Virtual ATI Green Light Comprehensive Predictor
2026/2027 200 Verified Practice Questions with
Answers & Rationales
QUESTION 1:
A nurse is caring for a client who has a new prescription for physical
restraints. Which of the following is an appropriate indication for
restraint use?
A) Client is wandering in the hallway
B) Client is at risk for falling out of bed
C) Client is confused and pulling at IV lines
D) Client is aggressive toward staff
CORRECT OPTION: C) Client is confused and pulling at IV lines
RATIONALE: Restraints may be used when less restrictive interventions
have failed and the client poses an immediate threat to their own
safety, such as pulling at life-sustaining equipment. Restraints should
never be used for staff convenience, punishment, or to prevent
wandering .
QUESTION 2:
A nurse is providing preoperative teaching for an adolescent who is
scheduled for a cardiac catheterization. Which of the following
instructions should the nurse include?
,A) "You can resume a regular diet 3 days after your procedure"
B) "You can take a shower 1 day after your procedure"
C) "You can begin exercising 2 days after your procedure"
D) "You can return to school 1 week after your procedure"
CORRECT OPTION: D) "You can return to school 1 week after your
procedure"
RATIONALE: Returning to school approximately 1 week after a cardiac
catheterization allows adequate time for the insertion site to heal and
for the adolescent to regain strength. Resumption of diet and activity is
typically sooner and individualized .
QUESTION 3:
A nurse is caring for a client who is postoperative following a
hemicolectomy. Which of the following is a subjective indication that
the client needs PRN pain medication?
A) The client's heart rate is 110/min
B) The client is guarding their abdominal incision
C) The client exhibits facial grimacing
D) The client reports pain
CORRECT OPTION: D) The client reports pain
RATIONALE: Pain is a subjective experience, and the client's self-report
is the gold standard for pain assessment. Vital signs and nonverbal cues
can indicate pain but do not replace direct patient reporting .
QUESTION 4:
,A nurse is caring for a client who has a new colostomy. The client
expresses concern about odor. Which of the following responses by the
nurse is most appropriate?
A) "You shouldn't worry about odor; it's a normal part of having a
colostomy."
B) "There are odor-control products available, and we can discuss how
to manage this."
C) "You'll get used to the smell over time."
D) "The odor will decrease as your body adjusts."
CORRECT OPTION: B) "There are odor-control products available, and
we can discuss how to manage this."
RATIONALE: Acknowledging the client's concern and providing practical
solutions is the most therapeutic response. Offering information about
available products empowers the client and addresses their anxiety .
QUESTION 5:
A nurse is caring for a client who requires a sterile dressing change.
Which of the following actions is appropriate?
A) Use clean gloves for the procedure
B) Open the sterile field and don sterile gloves
C) Dispose of soiled dressings in the patient's trash can
D) Use sterile technique for the entire procedure
CORRECT OPTION: D) Use sterile technique for the entire procedure
, RATIONALE: Sterile technique is required for sterile dressing changes to
prevent infection. The nurse should open the sterile field, don sterile
gloves, and use sterile supplies throughout the procedure .
QUESTION 6:
A nurse is caring for a client who is receiving enteral feedings. Which of
the following actions should the nurse take to prevent aspiration?
A) Place the client in a supine position
B) Elevate the head of the bed to at least 30-45 degrees
C) Administer feedings as a bolus
D) Check residual volumes every 8 hours
CORRECT OPTION: B) Elevate the head of the bed to at least 30-45
degrees
RATIONALE: The head of the bed should be elevated to at least 30-45
degrees during enteral feeding and for 30-60 minutes after to reduce
the risk of aspiration. This position uses gravity to prevent gastric
contents from refluxing into the esophagus .
QUESTION 7:
A charge nurse is evaluating a newly hired RN. Which action by the new
nurse requires immediate intervention?
