ATI Testing | VATI Green Light Comprehensive Predictor Examination
VATI Green Light Comprehensive
Predictor Examination 2026/2027 |
Verified Questions
ATI Testing | VATI Green Light Comprehensive Predictor Examination | University-Level Nursing
Students
440 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Testing | VATI Green Light Comprehensive Predictor Examination
Comprehensive Predictor Examination (Forms A, B, C Combined) Actual Exam |
Academic Year 2026/2027
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 1 of 133
,INTRODUCTION
This certification-level set contains 440 original questions written for the ATI Testing VATI Green Light
course, covering the material of Forms A, B, and C in a single integrated body of work, and every item was
composed to reinforce the official VATI Green Light course objectives for actual exam readiness and
clinical judgment proficiency in nursing. The items are organized across four core domains that mirror
the objectives of the official ATI Testing VATI Green Light curriculum: Domain 1, Management of Care
and Safety, with 110 questions; Domain 2, Health Promotion and Psychosocial Integrity, with 110
questions; Domain 3, Pharmacological and Parenteral Therapies, with 110 questions; and Domain 4,
Physiological Adaptation and Risk Reduction, with 110 questions. Every question is followed by one
correct option and a rationale that shows the underlying clinical judgment, the safety principle, and the
nursing logic that links a cue to the action a nurse takes next. No two questions in the set depend on the
same calculation, the same rule, or the same interpretation of data, so the collection gives the candidate
broad coverage of the official course objectives. All content is original and aligned to the 2026/2027
academic year for candidates who are working toward the actual examination.
ACTUAL QUESTIONS
Domain 1: Management of Care and Safety
Question 1. A client is scheduled for a surgical procedure and asks the nurse to witness the
informed consent form. Which action should the nurse take?
A. Explain the surgical risks and benefits to the client, then sign the form
B. Confirm that the client understands the procedure and sign the form as a witness to the signature
C. Sign the form only after the surgeon has left the unit so the client is not influenced
D. Postpone signing until the client's family arrives to provide consent
Correct Answer: B
Rationale: Informed consent requires three elements: the client must be given the required information
by the provider performing the procedure, must understand it, and must consent voluntarily. The
nurse's responsibility is to witness the signature and to verify that the client is alert and able to state the
purpose and risks of the procedure, then report any gap in understanding to the provider. The ATI
Testing blueprint and Potter and Perry's Fundamentals of Nursing both assign teaching about the
procedure itself to the provider.
Question 2. A client states that a written document already names decisions about life-
sustaining measures should the client become unable to speak. Which document is being
described?
A. A do-not-resuscitate order signed by the attending provider
B. An organ donation card carried in the client's wallet
C. A facility discharge summary completed at the end of the stay
D. An advance directive, which may include a living will and a durable power of attorney for health
care
Correct Answer: D
Rationale: Advance directives are written statements prepared while the client can decide, and they
include the living will, which specifies which treatments are acceptable, and the durable power of
attorney for health care, which designates a decision maker. A do-not-resuscitate order is a provider's
order in the medical record rather than a client-authored document. The ATI Testing blueprint and
Potter and Perry's Fundamentals of Nursing both place advance directives within the nurse's advocacy
role.
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 2 of 133
,Question 3. A client's heart stops, and the record contains a valid do-not-resuscitate order.
Which action should the nurse take?
A. Withhold resuscitative measures and provide comfort care measures
B. Begin chest compressions until the family arrives at the unit
C. Call the emergency response team and begin bag-valve-mask ventilation
D. Administer atropine and start an intravenous line to prepare for resuscitation
Correct Answer: A
Rationale: A do-not-resuscitate order documents that the client has declined resuscitative efforts, so the
nurse honors it by withholding compressions, defibrillation, and assisted ventilation while continuing
comfort measures such as positioning, analgesia, and family support. The order must be verified as
current and written by an authorized provider. The ATI Testing blueprint and Potter and Perry's
Fundamentals of Nursing both emphasize that the nurse advocates for the client's documented wishes
rather than initiating unwanted procedures.
Question 4. A client becomes unresponsive with no advance directive in the record, and the
family states that the client had named a daughter to make medical decisions. Which
action should the nurse take?
