,2026/2027 VATI PN Comprehensive Predictor Form A, B & C & RETAKES Actual Exam | NGN-
Style Questions & CASE SCENARIOS | VATI Nursing Exam Questions (PDF) EACH FORM WITH
180 Q&A WITH RATIONALES
Table of Contents
FORM A ................................................................................................................................. 2
FORM B ......................................................................................................................... 111
FORM C...................................................................................................................... 147
FORM A RETAKE ................................................................................................................ 208
FORM B RETAKE ............................................................................................................. 293
FORM C RETAKE ......................................................................................................... 365
FORM A
1. (NGN - Case Scenario) A nurse is caring for a client who is 4 days postpartum
following a cesarean birth. The nurse is assessing for complications. Match the
complication with the assessment findings:
Complication:
• Mastitis
• Endometritis
Findings:
• Painful, tender breast; Temperature; Chills
• Foul-smelling lochia; Uterine tenderness; Fever
Correct Answer:
• Mastitis: Painful, tender breast; Temperature; Chills
• Endometritis: Foul-smelling lochia; Uterine tenderness; Fever
,Detailed Rationale: Postpartum infection recognition is critical. Mastitis is a breast
infection characterized by localized breast pain, erythema, warmth, fever, and
chills. It often occurs 2-3 weeks postpartum but can occur earlier. Endometritis is a
uterine infection characterized by foul-smelling lochia, uterine tenderness, fever,
chills, and increased lochia. It is common after cesarean birth .
2. (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?
• 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 Answer: Client experiences nightmares, Caregiver reporting client acting
differently than usual, Witnessing their family's death, Smoking marijuana to
clear their mind
Detailed 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). The combination of re-experiencing symptoms, behavioral
changes, trauma exposure, and substance use as coping mechanisms indicates
severe psychological distress requiring immediate mental health referral. Blood
pressure 142/88 and heart rate 76 are not immediately concerning .
3. A nurse is reviewing the electronic health record of a client reporting shortness
of breath. Which set of findings requires immediate intervention?
, A. Temperature 38.2°C, heart rate 92, respiratory rate 20, SpO2 95% on room air,
crackles in lung bases
B. Temperature 37.1°C, heart rate 110, respiratory rate 28, SpO2 88% on room air,
use of accessory muscles
C. Temperature 36.8°C, heart rate 78, respiratory rate 16, SpO2 98% on 2L nasal
cannula, clear lung sounds
D. Temperature 39.0°C, heart rate 100, respiratory rate 24, SpO2 91% on 4L nasal
cannula, productive cough with green sputum
Correct Answer: B Temperature 37.1°C, heart rate 110, respiratory rate 28, SpO2
88% on room air, use of accessory muscles
Detailed Rationale: Option B shows respiratory distress with hypoxemia (SpO2
88%) and increased work of breathing (accessory muscle use), indicating
impending respiratory failure. This requires immediate intervention. Other options
are less acute or show some compensation
4. A nurse is caring for a client with type 2 diabetes who is NPO for a procedure.
The client's blood glucose is 210 mg/dL. The provider orders 0.9% sodium chloride
at 125 mL/hr and a one-time dose of insulin lispro. Which action by the nurse is
most appropriate?
A. Administer the insulin lispro subcutaneously as ordered
B. Hold the insulin lispro and notify the provider
C. Administer the insulin lispro intravenously
D. Wait until the client eats before administering insulin
Correct Answer: A
Detailed Rationale: Insulin lispro is a rapid-acting insulin that can be administered
subcutaneously even when the client is NPO to manage hyperglycemia. The
provider has ordered a one-time dose specifically for this elevated blood glucose
level. Holding the insulin without a valid reason would be inappropriate. Insulin
lispro is not administered IV .
Style Questions & CASE SCENARIOS | VATI Nursing Exam Questions (PDF) EACH FORM WITH
180 Q&A WITH RATIONALES
Table of Contents
FORM A ................................................................................................................................. 2
FORM B ......................................................................................................................... 111
FORM C...................................................................................................................... 147
FORM A RETAKE ................................................................................................................ 208
FORM B RETAKE ............................................................................................................. 293
FORM C RETAKE ......................................................................................................... 365
FORM A
1. (NGN - Case Scenario) A nurse is caring for a client who is 4 days postpartum
following a cesarean birth. The nurse is assessing for complications. Match the
complication with the assessment findings:
Complication:
• Mastitis
• Endometritis
Findings:
• Painful, tender breast; Temperature; Chills
• Foul-smelling lochia; Uterine tenderness; Fever
Correct Answer:
• Mastitis: Painful, tender breast; Temperature; Chills
• Endometritis: Foul-smelling lochia; Uterine tenderness; Fever
,Detailed Rationale: Postpartum infection recognition is critical. Mastitis is a breast
infection characterized by localized breast pain, erythema, warmth, fever, and
chills. It often occurs 2-3 weeks postpartum but can occur earlier. Endometritis is a
uterine infection characterized by foul-smelling lochia, uterine tenderness, fever,
chills, and increased lochia. It is common after cesarean birth .
2. (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?
• 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 Answer: Client experiences nightmares, Caregiver reporting client acting
differently than usual, Witnessing their family's death, Smoking marijuana to
clear their mind
Detailed 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). The combination of re-experiencing symptoms, behavioral
changes, trauma exposure, and substance use as coping mechanisms indicates
severe psychological distress requiring immediate mental health referral. Blood
pressure 142/88 and heart rate 76 are not immediately concerning .
3. A nurse is reviewing the electronic health record of a client reporting shortness
of breath. Which set of findings requires immediate intervention?
, A. Temperature 38.2°C, heart rate 92, respiratory rate 20, SpO2 95% on room air,
crackles in lung bases
B. Temperature 37.1°C, heart rate 110, respiratory rate 28, SpO2 88% on room air,
use of accessory muscles
C. Temperature 36.8°C, heart rate 78, respiratory rate 16, SpO2 98% on 2L nasal
cannula, clear lung sounds
D. Temperature 39.0°C, heart rate 100, respiratory rate 24, SpO2 91% on 4L nasal
cannula, productive cough with green sputum
Correct Answer: B Temperature 37.1°C, heart rate 110, respiratory rate 28, SpO2
88% on room air, use of accessory muscles
Detailed Rationale: Option B shows respiratory distress with hypoxemia (SpO2
88%) and increased work of breathing (accessory muscle use), indicating
impending respiratory failure. This requires immediate intervention. Other options
are less acute or show some compensation
4. A nurse is caring for a client with type 2 diabetes who is NPO for a procedure.
The client's blood glucose is 210 mg/dL. The provider orders 0.9% sodium chloride
at 125 mL/hr and a one-time dose of insulin lispro. Which action by the nurse is
most appropriate?
A. Administer the insulin lispro subcutaneously as ordered
B. Hold the insulin lispro and notify the provider
C. Administer the insulin lispro intravenously
D. Wait until the client eats before administering insulin
Correct Answer: A
Detailed Rationale: Insulin lispro is a rapid-acting insulin that can be administered
subcutaneously even when the client is NPO to manage hyperglycemia. The
provider has ordered a one-time dose specifically for this elevated blood glucose
level. Holding the insulin without a valid reason would be inappropriate. Insulin
lispro is not administered IV .
