VATI Green Light Comprehensive
Predictor (Forms A, B, C) - Latest 2026
Actual Exam: All Questions with Verified
Answers and Detailed Rationales |
Already Graded A+
Fundamentals of Nursing & Safety
Question 1
A nurse is preparing to insert a nasogastric (NG) tube for a patient who is
alert and oriented. Which of the following actions should the nurse take
first?
A) Measure the length of the tube from the tip of the nose to the earlobe
to the xiphoid process
B) Lubricate the tip of the tube with water-soluble jelly
C) Place the patient in a high-Fowler's position
D) Explain the procedure to the patient and obtain consent
,,,,answer,,,: D) Explain the procedure to the patient and obtain
consent
,Rationale: Before performing any invasive procedure, the nurse must first
explain the procedure and obtain informed consent from a competent
patient. While positioning, measuring, and lubricating are important
steps, they occur after the patient has been educated and has agreed to
the procedure. Patient autonomy and informed consent are foundational
ethical and legal principles in nursing.
Question 2
A patient with a history of falls is prescribed a benzodiazepine for anxiety.
Which of the following nursing interventions is most important to include
in the care plan?
A) Administer the medication with food to reduce gastric upset
B) Monitor liver function tests weekly
C) Implement fall precautions, including bed alarms and nonslip
footwear
D) Encourage the patient to ambulate four times daily
,,,,answer,,,: C) Implement fall precautions, including bed alarms and
nonslip footwear
Rationale: Benzodiazepines increase the risk of falls due to sedation,
dizziness, and muscle relaxation. The priority intervention is to prevent
falls through safety measures. While monitoring liver function may be
relevant for some medications and ambulation is generally beneficial,
fall prevention is the most critical safety intervention for this patient.
,Question 3
A nurse is caring for a patient on contact precautions for Clostridium
difficile (C. diff). Which of the following actions is correct?
A) Use an alcohol-based hand sanitizer after removing gloves
B) Wear a gown and gloves when entering the room
C) Place the patient in a negative-pressure room
D) Wear an N95 respirator during all patient contact
,,,,answer,,,: B) Wear a gown and gloves when entering the room
Rationale: Contact precautions require gown and gloves for all
interactions with the patient or the patient's environment. C. diff spores
are not killed by alcohol-based hand sanitizers, so handwashing with
soap and water is required after glove removal. Negative-pressure rooms
are for airborne precautions (e.g., tuberculosis), and N95 respirators are
for airborne or droplet precautions requiring respiratory protection.
Question 4
A patient is receiving a blood transfusion and develops chills, fever, and
lower back pain. What is the nurse's priority action?
A) Slow the transfusion rate and monitor vital signs
B) Administer acetaminophen as prescribed
C) Stop the transfusion and notify the provider
D) Flush the IV line with normal saline
,,,,answer,,,: C) Stop the transfusion and notify the provider
, Rationale: Chills, fever, and back pain are signs of a transfusion reaction,
likely febrile or hemolytic. The priority action is to stop the transfusion
immediately to prevent further harm, then notify the provider and initiate
the facility's transfusion reaction protocol. Slowing the rate or
administering medications would delay critical intervention.
Question 5
A nurse is calculating the intake and output for a patient. The patient
ingested 240 mL of water, 180 mL of milk, and 120 mL of juice. The IV
fluids infused at 75 mL/hr for 8 hours. The patient voided 400 mL and had
150 mL of emesis. What is the patient's total intake?
A) 540 mL
B) 1,140 mL
C) 1,020 mL
D) 1,140 mL with output of 550 mL
,,,,answer,,,: B) 1,140 mL
Rationale: Total intake = oral fluids (240 + 180 + 120 = 540 mL) + IV fluids
(75 mL × 8 hrs = 600 mL) = 1,140 mL. Total output = 400 + 150 = 550 mL.
The question asks for total intake only, which is 1,140 mL. Monitoring
intake and output is essential for fluid balance assessment.
