VATI Green Light Comprehensive Exam 2026

VATI Green Light Comprehensive Exam 2026



SECTION 1: FUNDAMENTALS OF NURSING
1. A nurse is assessing a client prior to performing a blood draw. The nurse
should identify that an allergy to which food can indicate that the client has
an allergy to latex?
 A. Peanuts
 B. Shellfish
 C. Avocados
 D. Eggs
Answer: C. Avocados – Clients with latex allergies often have cross-
reactivity to bananas, avocados, kiwis, and chestnuts.
2. A nurse is caring for a client who had a partial laryngectomy and is
receiving continuous enteral feedings at 65 mL/hr through a gastrostomy
tube. Which finding requires immediate intervention?
 A. The infusion pump is turned off
 B. The client is lying in a supine position
 C. The client reports nausea
 D. The gastrostomy tube is not draining gastric contents
Answer: B. Supine position – Increases aspiration risk.
3. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L.
Which finding should the nurse expect?
 A. Hypertension
 B. Hyperreflexia
 C. Hypotension
 D. Tachycardia
Answer: C. Hypotension – Hypermagnesemia causes hypotension,
bradycardia, and decreased reflexes.

,4. A nurse is providing dietary teaching to a client who has an increased
cholesterol level. Which food should the nurse recommend?
 A. Egg yolks
 B. Egg whites
 C. Whole milk
 D. Butter
Answer: B. Egg whites – Low in cholesterol and fat.
5. A nurse is caring for a toddler who has respiratory syncytial virus.
Which action should the nurse plan to take?
 A. Use a designated stethoscope when caring for the toddler
 B. Wear an N95 respirator
 C. Place the toddler in a negative pressure room
 D. Restrict all visitors
Answer: A. Use a designated stethoscope – RSV requires contact
precautions; designated equipment prevents spread.
6. A nurse is caring for a client who has a chest tube following a
thoracotomy. Which finding requires intervention?
 A. 1 cm of water present in the water seal chamber
 B. Fluctuation of fluid in the water seal chamber with respiration
 C. Continuous bubbling in the suction control chamber
 D. Drainage of 50 mL in 8 hours
Answer: A. 1 cm of water – Water seal should be at 2 cm.
7. A nurse is reviewing the medical history of a client taking a garlic
supplement. Which finding is a contraindication?
 A. The client takes aspirin daily
 B. The client has hypertension
 C. The client has high cholesterol
 D. The client takes vitamin C
Answer: A. Takes aspirin daily – Garlic + aspirin increases bleeding
risk.

,8. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which action should the nurse
perform first?
 A. Administer an antiemetic medication
 B. Evaluate functioning of the suction device
 C. Provide oral hygiene care
 D. Replace the NG tube
Answer: B. Evaluate functioning of the suction device – Assess
equipment function first to determine cause of vomiting.
9. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which action
should the nurse take first?
 A. Report the damaged equipment to biomedical engineering
 B. Remove the device from use immediately
 C. Document the finding in the client's chart
 D. Apply electrical tape to the frayed area
Answer: B. Remove the device from use immediately – Safety is the
priority; remove hazardous equipment.
10. A nurse is planning to provide community education about viral
hepatitis. Which should the nurse include?
 A. A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
 B. Hepatitis B is transmitted by contaminated food
 C. Chronic hepatitis can lead to renal cell cancer
 D. Clients who have a history of viral hepatitis are unable to donate blood
Answer: A. Series of four hepatitis vaccines is recommended
11. A nurse is reviewing the history and physical of a client who has right
ventricular heart failure. Which is an expected finding?
 A. Decreased pulmonary artery pressure
 B. Elevated pulmonary artery pressure
 C. Decreased jugular venous pressure

,  D. Increased urine output
Answer: B. Elevated pulmonary artery pressure
12. A nurse is caring for a client who has a new prescription for lithium
carbonate. Prior to administering the first dose, which lab value should the
nurse evaluate?
 A. Sodium
 B. Potassium
 C. Calcium
 D. Magnesium
Answer: A. Sodium – Lithium toxicity risk increases with low sodium
levels.
13. A nurse is caring for a client who has typical depression and is taking
phenelzine. What can the client eat?
 A. Aged cheese
 B. Low-fat yogurt
 C. Red wine
 D. Smoked fish
Answer: B. Low-fat yogurt – Phenelzine (MAOI) requires tyramine
restriction; low-fat yogurt is safe.
14. A nurse is caring for a client who has cirrhosis of the liver. What should
the nurse monitor for?
 A. Abdominal ascites
 B. Hyperglycemia
 C. Increased albumin
 D. Polyuria
Answer: A. Abdominal ascites – Cirrhosis leads to portal hypertension
and ascites.
15. A nurse is caring for a client who has end-stage liver disease. The
daughter asks about her father's DNR request. What is the nurse's best
response?
 A. "Your father has the right to make that decision"