Virtual ATI Green Light Comprehensive
Predictor Forms A, B & C (2026) | 180
Practice Questions with Verified Answers
& Rationales | Comprehensive NCLEX-RN
Review
1. A nurse is preparing to administer a medication to a client. Which
of the following actions should the nurse take to verify the client's
identity?
A) Ask the client to state their date of birth.
B) Check the client's room number.
C) Ask the client to state their name.
D) Verify the client's identity using two identifiers.
Correct Answer: D. The standard of care mandates using at least two
unique client identifiers (e.g., name and date of birth, or name and
medical record number) before administering any medication or
procedure. Room numbers are not reliable identifiers.
2. A nurse is caring for a client who has a prescription for a
nasogastric (NG) tube for intermittent feedings. Prior to
administering the feeding, what should the nurse do?
A) Flush the tube with 30 mL of air.
B) Verify tube placement by aspirating contents and checking pH.
C) Place the client in a supine position.
D) Administer the feeding cold to decrease nausea.
,Correct Answer: B. Verifying placement of an NG tube is a critical safety
step. The most reliable method is to aspirate gastric contents and check
the pH (should be ≤ 4). Auscultation of air is no longer the gold standard
due to potential inaccuracies.
3. A nurse is applying restraints to a client who is pulling at their IV
lines. Which of the following actions is appropriate?
A) Tie the restraints to the side rail of the bed.
B) Apply the restraints tightly to prevent movement.
C) Ensure two fingers can fit between the restraint and the client's wrist.
D) Remove the restraints every 4 hours for range of motion exercises.
Correct Answer: C. Restraints should be applied snugly but not tightly. A
general rule is to ensure one to two fingers can fit between the restraint
and the client's skin to prevent circulatory compromise. They should be
removed every 2 hours (not 4) for ROM and toileting.
4. A nurse is preparing to perform a sterile dressing change. Which of
the following actions indicates a break in sterile technique?
A) Opening the sterile package away from the body.
B) Placing sterile items within the 1-inch border of the sterile field.
C) Holding sterile objects above the waist.
D) Turning their back to the sterile field to obtain more supplies.
Correct Answer: B. The 1-inch border around the edge of a sterile field is
considered contaminated. Sterile items must only be placed inside the
center of the field, away from the border.
5. A client is on fall precautions. Which nursing intervention is most
appropriate for this client?
A) Keep all four side rails up at all times.
B) Place the bed in the highest position.
,C) Place the call light within the client's reach.
D) Leave the client's room door closed.
Correct Answer: C. Placing the call light within reach is a standard non-
restraint intervention to help prevent falls. It empowers the client to ask
for assistance. (Note: Generally, using all four side rails is considered a
restraint).
6. A nurse is assessing a client's peripheral IV site. Which of the
following findings indicates phlebitis?
A) Cool, pale skin at the site.
B) Edema and redness along the vein.
C) A palpable cord along the vein and purulent drainage.
D) Leaking of fluid from the insertion site.
Correct Answer: B. Edema (swelling), redness (erythema), warmth, and
pain are classic signs of phlebitis (inflammation of the vein). A palpable
cord is a sign of advanced phlebitis, but purulent drainage indicates
infection.
7. A nurse is providing discharge teaching to a client who is
prescribed a walker. Which of the following statements by the client
indicates understanding?
A) "I will hold the walker and take a step with my weak leg first."
B) "I will hold the walker and take a step with my strong leg first."
C) "I will place the walker in front of me and walk into it."
D) "I will use the walker only when I am feeling dizzy."
Correct Answer: A. The correct gait pattern with a walker is: place the
walker forward, then advance the weak leg, followed by the strong leg.
This ensures the strong leg supports the body weight during movement.
, 8. A nurse is caring for a client who has a stage 3 pressure injury.
Which of the following wound dressings is most appropriate?
A) Transparent dressing (e.g., Tegaderm).
B) Hydrocolloid dressing.
C) Hydrogel or alginate dressing.
D) Gauze dressing.
Correct Answer: C. Hydrogel and alginate dressings are designed to
provide moisture to the wound bed (for autolytic debridement) and are
highly absorbent. They are indicated for stage 2, 3, and 4 pressure
injuries.
9. A nurse is preparing to administer a blood transfusion. Which of
the following IV solutions should the nurse use to prime the blood
tubing?
A) Lactated Ringer's.
B) 5% Dextrose in Water (D5W).
C) 0.9% Sodium Chloride (Normal Saline).
D) 0.45% Sodium Chloride (Half Normal Saline).
Correct Answer: C. 0.9% Sodium Chloride is the only solution that is
isotonic and will not cause hemolysis of red blood cells. D5W can cause
hemolysis.
10. A nurse is providing postoperative care to a client. Which of the
following findings is the earliest sign of hypovolemic shock?
A) Hypotension.
B) Tachycardia.
C) Oliguria.