A. Ask the oldest available relative to consent for care
B. Contact the designated decision maker to obtain consent for needed interventions
C. Proceed with interventions without consent because the client cannot decide
D. Request that the hospital chaplain make a decision on behalf of the family
Correct Answer: B
Rationale: When a client cannot make decisions and has completed a durable power of attorney for
health care, the named surrogate holds the legal authority to consent, and the nurse should contact that
person and document the discussion. Decision making is not determined by age or by religious role, and
treatment proceeds without consent only in a life-threatening emergency when no surrogate can be
reached. The ATI Testing blueprint and Potter and Perry's Fundamentals of Nursing both describe this
hierarchy.
Question 5. A registered nurse is assigning care for the shift. Which task is appropriate to
delegate to unlicensed assistive personnel?
A. Administering a scheduled oral medication to a stable client
B. Teaching a client how to use an incentive spirometer
C. Obtaining a client's vital signs and reporting them to the nurse
D. Assessing a surgical incision for signs of infection
Correct Answer: C
Rationale: Delegation must respect the right task, which requires that the task involve a standard,
unchanging procedure with a predictable outcome and that it be allowed by the state nurse licensure
law and facility policy. Taking vital signs and reporting the findings fits that definition, whereas
medication administration, teaching, and assessment require a licensed nurse. The ATI Testing
blueprint and Potter and Perry's Fundamentals of Nursing both apply this rule to determine which
activities may be assigned.
Question 6. A licensed vocational nurse is working with a registered nurse. Which client
should the registered nurse retain in the assignment?
A. The client who needs a dressing change on a healing surgical wound
B. The client who was admitted an hour ago with an acute change in level of consciousness
C. The client who requires oral medications at a scheduled time
D. The client who needs assistance with a shower before breakfast
Correct Answer: B
Rationale: Stable clients with predictable outcomes, such as routine dressing changes and scheduled
oral medications, are suitable for a licensed vocational nurse, while clients who require the nursing
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 3 of 133
, process, including assessment of an unstable or recently admitted client, must remain with the
registered nurse. Matching the client's acuity to the caregiver's scope protects both the client and the
license. The ATI Testing blueprint and Potter and Perry's Fundamentals of Nursing both use this
principle when assignments are made.
Question 7. A registered nurse delegates a task to unlicensed assistive personnel and then
moves to another unit. Which action by the nurse is required by the rights of delegation?
A. Remain accountable for the outcome and provide supervision until the task is finished
B. Transfer accountability for the task to the assistive personnel
C. Document that the assistive personnel accepted responsibility for the outcome
D. Notify the charge nurse that the task is no longer the nurse's concern
Correct Answer: A
Rationale: Delegation transfers the performance of a task, not accountability for the client's outcome, so
the registered nurse must provide clear directions, remain available for questions, and follow up on the
result. Accountability cannot be delegated to unlicensed personnel. The ATI Testing blueprint and Potter
and Perry's Fundamentals of Nursing both identify supervision and follow-up as inseparable from the
delegation decision.
Question 8. A charge nurse teaches a group of nurses about the difference between
assignment and delegation. Which statement should be included?
A. Assignment transfers accountability to another licensed nurse, while delegation never involves
accountability.
B. Both terms describe the same process and may be used interchangeably.
C. Assignment distributes the work of client care among staff members, while delegation transfers
the authority to perform a specific task.
D. Delegation is used only for unlicensed personnel, while assignment is used only for licensed
personnel.
Correct Answer: C
Rationale: Assignment is the routine distribution of client care among members of the nursing team
according to job descriptions, skill level, and client needs, whereas delegation is the transfer of authority
to another person to perform a specific nursing task in a specific situation. The registered nurse retains
accountability in both situations. The ATI Testing blueprint and Potter and Perry's Fundamentals of
Nursing both use these definitions.
Question 9. A nurse disagrees with a provider's prescription and believes it will harm the
client. Which action should the nurse take first?
A. Refuse to carry out the prescription and document the refusal in the record
B. Discuss the concern directly with the provider and, if it is not resolved, follow the chain of
command
C. Carry out the prescription while documenting the objection in the record
D. Ask another nurse to carry out the prescription instead
Correct Answer: B
Rationale: Safe care depends on open communication, so the nurse raises the concern with the
prescribing provider first and then, if doubt remains, notifies the charge nurse, nursing supervisor, or
the medical officer responsible for the client. Carrying out a prescription that the nurse judges unsafe
exposes the client to harm, and simply documenting an objection does not protect the client. The ATI
Testing blueprint and Potter and Perry's Fundamentals of Nursing both describe the chain of command
as the established route.
