Virtual ATI Predictor Green Light Exam Prep | 180 NCLEX-
Style Questions, Answers & Rationales (Updated 2025-2026
Comprehensive Review)
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Virtual ATI Predictor Green Light Exam Prep
180 NCLEX-Style Questions, Answers & Rationales
Multiple Choice Questions
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, Virtual ATI Predictor Green Light Exam Prep | 180
NCLEX-Style Questions, Answers & Rationales
(Updated 2025-2026 Comprehensive Review)
1. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following findings should prompt the nurse to withhold the medication?
A. Heart rate of 88 bpm
B. Blood pressure of 130/82 mm Hg
C. Potassium level of 3.0 mEq/L
D. Respiratory rate of 18/min
Answer: C
Rationale: A low potassium level increases the risk of digoxin toxicity. The nurse should hold
the medication and notify the provider.
2. A client reports dizziness when standing up quickly. The nurse recognizes this as which
type of side effect?
A. Neurotoxicity
B. Orthostatic hypotension
C. Hepatotoxicity
,D. Nephrotoxicity
Answer: B
Rationale: Dizziness upon standing is a classic symptom of orthostatic hypotension due to a
drop in blood pressure.
3. A nurse reinforces teaching about warfarin therapy. Which statement by the client
indicates understanding?
A. “I will eat more green leafy vegetables.”
B. “I should use a soft-bristled toothbrush.”
C. “I will take aspirin if I have pain.”
D. “I do not need regular blood tests.”
Answer: B
Rationale: Warfarin increases bleeding risk; using a soft toothbrush prevents gum bleeding.
Aspirin should be avoided.
4. A nurse is caring for a client on contact precautions for Clostridium difficile. Which action
is appropriate?
A. Use an alcohol-based hand sanitizer after care
B. Wear a surgical mask
C. Wash hands with soap and water
, D. Place client in a negative-pressure room
Answer: C
Rationale: Soap and water must be used for C. difficile because alcohol-based sanitizers are
ineffective against spores.
5. A nurse is assessing a client with COPD. Which finding requires immediate intervention?
A. Productive cough
B. Oxygen saturation of 88%
C. Clubbing of the fingers
D. Use of accessory muscles to breathe
Answer: D
Rationale: Use of accessory muscles indicates respiratory distress and potential fatigue —
requires prompt action.
6. A nurse is caring for a postoperative client who reports severe pain 15 minutes after
receiving morphine IV. Which action should the nurse take first?
A. Reassess pain level
B. Check the IV line for patency
C. Administer another dose of morphine
D. Notify the provider