VATI PN COMPREHENSIVE PREDICTOR QUESTIONS
BANK (LATEST 2026/2027 UPDATE) NGN QUESTIONS
& CASE SCENARIOS WITH ANSWERS QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD
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Core Domains
Fundamentals of Nursing Practice
Medical-Surgical Nursing
Pediatric Nursing
Maternal and Newborn Nursing
Mental Health Nursing
Pharmacology and Medication Administration
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Coordinated Care and Leadership
Ethical and Legal Considerations
Introduction
The VATI PN Comprehensive Predictor is a standardized assessment designed to
evaluate the practical nursing student's readiness for the NCLEX-PN examination.
The predictor assesses knowledge across the nursing lifespan, including
,fundamentals, medical-surgical, pediatric, maternal-newborn, and mental health
nursing. Next Generation NCLEX-style questions and case scenarios emphasize
clinical judgment, prioritization, delegation, and decision-making. Mastery of these
domains ensures the provision of safe, effective, and evidence-based nursing care in
diverse healthcare settings while preparing candidates for entry-level practical
nursing practice.
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 post-op 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 post-op 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 post-op 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 reinforcing teaching with a client about advance directives. Which of
the following statements by the client indicates an understanding of the
teaching?
A. "I will need to have my attorney present when I sign the document."
B. "My family can make changes to the document after I sign it."
C. "I can change my advance directives at any time."
,D. "Advance directives can only be completed in the hospital."
C. "I can change my advance directives at any time."
RATIONALE: Advance directives are legal documents that allow clients to
communicate their wishes regarding medical care. Clients have the right to change
or revoke advance directives at any time, as long as they are competent to do so. An
attorney is not required for completion, and changes cannot be made by family
members .
3. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first?
A. A client whose urinary output was 100 mL for the past 12 hours
B. A client requesting pain medication for chronic arthritis
C. A client who needs discharge teaching about wound care
D. A client who is scheduled for a chest X-ray in 1 hour
A. A client whose urinary output was 100 mL for the past 12 hours
RATIONALE: A urinary output of 100 mL over 12 hours is significantly below the
expected minimum of 30 mL/hr, indicating possible renal impairment or dehydration.
This client requires immediate assessment and intervention .
4. A nurse is contributing to the plan of care for a client who is at risk of
developing pressure injuries. Which of the following interventions should the
nurse include?
A. Place the client in a 30-degree lateral position
B. Massage bony prominences vigorously
C. Keep the head of the bed elevated at 90 degrees
D. Use a donut-shaped cushion for sitting
A. Place the client in a 30-degree lateral position
, RATIONALE: The 30-degree lateral position reduces pressure on the sacrum and
trochanters. Massaging bony prominences can damage tissue. Elevating the head of
the bed to 90 degrees increases shear and friction. Donut-shaped cushions can
impair circulation .
5. A nurse is assigned to care for a client who practices Jehovah's Witness faith
and has a hemoglobin of 7 g/dL. Which of the following actions should the nurse
take?
A. Prepare the client for a blood transfusion
B. Verify the client's wishes regarding blood products
C. Administer iron supplements as prescribed
D. Notify the provider that the client needs blood
B. Verify the client's wishes regarding blood products
RATIONALE: Jehovah's Witnesses typically refuse blood transfusions. The nurse
must respect the client's religious beliefs and verify their specific wishes, as some
may accept certain blood products or alternatives .
6. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A. Client with diabetes requesting pain medication for neuropathy
B. Client with COPD who has a new cough producing green sputum
C. Client post-op day 1 with new-onset confusion and BP 88/50
D. Client with a fractured tibia requesting help to the bathroom
C. Client post-op day 1 with new-onset confusion and BP 88/50
RATIONALE: 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 .
BANK (LATEST 2026/2027 UPDATE) NGN QUESTIONS
& CASE SCENARIOS WITH ANSWERS QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD
Core Domains
Fundamentals of Nursing Practice
Medical-Surgical Nursing
Pediatric Nursing
Maternal and Newborn Nursing
Mental Health Nursing
Pharmacology and Medication Administration
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Coordinated Care and Leadership
Ethical and Legal Considerations
Introduction
The VATI PN Comprehensive Predictor is a standardized assessment designed to
evaluate the practical nursing student's readiness for the NCLEX-PN examination.
The predictor assesses knowledge across the nursing lifespan, including
,fundamentals, medical-surgical, pediatric, maternal-newborn, and mental health
nursing. Next Generation NCLEX-style questions and case scenarios emphasize
clinical judgment, prioritization, delegation, and decision-making. Mastery of these
domains ensures the provision of safe, effective, and evidence-based nursing care in
diverse healthcare settings while preparing candidates for entry-level practical
nursing practice.
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 post-op 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 post-op 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 post-op 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 reinforcing teaching with a client about advance directives. Which of
the following statements by the client indicates an understanding of the
teaching?
A. "I will need to have my attorney present when I sign the document."
B. "My family can make changes to the document after I sign it."
C. "I can change my advance directives at any time."
,D. "Advance directives can only be completed in the hospital."
C. "I can change my advance directives at any time."
RATIONALE: Advance directives are legal documents that allow clients to
communicate their wishes regarding medical care. Clients have the right to change
or revoke advance directives at any time, as long as they are competent to do so. An
attorney is not required for completion, and changes cannot be made by family
members .
3. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first?
A. A client whose urinary output was 100 mL for the past 12 hours
B. A client requesting pain medication for chronic arthritis
C. A client who needs discharge teaching about wound care
D. A client who is scheduled for a chest X-ray in 1 hour
A. A client whose urinary output was 100 mL for the past 12 hours
RATIONALE: A urinary output of 100 mL over 12 hours is significantly below the
expected minimum of 30 mL/hr, indicating possible renal impairment or dehydration.
This client requires immediate assessment and intervention .
4. A nurse is contributing to the plan of care for a client who is at risk of
developing pressure injuries. Which of the following interventions should the
nurse include?
A. Place the client in a 30-degree lateral position
B. Massage bony prominences vigorously
C. Keep the head of the bed elevated at 90 degrees
D. Use a donut-shaped cushion for sitting
A. Place the client in a 30-degree lateral position
, RATIONALE: The 30-degree lateral position reduces pressure on the sacrum and
trochanters. Massaging bony prominences can damage tissue. Elevating the head of
the bed to 90 degrees increases shear and friction. Donut-shaped cushions can
impair circulation .
5. A nurse is assigned to care for a client who practices Jehovah's Witness faith
and has a hemoglobin of 7 g/dL. Which of the following actions should the nurse
take?
A. Prepare the client for a blood transfusion
B. Verify the client's wishes regarding blood products
C. Administer iron supplements as prescribed
D. Notify the provider that the client needs blood
B. Verify the client's wishes regarding blood products
RATIONALE: Jehovah's Witnesses typically refuse blood transfusions. The nurse
must respect the client's religious beliefs and verify their specific wishes, as some
may accept certain blood products or alternatives .
6. A PN is caring for four clients at the start of the shift. Which client should be
assessed FIRST?
A. Client with diabetes requesting pain medication for neuropathy
B. Client with COPD who has a new cough producing green sputum
C. Client post-op day 1 with new-onset confusion and BP 88/50
D. Client with a fractured tibia requesting help to the bathroom
C. Client post-op day 1 with new-onset confusion and BP 88/50
RATIONALE: 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 .
