Virtual Ati Green Light Comprehensive Predictor Complete Nclex-Style Questions With Answers & Rationales | 2026/2027

VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR COMPLETE NCLEX-STYLE QUESTIONS WITH ANSWERS & RATIONALES QUESTION 1: A nurse is caring for a patient with major depressive disorder who has been prescribed fluoxetine. Which of the following adverse effects should the nurse monitor for during the first few weeks of therapy? A) Hypertension and bradycardia B) Insomnia and agitation C) Weight gain and sedation D) Dry mouth and constipation CORRECT OPTION: B) Insomnia and agitation RATIONALE Fluoxetine is an SSRI that can cause activation syndrome, including insomnia, agitation, and anxiety, particularly during the initial weeks of treatment. These effects typically diminish over time, and patients should be educated about this possibility to improve medication adherence. ________________________________________ QUESTION 2: A nurse is preparing to administer a blood transfusion to a patient. Which of the following actions should the nurse take first? A) Obtain a signed informed consent from the patient B) Verify the blood product with another licensed nurse C) Start a large-bore IV line with normal saline D) Check the patient's vital signs CORRECT OPTION: B) Verify the blood product with another licensed nurse RATIONALE Verification of the blood product with another licensed nurse is the priority action to ensure patient safety and prevent transfusion reactions. Two nurses must verify the blood unit against the patient's identification band, type and crossmatch, and expiration date before transfusion begins. ________________________________________ QUESTION 3: A nurse is assessing a patient who is 24 hours post-operative following abdominal surgery. Which finding would indicate the development of a postoperative complication? A) Temperature of 99.2°F (37.3°C) B) Heart rate of 88 beats per minute C) Respiratory rate of 22 breaths per minute D) Blood pressure of 100/60 mmHg with urine output of 20 mL/hr CORRECT OPTION: D) Blood pressure of 100/60 mmHg with urine output of 20 mL/hr RATIONALE This finding is concerning for hypovolemia or shock, as urine output should be at least 30 mL/hr. Low blood pressure combined with decreased urine output indicates inadequate renal perfusion and requires immediate intervention to prevent acute kidney injury. ________________________________________ QUESTION 4: A nurse is teaching a patient with chronic kidney disease about dietary restrictions. Which statement by the patient indicates understanding of the teaching? A) "I should eat more bananas and oranges for potassium" B) "I need to limit my intake of high-phosphorus foods" C) "I can eat as much protein as I want" D) "I should drink at least 3 liters of fluid daily" CORRECT OPTION: B) "I need to limit my intake of high-phosphorus foods" RATIONALE Patients with chronic kidney disease need to restrict phosphorus intake because declining kidney function impairs phosphorus excretion, leading to hyperphosphatemia, which contributes to bone disease and cardiovascular complications. Foods high in phosphorus include dairy products, nuts, and processed foods. ________________________________________ QUESTION 5: A nurse is caring for a patient with pneumonia who has an oxygen saturation of 88% on room air. Which of the following actions should the nurse take first? A) Apply oxygen via nasal cannula at 2 L/min B) Notify the healthcare provider C) Position the patient in high Fowler's position D) Encourage deep breathing and coughing exercises CORRECT OPTION: A) Apply oxygen via nasal cannula at 2 L/min RATIONALE The priority action is to address the hypoxemia by administering supplemental oxygen. An oxygen saturation below 90% indicates significant hypoxemia requiring immediate intervention. The nurse should apply oxygen first and then reassess the patient's respiratory status before implementing other interventions. ________________________________________ QUESTION 6: A nurse is assessing a patient who is withdrawing from alcohol. Which finding would indicate the onset of delirium tremens? A) Nausea and vomiting B) Tremors and diaphoresis C) Hallucinations and severe agitation D) Headache and fatigue CORRECT OPTION: C) Hallucinations and severe agitation RATIONALE Delirium tremens is a severe form of alcohol withdrawal characterized by hallucinations, severe agitation, confusion, tachycardia, hypertension, and fever. This medical emergency typically occurs 48-72 hours after the last drink and requires immediate medical intervention with benzodiazepines and supportive care. ________________________________________ QUESTION 7: A nurse is providing discharge teaching to a patient with a new diagnosis of heart failure. Which of the following instructions should the nurse include? A) Weigh yourself daily at the same time each morning B) Limit sodium intake to 5 grams per day C) Exercise vigorously for 30 minutes daily D) Drink at least 3 liters of fluid daily CORRECT OPTION: A) Weigh yourself daily at the same time each morning RATIONALE Daily weight monitoring is essential for early detection of fluid retention in heart failure patients. A weight gain of 2-3 pounds in one day or 5 pounds in one week should be reported to the healthcare provider as it may indicate worsening fluid overload. ________________________________________ QUESTION 8: A nurse is caring for a patient who is experiencing acute chest pain. The healthcare provider orders morphine sulfate 4 mg IV. Which of the following is the primary reason for administering morphine to this patient? A) To reduce anxiety B) To decrease myocardial oxygen demand C) To relieve pain D) To lower blood pressure