Page 1 of 199
VATI Green Light Comprehensive Forms A–C
(2026/2027) + Virtual ATI Predictor Study
Guide | 600+ Verified NCLEX Questions &
Rationales | Complete A+ Nursing Exam
Guide
1. A nurse is caring for four patients. Which one should be
assessed first?
A. Post-op day 2, reports pain 5/10
B. New admission with BP 90/50, HR 120, pale and
diaphoretic
C. Patient with dementia trying to get out of bed
D. Patient requesting pain medication 30 minutes early
Answer: B
Rationale: Hypotension, tachycardia, and diaphoresis indicate
possible shock (hypovolemic, septic, or cardiogenic). This is an
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unstable patient requiring immediate assessment. Pain (A) and
safety (C) are important but not first. Early medication request
(D) requires assessment but not priority over instability.
2. A charge nurse is delegating tasks. Which task can be
assigned to an unlicensed assistive personnel (UAP)?
A. Assess a patient's lung sounds
B. Teach a patient how to use an incentive spirometer
C. Measure orthostatic blood pressures
D. Evaluate the effectiveness of a pain medication
Answer: C
Rationale: UAP can perform routine vital signs including
orthostatic BPs. Assessment (A), teaching (B), and evaluation (D)
require RN judgment and cannot be delegated.
3. A nurse finds a patient lying on the floor. What is the first
action?
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A. Call the provider
B. Assess the patient for injury
C. Complete an incident report
D. Help the patient back to bed
Answer: B
Rationale: Assess first for injury (consciousness, breathing,
bleeding, pain). Then call for help. Moving without assessment
(D) can worsen injury. Incident report (C) comes after care.
4. A patient is on contact precautions for Clostridioides
difficile. Which action is correct?
A. Wear an N95 mask
B. Use alcohol-based hand rub after glove removal
C. Perform hand hygiene with soap and water
D. Keep the door closed at all times
Answer: C
Rationale: C. diff spores are not killed by alcohol-based hand
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rub. Soap and water required. N95 (A) is airborne. Door
closed (D) is airborne or droplet.
5. A nurse receives a telephone order from a provider.
Which action is most important?
A. Repeat the order back to the provider
B. Ask another nurse to listen on the phone
C. Sign the order within 24 hours
D. Transcribe the order into the MAR immediately
Answer: A
Rationale: Read-back verification (repeat order) is the most
critical safety step to prevent errors. Co-signature (C) required
but not most important.
6. A patient is aggressive and threatening staff. Which
intervention should the nurse implement first?
A. Apply soft wrist restraints
VATI Green Light Comprehensive Forms A–C
(2026/2027) + Virtual ATI Predictor Study
Guide | 600+ Verified NCLEX Questions &
Rationales | Complete A+ Nursing Exam
Guide
1. A nurse is caring for four patients. Which one should be
assessed first?
A. Post-op day 2, reports pain 5/10
B. New admission with BP 90/50, HR 120, pale and
diaphoretic
C. Patient with dementia trying to get out of bed
D. Patient requesting pain medication 30 minutes early
Answer: B
Rationale: Hypotension, tachycardia, and diaphoresis indicate
possible shock (hypovolemic, septic, or cardiogenic). This is an
,Page 2 of 199
unstable patient requiring immediate assessment. Pain (A) and
safety (C) are important but not first. Early medication request
(D) requires assessment but not priority over instability.
2. A charge nurse is delegating tasks. Which task can be
assigned to an unlicensed assistive personnel (UAP)?
A. Assess a patient's lung sounds
B. Teach a patient how to use an incentive spirometer
C. Measure orthostatic blood pressures
D. Evaluate the effectiveness of a pain medication
Answer: C
Rationale: UAP can perform routine vital signs including
orthostatic BPs. Assessment (A), teaching (B), and evaluation (D)
require RN judgment and cannot be delegated.
3. A nurse finds a patient lying on the floor. What is the first
action?
,Page 3 of 199
A. Call the provider
B. Assess the patient for injury
C. Complete an incident report
D. Help the patient back to bed
Answer: B
Rationale: Assess first for injury (consciousness, breathing,
bleeding, pain). Then call for help. Moving without assessment
(D) can worsen injury. Incident report (C) comes after care.
4. A patient is on contact precautions for Clostridioides
difficile. Which action is correct?
A. Wear an N95 mask
B. Use alcohol-based hand rub after glove removal
C. Perform hand hygiene with soap and water
D. Keep the door closed at all times
Answer: C
Rationale: C. diff spores are not killed by alcohol-based hand
, Page 4 of 199
rub. Soap and water required. N95 (A) is airborne. Door
closed (D) is airborne or droplet.
5. A nurse receives a telephone order from a provider.
Which action is most important?
A. Repeat the order back to the provider
B. Ask another nurse to listen on the phone
C. Sign the order within 24 hours
D. Transcribe the order into the MAR immediately
Answer: A
Rationale: Read-back verification (repeat order) is the most
critical safety step to prevent errors. Co-signature (C) required
but not most important.
6. A patient is aggressive and threatening staff. Which
intervention should the nurse implement first?
A. Apply soft wrist restraints
