Virtual ATI
Virtual ATI Predictor Green Light Comprehensive NCLEX Review Exam
(2025/2026 Edition) – 180 Questions With Verified Correct Answers and In-
Depth Rationales (Updated for the Next Generation NCLEX-RN)
This Document Contains:
Virtual ATI Predictor Green Light Exam Prep
180 NCLEX-Style Questions, Answers & Rationales
Multiple Choice Questions
100% Guaranteed Pass
Complete A+ Guide
Ascorers Stuvia
,Virtual ATI Predictor Green Light Comprehensive NCLEX Review Exam
(2025/2026 Edition) – 180 Questions With Verified Correct Answers and
In-Depth Rationales (Updated for the Next Generation NCLEX-RN)
1. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following findings should prompt the nurse to withhold the medication?
A. Heart rate of 88 bpm
B. Blood pressure of 130/82 mm Hg
C. Potassium level of 3.0 mEq/L
D. Respiratory rate of 18/min
Answer: C. Potassium level of 3.0 mEq/L
Rationale: A potassium level below 3.5 mEq/L increases the risk for digoxin toxicity because
low potassium enhances digoxin’s binding to myocardial tissue. Toxicity may cause
bradycardia, visual disturbances, and cardiac dysrhythmias. The nurse should hold the
medication, notify the provider, and monitor both potassium and digoxin levels. The other
findings are within normal limits and do not contraindicate administration.
2. A client reports dizziness when standing up quickly. The nurse recognizes this as which
type of side effect?
,A. Neurotoxicity
B. Orthostatic hypotension
C. Hepatotoxicity
D. Nephrotoxicity
Answer: B. Orthostatic hypotension
Rationale: Orthostatic hypotension occurs when blood pressure drops with position changes,
reducing cerebral perfusion and causing dizziness. It is a common side effect of
antihypertensives and opioids. The nurse should advise the client to change positions slowly
and dangle the legs before standing. Neurotoxicity involves confusion or seizures,
hepatotoxicity affects the liver, and nephrotoxicity impairs renal function.
3. A nurse reinforces teaching about warfarin therapy. Which statement by the client
indicates understanding?
A. “I will eat more green leafy vegetables.”
B. “I should use a soft-bristled toothbrush.”
C. “I will take aspirin if I have pain.”
D. “I do not need regular blood tests.”
Answer: B. “I should use a soft-bristled toothbrush.”
Rationale: Warfarin increases the risk for bleeding; using a soft-bristled toothbrush prevents
gum injury and bleeding. Clients should also use an electric razor and avoid contact sports.
, Green leafy vegetables are high in vitamin K and can counteract warfarin’s effects, while
aspirin increases bleeding risk. Routine INR monitoring is essential for safe anticoagulation.
4. A nurse is caring for a client on contact precautions for Clostridium difficile. Which action
is appropriate?
A. Use an alcohol-based hand sanitizer after care
B. Wear a surgical mask
C. Wash hands with soap and water
D. Place client in a negative-pressure room
Answer: C. Wash hands with soap and water
Rationale: C. difficile spores are resistant to alcohol-based sanitizers; therefore, handwashing
with soap and water is required after patient contact. The client should be placed in a private
room or cohort with another C. diff client. Gown and gloves are required upon entry.
Negative-pressure rooms are for airborne pathogens, not contact infections.
5. A nurse is assessing a client with COPD. Which finding requires immediate intervention?
A. Productive cough
B. Oxygen saturation of 88%
C. Clubbing of the fingers
D. Use of accessory muscles to breathe
Virtual ATI Predictor Green Light Comprehensive NCLEX Review Exam
(2025/2026 Edition) – 180 Questions With Verified Correct Answers and In-
Depth Rationales (Updated for the Next Generation NCLEX-RN)
This Document Contains:
Virtual ATI Predictor Green Light Exam Prep
180 NCLEX-Style Questions, Answers & Rationales
Multiple Choice Questions
100% Guaranteed Pass
Complete A+ Guide
Ascorers Stuvia
,Virtual ATI Predictor Green Light Comprehensive NCLEX Review Exam
(2025/2026 Edition) – 180 Questions With Verified Correct Answers and
In-Depth Rationales (Updated for the Next Generation NCLEX-RN)
1. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following findings should prompt the nurse to withhold the medication?
A. Heart rate of 88 bpm
B. Blood pressure of 130/82 mm Hg
C. Potassium level of 3.0 mEq/L
D. Respiratory rate of 18/min
Answer: C. Potassium level of 3.0 mEq/L
Rationale: A potassium level below 3.5 mEq/L increases the risk for digoxin toxicity because
low potassium enhances digoxin’s binding to myocardial tissue. Toxicity may cause
bradycardia, visual disturbances, and cardiac dysrhythmias. The nurse should hold the
medication, notify the provider, and monitor both potassium and digoxin levels. The other
findings are within normal limits and do not contraindicate administration.
2. A client reports dizziness when standing up quickly. The nurse recognizes this as which
type of side effect?
,A. Neurotoxicity
B. Orthostatic hypotension
C. Hepatotoxicity
D. Nephrotoxicity
Answer: B. Orthostatic hypotension
Rationale: Orthostatic hypotension occurs when blood pressure drops with position changes,
reducing cerebral perfusion and causing dizziness. It is a common side effect of
antihypertensives and opioids. The nurse should advise the client to change positions slowly
and dangle the legs before standing. Neurotoxicity involves confusion or seizures,
hepatotoxicity affects the liver, and nephrotoxicity impairs renal function.
3. A nurse reinforces teaching about warfarin therapy. Which statement by the client
indicates understanding?
A. “I will eat more green leafy vegetables.”
B. “I should use a soft-bristled toothbrush.”
C. “I will take aspirin if I have pain.”
D. “I do not need regular blood tests.”
Answer: B. “I should use a soft-bristled toothbrush.”
Rationale: Warfarin increases the risk for bleeding; using a soft-bristled toothbrush prevents
gum injury and bleeding. Clients should also use an electric razor and avoid contact sports.
, Green leafy vegetables are high in vitamin K and can counteract warfarin’s effects, while
aspirin increases bleeding risk. Routine INR monitoring is essential for safe anticoagulation.
4. A nurse is caring for a client on contact precautions for Clostridium difficile. Which action
is appropriate?
A. Use an alcohol-based hand sanitizer after care
B. Wear a surgical mask
C. Wash hands with soap and water
D. Place client in a negative-pressure room
Answer: C. Wash hands with soap and water
Rationale: C. difficile spores are resistant to alcohol-based sanitizers; therefore, handwashing
with soap and water is required after patient contact. The client should be placed in a private
room or cohort with another C. diff client. Gown and gloves are required upon entry.
Negative-pressure rooms are for airborne pathogens, not contact infections.
5. A nurse is assessing a client with COPD. Which finding requires immediate intervention?
A. Productive cough
B. Oxygen saturation of 88%
C. Clubbing of the fingers
D. Use of accessory muscles to breathe
