Questions and Correct Answers |
NCLEX Readiness Assessment | A+
Graded | 2025/2026 Edition
Section 1: Introduction
This document provides a verified set of questions and 100% correct answers from
the Virtual ATI (VATI) Greenlight Exam, updated for the 2025/2026 academic cycle.
It evaluates NCLEX readiness by covering core nursing content such as safety and
infection control, pharmacology, prioritization, delegation, clinical judgment, and
patient education. This A+ graded review is ideal for students using ATI’s Virtual
platform and seeking to earn the Greenlight status, which signifies preparedness to
pass the NCLEX on the first attempt.
Section 2: Exam Questions and Answers
1. A nurse is caring for a patient with a central line. What is the priority action to
prevent infection?
A. Change the dressing weekly
B. Use sterile technique during access
C. Monitor vital signs daily
D. Encourage fluid intake
Correct Answer: B. Use sterile technique during access
Rationale: Sterile technique reduces infection risk at the site.
2. A nurse is preparing to administer morphine. What should be assessed first?
A. Blood pressure
B. Respiratory rate
C. Heart rate
D. Temperature
Correct Answer: B. Respiratory rate
Rationale: Morphine can depress respiration, making it the priority.
3. A nurse delegates a task to a nursing assistant. Which task is appropriate?
A. Administer IV medication
B. Assist with ambulation
C. Perform a physical assessment
D. Insert a urinary catheter
Correct Answer: B. Assist with ambulation
Rationale: Ambulation is within a nursing assistant’s scope.
4. A patient with diabetes asks about insulin administration. What should the nurse
teach?
A. Inject into the same site daily
B. Rotate injection sites
C. Store insulin in the freezer
, D. Shake the vial vigorously
Correct Answer: B. Rotate injection sites
Rationale: Rotation prevents tissue damage.
5. A nurse prioritizes care for multiple patients. Who should be seen first?
A. Patient with stable vital signs
B. Patient reporting chest pain
C. Patient needing a dressing change
D. Patient awaiting discharge
Correct Answer: B. Patient reporting chest pain
Rationale: Chest pain may indicate a cardiac emergency.
6. A nurse observes a patient with shortness of breath. What is the initial action?
A. Administer oxygen
B. Call the physician
C. Assess oxygen saturation
D. Increase IV fluids
Correct Answer: C. Assess oxygen saturation
Rationale: Assessment guides further intervention.
7. A nurse is teaching a patient about infection control. What is most important?
A. Wash hands before eating
B. Cover mouth when coughing
C. Use hand sanitizer regularly
D. Avoid crowded places
Correct Answer: C. Use hand sanitizer regularly
Rationale: Hand hygiene is key to infection prevention.
8. A patient is prescribed a new antibiotic. What should the nurse monitor?
A. Blood glucose
B. Allergic reaction
C. Heart rate
D. Urine output
Correct Answer: B. Allergic reaction
Rationale: Antibiotics can cause allergic responses.
9. A nurse delegates wound care to a licensed practical nurse (LPN). Is this
appropriate?
A. Yes, if supervised
B. No, only RNs can perform
C. Yes, without supervision
D. No, only physicians can
Correct Answer: A. Yes, if supervised
Rationale: LPNs can perform wound care with RN oversight.
10. A patient falls in the hallway. What is the nurse’s first action?
A. Help the patient up
B. Assess for injuries
C. Call for help
D. Document the fall
Correct Answer: B. Assess for injuries
Rationale: Safety requires injury assessment first.
11. A nurse is caring for a patient on a ventilator. What is the priority assessment?
A. Skin integrity
B. Airway patency
C. Fluid balance