VATI GREENLIGHT EXAM PREP COMPREHENSIVE NCLEX-STYLE PRACTICE QUESTION BANK 200 Evidence-Based Questions with Verified Answers & Clinical Rationales ________________________________________ SUBTITLE: The Ultimate VATI Greenlight Success Guide

VATI GREENLIGHT EXAM PREP COMPREHENSIVE NCLEX-STYLE PRACTICE QUESTION BANK 200 Evidence-Based Questions with Verified Answers & Clinical Rationales ________________________________________ SUBTITLE: The Ultimate VATI Greenlight Success Guide: Mastering Nursing Content from Safety & Infection Control to Physiological Adaptation for First-Time Pass Guarantee ________________________________________ EXAM COVERAGE OVERVIEW Content Area Questions Percentage Safety & Infection Control 25 12.5% Health Promotion & Maintenance 25 12.5% Psychosocial Integrity 25 12.5% Basic Care & Comfort 25 12.5% Pharmacological & Parenteral Therapies 25 12.5% Reduction of Risk Potential 25 12.5% Physiological Adaptation 25 12.5% Maternity & Newborn Care 15 7.5% Pediatric Care 10 5.0% TOTAL 200 100% ________________________________________ PREPARED FOR: Nursing Students Preparing for VATI Greenlight Exam TARGET AUDIENCE: RN Candidates, BSN Students, Accelerated Program Students EXAM DATE: Academic Cycle EVIDENCE LEVEL: NCLEX-RN Test Plan (Latest Version) SECTION A: SAFETY AND INFECTION CONTROL (Questions 1-25) ________________________________________ 1. A nurse is preparing to administer medications to a client. Which of the following actions should the nurse take to ensure client safety? A) Administer medications without verifying allergies B) Check the client's wristband after medication administration C) Use two client identifiers before medication administration D) Leave medications at the bedside for the client to take later Correct Answer: C Rationale: The nurse should use two client identifiers (such as name and date of birth) before administering any medication to ensure the right client receives the right medication. This is a critical safety measure to prevent medication errors. ________________________________________ 2. A nurse observes a colleague preparing to insert an indwelling urinary catheter without wearing a face shield. Which of the following actions should the nurse take? A) Ignore the situation to avoid conflict B) Report the colleague to the nursing supervisor immediately C) Remind the colleague about standard precautions and provide appropriate PPE D) Document the observation in the colleague's personnel file Correct Answer: C Rationale: The nurse should remind the colleague about standard precautions, which include wearing appropriate personal protective equipment (PPE) during procedures that may involve splashing or body fluid exposure. Face shields protect against droplet exposure. ________________________________________ 3. A nurse is caring for a client with Clostridium difficile infection. Which of the following precautions should the nurse implement? A) Standard precautions only B) Droplet precautions C) Contact precautions D) Airborne precautions Correct Answer: C Rationale: C. difficile requires contact precautions because it is transmitted through direct contact with contaminated surfaces or fecal-oral route. Healthcare workers must wear gloves and gowns and perform hand hygiene with soap and water (alcohol-based hand sanitizer is ineffective against C. difficile spores). ________________________________________ 4. A nurse is preparing to administer a blood transfusion. Which of the following actions should the nurse take first? A) Check vital signs B) Prime the tubing with dextrose 5% in water C) Obtain signed consent from the client D) Verify the client's identity using two identifiers Correct Answer: D Rationale: Verifying client identity using two identifiers is the first and most critical step to prevent transfusion errors. This must be done before obtaining consent, checking vital signs, or priming tubing. ________________________________________ 5. A nurse is caring for a client who has a new prescription for restraints. Which of the following actions should the nurse take? A) Apply restraints tightly to ensure safety B) Obtain a prescription from the provider within 1 hour of application C) Tie restraints to the side rails of the bed D) Remove restraints every 8 hours for range-of-motion exercises Correct Answer: B Rationale: The nurse must obtain a prescription from the provider within 1 hour of applying restraints in an emergency situation. Restraints should be applied loosely enough to allow circulation, tied to the bed frame (not side rails), and removed every 2 hours for ROM exercises and toileting. ________________________________________ 6. A nurse is caring for a client who is on airborne precautions. Which of the following PPE should the nurse wear when entering the client's room? A) Surgical mask B) N95 respirator mask C) Face shield D) Sterile gloves only Correct Answer: B Rationale: Airborne precautions require an N95 respirator mask (or higher level) because these precautions are used for diseases transmitted via airborne particles, such as tuberculosis, measles, and varicella. Surgical masks do not provide adequate filtration for airborne particles. ________________________________________ 7. A nurse is preparing to administer an intramuscular injection to a client. Which of the following needle sizes is appropriate for a deltoid injection? A) 18 gauge, 1.5 inches B) 22 gauge, 1.5 inches C) 25 gauge, 5/8 inch D) 23 gauge, 1 inch Correct Answer: D Rationale: For deltoid injections, a 23 gauge, 1 inch needle is appropriate for most adults. The deltoid muscle is relatively small and superficial, requiring a shorter needle than the ventrogluteal or vastus lateralis sites. ________________________________________ 8. A nurse is caring for a client who has a nasogastric tube. Which of the following actions should the nurse take to verify tube placement? A) Instill air and listen for a whooshing sound over the stomach B) Place the end of the tube in water and observe for bubbles C) Obtain a chest x-ray D) Measure the pH of gastric aspirate Correct Answer: C Rationale: Chest x-ray is the gold standard for confirming NG tube placement. While pH testing can provide additional information, x-ray provides definitive confirmation of placement in the stomach and rules out placement in the lungs. ________________________________________ 9. A nurse is caring for a client with a central venous catheter. Which of the following actions should the nurse take to prevent infection? A) Change the transparent dressing daily B) Use sterile technique when changing the dressing C) Clean the site with alcohol only D) Apply antibiotic ointment at the insertion site Correct Answer: B Rationale: Using sterile technique when changing the dressing helps prevent infection at the central line insertion site. Transparent dressings should be changed every 7 days (or when soiled/damp), chlorhexidine is preferred for cleaning, and antibiotic ointment is not routinely recommended. ________________________________________ 10. A nurse is preparing to transfer a client from the bed to a chair. Which of the following actions should the nurse take to prevent injury? A) Position the chair behind the client's knees B) Use the client's arms to pull the client up C) Lower the bed to the lowest position D) Place the bed in the highest position for leverage Correct Answer: C Rationale: Lowering the bed to the lowest position allows the client's feet to be flat on the floor, which provides stability and proper body mechanics during transfer. This also reduces the risk of falls and injury to both client and nurse. ________________________________________ 11. A nurse is caring for a client who has a prescription for a fecal occult blood test. Which of the following instructions should the nurse provide? A) Avoid red meat and vitamin C for 3 days before the test B) Collect the specimen from the toilet water C) Send the specimen to the laboratory within 4 hours D) Place the specimen in a sterile container Correct Answer: A Rationale: Red meat and vitamin C can cause false-positive results on fecal occult blood tests. The client should avoid these for 3 days before specimen collection. The specimen should not be collected from toilet water, and the laboratory should receive the specimen promptly. ________________________________________ 12. A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when performing wound care? A) Clean the wound from the outside toward the center B) Use sterile technique for dressing changes C) Apply a wet-to-dry dressing and allow it to dry completely before removal D) Clean the wound with hydrogen peroxide Correct Answer: B Rationale: Sterile technique should be used for wound care to prevent introducing additional microorganisms into the wound. Wounds should be cleaned from the