2026 VATI PN Comprehensive Predictor Forms
A–C | NGN Exit Exam Questions | PN Nursing,
Exams of Nursing
FORM A – Questions 1–167 (Fundamentals, Pharmacology, Reduction
of Risk)
Questions 1–30 (Multiple Choice)
1. A PN is reinforcing teaching about enoxaparin administration. Which
statement by the client indicates understanding?
A. "I will rub the injection site to help absorption."
B. "I will inject the medication into my thigh muscle."
C. "I will hold a skin fold while injecting into my abdomen."
D. "I will aspirate before pushing the plunger."
Answer: C
Rationale: Enoxaparin is given subcutaneously into the abdomen, holding a
skin fold. Do not rub, aspirate, or inject into muscle.
2. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which finding should the PN report immediately?
A. Muscle weakness
B. Thirst
C. Polyuria
D. Constipation
Answer: A
Rationale: Hyperkalemia causes muscle weakness and cardiac arrhythmias.
Thirst, polyuria, constipation are not typical.
3. A PN is reinforcing use of a metered-dose inhaler without a spacer. Which
action indicates correct technique?
A. Inhales rapidly through the nose
,B. Activates the inhaler at the end of inhalation
C. Holds breath for 10 seconds after inhalation
D. Exhales fully into the inhaler
Answer: C
Rationale: Hold breath 10 seconds to allow deposition. Activate at start of
slow inhalation, inhale through mouth.
4. A client with a new colostomy reports that the stoma is dark purple. What
should the PN do first?
A. Document as expected
B. Apply warm compress
C. Notify the RN immediately
D. Change the appliance
Answer: C
Rationale: Dark purple stoma indicates ischemia or necrosis – notify RN
immediately.
5. A PN is reinforcing fall prevention for an older adult. Which intervention
is most effective?
A. Bed in lowest position with brakes locked
B. Nightlight in the bathroom
C. Non-skid socks
D. Call light within reach
Answer: A
Rationale: All are important, but low bed with locked brakes prevents injury
from rolling out of bed.
6. A client with heart failure has an order for furosemide. Which laboratory
value should the PN check before administration?
A. Hemoglobin
B. Potassium
C. Platelets
D. Glucose
,Answer: B
Rationale: Furosemide causes hypokalemia; check potassium to prevent
arrhythmias.
7. A PN is reinforcing wound care for a pressure injury with eschar. What is
the priority?
A. Debride the eschar
B. Apply moisture-retentive dressing
C. Assess for signs of infection
D. Notify RN for debridement order
Answer: D
Rationale: Eschar must be debrided for healing; PN cannot debride without
order.
8. A client receiving a blood transfusion reports chills and low back pain.
What should the PN do first?
A. Slow the infusion rate
B. Stop the transfusion
C. Administer acetaminophen
D. Flush with normal saline
Answer: B
Rationale: Suspect hemolytic reaction – stop immediately, keep line open
with saline, notify RN.
9. A PN is reinforcing diet for a client with gout. Which food should the
client avoid?
A. Cherries
B. Organ meats
C. Low-fat dairy
D. Whole grains
Answer: B
Rationale: Organ meats are high in purines, which increase uric acid.
Cherries and low-fat dairy are beneficial.
, 10. A client with COPD has an oxygen saturation of 88% on room air. The PN
should first:
A. Apply oxygen at 2 L/min
B. Encourage coughing and deep breathing
C. Place client in Trendelenburg position
D. Notify the RN
Answer: A
Rationale: Apply oxygen first for hypoxia, then notify RN.
11. A PN is reinforcing insulin storage. Which statement by the client
indicates understanding?
A. "I will keep opened insulin in the freezer."
B. "I will store unopened insulin in the refrigerator."
C. "I will use insulin that has been at room temperature for 3 months."
D. "I will keep insulin in the car during summer."
Answer: B
Rationale: Unopened insulin refrigerated. Opened insulin at room
temperature for up to 28 days. Avoid extreme temperatures.
12. A client with aphasia after a stroke points to a cup. What should the PN
do?
A. Say "That is a cup."
B. Ask "Do you want water?"
C. Hand the cup to the client
D. Ignore and continue assessment
Answer: B
Rationale: Confirm intent by asking yes/no questions. Do not assume.
13. A PN is reinforcing use of a cane for a client with right leg weakness.
Which instruction is correct?