A) The nurse documents vital signs in the electronic health record
B) The nurse administers a medication without verifying the patient's
allergies
2026/2027 200 Verified Practice Questions with
Answers & Rationales
QUESTION 1:
A nurse is caring for a client who has a new prescription for physical
restraints. Which of the following is an appropriate indication for
restraint use?
A) Client is wandering in the hallway
B) Client is at risk for falling out of bed
C) Client is confused and pulling at IV lines
D) Client is aggressive toward staff
CORRECT OPTION: C) Client is confused and pulling at IV lines
RATIONALE: Restraints may be used when less restrictive interventions
have failed and the client poses an immediate threat to their own
safety, such as pulling at life-sustaining equipment. Restraints should
never be used for staff convenience, punishment, or to prevent
wandering .
QUESTION 2:
A nurse is providing preoperative teaching for an adolescent who is
scheduled for a cardiac catheterization. Which of the following
instructions should the nurse include?
,A) "You can resume a regular diet 3 days after your procedure"
B) "You can take a shower 1 day after your procedure"
C) "You can begin exercising 2 days after your procedure"
D) "You can return to school 1 week after your procedure"
CORRECT OPTION: D) "You can return to school 1 week after your
procedure"
RATIONALE: Returning to school approximately 1 week after a cardiac
catheterization allows adequate time for the insertion site to heal and
for the adolescent to regain strength. Resumption of diet and activity is
typically sooner and individualized .
QUESTION 3:
A nurse is caring for a client who is postoperative following a
hemicolectomy. Which of the following is a subjective indication that
the client needs PRN pain medication?
A) The client's heart rate is 110/min
B) The client is guarding their abdominal incision
C) The client exhibits facial grimacing
D) The client reports pain
CORRECT OPTION: D) The client reports pain
RATIONALE: Pain is a subjective experience, and the client's self-report
is the gold standard for pain assessment. Vital signs and nonverbal cues
can indicate pain but do not replace direct patient reporting .
QUESTION 4:
,A nurse is caring for a client who has a new colostomy. The client
expresses concern about odor. Which of the following responses by the
nurse is most appropriate?
A) "You shouldn't worry about odor; it's a normal part of having a
colostomy."
B) "There are odor-control products available, and we can discuss how
to manage this."
C) "You'll get used to the smell over time."
D) "The odor will decrease as your body adjusts."
CORRECT OPTION: B) "There are odor-control products available, and
we can discuss how to manage this."
RATIONALE: Acknowledging the client's concern and providing practical
solutions is the most therapeutic response. Offering information about
available products empowers the client and addresses their anxiety .
QUESTION 5:
A nurse is caring for a client who requires a sterile dressing change.
Which of the following actions is appropriate?
A) Use clean gloves for the procedure
B) Open the sterile field and don sterile gloves
C) Dispose of soiled dressings in the patient's trash can
D) Use sterile technique for the entire procedure
CORRECT OPTION: D) Use sterile technique for the entire procedure
, RATIONALE: Sterile technique is required for sterile dressing changes to
prevent infection. The nurse should open the sterile field, don sterile
gloves, and use sterile supplies throughout the procedure .
QUESTION 6:
A nurse is caring for a client who is receiving enteral feedings. Which of
the following actions should the nurse take to prevent aspiration?
A) Place the client in a supine position
B) Elevate the head of the bed to at least 30-45 degrees
C) Administer feedings as a bolus
D) Check residual volumes every 8 hours
CORRECT OPTION: B) Elevate the head of the bed to at least 30-45
degrees
RATIONALE: The head of the bed should be elevated to at least 30-45
degrees during enteral feeding and for 30-60 minutes after to reduce
the risk of aspiration. This position uses gravity to prevent gastric
contents from refluxing into the esophagus .
QUESTION 7:
A charge nurse is evaluating a newly hired RN. Which action by the new
nurse requires immediate intervention?
A) The nurse documents vital signs in the electronic health record
B) The nurse administers a medication without verifying the patient's
allergies