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 4 of 133
VATI Green Light Comprehensive
Predictor Examination 2026/2027 |
Verified Questions
ATI Testing | VATI Green Light Comprehensive Predictor Examination | University-Level Nursing
Students
440 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
ATI Testing | VATI Green Light Comprehensive Predictor Examination
Comprehensive Predictor Examination (Forms A, B, C Combined) Actual Exam |
Academic Year 2026/2027
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 1 of 133
,INTRODUCTION
This certification-level set contains 440 original questions written for the ATI Testing VATI Green Light
course, covering the material of Forms A, B, and C in a single integrated body of work, and every item was
composed to reinforce the official VATI Green Light course objectives for actual exam readiness and
clinical judgment proficiency in nursing. The items are organized across four core domains that mirror
the objectives of the official ATI Testing VATI Green Light curriculum: Domain 1, Management of Care
and Safety, with 110 questions; Domain 2, Health Promotion and Psychosocial Integrity, with 110
questions; Domain 3, Pharmacological and Parenteral Therapies, with 110 questions; and Domain 4,
Physiological Adaptation and Risk Reduction, with 110 questions. Every question is followed by one
correct option and a rationale that shows the underlying clinical judgment, the safety principle, and the
nursing logic that links a cue to the action a nurse takes next. No two questions in the set depend on the
same calculation, the same rule, or the same interpretation of data, so the collection gives the candidate
broad coverage of the official course objectives. All content is original and aligned to the 2026/2027
academic year for candidates who are working toward the actual examination.
ACTUAL QUESTIONS
Domain 1: Management of Care and Safety
Question 1. A client is scheduled for a surgical procedure and asks the nurse to witness the
informed consent form. Which action should the nurse take?
A. Explain the surgical risks and benefits to the client, then sign the form
B. Confirm that the client understands the procedure and sign the form as a witness to the signature
C. Sign the form only after the surgeon has left the unit so the client is not influenced
D. Postpone signing until the client's family arrives to provide consent
Correct Answer: B
Rationale: Informed consent requires three elements: the client must be given the required information
by the provider performing the procedure, must understand it, and must consent voluntarily. The
nurse's responsibility is to witness the signature and to verify that the client is alert and able to state the
purpose and risks of the procedure, then report any gap in understanding to the provider. The ATI
Testing blueprint and Potter and Perry's Fundamentals of Nursing both assign teaching about the
procedure itself to the provider.
Question 2. A client states that a written document already names decisions about life-
sustaining measures should the client become unable to speak. Which document is being
described?
A. A do-not-resuscitate order signed by the attending provider
B. An organ donation card carried in the client's wallet
C. A facility discharge summary completed at the end of the stay
D. An advance directive, which may include a living will and a durable power of attorney for health
care
Correct Answer: D
Rationale: Advance directives are written statements prepared while the client can decide, and they
include the living will, which specifies which treatments are acceptable, and the durable power of
attorney for health care, which designates a decision maker. A do-not-resuscitate order is a provider's
order in the medical record rather than a client-authored document. The ATI Testing blueprint and
Potter and Perry's Fundamentals of Nursing both place advance directives within the nurse's advocacy
role.
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 2 of 133
,Question 3. A client's heart stops, and the record contains a valid do-not-resuscitate order.
Which action should the nurse take?
A. Withhold resuscitative measures and provide comfort care measures
B. Begin chest compressions until the family arrives at the unit
C. Call the emergency response team and begin bag-valve-mask ventilation
D. Administer atropine and start an intravenous line to prepare for resuscitation
Correct Answer: A
Rationale: A do-not-resuscitate order documents that the client has declined resuscitative efforts, so the
nurse honors it by withholding compressions, defibrillation, and assisted ventilation while continuing
comfort measures such as positioning, analgesia, and family support. The order must be verified as
current and written by an authorized provider. The ATI Testing blueprint and Potter and Perry's
Fundamentals of Nursing both emphasize that the nurse advocates for the client's documented wishes
rather than initiating unwanted procedures.
Question 4. A client becomes unresponsive with no advance directive in the record, and the
family states that the client had named a daughter to make medical decisions. Which
action should the nurse take?
