VATI PN COMPREHENSIVE PREDICTOR
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Integrated Clinical Scenarios / NGN
Introduction
The VATI PN Comprehensive Predictor Examination evaluates the practical nursing
student's readiness for NCLEX-PN success and entry-level professional practice. The
assessment measures clinical judgment through Next Generation NCLEX-style items
including case studies, select-all-that-apply, and extended multiple-response
formats. Content covers all practical nursing domains with emphasis on safe
medication administration, prioritization, delegation, maternal-newborn care,
pediatric nursing, mental health, and medical-surgical management. This
comprehensive test bank assesses the candidate's ability to recognize and analyze
cues, prioritize hypotheses, generate solutions, and evaluate outcomes in realistic
clinical scenarios requiring sound practical nursing judgment and evidence-based
decision-making.
SECTION ONE: QUESTIONS 1–100
,1. A charge nurse on a medical-surgical unit is planning client assignments for the
shift. Which of the following clients should the charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid resuscitation
B. A client who is 2 days postoperative from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and telemetry
B. A client who is 2 days postoperative from a hip replacement needing routine
wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for stable clients with
predictable outcomes, performing routine wound care, and reinforcing teaching. A 2-
day postoperative hip replacement client with routine needs fits this scope. Clients
with acute GI bleeding, first-dose IV chemotherapy, and new-onset chest pain
require the assessment and intervention skills of an RN.
2. A nurse is caring for a client who requires airborne precautions. Which of the
following actions should the nurse take when entering the client's room?
A. Wear a surgical mask and eye protection
B. Wear an N95 respirator mask
C. Wear a gown and gloves only
D. Wear a face shield and gloves
B. Wear an N95 respirator mask
RATIONALE: Airborne precautions require an N95 respirator mask (or higher-level
respirator) for all personnel entering the room, along with standard precautions.
Airborne precautions are used for diseases such as tuberculosis, measles, and
varicella.
3. A nurse is reinforcing teaching with a client about advance directives. Which of
the following statements by the client indicates an understanding of the
teaching?
,A. "I can only make an advance directive if I am terminally ill."
B. "An advance directive allows me to appoint someone to make healthcare
decisions for me."
C. "Advance directives are only for older adults."
D. "My family can override my advance directive at any time."
B. "An advance directive allows me to appoint someone to make healthcare
decisions for me."
RATIONALE: Advance directives include a durable power of attorney for
healthcare, which allows the client to appoint a healthcare proxy to make decisions if
the client becomes unable to do so. Advance directives are not limited to terminally
ill clients or older adults, and family members cannot override a valid advance
directive.
4. A nurse 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
RATIONALE: Assisting with ambulation is a standard, stable task that falls within
the scope of AP practice. The nurse cannot delegate assessment, evaluation, or
teaching as these require professional nursing judgment.
5. A nurse is providing directions to an assistive personnel about moving a client
up in bed. Which instruction should the nurse include?
A. "Place a pillow under the client's head prior to repositioning."
B. "Keep your feet close together while moving the client."
C. "Face in the direction of the client's movement."
D. "Move the client's arms to his sides prior to repositioning."
, C. "Face in the direction of the client's movement."
RATIONALE: When moving a client up in bed, it is important for the nurse to face
in the direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
6. A nurse in a long-term care facility is caring for a client who requires oral
suctioning. Which supplies should the nurse plan to use?
A. Regular suction catheter
B. Yankauer catheter
C. Endotracheal suction catheter
D. Inline suction catheter
B. Yankauer catheter
RATIONALE: A Yankauer catheter is a rigid suction catheter used when
performing oral and oropharyngeal suctioning to remove secretions from the client's
mouth to facilitate breathing or obtain a sample for diagnostic evaluation.
7. A nurse is reinforcing teaching with a client who is postoperative following
cataract surgery. Which statement by the client indicates an understanding of the
instructions?
A. "I will bend over at the waist to put on my shoes."
B. "I can resume my high-impact aerobic exercise routine in one week."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
D. "It is safe to resume driving the day after surgery."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
RATIONALE: After cataract surgery, increasing intraocular pressure must be
avoided to protect the surgical site. Straining during bowel movements increases
IOP, so a stool softener is prescribed. Bending over, heavy lifting, and strenuous
exercise also increase IOP and should be avoided.
