2026/2027 Newest Actual Exam | Complete 470+ Questions &
Graded A+ Verified Answers
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ATI (VATI) Green Light Comprehensive Review bundle, featuring verified questions
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categories, including advanced pharmacology, complex adult medical-surgical
alterations, maternal-newborn emergencies, and pediatric developmental
milestones. Every multi-tier question includes a rigorous clinical rationale designed to
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1. A nurse is preparing to administer medications to a client. Which of
the following is the priority action to prevent medication errors?
A. Verify the medication with a second nurse
B. Check the client's identification band using two identifiers
C. Confirm the medication dosage with the pharmacy
D. Document the medication administration
Answer: B
Rationale: The priority action to prevent medication errors is to verify the
client's identity using two identifiers (typically name and date of birth) before
administering any medication. This ensures the right medication is given to
the right client. While verification with a second nurse, confirming with
pharmacy, and documentation are important, client identification is the first
and most critical step.
,2. A nurse is caring for a client who is confused and attempting to get
out of bed. Which of the following is the most appropriate initial
intervention?
A. Apply wrist restraints
B. Place the bed in the lowest position and activate the bed alarm
C. Administer a sedative medication
D. Ask the family to stay with the client
Answer: B
Rationale: The least restrictive intervention should be implemented first.
Placing the bed in the lowest position and activating the bed alarm are
appropriate initial safety measures. Restraints and sedatives should only be
used as a last resort and require provider orders. Family presence may help
but is not the initial intervention.
3. A nurse is preparing to perform a sterile dressing change. Which of
the following actions demonstrates correct sterile technique?
A. Opening the sterile package with clean hands
B. Placing the sterile field at waist level
C. Reaching across the sterile field to retrieve supplies
D. Allowing the sterile field to become wet
Answer: A
Rationale: The outer wrapper of a sterile package is considered clean, not
sterile, so it can be opened with clean hands. The sterile field should be above
waist level, and reaching across or allowing the field to become wet
compromises sterility. The 1-inch border of the sterile field is considered
contaminated.
,4. A nurse is caring for a client on airborne precautions. Which of the
following PPE is required?
A. Surgical mask
B. N95 respirator
C. Face shield
D. Gown and gloves only
Answer: B
Rationale: Airborne precautions require an N95 respirator or higher-level
respirator to filter out small particles that can remain suspended in the air. A
surgical mask is used for droplet precautions. Face shields, gowns, and gloves
may be used but the N95 is specific to airborne precautions.
5. A nurse is preparing to administer a blood transfusion. Which of the
following actions should the nurse take first?
A. Verify the blood product with another nurse
B. Obtain baseline vital signs
C. Start the transfusion slowly
D. Document the transfusion
Answer: B
Rationale: Obtaining baseline vital signs is the first action before initiating a
blood transfusion. This provides a baseline for comparison during the
transfusion to detect reactions. Verification, starting the transfusion, and
documentation follow baseline assessment.
6. A nurse is caring for a client who has a new prescription for
warfarin. Which of the following laboratory values should the nurse
monitor?
, A. PTT
B. INR
C. Platelet count
D. Hemoglobin
Answer: B
Rationale: INR (International Normalized Ratio) is monitored for clients
taking warfarin. The therapeutic range is typically 2.0-3.0. PTT is monitored
for heparin therapy. Platelet count and hemoglobin are not specific to
warfarin monitoring.
7. A nurse is preparing to insert a urinary catheter. Which of the
following is the correct order of steps?
A. Clean the meatus, insert the catheter, inflate the balloon
B. Insert the catheter, clean the meatus, inflate the balloon
C. Inflate the balloon, clean the meatus, insert the catheter
D. Insert the catheter, inflate the balloon, clean the meatus
Answer: A
Rationale: The correct order is to clean the meatus first (from front to back),
then insert the catheter, and finally inflate the balloon after urine flow is
observed. Cleaning must occur before insertion to prevent introducing
bacteria into the bladder.
8. A nurse is caring for a client who is postoperative and has an order
for incentive spirometry. Which of the following instructions should
the nurse provide?
A. "Use the spirometer once every 4 hours"
B. "Inhale slowly and deeply, then hold your breath for 3-5 seconds"