VIRTUAL ATI PREDICTOR GREEN LIGHT COMPREHENSIVE
EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES A NEW UPDATED VERSION
LATEST 2026-2027 (100% CORRECT VERIFIED ANSWERS)
ALREADY GRADED A+
QUESTION 1
A nurse is caring for a client with septic shock who has a BP of 82/40 mm Hg, HR 132/min, and lactate 5.2 mmol/L.
Which prescription should the nurse implement first?
A. Administer IV broad-spectrum antibiotics
B. Infuse 0.9% NS 500 mL over 30 min
C. Obtain blood cultures
D. Administer norepinephrine infusion
Correct Answer: B
Rationale:
The client is hypotensive and in septic shock. The priority is rapid fluid resuscitation to restore circulating volume and
improve perfusion. Vasopressors are started after fluids if hypotension persists. Antibiotics are critical but fluid
resuscitation is the immediate life-saving action.
QUESTION 2
A client with diabetic ketoacidosis has glucose 620 mg/dL, potassium 3.1 mEq/L, and arterial pH 7.25. Which action is
the priority?
A. Start regular insulin infusion
B. Administer IV potassium
C. Administer sodium bicarbonate
D. Restrict fluids
Correct Answer: B
Rationale:
Potassium of 3.1 is critically low. Insulin will drive potassium into cells and worsen hypokalemia, potentially causing
lethal arrhythmias. Potassium must be corrected before insulin administration.
QUESTION 3
,A nurse is assessing a client 12 hours post–thyroidectomy. The client reports tingling around the mouth and fingers. What
is the nurse’s priority action?
A. Check serum TSH
B. Assess for Chvostek’s sign
C. Prepare for tracheostomy
D. Administer levothyroxine
Correct Answer: B
Rationale:
Perioral tingling suggests hypocalcemia from parathyroid damage. Assessing for Chvostek’s sign confirms
neuromuscular irritability. This can progress to laryngospasm.
QUESTION 4
A client receiving heparin infusion has an aPTT of 140 seconds. What action should the nurse take?
A. Increase infusion rate
B. Maintain current rate
C. Stop infusion
D. Administer warfarin
Correct Answer: C
Rationale:
An aPTT of 140 is critically elevated (therapeutic range ~60–80 sec). The infusion must be stopped to prevent bleeding.
QUESTION 5
A nurse is caring for a client with increased intracranial pressure (ICP). Which assessment finding requires immediate
intervention?
A. BP 170/50 mm Hg
B. HR 48/min
C. Irregular respirations
D. All of the above
Correct Answer: D
Rationale:
This is Cushing’s triad (widened pulse pressure, bradycardia, irregular respirations), indicating impending brain
herniation. Immediate intervention is required.
QUESTION 6
A client with heart failure develops acute shortness of breath and pink frothy sputum. What is the first nursing action?
A. Administer IV furosemide
B. Place in high-Fowler’s position
, C. Administer morphine
D. Apply oxygen at 2 L/min
Correct Answer: B
Rationale:
Positioning improves lung expansion and reduces preload immediately. It is the fastest noninvasive intervention.
QUESTION 7
A nurse is caring for a client with Addisonian crisis. Which finding is expected?
A. Hypernatremia
B. Hyperkalemia
C. Hypertension
D. Hyperglycemia
Correct Answer: B
Rationale:
Addisonian crisis causes aldosterone deficiency → sodium loss and potassium retention → hyperkalemia.
QUESTION 8
A client with SIADH has sodium 118 mEq/L. Which manifestation requires immediate reporting?
A. Dry mucous membranes
B. Muscle cramps
C. Confusion
D. Polyuria
Correct Answer: C
Rationale:
Severe hyponatremia can cause cerebral edema and seizures. Neurological changes are priority.
QUESTION 9
A client receiving morphine becomes difficult to arouse with respirations 8/min. What is the priority action?
A. Stimulate the client
B. Administer naloxone
C. Increase oxygen flow
D. Call the provider
Correct Answer: B
Rationale:
Respiratory depression is life-threatening. Naloxone reverses opioid effects immediately.
