2026 VATI PN COMPREHENSIVE
PREDICTOR FORM A, B & C ACTUAL
EXAM | NGN-STYLE QUESTIONS |
VATI NURSING EXAM QUESTIONS
(PDF)
CORE DOMAINS
Safe and Effective Care Environment
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
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, fill-in-the-blank, 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 1–150
1. 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."
Correct answer: C
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. Driving is typically restricted
until vision meets legal requirements and dilating eye drops are
discontinued .
,2. A client vomits during a continuous nasogastric tube
feeding. What action should the nurse take first?
A. Stop the feeding and check the residual volume.
B. Flush the tube with 30 mL of sterile water.
C. Suction the nasogastric tube.
D. Remove the nasogastric tube.
Correct answer: A
RATIONALE: Vomiting during continuous NG tube feeding
raises concern for delayed gastric emptying or intolerance. The
nurse's first action is to stop the feeding and check the residual
volume to assess for gastric distension. If residual volume is high,
the provider may need to be notified. Suctioning would not be
appropriate, and removing the tube without assessment is
unnecessary .
3. A nurse is caring for a 3-month-old infant diagnosed with
dehydration. Which clinical manifestation should the nurse
expect to observe?
A. Bradypnea
B. Hyperreflexia
C. Tachycardia
D. Lethargy
Correct answer: C
RATIONALE: Infants have less physiological reserve to
compensate for fluid volume deficits. Tachycardia is an early and
, sensitive sign of dehydration in infants, as the body attempts to
maintain cardiac output. Other signs include poor skin turgor,
sunken fontanels, and dry mucous membranes. Bradypnea and
hyperreflexia are not typical signs of dehydration in infants .
4. An adolescent has a nursing diagnosis of fatigue related to
inadequate intake of iron-rich foods. Which lunch selection
indicates the client understands foods high in iron?
A. Peanut butter and jam sandwich
B. Chicken nuggets with rice
C. Tuna salad sandwich
D. Beefburger with cheese
Correct answer: D
RATIONALE: Red meat, such as beef, is a rich source of heme
iron, which is most easily absorbed by the body. This selection
demonstrates the best understanding of iron-rich foods. Peanut
butter, chicken, and tuna contain non-heme iron, which is less
bioavailable .
5. A nurse is assessing a client who is 2 hours postoperative
following abdominal surgery. Which finding should the nurse
report to the healthcare provider immediately?
A. Blood pressure 100/60 mm Hg and wound discomfort
B. Urine output of 100 mL/hr and flushed skin
PREDICTOR FORM A, B & C ACTUAL
EXAM | NGN-STYLE QUESTIONS |
VATI NURSING EXAM QUESTIONS
(PDF)
CORE DOMAINS
Safe and Effective Care Environment
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
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, fill-in-the-blank, 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 1–150
1. 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."
Correct answer: C
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. Driving is typically restricted
until vision meets legal requirements and dilating eye drops are
discontinued .
,2. A client vomits during a continuous nasogastric tube
feeding. What action should the nurse take first?
A. Stop the feeding and check the residual volume.
B. Flush the tube with 30 mL of sterile water.
C. Suction the nasogastric tube.
D. Remove the nasogastric tube.
Correct answer: A
RATIONALE: Vomiting during continuous NG tube feeding
raises concern for delayed gastric emptying or intolerance. The
nurse's first action is to stop the feeding and check the residual
volume to assess for gastric distension. If residual volume is high,
the provider may need to be notified. Suctioning would not be
appropriate, and removing the tube without assessment is
unnecessary .
3. A nurse is caring for a 3-month-old infant diagnosed with
dehydration. Which clinical manifestation should the nurse
expect to observe?
A. Bradypnea
B. Hyperreflexia
C. Tachycardia
D. Lethargy
Correct answer: C
RATIONALE: Infants have less physiological reserve to
compensate for fluid volume deficits. Tachycardia is an early and
, sensitive sign of dehydration in infants, as the body attempts to
maintain cardiac output. Other signs include poor skin turgor,
sunken fontanels, and dry mucous membranes. Bradypnea and
hyperreflexia are not typical signs of dehydration in infants .
4. An adolescent has a nursing diagnosis of fatigue related to
inadequate intake of iron-rich foods. Which lunch selection
indicates the client understands foods high in iron?
A. Peanut butter and jam sandwich
B. Chicken nuggets with rice
C. Tuna salad sandwich
D. Beefburger with cheese
Correct answer: D
RATIONALE: Red meat, such as beef, is a rich source of heme
iron, which is most easily absorbed by the body. This selection
demonstrates the best understanding of iron-rich foods. Peanut
butter, chicken, and tuna contain non-heme iron, which is less
bioavailable .
5. A nurse is assessing a client who is 2 hours postoperative
following abdominal surgery. Which finding should the nurse
report to the healthcare provider immediately?
A. Blood pressure 100/60 mm Hg and wound discomfort
B. Urine output of 100 mL/hr and flushed skin
