VATI GREEN LIGHT PREDICTOR VERSION 1& 2
Actual Exam 2025/2026 / VATI GREEN LIGHT
PREDICTOR Exam
VATI Green Light Predictor Exam: High-Yield Practice Questions
Section 1: Management of Care & Prioritization
Question Type: Multiple Choice
1. A nurse is prioritizing care for four clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 110/70 mmHg reporting mild dizziness.
B. A client with a respiratory rate of 28 breaths/min and oxygen saturation of
90%.
C. A client with a temperature of 100.2°F (37.9°C) awaiting discharge.
D. A client with a scheduled medication due in 30 minutes.
Answer: B
Rationale: Prioritization follows the ABCs (Airway, Breathing, Circulation). A
respiratory rate of 28 breaths/min and oxygen saturation of 90% indicate
potential respiratory distress, which is a priority over mild dizziness (A), a low-
grade fever (C), or a scheduled medication (D). The client with low oxygen
saturation requires immediate assessment to prevent further deterioration .
Question Type: Ordered Response (NGN Style)
2. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Place the following actions in the
correct order after determining the client does not have a palpable pulse.
, 1. Administer epinephrine.
2. Defibrillate.
3. Establish IV access.
4. Assess heart sounds.
Correct Order: 2, 3, 1
Rationale: The sequence for a pulseless client in V-tach follows the Cardiac Chain
of Survival. Defibrillation is the priority action to terminate the lethal rhythm.
Following defibrillation, the team establishes IV access to administer life-saving
medications like epinephrine .
Question Type: Select All That Apply
3. A nurse is admitting a client who is 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client. The
client's partner and 10-year-old child are accompanying her. Which of the
following actions should the nurse take? (Select all that apply)
A. Have the client's child translate.
B. Allow the client's partner to translate.
C. Request a female interpreter through the facility.
D. Ask a nursing student who speaks the same language as the client to translate.
E. Use simple, direct questions with non-verbal cues.
Answers: C, E
Rationale: Using a professional, facility-approved interpreter ensures accuracy
and confidentiality, and a female interpreter is often preferred for
obstetrical/gynecological care to respect cultural sensitivities. Using simple
language and non-verbal cues is a helpful adjunct. Family members, especially
children, should not be used as interpreters due to potential breaches of
confidentiality, inaccuracy, and emotional burden .
Section 2: Pharmacology
Question Type: Multiple Choice
,4. A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for phenelzine (Nardil). Which of the following foods should the
nurse instruct the client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese
D. Smoked salmon
Answer: D
Rationale: Phenelzine is an MAOI (Monoamine Oxidase Inhibitor). Clients must
avoid foods high in tyramine to prevent a hypertensive crisis. Tyramine-rich foods
include aged cheeses, cured meats (like smoked salmon), fermented products,
and certain beers and wines .
Question Type: Multiple Choice
5. A nurse is caring for a client who has a new prescription for lithium carbonate.
Prior to administering the first dose, which of the following laboratory values
should the nurse evaluate?
A. Arterial blood gases
B. Total cholesterol
C. Thyroid hormones
D. Hemoglobin
Answer: C
Rationale: Lithium carbonate can cause hypothyroidism as a significant side
effect. Establishing a baseline for thyroid function (TSH, T3, T4) before initiating
therapy is crucial for monitoring and comparison during treatment. This allows
the healthcare team to detect any drug-induced thyroid dysfunction early .
Question Type: Multiple Choice
6. A nurse is preparing a client's insulin regimen. Which of the following insulins
can be mixed in the same syringe? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
, D. Insulin detemir
E. Insulin lispro
Answers: A, B, E
Rationale: Short-acting (Regular) and rapid-acting insulins (aspart, lispro, glulisine)
can be mixed with intermediate-acting (NPH) insulins. Long-acting insulins like
glargine (Lantus) and detemir (Levemir) must never be mixed with any other
insulin as this can alter their absorption and duration of action .
Section 3: Maternal-Newborn & Women's Health
Question Type: Multiple Choice
7. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Answer: D
Rationale: Amniocentesis can trigger uterine irritability, leading to contractions
and potential preterm labor, especially at 33 weeks gestation. Monitoring for
contractions is essential. Vomiting, hypertension, and epigastric pain are not
common complications of amniocentesis .
