VIRTUAL ATI PREDICTOR (GREEN LIGHT) EXAM 2026
COMPLETE PRACTICE TEST BANK QUESTIONS & VERIFIED
ANSWERS
NCLEX-RN Comprehensive Predictor – A+ Graded
SECTION 1: MANAGEMENT OF CARE (Questions 1-25)
Question 1
A charge nurse is making assignments on a medical-surgical unit. Which client should
the most experienced RN be assigned to?
A) A 45-year-old with diabetes requiring a fasting blood glucose test and insulin
B) A 62-year-old 2 days post-operative following a total knee replacement
C) A 58-year-old with new-onset atrial fibrillation on a continuous amiodarone IV
infusion
D) A 72-year-old with pneumonia receiving IV antibiotics
Correct Answer: C
Rationale: The client with new-onset atrial fibrillation on amiodarone IV requires
continuous cardiac monitoring and assessment for dysrhythmias and adverse effects.
The most experienced RN should care for unstable or complex clients to ensure timely
recognition of complications . Pain management, insulin administration, and stable IV
antibiotics are appropriate for less experienced staff.
Question 2
A nurse is preparing to discharge a client with a new colostomy. Which action should
,the nurse take first?
A) Provide written instructions about ostomy care
B) Demonstrate how to change the ostomy pouch
C) Assess the client's readiness to learn
D) Schedule a follow-up appointment
Correct Answer: C
Rationale: Before providing any teaching, the nurse must assess the client's readiness to
learn. Factors such as anxiety, pain, or emotional adjustment to the ostomy can impair
learning. Once the nurse determines the client is ready, teaching can begin . Assessment
always precedes intervention.
Question 3
A nurse is caring for a client who is postoperative following a thyroidectomy. Which
equipment is most important to keep at the bedside?
A) An incentive spirometer
B) A tracheostomy tray
C) A passive motion machine
D) An oxygen saturation monitor
Correct Answer: B
Rationale: Post-thyroidectomy complications include laryngeal edema, hemorrhage, or
tetany leading to airway obstruction. A tracheostomy tray must be immediately available
for emergency airway access if respiratory distress occurs . While oxygen and
monitoring are important, airway access equipment is the priority.
Question 4
A nurse manager is reviewing incident reports. Which situation requires immediate
follow-up?
A) An LPN administered an oral antibiotic 30 minutes late
B) An RN administered insulin without verifying blood glucose first
C) An RN failed to document a pain assessment
D) A UAP repositioned a client without assistance
,Correct Answer: B
Rationale: Administering insulin without verifying blood glucose is a serious medication
error that could result in severe hypoglycemia or hyperglycemia requiring immediate
coaching. The other options represent documentation or minor delays that, while
needing correction, do not pose immediate life-threatening safety risks .
Question 5
A nurse finds a client lying on the floor. What is the nurse's first action?
A) Call the provider
B) Assess the client for injury
C) Complete an incident report
D) Help the client back to bed
Correct Answer: B
Rationale: The nurse must first assess the client for injury including consciousness,
breathing, bleeding, and pain. Moving the client without assessment (D) can worsen
injury. The incident report is completed after care is provided and the client is stable .
Question 6
A charge nurse is delegating tasks to a float nurse from a medical unit. Which client is
most appropriate to assign to the float nurse?
A) A 10-year-old with pneumonia receiving respiratory treatments
B) A 4-year-old with a Wilms tumor receiving chemotherapy
C) An 8-month-old scheduled for cardiac surgery
D) A 14-year-old with a newly placed Harrington rod
Correct Answer: A
Rationale: The float nurse has experience with respiratory conditions and can care for
the child with pneumonia. The other patients require specialized pediatric oncology,
cardiac, or orthopedic surgical knowledge that is outside the float nurse's scope .
, Question 7
Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?
A) Administering a subcutaneous heparin injection
B) Measuring and recording intake and output
C) Teaching incentive spirometry use
D) Assessing a surgical incision for infection
Correct Answer: B
Rationale: Measuring and recording intake and output is a routine, predictable task
within the UAP's scope of practice. Medication administration, teaching, and wound
assessment require licensed nursing judgment and cannot be delegated .
Question 8
A nurse is preparing to discharge a client with heart failure. Which statement indicates
understanding of the teaching?
A) "I should weigh myself daily and call if I gain 3 pounds in one day"
B) "I can eat as much salt as I want as long as I take my diuretic"
C) "I should stop my medication if I start feeling better"
D) "I can drink 3-4 liters of fluid daily"
Correct Answer: A
Rationale: Daily weight monitoring is critical for heart failure management; a 2-3 pound
gain in 24 hours indicates fluid retention requiring medical evaluation . The other
statements demonstrate dangerous misconceptions about sodium restriction,
medication adherence, and fluid limits.
Question 9
A nurse on a telemetry unit is caring for a client who becomes unconscious. The monitor
displays ventricular tachycardia. After determining the client does not have a pulse,
which action should the nurse take first?
