complete PDF After Purchase
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of any study resources, feel free to
Message me."
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,Table of Contents
VATI PN PREDICTOR EXAM SET 1 ...................................................... 2
VATI PN PREDICTOR EXAM SET 2 .................................................... 73
VATI PN PREDICTOR EXAM SET 3 .................................................. 167
VATI PN PREDICTOR EXAM SET 1
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable infectious disease in most states. The nurse
must ensure proper notification to public health authorities for disease tracking and
prevention. Antitoxin (b) is used for tetanus, not Lyme disease. Avoiding shared
belongings (c) is not relevant as Lyme disease is transmitted via tick bites, not person-
to-person contact. Skin necrosis (d) is not a characteristic finding of Lyme disease.
2. (NGN - Select All That Apply) A nurse is caring for a client who has been
admitted to the hospital. Select the 5 actions the nurse should take:
☐ Provide frequent rest periods
☐ Restrict client sodium intake
☐ Advise client to avoid using soap and alcohol-based lotions
☐ Instruct the client to avoid blowing their nose forcefully
☐ Assess the client's level of orientation
,64. (NGN - Anticipated/Contraindicated) A nurse from an emergency department
is caring for a client. Specify if the prescription is anticipated or contraindicated:
Table
Prescription Response
Administer famotidine 20mg via intermittent IV BID Anticipated
Insert an indwelling catheter Contraindicated
Administer Lactated Ringer's 1L via IV bolus Anticipated
Insert an NG tube and maintain low intermittent suction Anticipated
Rationale: Famotidine (H2 blocker) reduces gastric acid. LR provides fluid
resuscitation. NG tube decompression relieves vomiting and ileus. Indwelling catheter
(contraindicated) increases infection risk and is unnecessary unless output monitoring is
critical—urinary retention isn't indicated here.
65. (NGN - Select 3) A nurse from an emergency department is caring for a client.
Select 3 statements the nurse should include in the teaching about self-care:
☐ Notify your provider if you experience vomiting or diarrhea
☐ Limit alcohol intake to no more than 1 drink per day
☐ You should eat foods that are low in fat
☐ You can drink beverages that contain caffeine
☐ You should eat foods high in protein
Correct Answers: Notify provider for vomiting/diarrhea; Eat low-fat foods; Eat high-
protein foods
Rationale: For pancreatitis, low-fat diet reduces pancreatic stimulation, high protein
aids healing, and vomiting/diarrhea indicate recurrence requiring medical attention.
Alcohol should be avoided completely (not limited). Caffeine stimulates gastric acid and
may worsen symptoms.
,136. (NGN - Bowtie) A nurse in an outpatient clinic is caring for a client:
Actions to Take:
• Instruct client to avoid live vaccines
• Instruct client to use mild soap for cleansing skin
• Instruct client to avoid foods high in purines
• Instruct client to apply topical analgesics
• Instruct client to apply heat and cold
Condition:
• SLE
• OA
• Gout
• RA
Parameters to Monitor:
• Uric acid level
• ESR
• Joint deformity
• Lymphadenopathy
• ANA
Correct Answers: Actions: Topical analgesics, heat/cold; Condition: Osteoarthritis
(OA); Monitor: ESR, lymphadenopathy (though ESR is less specific for OA)
Rationale: OA treatment includes topical analgesics and thermal modalities. Condition
is OA based on treatment choices. ESR monitors inflammation (elevated in active
inflammation).
137. A charge nurse is delegating care for a group of clients. Which task should
the charge nurse assign to an LPN?
a. Complete discharge teaching for a client who has a new diagnosis of DM
b. Complete Glasgow scale for a client who has an evolving stroke
, VATI PN PREDICTOR EXAM SET 2
Question 1
Complete the following sentence by using the list of options.
The nurse understands that the patient has likely developed __________ and will
need to be monitored for __________.
Table
Options
LITHIUM TOXICITY
SEIZURE ACTIVITY
HYPERGLYCEMIA
RESPIRATORY ARREST
HYPOTENSION
Correct Answer: LITHIUM TOXICITY | SEIZURE ACTIVITY
Rationale: Lithium toxicity is a serious complication that can occur with lithium therapy,
particularly if dehydration or renal impairment develops. Seizure activity is a critical
manifestation of severe lithium toxicity that requires immediate monitoring. The nurse
must monitor for neurological changes, including seizures, tremors, and altered mental
status. Other signs of lithium toxicity include coarse tremors, ataxia, severe diarrhea,
and persistent vomiting.
