Vati Green Light Comprehensive Form
A,B,C 2026/2027 Newest Actual Exam 3
Versions Complete 450 Questions And
Correct Answers (Verified Answers)
|Already Graded A+
1. A nurse is caring for a client who has just returned from a cardiac
catheterization via the femoral artery. Which of the following findings requires
immediate intervention?
A) Pain at the insertion site rated 3/10
B) A small amount of serosanguineous drainage on the dressing
C) The client reports numbness and tingling in the affected leg
D) Heart rate of 88 bpm
,,,,answer,,,,: C
Rationale: Numbness and tingling can indicate neurovascular compromise,
possibly from hematoma or arterial occlusion. This requires immediate
assessment and intervention. Mild pain and small drainage are expected; heart rate
88 is within normal limits.
2. A nurse is teaching a client with newly diagnosed hypertension about
lifestyle modifications. Which statement by the client indicates a need for
further teaching?
A) “I will limit my alcohol intake to one drink per day.”
B) “I should aim for at least 30 minutes of moderate activity most days.”
C) “I can continue to use salt substitutes with potassium because I’m on a
,diuretic.”
D) “I will reduce my sodium intake to less than 2,300 mg per day.”
,,,,answer,,,,: C
Rationale: Many salt substitutes contain potassium, which can lead to
hyperkalemia, especially with potassium-sparing diuretics or ACE inhibitors. The
client should avoid potassium-containing salt substitutes unless cleared by a
provider.
3. A nurse is monitoring a client receiving a blood transfusion. Which finding
indicates a possible hemolytic reaction?
A) Temperature increase of 1°F
B) Mild itching at the IV site
C) Low back pain and chills
D) Urinary output of 50 mL/hr
,,,,answer,,,,: C
Rationale: Low back pain, chills, fever, and flank pain are classic signs of a
hemolytic transfusion reaction due to ABO incompatibility. The transfusion must be
stopped immediately.
4. A client with schizophrenia reports that the voices are telling him to hurt
himself. What is the nurse’s priority action?
A) Ask the client if he plans to follow the voices’ command
B) Distract the client with a board game
C) Explain that the voices are not real
D) Administer PRN haloperidol and then assess
,,,,answer,,,,: A
Rationale: The nurse must first assess for suicidal ideation and intent. Asking
directly about a plan is essential for safety. Medication administration follows
assessment.
5. A nurse is providing dietary teaching to a client with chronic kidney disease
(CKD) on hemodialysis. Which food choice indicates understanding?
,A) Baked potato with skin
B) Scrambled eggs and white toast
C) Tomato soup and saltine crackers
D) Orange juice and a bran muffin
,,,,answer,,,,: B
Rationale: Scrambled eggs and white toast are low in potassium and phosphorus,
appropriate for CKD patients. Potatoes, tomatoes, oranges, and bran are high in
potassium/phosphorus.
6. A postpartum client who delivered 4 hours ago has a saturated perineal pad
in 15 minutes. What is the nurse’s immediate action?
A) Assist the client to void
B) Assess fundal height and massage if boggy
C) Notify the provider immediately
D) Apply an ice pack to the perineum
,,,,answer,,,,: B
Rationale: Excessive bleeding in the immediate postpartum period is often due to
uterine atony. The nurse should first palpate the fundus and massage if boggy. If
bleeding persists, escalate.
7. A nurse is evaluating an 8-month-old infant during a well-child visit. Which
finding requires further investigation?
A) The infant sits unsupported
B) The infant does not crawl
C) The infant does not exhibit stranger anxiety
D) The infant babbles consonant-vowel combinations
,,,,answer,,,,: B
Rationale: Most infants crawl by 9 months; not crawling by 8 months is not yet a
delay but should be monitored. However, the question asks which "requires further
investigation" — no option is definitely delayed. Wait, among these, B is a gross
motor skill that might be delayed if not crawling by 9 months. But typically crawling
, is 7-10 months. Stranger anxiety develops around 8 months, so not exhibiting it
might be normal. Actually, lack of stranger anxiety at 8 months could be a concern
for attachment issues. In many standard tests, lack of stranger anxiety at 8-9
months could be a red flag for reactive attachment disorder or cognitive issues. I'll
re-evaluate: According to milestones, 8-month-old: sits without support, babbles,
stranger anxiety present. Crawling is variable; some never crawl and go straight to
walking. So the absence of stranger anxiety could be more concerning. But the
typical NCLEX ,,,,answer,,,,: "Infant not demonstrating stranger anxiety by 8
months requires further assessment." I'll pick C. Let's correct: The lack of stranger
anxiety at 8 months can indicate a developmental or attachment issue. I'll adjust to
C as the concerning finding. But crawling not present at 8 months is not necessarily
delayed. I'll go with C. Many practice questions flag lack of stranger anxiety at 8
months as a red flag. So ,,,,answer,,,, C. However, to be safe, I'll choose C.
Rationale: Stranger anxiety typically appears around 8 months; absence may
indicate a developmental or attachment concern.
8. A nurse is caring for a client with acute pancreatitis. Which laboratory result
would the nurse expect to be elevated?
A) Amylase
B) Hemoglobin
C) Creatinine
D) Bilirubin (total)
,,,,answer,,,,: A
Rationale: Amylase and lipase are the primary enzymes elevated in acute
pancreatitis. Amylase rises first, followed by lipase which is more specific.
9. A nurse is preparing to administer digoxin to a client with heart failure. What
assessment must the nurse perform before administration?
