VATI GREENLIGHT PREDICTOR VERSION A NEWEST
VERSION 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS|A+
GRADED||BRAND NEW!!
A nurse has delegated care to an assistive personnel. 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?
Tell the AP to contact the IT department for charting assistance.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse
should instruct the parents to place the car seat in a....
Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about
the safety of a large sum of money in his wallet. Which of the following actions is appropriate
for the nurse to take?
contact security personnel to place the money in the facility safe.
A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative
following a tonsillectomy. Which of the following findings is a sign on hemorrhage?
Frequent Swallowing
A nurse is reinforcing discharge teaching with an older adult client's family about safety
precautions when administering a tap water enema to the client. Which of the following
should the nurse include?
Instruct the client to bear down during rectal tube insertion.
A nurse is caring for a client. Which of the following client statements should the nurse attend
first?
"My heartburn pain is going into my jaw now"
,A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has
a Penrose drain. Which of the following actions should the nurse take?
Leave the drain insertion site open to air
A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series
with fluoroscopy. Which of the following information should the nurse provide?
"You will have to drink a contrast medium before the test."
A nurse is planning care for a client who is comatose and has a stage II decubitus ulcer on the
coccyx - What should nurse do?
Provide the client with an alternating pressure mattress
A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the
following nursing actions should the nurse include in the plan of care?
Remind the client to place the cane on the unaffected side.
Rationale: Keep the cane on the stronger side of the body
1- Move cane forward 15cm
2- Then, move weaker cane forward
3- Advance stronger cane
A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy:
Place the newborn 45cm or 18 in from the light source
A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of
urinary tract infections UTI:
Empty bladder before & after sexy time
A nurse is planning to change the dressings on a school-age child who has sustained multiple
burns:
Apply the dressings in a proximal to distal pattern
A nurse is planning to provide community education about viral hepatitis - What info should
include?
Clients who have a hx of viral hepatitis are unable to donate blood
,A nurse is preparing the auscultate a client's apical pulse at the point of maximal impulse
(PMI):
5th intercostal space at the left midclavicular line
A nurse is preparing to administer potassium chloride intravenously to a client who has
hypokalemia. The client is receiving a current infusion of 0.9% sodium chloride at 125ml/hr.
Which of the following actions should the nurse plan to take?
Dilute the solution prior to the infusion.
Rationale: Dilute K+ and give no more than 40mEq/L of IV solution to prevent vein irritation
A nurse is providing teaching for a client who has a new prescription for lithium carbonate -
(Need for further education???)
Take medication w/ milk.
Rationale: Taking lithium with food would help with decreasing GI distress
A nurse is providing teaching to the parent of a preschooler who was newly diagnosed with a
latex allergy - What foods to avoid?
Bananas
A nurse is reviewing the employee health program for new employees. Which of the following
diagnostic assessments should the nurse recommend for all the new employees to screen for
the presence of tuberculosis?
Mantoux test
A nurse is reviewing medical records for four clients - Which of the following represents
appropriate documentation?
Carafate 1g PO 1hr AC
A nurse is reviewing the hx and physical of a client who has right ventricular heart failure:
Hepatomegaly (liver enlargement)
A nurse is teaching a client who has a new dx of GERD - Include in teaching?
Sleep w/ HOB elevated
A nurse is teaching a client who has a new prescription for digoxin. Which of the following
should the nurse include in the teaching?
, Notify your provider if you experience muscle weakness!
A nurse is teaching a client who has left-leg weakness how to use a standard walker (further
education?)
Moves the left leg and walker ahead together
A nurse is teaching a client who has a low literacy level about home management of diabetes
mellitus:
Show the client an educational video
A nurse is teaching a family about home hospice care:
Hospice care improves the quality of life through palliative care
A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of
parents - What include in teaching? (SATA)
-Swallowing sounds are audible
-Stools are yellow and seedy after 7 days
-Maternal breasts become soft following feedings
A nurse is writing a plan of care for a client who is home bound and has stage 2 Alzheimer's
Disease. Which of the following should the nurse include in the plan of care?
Assist with money management
A nurse manager is making staffing assignments for the med surg unit. Which of the following
clients is appropriate to assign to a float nurse from the postpartum unit?
A client who is 2 days posto-op following a colon resection
A nurse manager is presenting an in-service for newly licensed nurses about advance
directives:
Advanced directives must benotarized to be legally implemented
A nurse manager is presenting info to the nursing staff regarding the appropriate use of client
restraints - What should be included? (SATA)
-Nurse should pad the bony prominences.
-Providers prescription should include the type of restraint to use.
