VATI Green Light Predictor Exam- 2026
Question 1
A nurse is assessing a client who has a respiratory rate of 8/min and is
difficult to arouse after receiving an opioid. Which medication should the
nurse anticipate administering?
A. Flumazenil
B. Naloxone
C. Protamine sulfate
D. Acetylcysteine
Correct Answer: B. Naloxone
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid-
induced respiratory depression and central nervous system depression. The
priority is airway and breathing support while administering the reversal
agent as indicated.
Question 2
A client with heart failure reports a sudden 3-kg weight gain over several
days. Which action should the nurse take first?
A. Encourage increased oral fluids
B. Assess for manifestations of fluid overload
C. Encourage a high-sodium meal
D. Restrict all physical activity permanently
Correct Answer: B. Assess for manifestations of fluid overload
Rationale: Rapid weight gain in a client with heart failure commonly
indicates fluid retention. The nurse should assess respiratory status, lung
sounds, edema, oxygenation, and other manifestations before determining
further interventions.
1
,Question 3
Which finding should a nurse recognize as a priority manifestation of
hypoglycemia?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Increased thirst
Correct Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia activates the sympathetic nervous system,
producing sweating, tremors, palpitations, anxiety, and hunger. Severe
hypoglycemia can progress to confusion, seizures, and loss of consciousness.
Question 4
A client with diabetes is conscious and has a blood glucose level of 54 mg/dL.
Which intervention is appropriate?
A. Administer rapid-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate
C. Restrict oral intake
D. Administer a high-protein meal only
Correct Answer: B. Give approximately 15 g of rapid-acting carbohydrate
Rationale: A conscious client who can safely swallow and has symptomatic
hypoglycemia should receive a rapidly absorbed carbohydrate. Blood glucose
should then be rechecked according to the facility protocol, with additional
treatment provided if necessary.
Question 5
A nurse is caring for a client receiving a blood transfusion. Which finding
requires immediate action?
2
,A. Temperature of 37°C (98.6°F) before transfusion
B. Mild hunger
C. Chills and low back pain during transfusion
D. Heart rate of 78/min before transfusion
Correct Answer: C. Chills and low back pain during transfusion
Rationale: Chills and low back pain during a transfusion may indicate an
acute hemolytic transfusion reaction. The nurse should stop the transfusion
immediately, maintain IV access with appropriate fluid, assess the client, and
notify the appropriate provider and blood bank according to protocol.
Question 6
Which assessment finding is most concerning in a client with increased
intracranial pressure?
A. Mild headache
B. Decreased level of consciousness
C. Increased appetite
D. Warm extremities
Correct Answer: B. Decreased level of consciousness
Rationale: A declining level of consciousness is an important indicator of
worsening neurologic status and increased intracranial pressure. Airway,
breathing, circulation, and neurologic status require immediate attention.
Question 7
A nurse is caring for a client who has a seizure. Which intervention is
appropriate?
A. Place an object in the client's mouth
B. Restrain the client's extremities
C. Protect the client's head and clear nearby objects
D. Give oral medication during the seizure
3
, Correct Answer: C. Protect the client's head and clear nearby objects
Rationale: During a seizure, the priority is preventing injury and maintaining
safety. The nurse should protect the head, remove hazardous objects,
maintain the airway as possible, and observe the seizure characteristics.
Nothing should be placed in the client's mouth.
Question 8
Which finding is expected in a client experiencing hypovolemic shock?
A. Bounding pulse
B. Hypotension and tachycardia
C. Bradycardia with hypertension
D. Warm flushed skin with hypertension
Correct Answer: B. Hypotension and tachycardia
Rationale: Hypovolemia decreases circulating blood volume and cardiac
output. Compensatory sympathetic stimulation causes tachycardia and
peripheral vasoconstriction, while significant volume loss can result in
hypotension.
Question 9
A postoperative client suddenly develops dyspnea, pleuritic chest pain, and
tachycardia. Which complication should the nurse suspect?
