VATI GREENLIGHT PREDICTOR FINAL
EXAM PAPER 2026 COMPLETE STUDY
GUIDE WITH DETAILED SOLUTIONS
⩥ A nurse is caring for a client following an open colectomy. Which of
the following findings places the client at risk for delayed wound
healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain. Answer: B. Hyperemesis
⩥ A home health nurse is reviewing treatment goals with a client who
has diabetes mellitus. The nurse should evaluate which of the following
laboratory tests to determine effective long-term management of blood
glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones. Answer: B. HbA1c
,⩥ A nurse is caring for a client who has neutropenia due to HIV. Which
of the following precautions should the nurse take while caring for this
client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope. Answer: D. Use a dedicated stethoscope
⩥ A nurse is caring for a client who reports difficulty falling asleep at
night. Which of the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to
fall asleep. Answer: C. Schedule routine care tasks during hours when
the client is awake
⩥ A nurse is planning care for a newborn who has hyperbilirubinemia
and is to receive phototherapy. Which of the following interventions
should the nurse include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
,D. Place the newborn 45 cm (18 in) from the light source. Answer: D.
Place the newborn 45 cm (18 in) from the light source
⩥ A nurse is planning care for a client who has schizophrenia and is
having difficulty expressing their feelings. Which of the following
referrals should the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social worker
D. Recreational therapist. Answer: A. Art therapist
⩥ A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the
client is experiencing an adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention. Answer: A. Decreased reflexes
Loop diuretics cause excessive urination leading to hypotension and
finally resulting in decreased reflexes.
, ⩥ At the start of an evening shift on a cardiac unit, a licensed practical
nurse brings the nurse a list of client reports. Which of the following
client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency. Answer: B. Indigestion
⩥ A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the
assistive personnel requires the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry. Answer: C. Offers oral fluids to
the client
⩥ A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and
reports chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a
temperature of 38.3 C (101F)
EXAM PAPER 2026 COMPLETE STUDY
GUIDE WITH DETAILED SOLUTIONS
⩥ A nurse is caring for a client following an open colectomy. Which of
the following findings places the client at risk for delayed wound
healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain. Answer: B. Hyperemesis
⩥ A home health nurse is reviewing treatment goals with a client who
has diabetes mellitus. The nurse should evaluate which of the following
laboratory tests to determine effective long-term management of blood
glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones. Answer: B. HbA1c
,⩥ A nurse is caring for a client who has neutropenia due to HIV. Which
of the following precautions should the nurse take while caring for this
client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope. Answer: D. Use a dedicated stethoscope
⩥ A nurse is caring for a client who reports difficulty falling asleep at
night. Which of the following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to
fall asleep. Answer: C. Schedule routine care tasks during hours when
the client is awake
⩥ A nurse is planning care for a newborn who has hyperbilirubinemia
and is to receive phototherapy. Which of the following interventions
should the nurse include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
,D. Place the newborn 45 cm (18 in) from the light source. Answer: D.
Place the newborn 45 cm (18 in) from the light source
⩥ A nurse is planning care for a client who has schizophrenia and is
having difficulty expressing their feelings. Which of the following
referrals should the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social worker
D. Recreational therapist. Answer: A. Art therapist
⩥ A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the
client is experiencing an adverse effect of the medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention. Answer: A. Decreased reflexes
Loop diuretics cause excessive urination leading to hypotension and
finally resulting in decreased reflexes.
, ⩥ At the start of an evening shift on a cardiac unit, a licensed practical
nurse brings the nurse a list of client reports. Which of the following
client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency. Answer: B. Indigestion
⩥ A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the
assistive personnel requires the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry. Answer: C. Offers oral fluids to
the client
⩥ A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and
reports chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a
temperature of 38.3 C (101F)
