VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR
2026/2027 | 200 NCLEX EXAM QUESTIONS WITH DETAILED
RATIONALES | LATEST UPDATED TEST BANK
QUESTION 1: A nurse is assessing a patient who has just undergone a total hip
replacement. Which of the following findings would be a priority for the nurse to
report to the healthcare provider?
A) The patient reports pain at the surgical site.
B) The patient has difficulty moving the affected leg.
C) The patient's affected leg appears shorter than the other leg.
D) The patient has a temperature of 100.4°F (38°C).
CORRECT OPTION: C
RATIONALE: This may indicate dislocation or improper alignment, which requires
immediate attention.
QUESTION 2: A nurse is teaching a group of clients about the signs and symptoms
of hypoglycemia. Which statement by a client indicates a need for further
teaching?
A) "I should eat a snack if I feel shaky."
B) "Sweating and confusion are signs I need to watch for."
C) "I can treat it with insulin if it happens."
D) "I should carry glucose tablets with me."
CORRECT OPTION: C
RATIONALE: Insulin can exacerbate hypoglycemia; clients should consume
carbohydrates instead.
,QUESTION 3: During a routine assessment, a nurse discovers that a patient has a
heart rate of 120 beats per minute and is complaining of palpitations. What is the
most appropriate nursing action?
A) Document the findings and continue the assessment.
B) Administer a beta-blocker as prescribed.
C) Obtain a 12-lead ECG.
D) Encourage the patient to rest and relax.
CORRECT OPTION: C
RATIONALE: An ECG is necessary to assess the heart's rhythm and potential
underlying issues.
QUESTION 4: A nurse is caring for a client receiving chemotherapy who reports
nausea. Which intervention should the nurse implement first?
A) Administer antiemetic medication.
B) Ask the client to describe the nausea.
C) Provide ginger ale and crackers.
D) Schedule a follow-up appointment.
CORRECT OPTION: B
RATIONALE: Understanding the nature of nausea can help tailor the intervention
effectively.
QUESTION 5: A nurse is teaching a client with hypertension about dietary
changes. Which statement by the client indicates a need for further teaching?
A) "I will reduce my salt intake."
B) "I can eat more fruits and vegetables."
C) "I can continue to eat processed foods."
D) "I will limit my intake of saturated fats."
,CORRECT OPTION: C
RATIONALE: Processed foods often contain high levels of sodium, which should be
avoided.
QUESTION 6: A nurse is assessing a patient with heart failure. Which finding
would be most concerning?
A) Weight gain of 2 pounds in one week.
B) Increased shortness of breath with activity.
C) Mild edema in the ankles.
D) Fatigue during the day.
CORRECT OPTION: B
RATIONALE: This may indicate worsening heart failure and requires immediate
attention.
QUESTION 7: A nurse is providing discharge instructions to a patient with asthma.
Which statement by the patient indicates a need for further teaching?
A) "I should avoid my asthma triggers."
B) "I can use my rescue inhaler whenever I want."
C) "I need to take my long-term control medication daily."
D) "I will carry my inhaler with me at all times."
CORRECT OPTION: B
RATIONALE: The rescue inhaler should be used only as needed, not on a regular
schedule.
QUESTION 8: A nurse is caring for a diabetic patient who is experiencing
hypoglycemia. What is the priority nursing intervention?
A) Administer glucose tablets.
B) Call the healthcare provider.
, C) Provide a high-protein snack.
D) Offer water to drink.
CORRECT OPTION: A
RATIONALE: Treating hypoglycemia promptly is critical for patient safety.
QUESTION 9: A nurse is evaluating a patient's understanding of warfarin therapy.
Which statement by the patient indicates a need for further teaching?
A) "I should have regular blood tests."
B) "I can take aspirin without consulting my doctor."
C) "I will avoid foods high in vitamin K."
D) "I need to report any unusual bleeding."
CORRECT OPTION: B
RATIONALE: Aspirin can increase the risk of bleeding when taking warfarin.
QUESTION 10: A nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD). Which assessment finding would require immediate intervention?
A) Increased respiratory rate.
B) Use of accessory muscles for breathing.
C) Productive cough with clear sputum.
D) Oxygen saturation of 92%.
CORRECT OPTION: B
RATIONALE: This indicates respiratory distress and requires immediate action.
QUESTION 11: A nurse is planning care for a patient with a newly diagnosed
peptic ulcer. Which dietary intervention should be included in the plan?
A) Avoiding spicy foods.
B) Increasing caffeine intake.
