NGN-style questions and Correct Answers with rationales
based on the Virtual ATI Greenlight Predictor Exam 2023
format.
SECTION 1: FUNDAMENTALS OF NURSING CARE
Question 1
A nurse has delegated care to an assistive personnel (AP). At the end of the shift, the AP asks
the nurse to enter data for her because the AP has forgotten her password and needs to leave.
Which of the following actions should the nurse take?
A) Enter the data for the AP to help her leave on time
B) Tell the AP to contact the IT department for charting assistance
C) Ask another AP to enter the data
D) Ignore the request and document that the AP failed to chart
Correct Answer: B
Rationale: The nurse should not enter data for another staff member under their own
credentials, as this violates HIPAA and facility policies regarding data integrity and
accountability. The AP must contact the IT department to reset her password and complete her
own charting.
Question 2
A nurse in a long-term care facility is observing an assistive personnel (AP) who is performing
hand hygiene. Which of the following actions by the AP requires intervention?
A) Washing hands for 20 seconds
B) Using soap and warm water
C) Holding his hands up and elbows down while washing his hands
D) Drying hands with a paper towel
Correct Answer: C
,Rationale: During hand hygiene, the AP should hold hands down and elbows up to allow water to
flow from the cleanest area (hands) to the dirtiest area (elbows). Holding hands up allows
contaminated water to flow back onto the hands.
Question 3
A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the
newborn nursery. For which of the following newborn care procedures should the nurse remind
the AP to wear clean gloves?
A) Weighing the newborn
B) Bathing the newborn
C) Applying an identification bracelet
D) Feeding the newborn
Correct Answer: C
Rationale: Standard precautions require the use of gloves when there is potential contact with
blood or body fluids. Applying an identification bracelet involves potential contact with the
newborn's blood if the bracelet is applied using a closure that may break the skin.
Question 4
A nurse is checking the home environment of a client for safety hazards. Which of the following
items requires intervention by the nurse?
A) The television set is turned to a loud volume
B) The client is wearing non-skid slippers
C) The client uses a walker for ambulation
D) The bathroom has grab bars installed
Correct Answer: A
Rationale: Loud television volume can be a safety hazard because it may prevent the client from
hearing important sounds such as smoke alarms, doorbells, or telephone calls. It can also
contribute to sensory overload and confusion, especially in older adults.
Question 5
, A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following
methods should the nurse plan to use?
A) Pull the auricle downward and backward
B) Pull the auricle upward and backward
C) Pull the auricle upward and forward
D) Pull the auricle downward and forward
Correct Answer: B
Rationale: For an adult client, the nurse should pull the auricle upward and backward to
straighten the ear canal and allow the medication to reach the tympanic membrane. For children
under 3 years, the auricle is pulled downward and backward.
Question 6
A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the
following places the client at risk for aspiration?
A) Positioning the client in a high-Fowler's position
B) Checking gastric residual volume before each feeding
C) Administering the feeding too rapidly
D) Flushing the tube with water after the feeding
Correct Answer: C
Rationale: Administering enteral feedings too rapidly increases the risk of gastric distension and
reflux, which can lead to aspiration. Feedings should be administered over the prescribed time
using an infusion pump.
SECTION 2: MEDICAL-SURGICAL NURSING
Question 7
A nurse is establishing a baseline postoperative assessment for a client who is recovering from
a right femoropopliteal bypass graft. Which of the following findings in the assessment of the
client's right leg should be of the most concern to the nurse?
based on the Virtual ATI Greenlight Predictor Exam 2023
format.
SECTION 1: FUNDAMENTALS OF NURSING CARE
Question 1
A nurse has delegated care to an assistive personnel (AP). At the end of the shift, the AP asks
the nurse to enter data for her because the AP has forgotten her password and needs to leave.
Which of the following actions should the nurse take?
A) Enter the data for the AP to help her leave on time
B) Tell the AP to contact the IT department for charting assistance
C) Ask another AP to enter the data
D) Ignore the request and document that the AP failed to chart
Correct Answer: B
Rationale: The nurse should not enter data for another staff member under their own
credentials, as this violates HIPAA and facility policies regarding data integrity and
accountability. The AP must contact the IT department to reset her password and complete her
own charting.
Question 2
A nurse in a long-term care facility is observing an assistive personnel (AP) who is performing
hand hygiene. Which of the following actions by the AP requires intervention?
A) Washing hands for 20 seconds
B) Using soap and warm water
C) Holding his hands up and elbows down while washing his hands
D) Drying hands with a paper towel
Correct Answer: C
,Rationale: During hand hygiene, the AP should hold hands down and elbows up to allow water to
flow from the cleanest area (hands) to the dirtiest area (elbows). Holding hands up allows
contaminated water to flow back onto the hands.
Question 3
A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the
newborn nursery. For which of the following newborn care procedures should the nurse remind
the AP to wear clean gloves?
A) Weighing the newborn
B) Bathing the newborn
C) Applying an identification bracelet
D) Feeding the newborn
Correct Answer: C
Rationale: Standard precautions require the use of gloves when there is potential contact with
blood or body fluids. Applying an identification bracelet involves potential contact with the
newborn's blood if the bracelet is applied using a closure that may break the skin.
Question 4
A nurse is checking the home environment of a client for safety hazards. Which of the following
items requires intervention by the nurse?
A) The television set is turned to a loud volume
B) The client is wearing non-skid slippers
C) The client uses a walker for ambulation
D) The bathroom has grab bars installed
Correct Answer: A
Rationale: Loud television volume can be a safety hazard because it may prevent the client from
hearing important sounds such as smoke alarms, doorbells, or telephone calls. It can also
contribute to sensory overload and confusion, especially in older adults.
Question 5
, A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following
methods should the nurse plan to use?
A) Pull the auricle downward and backward
B) Pull the auricle upward and backward
C) Pull the auricle upward and forward
D) Pull the auricle downward and forward
Correct Answer: B
Rationale: For an adult client, the nurse should pull the auricle upward and backward to
straighten the ear canal and allow the medication to reach the tympanic membrane. For children
under 3 years, the auricle is pulled downward and backward.
Question 6
A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the
following places the client at risk for aspiration?
A) Positioning the client in a high-Fowler's position
B) Checking gastric residual volume before each feeding
C) Administering the feeding too rapidly
D) Flushing the tube with water after the feeding
Correct Answer: C
Rationale: Administering enteral feedings too rapidly increases the risk of gastric distension and
reflux, which can lead to aspiration. Feedings should be administered over the prescribed time
using an infusion pump.
SECTION 2: MEDICAL-SURGICAL NURSING
Question 7
A nurse is establishing a baseline postoperative assessment for a client who is recovering from
a right femoropopliteal bypass graft. Which of the following findings in the assessment of the
client's right leg should be of the most concern to the nurse?
