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VATI PN COMPREHENSIVE PREDICTOR EXAM NGN PN
PREP EXIT EXAM QUESTIONS WITH CORRECT SOLUTIONS
2026-27 LATEST VERSION
Note: this study guide is similar to screenshot exam versions
1. A nurse in a long-term care facility is receiving change-of-shift report for four
clients. Which of the following clients should the nurse assess first?
A) A client who has COPD and an oxygen saturation of 90% on 2 L of oxygen
B) A client who has diabetes mellitus and reports feeling shaky and lightheaded
C) A client who has heart failure and an oral temperature of 37.5°C (99.5°F)
D) A client who has a hip fracture and reports pain rated 7 out of 10
Correct Answer: A client who has diabetes mellitus and reports feeling shaky and
lightheaded
Rationale: Shakiness and lightheadedness are classic signs of hypoglycemia, an
acute, potentially life-threatening condition that requires immediate blood
glucose verification and intervention. A COPD client with an SpO₂ of 90% on 2 L is
stable on current therapy. A low-grade fever requires attention but is not
immediately life-threatening. Pain rated 7 out of 10 is a second-level priority.
2. A nurse is reinforcing teaching with a client who has dumping syndrome about
measures to reduce manifestations. Which statement by the client indicates an
understanding of the teaching?
A) "I will drink fluids with my meals."
B) "I will eat small, frequent meals and avoid high-sugar foods."
C) "I will lie flat for 30 minutes after eating."
D) "I will increase my intake of simple carbohydrates."
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Correct Answer: "I will eat small, frequent meals and avoid high-sugar foods."
Rationale: Dumping syndrome occurs when gastric contents empty too rapidly
into the small intestine, causing an osmotic fluid shift that produces cramping,
nausea, diarrhea, and vasomotor symptoms. Small, frequent meals reduce gastric
distention, and avoiding high-sugar foods reduces the hyperosmolar load. Fluids
should be consumed between meals, not with meals. Lying down after meals may
help slow gastric emptying, but the dietary modification is the priority.
,3
3. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?
A) Assessing a client's pain level after medication administration
B) Reinforcing teaching about a new medication
C) Measuring a stable client's vital signs
D) Administering a large-volume enema to a client
Correct Answer: Measuring a stable client's vital signs
Rationale: APs can perform routine, non-invasive tasks such as obtaining vital
signs on stable clients. Assessment, teaching, and administration of enemas
(which requires assessment before and during the procedure) require nursing
judgment and should be performed by licensed nursing staff.
4. A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which action by the newly licensed nurse should the supervising nurse
intervene?
A) Tells a client he will lose his phone privileges if he does not take his medication
B) Asks a client about their history of substance use
C) Documents a client's refusal of medication
D) Provides a quiet environment for a client experiencing anxiety
Correct Answer: Tells a client he will lose his phone privileges if he does not take his
medication
Rationale: Threatening a client with loss of privileges to coerce medication
compliance is unethical, coercive, and violates the client's right to refuse
treatment. Medications cannot be used as punishment or given involuntarily
without proper legal procedures. Asking about substance use history,
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documenting refusal, and providing a calm environment are all appropriate
nursing actions.
5. A client taking warfarin has an INR of 5.2. The nurse should anticipate
administering which medication?
A) Protamine sulfate
B) Vitamin K (phytonadione)
C) Aminocaproic acid
VATI PN COMPREHENSIVE PREDICTOR EXAM NGN PN
PREP EXIT EXAM QUESTIONS WITH CORRECT SOLUTIONS
2026-27 LATEST VERSION
Note: this study guide is similar to screenshot exam versions
1. A nurse in a long-term care facility is receiving change-of-shift report for four
clients. Which of the following clients should the nurse assess first?
A) A client who has COPD and an oxygen saturation of 90% on 2 L of oxygen
B) A client who has diabetes mellitus and reports feeling shaky and lightheaded
C) A client who has heart failure and an oral temperature of 37.5°C (99.5°F)
D) A client who has a hip fracture and reports pain rated 7 out of 10
Correct Answer: A client who has diabetes mellitus and reports feeling shaky and
lightheaded
Rationale: Shakiness and lightheadedness are classic signs of hypoglycemia, an
acute, potentially life-threatening condition that requires immediate blood
glucose verification and intervention. A COPD client with an SpO₂ of 90% on 2 L is
stable on current therapy. A low-grade fever requires attention but is not
immediately life-threatening. Pain rated 7 out of 10 is a second-level priority.
2. A nurse is reinforcing teaching with a client who has dumping syndrome about
measures to reduce manifestations. Which statement by the client indicates an
understanding of the teaching?
A) "I will drink fluids with my meals."
B) "I will eat small, frequent meals and avoid high-sugar foods."
C) "I will lie flat for 30 minutes after eating."
D) "I will increase my intake of simple carbohydrates."
,2
Correct Answer: "I will eat small, frequent meals and avoid high-sugar foods."
Rationale: Dumping syndrome occurs when gastric contents empty too rapidly
into the small intestine, causing an osmotic fluid shift that produces cramping,
nausea, diarrhea, and vasomotor symptoms. Small, frequent meals reduce gastric
distention, and avoiding high-sugar foods reduces the hyperosmolar load. Fluids
should be consumed between meals, not with meals. Lying down after meals may
help slow gastric emptying, but the dietary modification is the priority.
,3
3. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?
A) Assessing a client's pain level after medication administration
B) Reinforcing teaching about a new medication
C) Measuring a stable client's vital signs
D) Administering a large-volume enema to a client
Correct Answer: Measuring a stable client's vital signs
Rationale: APs can perform routine, non-invasive tasks such as obtaining vital
signs on stable clients. Assessment, teaching, and administration of enemas
(which requires assessment before and during the procedure) require nursing
judgment and should be performed by licensed nursing staff.
4. A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which action by the newly licensed nurse should the supervising nurse
intervene?
A) Tells a client he will lose his phone privileges if he does not take his medication
B) Asks a client about their history of substance use
C) Documents a client's refusal of medication
D) Provides a quiet environment for a client experiencing anxiety
Correct Answer: Tells a client he will lose his phone privileges if he does not take his
medication
Rationale: Threatening a client with loss of privileges to coerce medication
compliance is unethical, coercive, and violates the client's right to refuse
treatment. Medications cannot be used as punishment or given involuntarily
without proper legal procedures. Asking about substance use history,
, 4
documenting refusal, and providing a calm environment are all appropriate
nursing actions.
5. A client taking warfarin has an INR of 5.2. The nurse should anticipate
administering which medication?
A) Protamine sulfate
B) Vitamin K (phytonadione)
C) Aminocaproic acid