A. Ask the oldest available relative to consent for care
B. Contact the designated decision maker to obtain consent for needed interventions
C. Proceed with interventions without consent because the client cannot decide
D. Request that the hospital chaplain make a decision on behalf of the family
Correct Answer: B
Rationale: When a client cannot make decisions and has completed a durable power of attorney for
health care, the named surrogate holds the legal authority to consent, and the nurse should contact that
person and document the discussion. Decision making is not determined by age or by religious role, and
treatment proceeds without consent only in a life-threatening emergency when no surrogate can be
reached. The ATI Testing blueprint and Potter and Perry's Fundamentals of Nursing both describe this
hierarchy.
Question 5. A registered nurse is assigning care for the shift. Which task is appropriate to
delegate to unlicensed assistive personnel?
A. Administering a scheduled oral medication to a stable client
B. Teaching a client how to use an incentive spirometer
C. Obtaining a client's vital signs and reporting them to the nurse
D. Assessing a surgical incision for signs of infection
Correct Answer: C
Rationale: Delegation must respect the right task, which requires that the task involve a standard,
unchanging procedure with a predictable outcome and that it be allowed by the state nurse licensure
law and facility policy. Taking vital signs and reporting the findings fits that definition, whereas
medication administration, teaching, and assessment require a licensed nurse. The ATI Testing
blueprint and Potter and Perry's Fundamentals of Nursing both apply this rule to determine which
activities may be assigned.
Question 6. A licensed vocational nurse is working with a registered nurse. Which client
should the registered nurse retain in the assignment?
A. The client who needs a dressing change on a healing surgical wound
B. The client who was admitted an hour ago with an acute change in level of consciousness
C. The client who requires oral medications at a scheduled time
D. The client who needs assistance with a shower before breakfast
Correct Answer: B
Rationale: Stable clients with predictable outcomes, such as routine dressing changes and scheduled
oral medications, are suitable for a licensed vocational nurse, while clients who require the nursing
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 3 of 133
, process, including assessment of an unstable or recently admitted client, must remain with the
registered nurse. Matching the client's acuity to the caregiver's scope protects both the client and the
license. The ATI Testing blueprint and Potter and Perry's Fundamentals of Nursing both use this
principle when assignments are made.
Question 7. A registered nurse delegates a task to unlicensed assistive personnel and then
moves to another unit. Which action by the nurse is required by the rights of delegation?
A. Remain accountable for the outcome and provide supervision until the task is finished
B. Transfer accountability for the task to the assistive personnel
C. Document that the assistive personnel accepted responsibility for the outcome
D. Notify the charge nurse that the task is no longer the nurse's concern
Correct Answer: A
Rationale: Delegation transfers the performance of a task, not accountability for the client's outcome, so
the registered nurse must provide clear directions, remain available for questions, and follow up on the
result. Accountability cannot be delegated to unlicensed personnel. The ATI Testing blueprint and Potter
and Perry's Fundamentals of Nursing both identify supervision and follow-up as inseparable from the
delegation decision.
Question 8. A charge nurse teaches a group of nurses about the difference between
assignment and delegation. Which statement should be included?
A. Assignment transfers accountability to another licensed nurse, while delegation never involves
accountability.
B. Both terms describe the same process and may be used interchangeably.
C. Assignment distributes the work of client care among staff members, while delegation transfers
the authority to perform a specific task.
D. Delegation is used only for unlicensed personnel, while assignment is used only for licensed
personnel.
Correct Answer: C
Rationale: Assignment is the routine distribution of client care among members of the nursing team
according to job descriptions, skill level, and client needs, whereas delegation is the transfer of authority
to another person to perform a specific nursing task in a specific situation. The registered nurse retains
accountability in both situations. The ATI Testing blueprint and Potter and Perry's Fundamentals of
Nursing both use these definitions.
Question 9. A nurse disagrees with a provider's prescription and believes it will harm the
client. Which action should the nurse take first?
A. Refuse to carry out the prescription and document the refusal in the record
B. Discuss the concern directly with the provider and, if it is not resolved, follow the chain of
command
C. Carry out the prescription while documenting the objection in the record
D. Ask another nurse to carry out the prescription instead
Correct Answer: B
Rationale: Safe care depends on open communication, so the nurse raises the concern with the
prescribing provider first and then, if doubt remains, notifies the charge nurse, nursing supervisor, or
the medical officer responsible for the client. Carrying out a prescription that the nurse judges unsafe
exposes the client to harm, and simply documenting an objection does not protect the client. The ATI
Testing blueprint and Potter and Perry's Fundamentals of Nursing both describe the chain of command
as the established route.
VATI Green Light Comprehensive Predictor Examination 2026/2027 | Verified Questions
Page 4 of 133