A) Establish IV access
B) Defibrillate
COMPLETE PRACTICE TEST BANK QUESTIONS & VERIFIED
ANSWERS
NCLEX-RN Comprehensive Predictor – A+ Graded
SECTION 1: MANAGEMENT OF CARE (Questions 1-25)
Question 1
A charge nurse is making assignments on a medical-surgical unit. Which client should
the most experienced RN be assigned to?
A) A 45-year-old with diabetes requiring a fasting blood glucose test and insulin
B) A 62-year-old 2 days post-operative following a total knee replacement
C) A 58-year-old with new-onset atrial fibrillation on a continuous amiodarone IV
infusion
D) A 72-year-old with pneumonia receiving IV antibiotics
Correct Answer: C
Rationale: The client with new-onset atrial fibrillation on amiodarone IV requires
continuous cardiac monitoring and assessment for dysrhythmias and adverse effects.
The most experienced RN should care for unstable or complex clients to ensure timely
recognition of complications . Pain management, insulin administration, and stable IV
antibiotics are appropriate for less experienced staff.
Question 2
A nurse is preparing to discharge a client with a new colostomy. Which action should
,the nurse take first?
A) Provide written instructions about ostomy care
B) Demonstrate how to change the ostomy pouch
C) Assess the client's readiness to learn
D) Schedule a follow-up appointment
Correct Answer: C
Rationale: Before providing any teaching, the nurse must assess the client's readiness to
learn. Factors such as anxiety, pain, or emotional adjustment to the ostomy can impair
learning. Once the nurse determines the client is ready, teaching can begin . Assessment
always precedes intervention.
Question 3
A nurse is caring for a client who is postoperative following a thyroidectomy. Which
equipment is most important to keep at the bedside?
A) An incentive spirometer
B) A tracheostomy tray
C) A passive motion machine
D) An oxygen saturation monitor
Correct Answer: B
Rationale: Post-thyroidectomy complications include laryngeal edema, hemorrhage, or
tetany leading to airway obstruction. A tracheostomy tray must be immediately available
for emergency airway access if respiratory distress occurs . While oxygen and
monitoring are important, airway access equipment is the priority.
Question 4
A nurse manager is reviewing incident reports. Which situation requires immediate
follow-up?
A) An LPN administered an oral antibiotic 30 minutes late
B) An RN administered insulin without verifying blood glucose first
C) An RN failed to document a pain assessment
D) A UAP repositioned a client without assistance
,Correct Answer: B
Rationale: Administering insulin without verifying blood glucose is a serious medication
error that could result in severe hypoglycemia or hyperglycemia requiring immediate
coaching. The other options represent documentation or minor delays that, while
needing correction, do not pose immediate life-threatening safety risks .
Question 5
A nurse finds a client lying on the floor. What is the nurse's first action?
A) Call the provider
B) Assess the client for injury
C) Complete an incident report
D) Help the client back to bed
Correct Answer: B
Rationale: The nurse must first assess the client for injury including consciousness,
breathing, bleeding, and pain. Moving the client without assessment (D) can worsen
injury. The incident report is completed after care is provided and the client is stable .
Question 6
A charge nurse is delegating tasks to a float nurse from a medical unit. Which client is
most appropriate to assign to the float nurse?
A) A 10-year-old with pneumonia receiving respiratory treatments
B) A 4-year-old with a Wilms tumor receiving chemotherapy
C) An 8-month-old scheduled for cardiac surgery
D) A 14-year-old with a newly placed Harrington rod
Correct Answer: A
Rationale: The float nurse has experience with respiratory conditions and can care for
the child with pneumonia. The other patients require specialized pediatric oncology,
cardiac, or orthopedic surgical knowledge that is outside the float nurse's scope .
, Question 7
Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?
A) Administering a subcutaneous heparin injection
B) Measuring and recording intake and output
C) Teaching incentive spirometry use
D) Assessing a surgical incision for infection
Correct Answer: B
Rationale: Measuring and recording intake and output is a routine, predictable task
within the UAP's scope of practice. Medication administration, teaching, and wound
assessment require licensed nursing judgment and cannot be delegated .
Question 8
A nurse is preparing to discharge a client with heart failure. Which statement indicates
understanding of the teaching?
A) "I should weigh myself daily and call if I gain 3 pounds in one day"
B) "I can eat as much salt as I want as long as I take my diuretic"
C) "I should stop my medication if I start feeling better"
D) "I can drink 3-4 liters of fluid daily"
Correct Answer: A
Rationale: Daily weight monitoring is critical for heart failure management; a 2-3 pound
gain in 24 hours indicates fluid retention requiring medical evaluation . The other
statements demonstrate dangerous misconceptions about sodium restriction,
medication adherence, and fluid limits.
Question 9
A nurse on a telemetry unit is caring for a client who becomes unconscious. The monitor
displays ventricular tachycardia. After determining the client does not have a pulse,
which action should the nurse take first?
A) Establish IV access
B) Defibrillate