2026/2027 | 200 NCLEX EXAM QUESTIONS WITH DETAILED
RATIONALES | LATEST UPDATED TEST BANK
QUESTION 1: A nurse is assessing a patient who has just undergone a total hip
replacement. Which of the following findings would be a priority for the nurse to
report to the healthcare provider?
A) The patient reports pain at the surgical site.
B) The patient has difficulty moving the affected leg.
C) The patient's affected leg appears shorter than the other leg.
D) The patient has a temperature of 100.4°F (38°C).
CORRECT OPTION: C
RATIONALE: This may indicate dislocation or improper alignment, which requires
immediate attention.
QUESTION 2: A nurse is teaching a group of clients about the signs and symptoms
of hypoglycemia. Which statement by a client indicates a need for further
teaching?
A) "I should eat a snack if I feel shaky."
B) "Sweating and confusion are signs I need to watch for."
C) "I can treat it with insulin if it happens."
D) "I should carry glucose tablets with me."
CORRECT OPTION: C
RATIONALE: Insulin can exacerbate hypoglycemia; clients should consume
carbohydrates instead.
,QUESTION 3: During a routine assessment, a nurse discovers that a patient has a
heart rate of 120 beats per minute and is complaining of palpitations. What is the
most appropriate nursing action?
A) Document the findings and continue the assessment.
B) Administer a beta-blocker as prescribed.
C) Obtain a 12-lead ECG.
D) Encourage the patient to rest and relax.
CORRECT OPTION: C
RATIONALE: An ECG is necessary to assess the heart's rhythm and potential
underlying issues.
QUESTION 4: A nurse is caring for a client receiving chemotherapy who reports
nausea. Which intervention should the nurse implement first?
A) Administer antiemetic medication.
B) Ask the client to describe the nausea.
C) Provide ginger ale and crackers.
D) Schedule a follow-up appointment.
CORRECT OPTION: B
RATIONALE: Understanding the nature of nausea can help tailor the intervention
effectively.
QUESTION 5: A nurse is teaching a client with hypertension about dietary
changes. Which statement by the client indicates a need for further teaching?
A) "I will reduce my salt intake."
B) "I can eat more fruits and vegetables."
C) "I can continue to eat processed foods."
D) "I will limit my intake of saturated fats."
,CORRECT OPTION: C
RATIONALE: Processed foods often contain high levels of sodium, which should be
avoided.
QUESTION 6: A nurse is assessing a patient with heart failure. Which finding
would be most concerning?
A) Weight gain of 2 pounds in one week.
B) Increased shortness of breath with activity.
C) Mild edema in the ankles.
D) Fatigue during the day.
CORRECT OPTION: B
RATIONALE: This may indicate worsening heart failure and requires immediate
attention.
QUESTION 7: A nurse is providing discharge instructions to a patient with asthma.
Which statement by the patient indicates a need for further teaching?
A) "I should avoid my asthma triggers."
B) "I can use my rescue inhaler whenever I want."
C) "I need to take my long-term control medication daily."
D) "I will carry my inhaler with me at all times."
CORRECT OPTION: B
RATIONALE: The rescue inhaler should be used only as needed, not on a regular
schedule.
QUESTION 8: A nurse is caring for a diabetic patient who is experiencing
hypoglycemia. What is the priority nursing intervention?
A) Administer glucose tablets.
B) Call the healthcare provider.
, C) Provide a high-protein snack.
D) Offer water to drink.
CORRECT OPTION: A
RATIONALE: Treating hypoglycemia promptly is critical for patient safety.
QUESTION 9: A nurse is evaluating a patient's understanding of warfarin therapy.
Which statement by the patient indicates a need for further teaching?
A) "I should have regular blood tests."
B) "I can take aspirin without consulting my doctor."
C) "I will avoid foods high in vitamin K."
D) "I need to report any unusual bleeding."
CORRECT OPTION: B
RATIONALE: Aspirin can increase the risk of bleeding when taking warfarin.
QUESTION 10: A nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD). Which assessment finding would require immediate intervention?
A) Increased respiratory rate.
B) Use of accessory muscles for breathing.
C) Productive cough with clear sputum.
D) Oxygen saturation of 92%.
CORRECT OPTION: B
RATIONALE: This indicates respiratory distress and requires immediate action.
QUESTION 11: A nurse is planning care for a patient with a newly diagnosed
peptic ulcer. Which dietary intervention should be included in the plan?
A) Avoiding spicy foods.
B) Increasing caffeine intake.