,Question 10 (NGN - Case Study)
A client is 4 days postpartum following a cesarean birth. The nurse is assessing
for complications.
Match the complication with the assessment findings:
Table
Complication Findings
Mastitis ☐ Painful, tender breast; Temperature; Chills
Endometritis ☐ Foul-smelling lochia; Temperature; Chills
Correct Matching:
• Mastitis: Painful, tender breast; Temperature; Chills
• Endometritis: Foul-smelling lochia; Temperature; Chills
Rationale: Postpartum infection recognition is critical:
• Mastitis: Breast infection characterized by localized breast pain, erythema,
warmth, fever, and chills. Often occurs 2-3 weeks postpartum but can occur
earlier.
• Endometritis: Uterine infection characterized by foul-smelling lochia, uterine
tenderness, fever, chills, and increased lochia. Common after cesarean birth.
Question 11
A nurse is assessing a client who has a possible right pneumothorax. Which of
the following findings should the nurse expect?
A. Reduced right-sided breath sounds
B. Intercostal retractions
C. High-pitched stridor
D. Paradoxical chest movement
Correct Answer: A
Rationale: In a pneumothorax, air in the pleural space causes lung collapse, resulting
in diminished or absent breath sounds on the affected side. Option B (intercostal
, VATI PN PREDICTOR EXAM SET 3
Question 1
A nurse is caring for a client who refuses a blood transfusion. Which of the
following actions should the nurse take?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
Correct Answer: B
Rationale: The nurse must document the client's informed refusal in the medical
record, including that the client understands the risks and benefits. This protects the
client's autonomy and creates a legal record. While risk management (Option A) may be
notified in some cases, documentation is the immediate priority. Transfusions cannot be
forced (Option C violates autonomy). Alternative therapies (Option D) are not equivalent
to blood transfusion for life-threatening conditions.
Question 2 (NGN - Complete the Sentence)
A nurse is caring for a client at a clinic. The client reports that manifestations of
hopelessness and disinterest are lessened, but the client is at risk for developing
__________ due to __________.
Table
Options
Serotonin syndrome
Neuroleptic malignant syndrome
,Question 14 (NGN - Select All That Apply)
A nurse is caring for a client in a clinic. Based on the information in the client's
medical record, which of the following findings require immediate follow-up?
(Select 4 findings)
Table
Findings
☐ Client experiences nightmares
☐ Caregiver reporting client acting differently than usual
☐ Witnessing their family's death
☐ Smoking marijuana to clear their mind
☐ Blood pressure 142/88 mmHg
☐ Heart rate 76/min
Correct Answers: Client experiences nightmares | Caregiver reporting client acting
differently than usual | Witnessing their family's death | Smoking marijuana to clear their
mind
Rationale: These findings indicate PTSD with maladaptive coping: nightmares (re-
experiencing), behavioral changes (avoidance/altered cognition), trauma exposure
(witnessing death), and substance use (marijuana for symptom management). These
require immediate mental health intervention. Vital signs (Options E, F) are mildly
elevated but not emergent.
Question 15 (NGN - Case Study)
A nurse is caring for a client on the medical-surgical unit who has a chest tube. For each
potential nursing action, specify if indicated or contraindicated:
Table
, Question 91 (NGN - Complete the Sentence)
The nurse should wear __________ and place the client on __________.
Table
Options
N95 respirator
Surgical mask
Negative airflow room
Contact precautions
Standard precautions
Correct Answer: N95 respirator | Negative airflow room
Rationale: If TB is suspected, the nurse requires an N95 respirator (filters 95% of
airborne particles) and the client should be placed in a negative pressure room
(airborne infection isolation). This prevents transmission of Mycobacterium tuberculosis
to staff and other patients.
Question 92 (NGN - Case Study)
The nurse reviews the client's test results. Day 1: Chest X-ray: caseation lesions to
bilateral upper lungs.
Anticipated:
• ☐ Isoniazid
• ☐ Airborne precautions
• ☐ Pyrazinamide
• ☐ Ethambutol
• ☐ Rifampin
COMPREHENSIVE PREDICTOR
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• EACH SET HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, PREVIEW
Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need
of any study resources, feel free to
Message me."