D) Confusion.
Predictor Forms A, B & C (2026) | 180
Practice Questions with Verified Answers
& Rationales | Comprehensive NCLEX-RN
Review
1. A nurse is preparing to administer a medication to a client. Which
of the following actions should the nurse take to verify the client's
identity?
A) Ask the client to state their date of birth.
B) Check the client's room number.
C) Ask the client to state their name.
D) Verify the client's identity using two identifiers.
Correct Answer: D. The standard of care mandates using at least two
unique client identifiers (e.g., name and date of birth, or name and
medical record number) before administering any medication or
procedure. Room numbers are not reliable identifiers.
2. A nurse is caring for a client who has a prescription for a
nasogastric (NG) tube for intermittent feedings. Prior to
administering the feeding, what should the nurse do?
A) Flush the tube with 30 mL of air.
B) Verify tube placement by aspirating contents and checking pH.
C) Place the client in a supine position.
D) Administer the feeding cold to decrease nausea.
,Correct Answer: B. Verifying placement of an NG tube is a critical safety
step. The most reliable method is to aspirate gastric contents and check
the pH (should be ≤ 4). Auscultation of air is no longer the gold standard
due to potential inaccuracies.
3. A nurse is applying restraints to a client who is pulling at their IV
lines. Which of the following actions is appropriate?
A) Tie the restraints to the side rail of the bed.
B) Apply the restraints tightly to prevent movement.
C) Ensure two fingers can fit between the restraint and the client's wrist.
D) Remove the restraints every 4 hours for range of motion exercises.
Correct Answer: C. Restraints should be applied snugly but not tightly. A
general rule is to ensure one to two fingers can fit between the restraint
and the client's skin to prevent circulatory compromise. They should be
removed every 2 hours (not 4) for ROM and toileting.
4. A nurse is preparing to perform a sterile dressing change. Which of
the following actions indicates a break in sterile technique?
A) Opening the sterile package away from the body.
B) Placing sterile items within the 1-inch border of the sterile field.
C) Holding sterile objects above the waist.
D) Turning their back to the sterile field to obtain more supplies.
Correct Answer: B. The 1-inch border around the edge of a sterile field is
considered contaminated. Sterile items must only be placed inside the
center of the field, away from the border.
5. A client is on fall precautions. Which nursing intervention is most
appropriate for this client?
A) Keep all four side rails up at all times.
B) Place the bed in the highest position.
,C) Place the call light within the client's reach.
D) Leave the client's room door closed.
Correct Answer: C. Placing the call light within reach is a standard non-
restraint intervention to help prevent falls. It empowers the client to ask
for assistance. (Note: Generally, using all four side rails is considered a
restraint).
6. A nurse is assessing a client's peripheral IV site. Which of the
following findings indicates phlebitis?
A) Cool, pale skin at the site.
B) Edema and redness along the vein.
C) A palpable cord along the vein and purulent drainage.
D) Leaking of fluid from the insertion site.
Correct Answer: B. Edema (swelling), redness (erythema), warmth, and
pain are classic signs of phlebitis (inflammation of the vein). A palpable
cord is a sign of advanced phlebitis, but purulent drainage indicates
infection.
7. A nurse is providing discharge teaching to a client who is
prescribed a walker. Which of the following statements by the client
indicates understanding?
A) "I will hold the walker and take a step with my weak leg first."
B) "I will hold the walker and take a step with my strong leg first."
C) "I will place the walker in front of me and walk into it."
D) "I will use the walker only when I am feeling dizzy."
Correct Answer: A. The correct gait pattern with a walker is: place the
walker forward, then advance the weak leg, followed by the strong leg.
This ensures the strong leg supports the body weight during movement.
, 8. A nurse is caring for a client who has a stage 3 pressure injury.
Which of the following wound dressings is most appropriate?
A) Transparent dressing (e.g., Tegaderm).
B) Hydrocolloid dressing.
C) Hydrogel or alginate dressing.
D) Gauze dressing.
Correct Answer: C. Hydrogel and alginate dressings are designed to
provide moisture to the wound bed (for autolytic debridement) and are
highly absorbent. They are indicated for stage 2, 3, and 4 pressure
injuries.
9. A nurse is preparing to administer a blood transfusion. Which of
the following IV solutions should the nurse use to prime the blood
tubing?
A) Lactated Ringer's.
B) 5% Dextrose in Water (D5W).
C) 0.9% Sodium Chloride (Normal Saline).
D) 0.45% Sodium Chloride (Half Normal Saline).
Correct Answer: C. 0.9% Sodium Chloride is the only solution that is
isotonic and will not cause hemolysis of red blood cells. D5W can cause
hemolysis.
10. A nurse is providing postoperative care to a client. Which of the
following findings is the earliest sign of hypovolemic shock?
A) Hypotension.
B) Tachycardia.
C) Oliguria.
D) Confusion.
