Virtual ATI (VATI) Green Light Comprehensive
Predictor Forms A, B & C | 180+ NGN Practice
Questions with Correct Answers & Rationales |
2025/2026 Edition | Graded A+ Guaranteed Pass
Section 1: Fundamentals of Nursing Practice (Questions 1-40)
1. A nurse is admitting a client who has antisocial personality disorder. Which of the
following client behaviors should the nurse identify as consistent with this disorder?
A) Compulsive attention to details
B) Avoids interacting with others
C) Uses others for personal gain
D) Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pervasive pattern of
disregard for and violation of the rights of others. Clients with this disorder often use others
for personal gain, lack empathy, and demonstrate manipulative behaviors. Compulsive
attention to details is associated with obsessive-compulsive personality disorder. Avoiding
social interaction is typical of schizoid or avoidant personality disorders .
, 2. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the priority
action?
A) Notify the facility operator
B) Close the fire doors on the unit
C) Turn off oxygen sources
D) Put out the fire with the appropriate extinguisher
Correct Answer: A
Rationale: After removing the client from immediate danger, the RACE protocol guides fire
response: Rescue, Alarm, Confine, Extinguish. Activating the alarm (notifying the facility
operator) is the priority to alert the fire response team and initiate evacuation procedures.
Closing fire doors (confine) and using an extinguisher should follow notification .
3. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A) This technique prevents injury to the sciatic nerve
B) This technique decreases the risk of subcutaneous infiltration
C) This technique allows a larger amount of medication to be injected
D) This technique increases the absorption rate of the drug
Correct Answer: B
, Rationale: The Z-track technique is used for deep intramuscular injections to prevent
medication from leaking back into subcutaneous tissue, which can cause irritation or
staining. It does not prevent nerve injury (this depends on site selection), does not allow
larger volumes, and does not affect absorption rate .
4. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of
the following interventions should the nurse include in the plan?
A) Encourage the client to gain 2.3 kg per week
B) Weigh the client once per week throughout hospitalization
C) Monitor the client for 1 hour after meals
D) Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa are at risk for purging behaviors after meals.
Monitoring the client for 1 hour after meals prevents purging and ensures the client does not
engage in compensatory behaviors. Weight gain should be gradual (0.5-1 kg/week).
Weighing should occur at the same time daily, not weekly. Clients should not choose
mealtimes as this may reinforce control issues .
5. A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions should the
nurse include in the plan of care?
, A) Perform active range-of-motion exercises
B) Maintain the head at a midline position
C) Suction the airway frequently
D) Perform neurological checks every 4 hours
Correct Answer: B
Rationale: Maintaining the head in a midline position promotes venous drainage from the
head, which helps decrease intracranial pressure. Active range-of-motion exercises could
increase ICP. Frequent suctioning can also increase ICP. Neurological checks should be
performed more frequently (at least every 1-2 hours) in clients with decreased level of
consciousness .
6. A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect?
A) Hallucinations
B) Agnosia
C) Bradycardia
D) Aphasia
Correct Answer: A
Rationale: Delirium is an acute, fluctuating disturbance in attention and awareness.
Hallucinations are common in delirium. Agnosia and aphasia are more characteristic of
dementia. Bradycardia is not typically associated with delirium; tachycardia may be present
due to underlying illness .
Predictor Forms A, B & C | 180+ NGN Practice
Questions with Correct Answers & Rationales |
2025/2026 Edition | Graded A+ Guaranteed Pass
Section 1: Fundamentals of Nursing Practice (Questions 1-40)
1. A nurse is admitting a client who has antisocial personality disorder. Which of the
following client behaviors should the nurse identify as consistent with this disorder?
A) Compulsive attention to details
B) Avoids interacting with others
C) Uses others for personal gain
D) Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pervasive pattern of
disregard for and violation of the rights of others. Clients with this disorder often use others
for personal gain, lack empathy, and demonstrate manipulative behaviors. Compulsive
attention to details is associated with obsessive-compulsive personality disorder. Avoiding
social interaction is typical of schizoid or avoidant personality disorders .
, 2. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the priority
action?
A) Notify the facility operator
B) Close the fire doors on the unit
C) Turn off oxygen sources
D) Put out the fire with the appropriate extinguisher
Correct Answer: A
Rationale: After removing the client from immediate danger, the RACE protocol guides fire
response: Rescue, Alarm, Confine, Extinguish. Activating the alarm (notifying the facility
operator) is the priority to alert the fire response team and initiate evacuation procedures.
Closing fire doors (confine) and using an extinguisher should follow notification .
3. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A) This technique prevents injury to the sciatic nerve
B) This technique decreases the risk of subcutaneous infiltration
C) This technique allows a larger amount of medication to be injected
D) This technique increases the absorption rate of the drug
Correct Answer: B
, Rationale: The Z-track technique is used for deep intramuscular injections to prevent
medication from leaking back into subcutaneous tissue, which can cause irritation or
staining. It does not prevent nerve injury (this depends on site selection), does not allow
larger volumes, and does not affect absorption rate .
4. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of
the following interventions should the nurse include in the plan?
A) Encourage the client to gain 2.3 kg per week
B) Weigh the client once per week throughout hospitalization
C) Monitor the client for 1 hour after meals
D) Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa are at risk for purging behaviors after meals.
Monitoring the client for 1 hour after meals prevents purging and ensures the client does not
engage in compensatory behaviors. Weight gain should be gradual (0.5-1 kg/week).
Weighing should occur at the same time daily, not weekly. Clients should not choose
mealtimes as this may reinforce control issues .
5. A nurse is planning care for a child who has increased intracranial pressure with a
decrease in level of consciousness. Which of the following interventions should the
nurse include in the plan of care?
, A) Perform active range-of-motion exercises
B) Maintain the head at a midline position
C) Suction the airway frequently
D) Perform neurological checks every 4 hours
Correct Answer: B
Rationale: Maintaining the head in a midline position promotes venous drainage from the
head, which helps decrease intracranial pressure. Active range-of-motion exercises could
increase ICP. Frequent suctioning can also increase ICP. Neurological checks should be
performed more frequently (at least every 1-2 hours) in clients with decreased level of
consciousness .
6. A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect?
A) Hallucinations
B) Agnosia
C) Bradycardia
D) Aphasia
Correct Answer: A
Rationale: Delirium is an acute, fluctuating disturbance in attention and awareness.
Hallucinations are common in delirium. Agnosia and aphasia are more characteristic of
dementia. Bradycardia is not typically associated with delirium; tachycardia may be present
due to underlying illness .