EXAM ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES A NEW UPDATED VERSION
LATEST 2026-2027 (100% CORRECT VERIFIED ANSWERS)
ALREADY GRADED A+
QUESTION 1
A nurse is caring for a client with septic shock who has a BP of 82/40 mm Hg, HR 132/min, and lactate 5.2 mmol/L.
Which prescription should the nurse implement first?
A. Administer IV broad-spectrum antibiotics
B. Infuse 0.9% NS 500 mL over 30 min
C. Obtain blood cultures
D. Administer norepinephrine infusion
Correct Answer: B
Rationale:
The client is hypotensive and in septic shock. The priority is rapid fluid resuscitation to restore circulating volume and
improve perfusion. Vasopressors are started after fluids if hypotension persists. Antibiotics are critical but fluid
resuscitation is the immediate life-saving action.
QUESTION 2
A client with diabetic ketoacidosis has glucose 620 mg/dL, potassium 3.1 mEq/L, and arterial pH 7.25. Which action is
the priority?
A. Start regular insulin infusion
B. Administer IV potassium
C. Administer sodium bicarbonate
D. Restrict fluids
Correct Answer: B
Rationale:
Potassium of 3.1 is critically low. Insulin will drive potassium into cells and worsen hypokalemia, potentially causing
lethal arrhythmias. Potassium must be corrected before insulin administration.
QUESTION 3
,A nurse is assessing a client 12 hours post–thyroidectomy. The client reports tingling around the mouth and fingers. What
is the nurse’s priority action?
A. Check serum TSH
B. Assess for Chvostek’s sign
C. Prepare for tracheostomy
D. Administer levothyroxine
Correct Answer: B
Rationale:
Perioral tingling suggests hypocalcemia from parathyroid damage. Assessing for Chvostek’s sign confirms
neuromuscular irritability. This can progress to laryngospasm.
QUESTION 4
A client receiving heparin infusion has an aPTT of 140 seconds. What action should the nurse take?
A. Increase infusion rate
B. Maintain current rate
C. Stop infusion
D. Administer warfarin
Correct Answer: C
Rationale:
An aPTT of 140 is critically elevated (therapeutic range ~60–80 sec). The infusion must be stopped to prevent bleeding.
QUESTION 5
A nurse is caring for a client with increased intracranial pressure (ICP). Which assessment finding requires immediate
intervention?
A. BP 170/50 mm Hg
B. HR 48/min
C. Irregular respirations
D. All of the above
Correct Answer: D
Rationale:
This is Cushing’s triad (widened pulse pressure, bradycardia, irregular respirations), indicating impending brain
herniation. Immediate intervention is required.
QUESTION 6
A client with heart failure develops acute shortness of breath and pink frothy sputum. What is the first nursing action?
A. Administer IV furosemide
B. Place in high-Fowler’s position
, C. Administer morphine
D. Apply oxygen at 2 L/min
Correct Answer: B
Rationale:
Positioning improves lung expansion and reduces preload immediately. It is the fastest noninvasive intervention.
QUESTION 7
A nurse is caring for a client with Addisonian crisis. Which finding is expected?
A. Hypernatremia
B. Hyperkalemia
C. Hypertension
D. Hyperglycemia
Correct Answer: B
Rationale:
Addisonian crisis causes aldosterone deficiency → sodium loss and potassium retention → hyperkalemia.
QUESTION 8
A client with SIADH has sodium 118 mEq/L. Which manifestation requires immediate reporting?
A. Dry mucous membranes
B. Muscle cramps
C. Confusion
D. Polyuria
Correct Answer: C
Rationale:
Severe hyponatremia can cause cerebral edema and seizures. Neurological changes are priority.
QUESTION 9
A client receiving morphine becomes difficult to arouse with respirations 8/min. What is the priority action?
A. Stimulate the client
B. Administer naloxone
C. Increase oxygen flow
D. Call the provider
Correct Answer: B
Rationale:
Respiratory depression is life-threatening. Naloxone reverses opioid effects immediately.
