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PN VATI Comprehensive Predictor Green Light
2026/2027 Actual Exam | Verified Predictor
Questions & Answers | Latest Edition | Pass
Guaranteed - A+ Graded
Safe and Effective Care Environment – Management of Care
Q1: A practical nurse (PN) is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the PN to delegate to the AP?
A. Measuring vital signs on a patient who is receiving a blood transfusion
B. Ambulating a patient who is 2 days post-operative from an appendectomy [CORRECT]
C. Teaching a patient how to perform foot care for diabetes
D. Assessing a patient's skin integrity following a fall
Correct Answer: B
Rationale: Ambulating a stable post-operative patient is within the AP's scope of practice. Option
A is incorrect because vital signs during a blood transfusion require nursing judgment to assess
for transfusion reactions. Option C (teaching) is the responsibility of the nurse. Option D
(assessment) is outside the AP's scope of practice.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q2: A PN is caring for a patient who has an advance directive specifying "Do Not Resuscitate"
(DNR). The patient stops breathing and loses their pulse. Which of the following actions should
the PN take?
A. Initiate chest compressions and call for help
B. Follow the advance directive and provide comfort measures [CORRECT]
C. Call the provider to confirm the DNR status
D. Document the finding and notify the family
,2
Correct Answer: B
Rationale: The PN must respect and follow the patient's advance directive. Option A violates the
patient's legal rights. Option C delays necessary action; the DNR is already in place. Option D is
appropriate after the event but is not the priority action.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q3: A PN is prioritizing care for four patients. Which of the following patients should the PN
assess first?
A. A patient who is requesting pain medication 3 days post-op
B. A patient who has a new onset of confusion and restlessness [CORRECT]
C. A patient who needs discharge teaching regarding wound care
D. A patient who is scheduled for a diagnostic procedure in 2 hours
Correct Answer: B
Rationale: New onset confusion and restlessness indicate a change in neurological status, which
could be a sign of hypoxia, infection, or medication toxicity, requiring immediate assessment.
Options A, C, and D are important but not urgent compared to a potential neurological
emergency.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q4: A PN is reviewing the electronic health record of a patient who is scheduled for a
colonoscopy. Which of the following findings should the PN report to the provider immediately?
A. The patient is allergic to latex
B. The patient has not signed the consent form [CORRECT]
C. The patient is worried about the procedure
D. The patient had clear liquids for breakfast
,3
Correct Answer: B
Rationale: Informed consent is required before performing an invasive procedure. If the consent
is not signed, the procedure cannot legally proceed. Option A should be flagged but is
manageable. Option C requires reassurance but is not a barrier. Option D implies the procedure
may need rescheduling, but consent is the legal priority.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q5: A PN receives a telephone order from a provider for a medication. Which of the following
actions should the PN take?
A. Administer the medication and document the order later
B. Transcribe the order into the patient's record and sign the provider's name
C. Read back the order to the provider to confirm accuracy [CORRECT]
D. Refuse to take the telephone order and request a written order
Correct Answer: C
Rationale: The PN should read back the order to verify accuracy before ending the call and
administering the medication. Option A is unsafe. Option B is forgery if the PN signs the
provider's name without designation. Option D is inappropriate in urgent situations where
telephone orders are permitted.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q6: A PN is supervising an AP who is feeding a patient who has dysphagia. Which of the
following actions by the AP requires intervention by the PN?
A. Checking the patient's pocketing of food
B. Positioning the patient in a high Fowler's position
C. Adding water to the food to make it a thin liquid [CORRECT]
D. Allowing the patient to rest halfway through the meal
, 4
Correct Answer: C
Rationale: Thin liquids are often difficult for patients with dysphagia to swallow and increase the
risk of aspiration. Thickening agents are typically used. Options A, B, and D are appropriate
interventions for dysphagia.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q7: A PN is contributing to the plan of care for a patient who has a history of falls. Which of the
following interventions should the PN suggest?
A. Keep the bed in the highest position
B. Encourage the patient to wear non-skid footwear [CORRECT]
C. Apply soft wrist restraints when the patient is in bed
D. Limit the patient's fluid intake to reduce trips to the bathroom
Correct Answer: B
Rationale: Non-skid footwear prevents slipping. Option A increases fall risk; the bed should be in
the lowest position. Option C requires a provider's order and is a last resort. Option D
compromises physiological needs.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q8: A PN is caring for a patient who is scheduled for surgery. The patient asks the PN to explain
the surgical procedure. Which of the following responses is appropriate?