Question Type: Multiple Choice
8. A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling
B. Cervical cultures for chlamydia
C. Nonstress test
D. Maternal serum alpha-fetoprotein (MSAFP)
Actual Exam 2025/2026 / VATI GREEN LIGHT
PREDICTOR Exam
VATI Green Light Predictor Exam: High-Yield Practice Questions
Section 1: Management of Care & Prioritization
Question Type: Multiple Choice
1. A nurse is prioritizing care for four clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 110/70 mmHg reporting mild dizziness.
B. A client with a respiratory rate of 28 breaths/min and oxygen saturation of
90%.
C. A client with a temperature of 100.2°F (37.9°C) awaiting discharge.
D. A client with a scheduled medication due in 30 minutes.
Answer: B
Rationale: Prioritization follows the ABCs (Airway, Breathing, Circulation). A
respiratory rate of 28 breaths/min and oxygen saturation of 90% indicate
potential respiratory distress, which is a priority over mild dizziness (A), a low-
grade fever (C), or a scheduled medication (D). The client with low oxygen
saturation requires immediate assessment to prevent further deterioration .
Question Type: Ordered Response (NGN Style)
2. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Place the following actions in the
correct order after determining the client does not have a palpable pulse.
, 1. Administer epinephrine.
2. Defibrillate.
3. Establish IV access.
4. Assess heart sounds.
Correct Order: 2, 3, 1
Rationale: The sequence for a pulseless client in V-tach follows the Cardiac Chain
of Survival. Defibrillation is the priority action to terminate the lethal rhythm.
Following defibrillation, the team establishes IV access to administer life-saving
medications like epinephrine .
Question Type: Select All That Apply
3. A nurse is admitting a client who is 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client. The
client's partner and 10-year-old child are accompanying her. Which of the
following actions should the nurse take? (Select all that apply)
A. Have the client's child translate.
B. Allow the client's partner to translate.
C. Request a female interpreter through the facility.
D. Ask a nursing student who speaks the same language as the client to translate.
E. Use simple, direct questions with non-verbal cues.
Answers: C, E
Rationale: Using a professional, facility-approved interpreter ensures accuracy
and confidentiality, and a female interpreter is often preferred for
obstetrical/gynecological care to respect cultural sensitivities. Using simple
language and non-verbal cues is a helpful adjunct. Family members, especially
children, should not be used as interpreters due to potential breaches of
confidentiality, inaccuracy, and emotional burden .
Section 2: Pharmacology
Question Type: Multiple Choice
,4. A nurse is providing teaching to a client who has a depressive disorder and a
new prescription for phenelzine (Nardil). Which of the following foods should the
nurse instruct the client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese
D. Smoked salmon
Answer: D
Rationale: Phenelzine is an MAOI (Monoamine Oxidase Inhibitor). Clients must
avoid foods high in tyramine to prevent a hypertensive crisis. Tyramine-rich foods
include aged cheeses, cured meats (like smoked salmon), fermented products,
and certain beers and wines .
Question Type: Multiple Choice
5. A nurse is caring for a client who has a new prescription for lithium carbonate.
Prior to administering the first dose, which of the following laboratory values
should the nurse evaluate?
A. Arterial blood gases
B. Total cholesterol
C. Thyroid hormones
D. Hemoglobin
Answer: C
Rationale: Lithium carbonate can cause hypothyroidism as a significant side
effect. Establishing a baseline for thyroid function (TSH, T3, T4) before initiating
therapy is crucial for monitoring and comparison during treatment. This allows
the healthcare team to detect any drug-induced thyroid dysfunction early .
Question Type: Multiple Choice
6. A nurse is preparing a client's insulin regimen. Which of the following insulins
can be mixed in the same syringe? (Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
, D. Insulin detemir
E. Insulin lispro
Answers: A, B, E
Rationale: Short-acting (Regular) and rapid-acting insulins (aspart, lispro, glulisine)
can be mixed with intermediate-acting (NPH) insulins. Long-acting insulins like
glargine (Lantus) and detemir (Levemir) must never be mixed with any other
insulin as this can alter their absorption and duration of action .
Section 3: Maternal-Newborn & Women's Health
Question Type: Multiple Choice
7. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Answer: D
Rationale: Amniocentesis can trigger uterine irritability, leading to contractions
and potential preterm labor, especially at 33 weeks gestation. Monitoring for
contractions is essential. Vomiting, hypertension, and epigastric pain are not
common complications of amniocentesis .
Question Type: Multiple Choice
8. A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling
B. Cervical cultures for chlamydia
C. Nonstress test
D. Maternal serum alpha-fetoprotein (MSAFP)