A. Hold cane in right hand
B. Move cane with right leg
A–C | NGN Exit Exam Questions | PN Nursing,
Exams of Nursing
FORM A – Questions 1–167 (Fundamentals, Pharmacology, Reduction
of Risk)
Questions 1–30 (Multiple Choice)
1. A PN is reinforcing teaching about enoxaparin administration. Which
statement by the client indicates understanding?
A. "I will rub the injection site to help absorption."
B. "I will inject the medication into my thigh muscle."
C. "I will hold a skin fold while injecting into my abdomen."
D. "I will aspirate before pushing the plunger."
Answer: C
Rationale: Enoxaparin is given subcutaneously into the abdomen, holding a
skin fold. Do not rub, aspirate, or inject into muscle.
2. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which finding should the PN report immediately?
A. Muscle weakness
B. Thirst
C. Polyuria
D. Constipation
Answer: A
Rationale: Hyperkalemia causes muscle weakness and cardiac arrhythmias.
Thirst, polyuria, constipation are not typical.
3. A PN is reinforcing use of a metered-dose inhaler without a spacer. Which
action indicates correct technique?
A. Inhales rapidly through the nose
,B. Activates the inhaler at the end of inhalation
C. Holds breath for 10 seconds after inhalation
D. Exhales fully into the inhaler
Answer: C
Rationale: Hold breath 10 seconds to allow deposition. Activate at start of
slow inhalation, inhale through mouth.
4. A client with a new colostomy reports that the stoma is dark purple. What
should the PN do first?
A. Document as expected
B. Apply warm compress
C. Notify the RN immediately
D. Change the appliance
Answer: C
Rationale: Dark purple stoma indicates ischemia or necrosis – notify RN
immediately.
5. A PN is reinforcing fall prevention for an older adult. Which intervention
is most effective?
A. Bed in lowest position with brakes locked
B. Nightlight in the bathroom
C. Non-skid socks
D. Call light within reach
Answer: A
Rationale: All are important, but low bed with locked brakes prevents injury
from rolling out of bed.
6. A client with heart failure has an order for furosemide. Which laboratory
value should the PN check before administration?
A. Hemoglobin
B. Potassium
C. Platelets
D. Glucose
,Answer: B
Rationale: Furosemide causes hypokalemia; check potassium to prevent
arrhythmias.
7. A PN is reinforcing wound care for a pressure injury with eschar. What is
the priority?
A. Debride the eschar
B. Apply moisture-retentive dressing
C. Assess for signs of infection
D. Notify RN for debridement order
Answer: D
Rationale: Eschar must be debrided for healing; PN cannot debride without
order.
8. A client receiving a blood transfusion reports chills and low back pain.
What should the PN do first?
A. Slow the infusion rate
B. Stop the transfusion
C. Administer acetaminophen
D. Flush with normal saline
Answer: B
Rationale: Suspect hemolytic reaction – stop immediately, keep line open
with saline, notify RN.
9. A PN is reinforcing diet for a client with gout. Which food should the
client avoid?
A. Cherries
B. Organ meats
C. Low-fat dairy
D. Whole grains
Answer: B
Rationale: Organ meats are high in purines, which increase uric acid.
Cherries and low-fat dairy are beneficial.
, 10. A client with COPD has an oxygen saturation of 88% on room air. The PN
should first:
A. Apply oxygen at 2 L/min
B. Encourage coughing and deep breathing
C. Place client in Trendelenburg position
D. Notify the RN
Answer: A
Rationale: Apply oxygen first for hypoxia, then notify RN.
11. A PN is reinforcing insulin storage. Which statement by the client
indicates understanding?
A. "I will keep opened insulin in the freezer."
B. "I will store unopened insulin in the refrigerator."
C. "I will use insulin that has been at room temperature for 3 months."
D. "I will keep insulin in the car during summer."
Answer: B
Rationale: Unopened insulin refrigerated. Opened insulin at room
temperature for up to 28 days. Avoid extreme temperatures.
12. A client with aphasia after a stroke points to a cup. What should the PN
do?
A. Say "That is a cup."
B. Ask "Do you want water?"
C. Hand the cup to the client
D. Ignore and continue assessment
Answer: B
Rationale: Confirm intent by asking yes/no questions. Do not assume.
13. A PN is reinforcing use of a cane for a client with right leg weakness.
Which instruction is correct?
A. Hold cane in right hand
B. Move cane with right leg