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Integrated Clinical Scenarios / NGN
Introduction
The VATI PN Comprehensive Predictor Examination evaluates the practical nursing
student's readiness for NCLEX-PN success and entry-level professional practice. The
assessment measures clinical judgment through Next Generation NCLEX-style items
including case studies, select-all-that-apply, and extended multiple-response
formats. Content covers all practical nursing domains with emphasis on safe
medication administration, prioritization, delegation, maternal-newborn care,
pediatric nursing, mental health, and medical-surgical management. This
comprehensive test bank assesses the candidate's ability to recognize and analyze
cues, prioritize hypotheses, generate solutions, and evaluate outcomes in realistic
clinical scenarios requiring sound practical nursing judgment and evidence-based
decision-making.
SECTION ONE: QUESTIONS 1–100
,1. A charge nurse on a medical-surgical unit is planning client assignments for the
shift. Which of the following clients should the charge nurse assign to the LPN?
A. A client newly admitted with acute GI bleeding requiring fluid resuscitation
B. A client who is 2 days postoperative from a hip replacement needing routine
wound care and ambulation assistance
C. A client receiving their first dose of IV chemotherapy for lymphoma
D. A client with new-onset chest pain requiring STAT cardiac enzymes and telemetry
B. A client who is 2 days postoperative from a hip replacement needing routine
wound care and ambulation assistance
RATIONALE: The LPN scope of practice includes caring for stable clients with
predictable outcomes, performing routine wound care, and reinforcing teaching. A 2-
day postoperative hip replacement client with routine needs fits this scope. Clients
with acute GI bleeding, first-dose IV chemotherapy, and new-onset chest pain
require the assessment and intervention skills of an RN.
2. A nurse is caring for a client who requires airborne precautions. Which of the
following actions should the nurse take when entering the client's room?
A. Wear a surgical mask and eye protection
B. Wear an N95 respirator mask
C. Wear a gown and gloves only
D. Wear a face shield and gloves
B. Wear an N95 respirator mask
RATIONALE: Airborne precautions require an N95 respirator mask (or higher-level
respirator) for all personnel entering the room, along with standard precautions.
Airborne precautions are used for diseases such as tuberculosis, measles, and
varicella.
3. A nurse is reinforcing teaching with a client about advance directives. Which of
the following statements by the client indicates an understanding of the
teaching?
,A. "I can only make an advance directive if I am terminally ill."
B. "An advance directive allows me to appoint someone to make healthcare
decisions for me."
C. "Advance directives are only for older adults."
D. "My family can override my advance directive at any time."
B. "An advance directive allows me to appoint someone to make healthcare
decisions for me."
RATIONALE: Advance directives include a durable power of attorney for
healthcare, which allows the client to appoint a healthcare proxy to make decisions if
the client becomes unable to do so. Advance directives are not limited to terminally
ill clients or older adults, and family members cannot override a valid advance
directive.
4. A nurse 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
RATIONALE: Assisting with ambulation is a standard, stable task that falls within
the scope of AP practice. The nurse cannot delegate assessment, evaluation, or
teaching as these require professional nursing judgment.
5. A nurse is providing directions to an assistive personnel about moving a client
up in bed. Which instruction should the nurse include?
A. "Place a pillow under the client's head prior to repositioning."
B. "Keep your feet close together while moving the client."
C. "Face in the direction of the client's movement."
D. "Move the client's arms to his sides prior to repositioning."
, C. "Face in the direction of the client's movement."
RATIONALE: When moving a client up in bed, it is important for the nurse to face
in the direction of the client's movement to maintain proper body mechanics and
ensure safe transfer.
6. A nurse in a long-term care facility is caring for a client who requires oral
suctioning. Which supplies should the nurse plan to use?
A. Regular suction catheter
B. Yankauer catheter
C. Endotracheal suction catheter
D. Inline suction catheter
B. Yankauer catheter
RATIONALE: A Yankauer catheter is a rigid suction catheter used when
performing oral and oropharyngeal suctioning to remove secretions from the client's
mouth to facilitate breathing or obtain a sample for diagnostic evaluation.
7. A nurse is reinforcing teaching with a client who is postoperative following
cataract surgery. Which statement by the client indicates an understanding of the
instructions?
A. "I will bend over at the waist to put on my shoes."
B. "I can resume my high-impact aerobic exercise routine in one week."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
D. "It is safe to resume driving the day after surgery."
C. "I will take the prescribed stool softener to prevent straining during bowel
movements."
RATIONALE: After cataract surgery, increasing intraocular pressure must be
avoided to protect the surgical site. Straining during bowel movements increases
IOP, so a stool softener is prescribed. Bending over, heavy lifting, and strenuous
exercise also increase IOP and should be avoided.