Virtual ATI Predictor Green Light Test A and Test B
Comprehensive NCLEX-RN Readiness Assessment
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on the
Virtual ATI Predictor Green Light Test A and Test B. Topics include management of care, safety and
infection control, pharmacological therapies, physiological adaptation, and clinical judgment across
medical-surgical, maternal-newborn, pediatric, and mental health nursing.
1. A nurse is caring for a client who is postoperative following bowel surgery and
has an NG tube connected to low intermittent suction. Which assessment finding
should indicate to the nurse that the NG tube might not be functioning properly?
A. Wall suction set to 60 mmHg
B. Drainage fluid is greenish-yellow
C. Aspirate pH of 3
D. Abdominal rigidity
Correct Answer: D — Abdominal rigidity
Rationale: Abdominal rigidity indicates possible peritonitis or bowel obstruction,
suggesting the NG tube is not adequately decompressing the stomach .
,2. A nurse in an inpatient mental health facility is caring for a client who has major
depressive disorder and refuses to take her medication. Which action should the
nurse take first?
A. Explain to the client the consequences of refusal
B. Identify the reason for the client's refusal
C. Document the client's refusal in the medical record
D. Inform the provider of the client's refusal
Correct Answer: B — Identify the reason for the client's refusal
Rationale: The nurse should first assess the client's reason for refusal to address
any concerns before escalating .
3. A nurse is caring for a client who has a femur fracture and is on bedrest with
Buck's extension traction. Which action should the nurse take?
A. Inspect the client's skin under the device every 8 hours
B. Remove the traction weights during repositioning
C. Elevate the head of the bed to 90 degrees
D. Massage the affected leg every 4 hours
Correct Answer: A — Inspect the client's skin under the device every 8 hours
,Rationale: Skin integrity under traction devices must be assessed regularly to
prevent pressure injuries .
4. A nurse receives a change-of-shift report on four clients. Which client should
the nurse plan to assess first?
A. A client who had a hip arthroplasty reports pain and erythema in his calf
B. A client who has anorexia and peripheral edema
C. A client who has Addison's disease with a blood glucose level of 75 mg/dL
D. A client who had a barium enema 2 days ago and reports constipation
Correct Answer: A — A client who had a hip arthroplasty reports pain and
erythema in his calf
Rationale: Calf pain and erythema after hip arthroplasty suggest deep vein
thrombosis, which requires immediate assessment .
5. A nurse is providing discharge teaching about disease prevention to a client
who has active tuberculosis. Which instruction should the nurse include?
A. Educating the client how to cover nose and mouth with tissues when coughing
B. Recommending the client may return to work after two negative sputum
cultures
, C. Instructing the client that he is no longer contagious after 1 week of medication
therapy
D. Teaching the client's family to wear protective masks while with the client
Correct Answer: A — Educating the client how to cover nose and mouth with
tissues when coughing
Rationale: Cough hygiene is essential to prevent transmission of airborne
pathogens .
6. A nurse is caring for a client who has a prescription for atorvastatin. Which
client condition is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis
Correct Answer: A — Hepatitis C
Rationale: Statins are contraindicated in active liver disease due to risk of
hepatotoxicity .
Comprehensive NCLEX-RN Readiness Assessment
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on the
Virtual ATI Predictor Green Light Test A and Test B. Topics include management of care, safety and
infection control, pharmacological therapies, physiological adaptation, and clinical judgment across
medical-surgical, maternal-newborn, pediatric, and mental health nursing.
1. A nurse is caring for a client who is postoperative following bowel surgery and
has an NG tube connected to low intermittent suction. Which assessment finding
should indicate to the nurse that the NG tube might not be functioning properly?
A. Wall suction set to 60 mmHg
B. Drainage fluid is greenish-yellow
C. Aspirate pH of 3
D. Abdominal rigidity
Correct Answer: D — Abdominal rigidity
Rationale: Abdominal rigidity indicates possible peritonitis or bowel obstruction,
suggesting the NG tube is not adequately decompressing the stomach .
,2. A nurse in an inpatient mental health facility is caring for a client who has major
depressive disorder and refuses to take her medication. Which action should the
nurse take first?
A. Explain to the client the consequences of refusal
B. Identify the reason for the client's refusal
C. Document the client's refusal in the medical record
D. Inform the provider of the client's refusal
Correct Answer: B — Identify the reason for the client's refusal
Rationale: The nurse should first assess the client's reason for refusal to address
any concerns before escalating .
3. A nurse is caring for a client who has a femur fracture and is on bedrest with
Buck's extension traction. Which action should the nurse take?
A. Inspect the client's skin under the device every 8 hours
B. Remove the traction weights during repositioning
C. Elevate the head of the bed to 90 degrees
D. Massage the affected leg every 4 hours
Correct Answer: A — Inspect the client's skin under the device every 8 hours
,Rationale: Skin integrity under traction devices must be assessed regularly to
prevent pressure injuries .
4. A nurse receives a change-of-shift report on four clients. Which client should
the nurse plan to assess first?
A. A client who had a hip arthroplasty reports pain and erythema in his calf
B. A client who has anorexia and peripheral edema
C. A client who has Addison's disease with a blood glucose level of 75 mg/dL
D. A client who had a barium enema 2 days ago and reports constipation
Correct Answer: A — A client who had a hip arthroplasty reports pain and
erythema in his calf
Rationale: Calf pain and erythema after hip arthroplasty suggest deep vein
thrombosis, which requires immediate assessment .
5. A nurse is providing discharge teaching about disease prevention to a client
who has active tuberculosis. Which instruction should the nurse include?
A. Educating the client how to cover nose and mouth with tissues when coughing
B. Recommending the client may return to work after two negative sputum
cultures
, C. Instructing the client that he is no longer contagious after 1 week of medication
therapy
D. Teaching the client's family to wear protective masks while with the client
Correct Answer: A — Educating the client how to cover nose and mouth with
tissues when coughing
Rationale: Cough hygiene is essential to prevent transmission of airborne
pathogens .
6. A nurse is caring for a client who has a prescription for atorvastatin. Which
client condition is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis
Correct Answer: A — Hepatitis C
Rationale: Statins are contraindicated in active liver disease due to risk of
hepatotoxicity .
