Virtual ATI Green Light Comprehensive Predictor Exam 2026-2027
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Question 1
A nurse is caring for a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following findings indicates that the client
understands the teaching about insulin administration?
A. The client stores unopened vials of insulin in the freezer.
B. The client rotates injection sites within the same anatomic region.
C. The client administers insulin glargine 30 minutes before meals.
D. The client masses the injection site after removing the needle.
Answer: B
Explanation: Rotation of injection sites within the same anatomic region
prevents lipohypertrophy and promotes consistent absorption.
Unopened insulin should be refrigerated, not frozen. Insulin glargine is
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long-acting and given once daily, not before meals. Massaging the site
can accelerate absorption unpredictably.
Question 2
A nurse is planning care for a client who is postoperative following a
total hip arthroplasty. Which of the following interventions should the
nurse include to prevent venous thromboembolism?
A. Place pillows under the client’s knees.
B. Apply sequential compression devices.
C. Instruct the client to perform ankle plantar flexion only.
D. Encourage the client to sit in a low chair.
Answer: B
Explanation: Sequential compression devices promote venous return
and reduce stasis, thereby decreasing the risk of deep vein thrombosis.
Pillows under the knees impair venous return. Ankle pumps should
include both plantar and dorsiflexion. Low chairs increase hip flexion
and risk dislocation.
Question 3
A client with heart failure is prescribed furosemide. Which laboratory
value should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
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C. Serum calcium
D. Serum magnesium
Answer: B
Explanation: Furosemide is a loop diuretic that causes excessive
potassium excretion, leading to hypokalemia, which can precipitate
cardiac arrhythmias in heart failure patients. Sodium, calcium, and
magnesium are also affected but potassium is the priority due to
arrhythmogenic risk.
Question 4
A nurse is assessing a client who has chronic obstructive pulmonary
disease. Which finding indicates the need for immediate intervention?
A. Barrel-shaped chest
B. Use of accessory muscles
C. Clubbing of the fingers
D. Productive cough with green sputum
Answer: B
Explanation: Use of accessory muscles indicates respiratory distress and
impending respiratory failure, requiring immediate intervention. Barrel
chest and clubbing are chronic adaptations. Green sputum suggests
infection but is not immediately life-threatening.
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Question 5
A nurse is preparing to administer a blood transfusion. Which action is
most important prior to initiating the transfusion?
A. Verify the client’s blood type with a second nurse.
B. Prime the IV tubing with dextrose 5% in water.
C. Premedicate the client with diphenhydramine.
D. Obtain a baseline complete blood count.
Answer: A
Explanation: Verification of blood type and client identification with
another nurse is critical to prevent fatal hemolytic reactions. Only
normal saline should be used for priming. Premedication is not routine.
Baseline CBC is not required immediately before transfusion.
Question 6
A client on a mechanical ventilator has an endotracheal tube. Which
intervention minimizes the risk of ventilator-associated pneumonia?
A. Suction the airway every hour.
B. Maintain the head of the bed at 30 degrees.
C. Change the ventilator circuit daily.
D. Instill normal saline before suctioning.
Answer: B