-Remove or replace restraints frequently to ensure good circulation to the area
VERSION 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS|A+
GRADED||BRAND NEW!!
A nurse has delegated care to an assistive personnel. 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?
Tell the AP to contact the IT department for charting assistance.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse
should instruct the parents to place the car seat in a....
Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about
the safety of a large sum of money in his wallet. Which of the following actions is appropriate
for the nurse to take?
contact security personnel to place the money in the facility safe.
A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative
following a tonsillectomy. Which of the following findings is a sign on hemorrhage?
Frequent Swallowing
A nurse is reinforcing discharge teaching with an older adult client's family about safety
precautions when administering a tap water enema to the client. Which of the following
should the nurse include?
Instruct the client to bear down during rectal tube insertion.
A nurse is caring for a client. Which of the following client statements should the nurse attend
first?
"My heartburn pain is going into my jaw now"
,A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has
a Penrose drain. Which of the following actions should the nurse take?
Leave the drain insertion site open to air
A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series
with fluoroscopy. Which of the following information should the nurse provide?
"You will have to drink a contrast medium before the test."
A nurse is planning care for a client who is comatose and has a stage II decubitus ulcer on the
coccyx - What should nurse do?
Provide the client with an alternating pressure mattress
A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the
following nursing actions should the nurse include in the plan of care?
Remind the client to place the cane on the unaffected side.
Rationale: Keep the cane on the stronger side of the body
1- Move cane forward 15cm
2- Then, move weaker cane forward
3- Advance stronger cane
A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy:
Place the newborn 45cm or 18 in from the light source
A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of
urinary tract infections UTI:
Empty bladder before & after sexy time
A nurse is planning to change the dressings on a school-age child who has sustained multiple
burns:
Apply the dressings in a proximal to distal pattern
A nurse is planning to provide community education about viral hepatitis - What info should
include?
Clients who have a hx of viral hepatitis are unable to donate blood
,A nurse is preparing the auscultate a client's apical pulse at the point of maximal impulse
(PMI):
5th intercostal space at the left midclavicular line
A nurse is preparing to administer potassium chloride intravenously to a client who has
hypokalemia. The client is receiving a current infusion of 0.9% sodium chloride at 125ml/hr.
Which of the following actions should the nurse plan to take?
Dilute the solution prior to the infusion.
Rationale: Dilute K+ and give no more than 40mEq/L of IV solution to prevent vein irritation
A nurse is providing teaching for a client who has a new prescription for lithium carbonate -
(Need for further education???)
Take medication w/ milk.
Rationale: Taking lithium with food would help with decreasing GI distress
A nurse is providing teaching to the parent of a preschooler who was newly diagnosed with a
latex allergy - What foods to avoid?
Bananas
A nurse is reviewing the employee health program for new employees. Which of the following
diagnostic assessments should the nurse recommend for all the new employees to screen for
the presence of tuberculosis?
Mantoux test
A nurse is reviewing medical records for four clients - Which of the following represents
appropriate documentation?
Carafate 1g PO 1hr AC
A nurse is reviewing the hx and physical of a client who has right ventricular heart failure:
Hepatomegaly (liver enlargement)
A nurse is teaching a client who has a new dx of GERD - Include in teaching?
Sleep w/ HOB elevated
A nurse is teaching a client who has a new prescription for digoxin. Which of the following
should the nurse include in the teaching?
, Notify your provider if you experience muscle weakness!
A nurse is teaching a client who has left-leg weakness how to use a standard walker (further
education?)
Moves the left leg and walker ahead together
A nurse is teaching a client who has a low literacy level about home management of diabetes
mellitus:
Show the client an educational video
A nurse is teaching a family about home hospice care:
Hospice care improves the quality of life through palliative care
A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of
parents - What include in teaching? (SATA)
-Swallowing sounds are audible
-Stools are yellow and seedy after 7 days
-Maternal breasts become soft following feedings
A nurse is writing a plan of care for a client who is home bound and has stage 2 Alzheimer's
Disease. Which of the following should the nurse include in the plan of care?
Assist with money management
A nurse manager is making staffing assignments for the med surg unit. Which of the following
clients is appropriate to assign to a float nurse from the postpartum unit?
A client who is 2 days posto-op following a colon resection
A nurse manager is presenting an in-service for newly licensed nurses about advance
directives:
Advanced directives must benotarized to be legally implemented
A nurse manager is presenting info to the nursing staff regarding the appropriate use of client
restraints - What should be included? (SATA)
-Nurse should pad the bony prominences.
-Providers prescription should include the type of restraint to use.
-Remove or replace restraints frequently to ensure good circulation to the area
