VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR COMPLETE 400 VERIFIED EXAM QUESTIONS WITH 100% DETAILED ANSWERS & RATIONALES

VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR COMPLETE 400 VERIFIED EXAM QUESTIONS WITH 100% DETAILED ANSWERS & RATIONALES 1. A nurse is assessing a client who has just undergone a thyroidectomy. Which finding requires immediate intervention? A. Hoarseness and mild throat pain B. Serum calcium level of 8.5 mg/dL C. Stridor and respiratory distress D. Temperature of 99.2°F (37.3°C) C. Stridor and respiratory distress RATIONALE: Stridor and respiratory distress after thyroidectomy indicate possible laryngeal nerve damage or tracheal compression from hemorrhage or edema. This is a life-threatening emergency requiring immediate intervention. The other findings are expected post-operative changes. ________________________________________ 2. A nurse is preparing to administer digoxin to a client with heart failure. Which assessment finding should cause the nurse to hold the medication? A. Heart rate of 68 beats per minute B. Serum potassium level of 3.2 mEq/L C. Blood pressure of 132/78 mmHg D. Respiratory rate of 18 breaths per minute B. Serum potassium level of 3.2 mEq/L RATIONALE: Hypokalemia (normal range 3.5-5.0 mEq/L) increases the risk of digoxin toxicity. The nurse should hold digoxin and notify the healthcare provider. Digoxin toxicity can cause life-threatening cardiac arrhythmias. ________________________________________ 3. A nurse is providing discharge teaching to a client with a new diagnosis of type 1 diabetes mellitus. Which statement indicates the client understands the teaching? A. "I will take my insulin only when my blood sugar is high" B. "I can skip meals if I'm not feeling hungry" C. "I should rotate my insulin injection sites to prevent lipodystrophy" D. "I will store my insulin at room temperature for 6 months" C. "I should rotate my insulin injection sites to prevent lipodystrophy" RATIONALE: Rotating injection sites prevents lipodystrophy (atrophy or hypertrophy of subcutaneous fat), which can impair insulin absorption. Insulin should be taken as prescribed regardless of glucose levels, and meals should not be skipped. Unopened insulin should be refrigerated. ________________________________________ 4. A nurse is caring for a client with suspected meningitis. Which assessment finding is most concerning? A. Photophobia B. Nuchal rigidity C. Fever of 102°F (38.9°C) D. Petechial rash on the trunk D. Petechial rash on the trunk RATIONALE: A petechial rash in a client with suspected meningitis is a sign of meningococcal meningitis and indicates potential disseminated intravascular coagulation (DIC) or sepsis. This requires immediate intervention. ________________________________________ 5. A nurse is calculating the intake and output for a client. The client drank 240 mL of water, 120 mL of coffee, and 180 mL of juice. The client received 500 mL of IV fluids. The client urinated 300 mL and had 150 mL of emesis. What is the total intake? A. 540 mL B. 840 mL C. 1040 mL D. 1140 mL C. 1040 mL RATIONALE: Total intake = oral fluids + IV fluids = (240 + 120 + 180) + 500 = 540 + 500 = 1040 mL. Output would be 450 mL (300 + 150). Intake and output are essential for fluid balance assessment. ________________________________________ 6. A nurse is assessing a client who is 24 hours post-operative following a total hip arthroplasty. Which finding requires immediate notification of the healthcare provider? A. Pain rated 5 on a 0-10 scale B. Temperature of 100.4°F (38°C) C. Capillary refill of 2 seconds in the affected extremity D. Dorsalis pedis pulse of 2+ bilaterally B. Temperature of 100.4°F (38°C) RATIONALE: A temperature of 100.4°F (38°C) in the first 24-48 hours post-operatively may indicate infection and requires immediate evaluation. Mild pain and normal pulses are expected findings. ________________________________________ 7. A nurse is caring for a client with an indwelling urinary catheter. Which action should the nurse take to prevent catheter-associated urinary tract infection (CAUTI)? A. Empty the drainage bag every 24 hours B. Keep the drainage bag below the level of the bladder C. Change the catheter every 48 hours D. Irrigate the catheter with sterile saline daily B. Keep the drainage bag below the level of the bladder RATIONALE: Keeping the drainage bag below the level of the bladder prevents backflow of urine, reducing the risk of CAUTI. The bag should be emptied frequently, catheters should not be changed routinely, and irrigation should be avoided unless ordered. ________________________________________ 8. A nurse is assessing a client who has a chest tube following a pneumothorax. Which finding indicates the chest tube is functioning properly? A. Continuous bubbling in the water seal chamber B. Tidaling in the water seal chamber C. Absence of drainage in the collection chamber D. Crepitus around the insertion site B. Tidaling in the water seal chamber RATIONALE: Tidaling (fluctuation) in the water seal chamber with respirations indicates proper chest tube function. Continuous bubbling indicates an air leak. Absence of drainage may be normal but doesn't indicate function. Crepitus is subcutaneous emphysema. ________________________________________ 9. A nurse is administering blood products to a client. Which action is most important to prevent a transfusion reaction? A. Verify the client's identity using two identifiers B. Premedicate with antihistamines C. Infuse the blood over 4 hours D. Warm the blood to body temperature A. Verify the client's identity using two identifiers RATIONALE: Verifying client identity with two unique identifiers (name, date of birth, medical record number) is the most critical step to prevent ABO incompatibility and transfusion reactions. Blood should be infused within 4 hours and not warmed unless specifically ordered. ________________________________________ 10. A nurse is planning care for a client with a new colostomy. Which intervention should the nurse include in the plan?