Digital study resource preview
,Table of Contents
VATI PN PREDICTOR EXAM SET 1 ...................................................... 2
VATI PN PREDICTOR EXAM SET 2 .................................................... 73
VATI PN PREDICTOR EXAM SET 3 .................................................. 167
VATI PN PREDICTOR EXAM SET 1
1. A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable infectious disease in most states. The nurse
must ensure proper notification to public health authorities for disease tracking and
prevention. Antitoxin (b) is used for tetanus, not Lyme disease. Avoiding shared
belongings (c) is not relevant as Lyme disease is transmitted via tick bites, not person-
to-person contact. Skin necrosis (d) is not a characteristic finding of Lyme disease.
2. (NGN - Select All That Apply) A nurse is caring for a client who has been
admitted to the hospital. Select the 5 actions the nurse should take:
☐ Provide frequent rest periods
☐ Restrict client sodium intake
☐ Advise client to avoid using soap and alcohol-based lotions
☐ Instruct the client to avoid blowing their nose forcefully
☐ Assess the client's level of orientation
,64. (NGN - Anticipated/Contraindicated) A nurse from an emergency department
is caring for a client. Specify if the prescription is anticipated or contraindicated:
Table
Prescription Response
Administer famotidine 20mg via intermittent IV BID Anticipated
Insert an indwelling catheter Contraindicated
Administer Lactated Ringer's 1L via IV bolus Anticipated
Insert an NG tube and maintain low intermittent suction Anticipated
Rationale: Famotidine (H2 blocker) reduces gastric acid. LR provides fluid
resuscitation. NG tube decompression relieves vomiting and ileus. Indwelling catheter
(contraindicated) increases infection risk and is unnecessary unless output monitoring is
critical—urinary retention isn't indicated here.
65. (NGN - Select 3) A nurse from an emergency department is caring for a client.
Select 3 statements the nurse should include in the teaching about self-care:
☐ Notify your provider if you experience vomiting or diarrhea
☐ Limit alcohol intake to no more than 1 drink per day
☐ You should eat foods that are low in fat
☐ You can drink beverages that contain caffeine
☐ You should eat foods high in protein
Correct Answers: Notify provider for vomiting/diarrhea; Eat low-fat foods; Eat high-
protein foods
Rationale: For pancreatitis, low-fat diet reduces pancreatic stimulation, high protein
aids healing, and vomiting/diarrhea indicate recurrence requiring medical attention.
Alcohol should be avoided completely (not limited). Caffeine stimulates gastric acid and
may worsen symptoms.
,136. (NGN - Bowtie) A nurse in an outpatient clinic is caring for a client:
Actions to Take:
• Instruct client to avoid live vaccines
• Instruct client to use mild soap for cleansing skin
• Instruct client to avoid foods high in purines
• Instruct client to apply topical analgesics
• Instruct client to apply heat and cold
Condition:
• SLE
• OA
• Gout
• RA
Parameters to Monitor:
• Uric acid level
• ESR
• Joint deformity
• Lymphadenopathy
• ANA
Correct Answers: Actions: Topical analgesics, heat/cold; Condition: Osteoarthritis
(OA); Monitor: ESR, lymphadenopathy (though ESR is less specific for OA)
Rationale: OA treatment includes topical analgesics and thermal modalities. Condition
is OA based on treatment choices. ESR monitors inflammation (elevated in active
inflammation).
137. A charge nurse is delegating care for a group of clients. Which task should
the charge nurse assign to an LPN?
a. Complete discharge teaching for a client who has a new diagnosis of DM
b. Complete Glasgow scale for a client who has an evolving stroke
, VATI PN PREDICTOR EXAM SET 2
Question 1
Complete the following sentence by using the list of options.
The nurse understands that the patient has likely developed __________ and will
need to be monitored for __________.
Table
Options
LITHIUM TOXICITY
SEIZURE ACTIVITY
HYPERGLYCEMIA
RESPIRATORY ARREST
HYPOTENSION
Correct Answer: LITHIUM TOXICITY | SEIZURE ACTIVITY
Rationale: Lithium toxicity is a serious complication that can occur with lithium therapy,
particularly if dehydration or renal impairment develops. Seizure activity is a critical
manifestation of severe lithium toxicity that requires immediate monitoring. The nurse
must monitor for neurological changes, including seizures, tremors, and altered mental
status. Other signs of lithium toxicity include coarse tremors, ataxia, severe diarrhea,
and persistent vomiting.
