Vati Pn Comprehensive Predictor Examination (Form B) – Green Light Actual Exam Prep 2026 All Questions And Correct Detailed Answers With Rationales |Already A Graded With Expert Feedback |New And Revised

1|Page


VATI PN COMPREHENSIVE PREDICTOR
EXAMINATION (FORM B) – GREEN LIGHT ACTUAL
EXAM PREP 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
A GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED



1. A PN is caring for four clients at the start of the shift. Which
client should be assessed FIRST?
A. A client with diabetes requesting pain medication for neuropathy
B. A client with COPD who has a new cough producing green sputum
C. A client post-op day 1 with new-onset confusion and BP 88/50
D. A client with a fractured tibia requesting help to the bathroom
C. A client post-op day 1 with new-onset confusion and BP 88/50
New-onset confusion accompanied by hypotension suggests possible
sepsis, hemorrhage, or shock—an unstable priority. Airway and
circulation precede stable complaints. The other clients have stable
conditions that can be addressed after the unstable client is assessed.


2. A charge nurse is assigning staff for the shift. Which client should
be assigned to an RN rather than a PN?
A. A client with stable CHF receiving daily Lasix
B. A client requiring a blood transfusion for symptomatic anemia
C. A client with a new diagnosis of diabetes needing insulin instruction
D. A client with a PEG tube requiring intermittent feedings
B. A client requiring a blood transfusion for symptomatic anemia

,2|Page


Blood transfusions require complex assessment and monitoring that is
typically within the RN scope. The PN can administer stable
medications, reinforce teaching, and perform routine monitoring.


3. 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
C. Assisting a client with ambulation to the bathroom
Assisting with ambulation is a standard, stable task that falls within
the scope of AP practice. The PN cannot delegate assessment,
evaluation, or teaching as these require professional nursing
judgment.


4. A PN receives a telephone order from a provider for a
medication. Which of the following actions should the PN take?
A. Administer the medication and document the order later
B. Transcribe the order into the medical record and read it back to the
provider
C. Ask the provider to call back during rounds
D. Refuse to accept the order because it is not written
B. Transcribe the order into the medical record and read it back to
the provider
The PN should transcribe the telephone order into the medical record
and read it back to the provider to verify accuracy. This is a standard
safety practice. The PN should never administer a medication without

,3|Page


a properly documented order, and refusing to accept telephone orders
is not appropriate when the provider is authorized to give them.


5. A client who has an advance directive specifying "Do Not
Resuscitate" (DNR) stops breathing and loses their pulse. Which
action should the PN take?
A. Initiate chest compressions and call for help
B. Follow the advance directive and provide comfort measures
C. Call the provider to confirm the DNR status
D. Document the finding and notify the family
B. Follow the advance directive and provide comfort measures
The PN must respect and follow the client's advance directive.
Initiating chest compressions violates the client's legal rights. Calling
the provider delays necessary action—the DNR is already in place.
Documenting and notifying the family is appropriate after the event
but is not the priority action.


6. A PN is reviewing the electronic health record of a client
scheduled for a colonoscopy. Which finding should the PN report to
the provider immediately?
A. The client is allergic to latex
B. The client has not signed the consent form
C. The client is worried about the procedure
D. The client had clear liquids for breakfast
B. The client has not signed the consent form
Informed consent is required before performing an invasive
procedure. If the consent is not signed, the procedure cannot legally
proceed. Latex allergy should be flagged but is manageable. Anxiety

, 4|Page


requires reassurance but is not a barrier. Clear liquids are appropriate
pre-procedure.


7. A PN is caring for a client who requests pain medication 3 days
post-op. The client also needs discharge teaching and has a
scheduled diagnostic procedure in 2 hours. Which action should the
PN take FIRST?
A. Administer the pain medication
B. Provide discharge teaching
C. Prepare the client for the diagnostic procedure
D. Document the client's request
A. Administer the pain medication
Pain management is a priority because uncontrolled pain can impede
healing and participation in care. Discharge teaching and diagnostic
preparation can be addressed after the client's comfort is addressed.
Documentation is important but not the first action.


8. A PN is caring for a client who has a new prescription for a
medication that is classified as a high-alert medication. Which
action should the PN take?
A. Administer the medication as ordered without additional verification
B. Verify the medication with a second nurse before administration
C. Ask the client to confirm the medication name
D. Hold the medication and wait for the next shift
B. Verify the medication with a second nurse before administration
High-alert medications require independent double-check by two
nurses before administration to reduce the risk of error. Administering
without verification increases risk. Asking the client to confirm is not