A. Pulmonary embolism
B. Constipation
C. Hypoglycemia
D. Urinary retention
Correct Answer: A. Pulmonary embolism
4
Question 1
A nurse is assessing a client who has a respiratory rate of 8/min and is
difficult to arouse after receiving an opioid. Which medication should the
nurse anticipate administering?
A. Flumazenil
B. Naloxone
C. Protamine sulfate
D. Acetylcysteine
Correct Answer: B. Naloxone
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid-
induced respiratory depression and central nervous system depression. The
priority is airway and breathing support while administering the reversal
agent as indicated.
Question 2
A client with heart failure reports a sudden 3-kg weight gain over several
days. Which action should the nurse take first?
A. Encourage increased oral fluids
B. Assess for manifestations of fluid overload
C. Encourage a high-sodium meal
D. Restrict all physical activity permanently
Correct Answer: B. Assess for manifestations of fluid overload
Rationale: Rapid weight gain in a client with heart failure commonly
indicates fluid retention. The nurse should assess respiratory status, lung
sounds, edema, oxygenation, and other manifestations before determining
further interventions.
1
,Question 3
Which finding should a nurse recognize as a priority manifestation of
hypoglycemia?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Increased thirst
Correct Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia activates the sympathetic nervous system,
producing sweating, tremors, palpitations, anxiety, and hunger. Severe
hypoglycemia can progress to confusion, seizures, and loss of consciousness.
Question 4
A client with diabetes is conscious and has a blood glucose level of 54 mg/dL.
Which intervention is appropriate?
A. Administer rapid-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate
C. Restrict oral intake
D. Administer a high-protein meal only
Correct Answer: B. Give approximately 15 g of rapid-acting carbohydrate
Rationale: A conscious client who can safely swallow and has symptomatic
hypoglycemia should receive a rapidly absorbed carbohydrate. Blood glucose
should then be rechecked according to the facility protocol, with additional
treatment provided if necessary.
Question 5
A nurse is caring for a client receiving a blood transfusion. Which finding
requires immediate action?
2
,A. Temperature of 37°C (98.6°F) before transfusion
B. Mild hunger
C. Chills and low back pain during transfusion
D. Heart rate of 78/min before transfusion
Correct Answer: C. Chills and low back pain during transfusion
Rationale: Chills and low back pain during a transfusion may indicate an
acute hemolytic transfusion reaction. The nurse should stop the transfusion
immediately, maintain IV access with appropriate fluid, assess the client, and
notify the appropriate provider and blood bank according to protocol.
Question 6
Which assessment finding is most concerning in a client with increased
intracranial pressure?
A. Mild headache
B. Decreased level of consciousness
C. Increased appetite
D. Warm extremities
Correct Answer: B. Decreased level of consciousness
Rationale: A declining level of consciousness is an important indicator of
worsening neurologic status and increased intracranial pressure. Airway,
breathing, circulation, and neurologic status require immediate attention.
Question 7
A nurse is caring for a client who has a seizure. Which intervention is
appropriate?
A. Place an object in the client's mouth
B. Restrain the client's extremities
C. Protect the client's head and clear nearby objects
D. Give oral medication during the seizure
3
, Correct Answer: C. Protect the client's head and clear nearby objects
Rationale: During a seizure, the priority is preventing injury and maintaining
safety. The nurse should protect the head, remove hazardous objects,
maintain the airway as possible, and observe the seizure characteristics.
Nothing should be placed in the client's mouth.
Question 8
Which finding is expected in a client experiencing hypovolemic shock?
A. Bounding pulse
B. Hypotension and tachycardia
C. Bradycardia with hypertension
D. Warm flushed skin with hypertension
Correct Answer: B. Hypotension and tachycardia
Rationale: Hypovolemia decreases circulating blood volume and cardiac
output. Compensatory sympathetic stimulation causes tachycardia and
peripheral vasoconstriction, while significant volume loss can result in
hypotension.
Question 9
A postoperative client suddenly develops dyspnea, pleuritic chest pain, and
tachycardia. Which complication should the nurse suspect?
A. Pulmonary embolism
B. Constipation
C. Hypoglycemia
D. Urinary retention
Correct Answer: A. Pulmonary embolism
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