,Question 10 (NGN - Case Study)
A client is 4 days postpartum following a cesarean birth. The nurse is assessing
for complications.
Match the complication with the assessment findings:
Table
Complication Findings
Mastitis ☐ Painful, tender breast; Temperature; Chills
Endometritis ☐ Foul-smelling lochia; Temperature; Chills
Correct Matching:
• Mastitis: Painful, tender breast; Temperature; Chills
• Endometritis: Foul-smelling lochia; Temperature; Chills
Rationale: Postpartum infection recognition is critical:
• Mastitis: Breast infection characterized by localized breast pain, erythema,
warmth, fever, and chills. Often occurs 2-3 weeks postpartum but can occur
earlier.
• Endometritis: Uterine infection characterized by foul-smelling lochia, uterine
tenderness, fever, chills, and increased lochia. Common after cesarean birth.
Question 11
A nurse is assessing a client who has a possible right pneumothorax. Which of
the following findings should the nurse expect?
A. Reduced right-sided breath sounds
B. Intercostal retractions
C. High-pitched stridor
D. Paradoxical chest movement
Correct Answer: A
Rationale: In a pneumothorax, air in the pleural space causes lung collapse, resulting
in diminished or absent breath sounds on the affected side. Option B (intercostal
, VATI PN PREDICTOR EXAM SET 3
Question 1
A nurse is caring for a client who refuses a blood transfusion. Which of the
following actions should the nurse take?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
Correct Answer: B
Rationale: The nurse must document the client's informed refusal in the medical
record, including that the client understands the risks and benefits. This protects the
client's autonomy and creates a legal record. While risk management (Option A) may be
notified in some cases, documentation is the immediate priority. Transfusions cannot be
forced (Option C violates autonomy). Alternative therapies (Option D) are not equivalent
to blood transfusion for life-threatening conditions.
Question 2 (NGN - Complete the Sentence)
A nurse is caring for a client at a clinic. The client reports that manifestations of
hopelessness and disinterest are lessened, but the client is at risk for developing
__________ due to __________.
Table
Options
Serotonin syndrome
Neuroleptic malignant syndrome
,Question 14 (NGN - Select All That Apply)
A nurse is caring for a client in a clinic. Based on the information in the client's
medical record, which of the following findings require immediate follow-up?
(Select 4 findings)
Table
Findings
☐ Client experiences nightmares
☐ Caregiver reporting client acting differently than usual
☐ Witnessing their family's death
☐ Smoking marijuana to clear their mind
☐ Blood pressure 142/88 mmHg
☐ Heart rate 76/min
Correct Answers: Client experiences nightmares | Caregiver reporting client acting
differently than usual | Witnessing their family's death | Smoking marijuana to clear their
mind
Rationale: These findings indicate PTSD with maladaptive coping: nightmares (re-
experiencing), behavioral changes (avoidance/altered cognition), trauma exposure
(witnessing death), and substance use (marijuana for symptom management). These
require immediate mental health intervention. Vital signs (Options E, F) are mildly
elevated but not emergent.
Question 15 (NGN - Case Study)
A nurse is caring for a client on the medical-surgical unit who has a chest tube. For each
potential nursing action, specify if indicated or contraindicated:
Table
, Question 91 (NGN - Complete the Sentence)
The nurse should wear __________ and place the client on __________.
Table
Options
N95 respirator
Surgical mask
Negative airflow room
Contact precautions
Standard precautions
Correct Answer: N95 respirator | Negative airflow room
Rationale: If TB is suspected, the nurse requires an N95 respirator (filters 95% of
airborne particles) and the client should be placed in a negative pressure room
(airborne infection isolation). This prevents transmission of Mycobacterium tuberculosis
to staff and other patients.
Question 92 (NGN - Case Study)
The nurse reviews the client's test results. Day 1: Chest X-ray: caseation lesions to
bilateral upper lungs.
Anticipated:
• ☐ Isoniazid
• ☐ Airborne precautions
• ☐ Pyrazinamide
• ☐ Ethambutol
• ☐ Rifampin
