VATI GREEN LIGHT COMPREHENSIVE FORM
A, B, C NEWEST ACTUAL EXAM 3 VERSIONS
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES 100% GUARANTEED PASS
GRADED A+ LATEST
VATI Green Light Comprehensive Exam – Form A
1. A nurse is caring for a client with heart failure who reports shortness of breath at
rest. Which assessment finding requires immediate action?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lung bases
C. Oxygen saturation of 88% on room air
D. Peripheral edema in lower extremities
Correct Answer: C
Rationale: An oxygen saturation of 88% indicates hypoxemia and requires
immediate intervention to prevent respiratory compromise.
2. A client with diabetes mellitus is scheduled for surgery and is NPO. Which
action should the nurse take regarding insulin administration?
A. Hold all insulin
B. Administer the full prescribed dose
C. Administer sliding-scale insulin only
D. Clarify prescriptions with the provider
Correct Answer: D
Rationale: Insulin needs may change when a client is NPO. The nurse should
clarify orders to prevent hypo- or hyperglycemia.
,3. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A. “I will increase foods high in vitamin K.”
B. “I should report signs of bleeding immediately.”
C. “I can take aspirin for headaches.”
D. “I no longer need blood tests.”
Correct Answer: B
Rationale: Warfarin increases bleeding risk, and clients must promptly report
bleeding. Vitamin K intake should remain consistent.
4. A client with COPD is prescribed oxygen at 2 L/min via nasal cannula. Which
finding indicates the therapy is effective?
A. Respiratory rate of 10/min
B. Oxygen saturation of 92%
C. Decreased PaCO₂ below normal
D. Absence of wheezing
Correct Answer: B
Rationale: Target oxygen saturation for COPD clients is typically 88–92%,
indicating adequate oxygenation without suppressing respiratory drive.
5. A postoperative client reports calf pain and warmth. Which action should the
nurse take first?
A. Encourage ambulation
B. Apply heat
C. Notify the provider
D. Massage the area
Correct Answer: C
Rationale: These findings suggest possible deep vein thrombosis, requiring
immediate provider notification.
,6. A nurse is caring for a client receiving IV potassium chloride. Which action is
appropriate?
A. Administer IV push
B. Dilute and infuse slowly
C. Mix with dextrose only
D. Give via central line only
Correct Answer: B
Rationale: Potassium chloride must always be diluted and infused slowly to
prevent cardiac dysrhythmias.
7. A client with pneumonia has a fever and productive cough. Which intervention
helps improve airway clearance?
A. Limit oral fluids
B. Encourage coughing and deep breathing
C. Place in supine position
D. Administer antitussives routinely
Correct Answer: B
Rationale: Coughing and deep breathing promote secretion mobilization and lung
expansion.
8. A nurse is preparing to administer a medication to a client with a known latex
allergy. Which action is essential?
A. Use powder-free gloves
B. Verify medication dose
C. Avoid latex-containing equipment
D. Administer antihistamines first
Correct Answer: C
Rationale: Preventing exposure to latex is critical to avoid allergic reactions.
, 9. A client receiving total parenteral nutrition (TPN) develops confusion and
diaphoresis. Which complication is most likely?
A. Hypernatremia
B. Hypoglycemia
C. Infection
D. Fluid overload
Correct Answer: B
Rationale: Abrupt changes or interruptions in TPN can cause hypoglycemia,
leading to neurologic symptoms.
10. A nurse is assessing a client with acute pancreatitis. Which laboratory value
should the nurse expect to be elevated?
A. Hemoglobin
B. Lipase
C. Potassium
D. Albumin
Correct Answer: B
Rationale: Lipase is a key diagnostic marker for pancreatitis.
11. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which finding is most concerning?
A. Muscle weakness
B. Bradycardia
C. Peaked T waves on ECG
D. Fatigue
Correct Answer: C
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias,
reflected by peaked T waves.
