Virtual ATI Greenlight Predictor Exam
2023 | 200+ NGN-Style Questions & Case
Scenarios | Verified Q&A
INSTRUCTIONS
● This comprehensive practice exam contains 200+ questions for the
Virtual ATI Greenlight Predictor Exam
● Questions are formatted as multiple choice, select-all-that-apply, and
NGN-style case scenarios
● Each question includes the correct answer and a detailed rationale
● Topics include: medical-surgical nursing, pharmacology, maternity,
pediatrics, mental health, fundamentals, prioritization, delegation, and
clinical judgment
SECTION 1: FUNDAMENTALS AND PRIORITIZATION
(Questions 1-40)
Question 1
A nurse has delegated care to an assistive personnel (AP). At the end of the
shift, the AP asks the nurse to enter data for her because the AP has
forgotten her password and needs to leave. Which of the following actions
should the nurse take?
,A) Enter the data for the AP to help her leave on time
B) Tell the AP to contact the IT department for charting assistance
C) Enter the data and document that the AP provided the information
D) Allow the AP to use the nurse's login credentials
Answer: B) Tell the AP to contact the IT department for charting assistance
Rationale: Each healthcare team member is responsible for their own
documentation and must use their own login credentials. Sharing
passwords or allowing someone else to document under another person's
login violates confidentiality policies and legal documentation standards.
The AP should contact the IT department to resolve the password issue.
Question 2
A nurse in a long-term care facility is observing an assistive personnel (AP)
who is performing hand hygiene. Which of the following actions by the AP
requires intervention?
A) Washing hands for 20 seconds with soap and water
B) Using alcohol-based hand sanitizer when hands are visibly soiled
C) Holding hands up and elbows down while washing hands
D) Rubbing hands together vigorously during handwashing
Answer: B) Using alcohol-based hand sanitizer when hands are visibly
soiled
Rationale: Alcohol-based hand sanitizer should not be used when hands
are visibly soiled; soap and water must be used in these situations. Hands
should be held up and elbows down to allow water to flow from cleaner to
dirtier areas. Handwashing should last at least 20 seconds.
,Question 3
A nurse is establishing a baseline postoperative assessment for a client
who is recovering from a right femoropopliteal bypass graft. Which of the
following findings in the assessment of the client's right leg should be of
the most concern to the nurse?
A) Mild edema in the right foot
B) Capillary refill of 3 seconds in the right toes
C) The client's pedal pulse in the right foot is not palpable
D) The right leg is slightly cooler than the left leg
Answer: C) The client's pedal pulse in the right foot is not palpable
Rationale: A nonpalpable pedal pulse indicates possible graft occlusion or
failure, which is an emergency requiring immediate intervention. Loss of
pulse is the most critical finding. Mild edema, capillary refill of 3 seconds,
and slight coolness can be expected postoperative findings but should be
monitored closely.
Question 4
A nurse is reviewing standard precautions with an assistive personnel (AP)
who is new to the newborn nursery. For which of the following newborn
care procedures should the nurse remind the AP to wear clean gloves?
A) Feeding the newborn
B) Applying an identification bracelet
C) Weighing the newborn
D) Placing the newborn in a crib
Answer: B) Applying an identification bracelet
, Rationale: Standard precautions require gloves when there is potential
contact with blood, body fluids, or mucous membranes. Applying an
identification bracelet involves handling the newborn's skin and potentially
body fluids, so gloves are indicated. Feeding, weighing, and placing the
newborn do not typically require gloves unless there is potential exposure.
Question 5
A nurse is caring for a client who is experiencing chest pain. The client
states, "I am really afraid because my brother died a year ago of a heart
attack." Which of the following responses is appropriate?
A) "There's no need to be afraid; we're taking good care of you."
B) "You need to stay calm so your heart rate doesn't increase."
C) "This must be a frightening experience for you."
D) "Your brother's death is unrelated to your current situation."
Answer: C) "This must be a frightening experience for you."
Rationale: This response acknowledges the client's feelings and
demonstrates empathy. Validating the client's fear is therapeutic and builds
trust. Dismissing the client's concerns or minimizing their feelings is not
therapeutic communication.
Question 6
A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of the following findings is a complication of
immobility?
