VATI PN COMPREHENSIVE PREDICTOR QUESTIONS
BANK (LATEST 2026/2027 UPDATE) NGN QUESTIONS
& CASE SCENARIOS WITH ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
• CORE DOMAINS *
•
1. Management of Care *
•
2. Safety and Infection Control *
•
3. Health Promotion and Maintenance *
•
4. Psychosocial Integrity *
•
5. Basic Care and Comfort *
•
6. Pharmacological and Parenteral Therapies *
•
7. Reduction of Risk Potential *
•
8. Physiological Adaptation *
, •
9. 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, matrix, 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 question
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
Question 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
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.
,Question 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."
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.
Question 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
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.
Question 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
, RATIONALE: The 30-degree lateral position reduces pressure on bony
prominences while maintaining adequate tissue perfusion. Vigorous massage can
damage capillaries, high Fowler's position increases shear and friction, and donut
cushions can impair circulation.
Question 5
The LPN is caring for a client with a new ileostomy. Which finding should be reported
to the provider immediately?
A. Output of 200 mL in 24 hours
B. Stoma is pink and moist
C. Stoma is dark purple and dry
D. Client reports mild cramping
RATIONALE: A dark purple, dry stoma indicates ischemia or necrosis. This
requires immediate notification of the provider.
Question 6
The LPN is preparing to administer an intramuscular injection to an infant. Which site
is preferred?
A. Deltoid muscle
B. Ventrogluteal site
C. Vastus lateralis
D. Dorsogluteal site
RATIONALE: The vastus lateralis is the preferred IM site for infants because it is
well-developed and has few nerves and blood vessels.
Question 7
The LPN is caring for a client with a chest tube. Which action is correct when the
chest tube becomes disconnected?
A. Clamp the tube immediately
B. Reconnect the tube and assess the client
BANK (LATEST 2026/2027 UPDATE) NGN QUESTIONS
& CASE SCENARIOS WITH ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
• CORE DOMAINS *
•
1. Management of Care *
•
2. Safety and Infection Control *
•
3. Health Promotion and Maintenance *
•
4. Psychosocial Integrity *
•
5. Basic Care and Comfort *
•
6. Pharmacological and Parenteral Therapies *
•
7. Reduction of Risk Potential *
•
8. Physiological Adaptation *
, •
9. 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, matrix, 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 question
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
Question 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
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.
,Question 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."
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.
Question 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
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.
Question 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
, RATIONALE: The 30-degree lateral position reduces pressure on bony
prominences while maintaining adequate tissue perfusion. Vigorous massage can
damage capillaries, high Fowler's position increases shear and friction, and donut
cushions can impair circulation.
Question 5
The LPN is caring for a client with a new ileostomy. Which finding should be reported
to the provider immediately?
A. Output of 200 mL in 24 hours
B. Stoma is pink and moist
C. Stoma is dark purple and dry
D. Client reports mild cramping
RATIONALE: A dark purple, dry stoma indicates ischemia or necrosis. This
requires immediate notification of the provider.
Question 6
The LPN is preparing to administer an intramuscular injection to an infant. Which site
is preferred?
A. Deltoid muscle
B. Ventrogluteal site
C. Vastus lateralis
D. Dorsogluteal site
RATIONALE: The vastus lateralis is the preferred IM site for infants because it is
well-developed and has few nerves and blood vessels.
Question 7
The LPN is caring for a client with a chest tube. Which action is correct when the
chest tube becomes disconnected?
A. Clamp the tube immediately
B. Reconnect the tube and assess the client