Question 6
Predictor (Forms A, B, C) - Latest 2026
Actual Exam: All Questions with Verified
Answers and Detailed Rationales |
Already Graded A+
Fundamentals of Nursing & Safety
Question 1
A nurse is preparing to insert a nasogastric (NG) tube for a patient who is
alert and oriented. Which of the following actions should the nurse take
first?
A) Measure the length of the tube from the tip of the nose to the earlobe
to the xiphoid process
B) Lubricate the tip of the tube with water-soluble jelly
C) Place the patient in a high-Fowler's position
D) Explain the procedure to the patient and obtain consent
,,,,answer,,,: D) Explain the procedure to the patient and obtain
consent
,Rationale: Before performing any invasive procedure, the nurse must first
explain the procedure and obtain informed consent from a competent
patient. While positioning, measuring, and lubricating are important
steps, they occur after the patient has been educated and has agreed to
the procedure. Patient autonomy and informed consent are foundational
ethical and legal principles in nursing.
Question 2
A patient with a history of falls is prescribed a benzodiazepine for anxiety.
Which of the following nursing interventions is most important to include
in the care plan?
A) Administer the medication with food to reduce gastric upset
B) Monitor liver function tests weekly
C) Implement fall precautions, including bed alarms and nonslip
footwear
D) Encourage the patient to ambulate four times daily
,,,,answer,,,: C) Implement fall precautions, including bed alarms and
nonslip footwear
Rationale: Benzodiazepines increase the risk of falls due to sedation,
dizziness, and muscle relaxation. The priority intervention is to prevent
falls through safety measures. While monitoring liver function may be
relevant for some medications and ambulation is generally beneficial,
fall prevention is the most critical safety intervention for this patient.
,Question 3
A nurse is caring for a patient on contact precautions for Clostridium
difficile (C. diff). Which of the following actions is correct?
A) Use an alcohol-based hand sanitizer after removing gloves
B) Wear a gown and gloves when entering the room
C) Place the patient in a negative-pressure room
D) Wear an N95 respirator during all patient contact
,,,,answer,,,: B) Wear a gown and gloves when entering the room
Rationale: Contact precautions require gown and gloves for all
interactions with the patient or the patient's environment. C. diff spores
are not killed by alcohol-based hand sanitizers, so handwashing with
soap and water is required after glove removal. Negative-pressure rooms
are for airborne precautions (e.g., tuberculosis), and N95 respirators are
for airborne or droplet precautions requiring respiratory protection.
Question 4
A patient is receiving a blood transfusion and develops chills, fever, and
lower back pain. What is the nurse's priority action?
A) Slow the transfusion rate and monitor vital signs
B) Administer acetaminophen as prescribed
C) Stop the transfusion and notify the provider
D) Flush the IV line with normal saline
,,,,answer,,,: C) Stop the transfusion and notify the provider
, Rationale: Chills, fever, and back pain are signs of a transfusion reaction,
likely febrile or hemolytic. The priority action is to stop the transfusion
immediately to prevent further harm, then notify the provider and initiate
the facility's transfusion reaction protocol. Slowing the rate or
administering medications would delay critical intervention.
Question 5
A nurse is calculating the intake and output for a patient. The patient
ingested 240 mL of water, 180 mL of milk, and 120 mL of juice. The IV
fluids infused at 75 mL/hr for 8 hours. The patient voided 400 mL and had
150 mL of emesis. What is the patient's total intake?
A) 540 mL
B) 1,140 mL
C) 1,020 mL
D) 1,140 mL with output of 550 mL
,,,,answer,,,: B) 1,140 mL
Rationale: Total intake = oral fluids (240 + 180 + 120 = 540 mL) + IV fluids
(75 mL × 8 hrs = 600 mL) = 1,140 mL. Total output = 400 + 150 = 550 mL.
The question asks for total intake only, which is 1,140 mL. Monitoring
intake and output is essential for fluid balance assessment.
Question 6