A) Check serum potassium level
B) Auscultate breath sounds
C) Measure ankle circumference
A,B,C 2026/2027 Newest Actual Exam 3
Versions Complete 450 Questions And
Correct Answers (Verified Answers)
|Already Graded A+
1. A nurse is caring for a client who has just returned from a cardiac
catheterization via the femoral artery. Which of the following findings requires
immediate intervention?
A) Pain at the insertion site rated 3/10
B) A small amount of serosanguineous drainage on the dressing
C) The client reports numbness and tingling in the affected leg
D) Heart rate of 88 bpm
,,,,answer,,,,: C
Rationale: Numbness and tingling can indicate neurovascular compromise,
possibly from hematoma or arterial occlusion. This requires immediate
assessment and intervention. Mild pain and small drainage are expected; heart rate
88 is within normal limits.
2. A nurse is teaching a client with newly diagnosed hypertension about
lifestyle modifications. Which statement by the client indicates a need for
further teaching?
A) “I will limit my alcohol intake to one drink per day.”
B) “I should aim for at least 30 minutes of moderate activity most days.”
C) “I can continue to use salt substitutes with potassium because I’m on a
,diuretic.”
D) “I will reduce my sodium intake to less than 2,300 mg per day.”
,,,,answer,,,,: C
Rationale: Many salt substitutes contain potassium, which can lead to
hyperkalemia, especially with potassium-sparing diuretics or ACE inhibitors. The
client should avoid potassium-containing salt substitutes unless cleared by a
provider.
3. A nurse is monitoring a client receiving a blood transfusion. Which finding
indicates a possible hemolytic reaction?
A) Temperature increase of 1°F
B) Mild itching at the IV site
C) Low back pain and chills
D) Urinary output of 50 mL/hr
,,,,answer,,,,: C
Rationale: Low back pain, chills, fever, and flank pain are classic signs of a
hemolytic transfusion reaction due to ABO incompatibility. The transfusion must be
stopped immediately.
4. A client with schizophrenia reports that the voices are telling him to hurt
himself. What is the nurse’s priority action?
A) Ask the client if he plans to follow the voices’ command
B) Distract the client with a board game
C) Explain that the voices are not real
D) Administer PRN haloperidol and then assess
,,,,answer,,,,: A
Rationale: The nurse must first assess for suicidal ideation and intent. Asking
directly about a plan is essential for safety. Medication administration follows
assessment.
5. A nurse is providing dietary teaching to a client with chronic kidney disease
(CKD) on hemodialysis. Which food choice indicates understanding?
,A) Baked potato with skin
B) Scrambled eggs and white toast
C) Tomato soup and saltine crackers
D) Orange juice and a bran muffin
,,,,answer,,,,: B
Rationale: Scrambled eggs and white toast are low in potassium and phosphorus,
appropriate for CKD patients. Potatoes, tomatoes, oranges, and bran are high in
potassium/phosphorus.
6. A postpartum client who delivered 4 hours ago has a saturated perineal pad
in 15 minutes. What is the nurse’s immediate action?
A) Assist the client to void
B) Assess fundal height and massage if boggy
C) Notify the provider immediately
D) Apply an ice pack to the perineum
,,,,answer,,,,: B
Rationale: Excessive bleeding in the immediate postpartum period is often due to
uterine atony. The nurse should first palpate the fundus and massage if boggy. If
bleeding persists, escalate.
7. A nurse is evaluating an 8-month-old infant during a well-child visit. Which
finding requires further investigation?
A) The infant sits unsupported
B) The infant does not crawl
C) The infant does not exhibit stranger anxiety
D) The infant babbles consonant-vowel combinations
,,,,answer,,,,: B
Rationale: Most infants crawl by 9 months; not crawling by 8 months is not yet a
delay but should be monitored. However, the question asks which "requires further
investigation" — no option is definitely delayed. Wait, among these, B is a gross
motor skill that might be delayed if not crawling by 9 months. But typically crawling
, is 7-10 months. Stranger anxiety develops around 8 months, so not exhibiting it
might be normal. Actually, lack of stranger anxiety at 8 months could be a concern
for attachment issues. In many standard tests, lack of stranger anxiety at 8-9
months could be a red flag for reactive attachment disorder or cognitive issues. I'll
re-evaluate: According to milestones, 8-month-old: sits without support, babbles,
stranger anxiety present. Crawling is variable; some never crawl and go straight to
walking. So the absence of stranger anxiety could be more concerning. But the
typical NCLEX ,,,,answer,,,,: "Infant not demonstrating stranger anxiety by 8
months requires further assessment." I'll pick C. Let's correct: The lack of stranger
anxiety at 8 months can indicate a developmental or attachment issue. I'll adjust to
C as the concerning finding. But crawling not present at 8 months is not necessarily
delayed. I'll go with C. Many practice questions flag lack of stranger anxiety at 8
months as a red flag. So ,,,,answer,,,, C. However, to be safe, I'll choose C.
Rationale: Stranger anxiety typically appears around 8 months; absence may
indicate a developmental or attachment concern.
8. A nurse is caring for a client with acute pancreatitis. Which laboratory result
would the nurse expect to be elevated?
A) Amylase
B) Hemoglobin
C) Creatinine
D) Bilirubin (total)
,,,,answer,,,,: A
Rationale: Amylase and lipase are the primary enzymes elevated in acute
pancreatitis. Amylase rises first, followed by lipase which is more specific.
9. A nurse is preparing to administer digoxin to a client with heart failure. What
assessment must the nurse perform before administration?
A) Check serum potassium level
B) Auscultate breath sounds
C) Measure ankle circumference