A, B, C NEWEST ACTUAL EXAM 3 VERSIONS
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES 100% GUARANTEED PASS
GRADED A+ LATEST
VATI Green Light Comprehensive Exam – Form A
1. A nurse is caring for a client with heart failure who reports shortness of breath at
rest. Which assessment finding requires immediate action?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lung bases
C. Oxygen saturation of 88% on room air
D. Peripheral edema in lower extremities
Correct Answer: C
Rationale: An oxygen saturation of 88% indicates hypoxemia and requires
immediate intervention to prevent respiratory compromise.
2. A client with diabetes mellitus is scheduled for surgery and is NPO. Which
action should the nurse take regarding insulin administration?
A. Hold all insulin
B. Administer the full prescribed dose
C. Administer sliding-scale insulin only
D. Clarify prescriptions with the provider
Correct Answer: D
Rationale: Insulin needs may change when a client is NPO. The nurse should
clarify orders to prevent hypo- or hyperglycemia.
,3. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A. “I will increase foods high in vitamin K.”
B. “I should report signs of bleeding immediately.”
C. “I can take aspirin for headaches.”
D. “I no longer need blood tests.”
Correct Answer: B
Rationale: Warfarin increases bleeding risk, and clients must promptly report
bleeding. Vitamin K intake should remain consistent.
4. A client with COPD is prescribed oxygen at 2 L/min via nasal cannula. Which
finding indicates the therapy is effective?
A. Respiratory rate of 10/min
B. Oxygen saturation of 92%
C. Decreased PaCO₂ below normal
D. Absence of wheezing
Correct Answer: B
Rationale: Target oxygen saturation for COPD clients is typically 88–92%,
indicating adequate oxygenation without suppressing respiratory drive.
5. A postoperative client reports calf pain and warmth. Which action should the
nurse take first?
A. Encourage ambulation
B. Apply heat
C. Notify the provider
D. Massage the area
Correct Answer: C
Rationale: These findings suggest possible deep vein thrombosis, requiring
immediate provider notification.
,6. A nurse is caring for a client receiving IV potassium chloride. Which action is
appropriate?
A. Administer IV push
B. Dilute and infuse slowly
C. Mix with dextrose only
D. Give via central line only
Correct Answer: B
Rationale: Potassium chloride must always be diluted and infused slowly to
prevent cardiac dysrhythmias.
7. A client with pneumonia has a fever and productive cough. Which intervention
helps improve airway clearance?
A. Limit oral fluids
B. Encourage coughing and deep breathing
C. Place in supine position
D. Administer antitussives routinely
Correct Answer: B
Rationale: Coughing and deep breathing promote secretion mobilization and lung
expansion.
8. A nurse is preparing to administer a medication to a client with a known latex
allergy. Which action is essential?
A. Use powder-free gloves
B. Verify medication dose
C. Avoid latex-containing equipment
D. Administer antihistamines first
Correct Answer: C
Rationale: Preventing exposure to latex is critical to avoid allergic reactions.
, 9. A client receiving total parenteral nutrition (TPN) develops confusion and
diaphoresis. Which complication is most likely?
A. Hypernatremia
B. Hypoglycemia
C. Infection
D. Fluid overload
Correct Answer: B
Rationale: Abrupt changes or interruptions in TPN can cause hypoglycemia,
leading to neurologic symptoms.
10. A nurse is assessing a client with acute pancreatitis. Which laboratory value
should the nurse expect to be elevated?
A. Hemoglobin
B. Lipase
C. Potassium
D. Albumin
Correct Answer: B
Rationale: Lipase is a key diagnostic marker for pancreatitis.
11. A client with chronic kidney disease has a potassium level of 6.2 mEq/L.
Which finding is most concerning?
A. Muscle weakness
B. Bradycardia
C. Peaked T waves on ECG
D. Fatigue
Correct Answer: C
Rationale: Hyperkalemia can cause life-threatening cardiac dysrhythmias,
reflected by peaked T waves.