A. "I will explain the procedure to you right now."
B. "You should have asked the doctor these questions earlier."
C. "I will notify the surgeon that you have questions about the procedure." [CORRECT]
D. "Don't worry, the surgery is very routine."
Correct Answer: C
PN VATI Comprehensive Predictor Green Light
2026/2027 Actual Exam | Verified Predictor
Questions & Answers | Latest Edition | Pass
Guaranteed - A+ Graded
Safe and Effective Care Environment – Management of Care
Q1: A practical nurse (PN) is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the PN to delegate to the AP?
A. Measuring vital signs on a patient who is receiving a blood transfusion
B. Ambulating a patient who is 2 days post-operative from an appendectomy [CORRECT]
C. Teaching a patient how to perform foot care for diabetes
D. Assessing a patient's skin integrity following a fall
Correct Answer: B
Rationale: Ambulating a stable post-operative patient is within the AP's scope of practice. Option
A is incorrect because vital signs during a blood transfusion require nursing judgment to assess
for transfusion reactions. Option C (teaching) is the responsibility of the nurse. Option D
(assessment) is outside the AP's scope of practice.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q2: A PN is caring for a patient who has an advance directive specifying "Do Not Resuscitate"
(DNR). The patient stops breathing and loses their pulse. Which of the following actions should
the PN take?
A. Initiate chest compressions and call for help
B. Follow the advance directive and provide comfort measures [CORRECT]
C. Call the provider to confirm the DNR status
D. Document the finding and notify the family
,2
Correct Answer: B
Rationale: The PN must respect and follow the patient's advance directive. Option A violates the
patient's legal rights. Option C delays necessary action; the DNR is already in place. Option D is
appropriate after the event but is not the priority action.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q3: A PN is prioritizing care for four patients. Which of the following patients should the PN
assess first?
A. A patient who is requesting pain medication 3 days post-op
B. A patient who has a new onset of confusion and restlessness [CORRECT]
C. A patient who needs discharge teaching regarding wound care
D. A patient who is scheduled for a diagnostic procedure in 2 hours
Correct Answer: B
Rationale: New onset confusion and restlessness indicate a change in neurological status, which
could be a sign of hypoxia, infection, or medication toxicity, requiring immediate assessment.
Options A, C, and D are important but not urgent compared to a potential neurological
emergency.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q4: A PN is reviewing the electronic health record of a patient who is scheduled for a
colonoscopy. Which of the following findings should the PN report to the provider immediately?
A. The patient is allergic to latex
B. The patient has not signed the consent form [CORRECT]
C. The patient is worried about the procedure
D. The patient had clear liquids for breakfast
,3
Correct Answer: B
Rationale: Informed consent is required before performing an invasive procedure. If the consent
is not signed, the procedure cannot legally proceed. Option A should be flagged but is
manageable. Option C requires reassurance but is not a barrier. Option D implies the procedure
may need rescheduling, but consent is the legal priority.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q5: A PN receives a telephone order from a provider for a medication. Which of the following
actions should the PN take?
A. Administer the medication and document the order later
B. Transcribe the order into the patient's record and sign the provider's name
C. Read back the order to the provider to confirm accuracy [CORRECT]
D. Refuse to take the telephone order and request a written order
Correct Answer: C
Rationale: The PN should read back the order to verify accuracy before ending the call and
administering the medication. Option A is unsafe. Option B is forgery if the PN signs the
provider's name without designation. Option D is inappropriate in urgent situations where
telephone orders are permitted.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q6: A PN is supervising an AP who is feeding a patient who has dysphagia. Which of the
following actions by the AP requires intervention by the PN?
A. Checking the patient's pocketing of food
B. Positioning the patient in a high Fowler's position
C. Adding water to the food to make it a thin liquid [CORRECT]
D. Allowing the patient to rest halfway through the meal
, 4
Correct Answer: C
Rationale: Thin liquids are often difficult for patients with dysphagia to swallow and increase the
risk of aspiration. Thickening agents are typically used. Options A, B, and D are appropriate
interventions for dysphagia.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q7: A PN is contributing to the plan of care for a patient who has a history of falls. Which of the
following interventions should the PN suggest?
A. Keep the bed in the highest position
B. Encourage the patient to wear non-skid footwear [CORRECT]
C. Apply soft wrist restraints when the patient is in bed
D. Limit the patient's fluid intake to reduce trips to the bathroom
Correct Answer: B
Rationale: Non-skid footwear prevents slipping. Option A increases fall risk; the bed should be in
the lowest position. Option C requires a provider's order and is a last resort. Option D
compromises physiological needs.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q8: A PN is caring for a patient who is scheduled for surgery. The patient asks the PN to explain
the surgical procedure. Which of the following responses is appropriate?
A. "I will explain the procedure to you right now."
B. "You should have asked the doctor these questions earlier."
C. "I will notify the surgeon that you have questions about the procedure." [CORRECT]
D. "Don't worry, the surgery is very routine."
Correct Answer: C