A) Decreased serum calcium levels
B) Increased blood pressure
2023 | 200+ NGN-Style Questions & Case
Scenarios | Verified Q&A
INSTRUCTIONS
● This comprehensive practice exam contains 200+ questions for the
Virtual ATI Greenlight Predictor Exam
● Questions are formatted as multiple choice, select-all-that-apply, and
NGN-style case scenarios
● Each question includes the correct answer and a detailed rationale
● Topics include: medical-surgical nursing, pharmacology, maternity,
pediatrics, mental health, fundamentals, prioritization, delegation, and
clinical judgment
SECTION 1: FUNDAMENTALS AND PRIORITIZATION
(Questions 1-40)
Question 1
A nurse has delegated care to an assistive personnel (AP). At the end of the
shift, the AP asks the nurse to enter data for her because the AP has
forgotten her password and needs to leave. Which of the following actions
should the nurse take?
,A) Enter the data for the AP to help her leave on time
B) Tell the AP to contact the IT department for charting assistance
C) Enter the data and document that the AP provided the information
D) Allow the AP to use the nurse's login credentials
Answer: B) Tell the AP to contact the IT department for charting assistance
Rationale: Each healthcare team member is responsible for their own
documentation and must use their own login credentials. Sharing
passwords or allowing someone else to document under another person's
login violates confidentiality policies and legal documentation standards.
The AP should contact the IT department to resolve the password issue.
Question 2
A nurse in a long-term care facility is observing an assistive personnel (AP)
who is performing hand hygiene. Which of the following actions by the AP
requires intervention?
A) Washing hands for 20 seconds with soap and water
B) Using alcohol-based hand sanitizer when hands are visibly soiled
C) Holding hands up and elbows down while washing hands
D) Rubbing hands together vigorously during handwashing
Answer: B) Using alcohol-based hand sanitizer when hands are visibly
soiled
Rationale: Alcohol-based hand sanitizer should not be used when hands
are visibly soiled; soap and water must be used in these situations. Hands
should be held up and elbows down to allow water to flow from cleaner to
dirtier areas. Handwashing should last at least 20 seconds.
,Question 3
A nurse is establishing a baseline postoperative assessment for a client
who is recovering from a right femoropopliteal bypass graft. Which of the
following findings in the assessment of the client's right leg should be of
the most concern to the nurse?
A) Mild edema in the right foot
B) Capillary refill of 3 seconds in the right toes
C) The client's pedal pulse in the right foot is not palpable
D) The right leg is slightly cooler than the left leg
Answer: C) The client's pedal pulse in the right foot is not palpable
Rationale: A nonpalpable pedal pulse indicates possible graft occlusion or
failure, which is an emergency requiring immediate intervention. Loss of
pulse is the most critical finding. Mild edema, capillary refill of 3 seconds,
and slight coolness can be expected postoperative findings but should be
monitored closely.
Question 4
A nurse is reviewing standard precautions with an assistive personnel (AP)
who is new to the newborn nursery. For which of the following newborn
care procedures should the nurse remind the AP to wear clean gloves?
A) Feeding the newborn
B) Applying an identification bracelet
C) Weighing the newborn
D) Placing the newborn in a crib
Answer: B) Applying an identification bracelet
, Rationale: Standard precautions require gloves when there is potential
contact with blood, body fluids, or mucous membranes. Applying an
identification bracelet involves handling the newborn's skin and potentially
body fluids, so gloves are indicated. Feeding, weighing, and placing the
newborn do not typically require gloves unless there is potential exposure.
Question 5
A nurse is caring for a client who is experiencing chest pain. The client
states, "I am really afraid because my brother died a year ago of a heart
attack." Which of the following responses is appropriate?
A) "There's no need to be afraid; we're taking good care of you."
B) "You need to stay calm so your heart rate doesn't increase."
C) "This must be a frightening experience for you."
D) "Your brother's death is unrelated to your current situation."
Answer: C) "This must be a frightening experience for you."
Rationale: This response acknowledges the client's feelings and
demonstrates empathy. Validating the client's fear is therapeutic and builds
trust. Dismissing the client's concerns or minimizing their feelings is not
therapeutic communication.
Question 6
A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of the following findings is a complication of
immobility?
A) Decreased serum calcium levels
B) Increased blood pressure
