Virtual ATI
Virtual ATI Predictor Green Light | VATI Study Guide 180
Questions and Answers with Detailed Rationales, 100%
Guaranteed Pass || Complete A+ Guide
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 | VATI Study Guide 180
Questions and Answers with Detailed Rationales, 100%
Guaranteed Pass || Complete A+ Guide
1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Answer: D. Contractions
Rationale: After an amniocentesis, uterine contractions can signal preterm labor or
premature rupture of membranes. The nurse should assess for abdominal tightening,
cramping, or low-back pain and report these findings promptly. Continuous fetal monitoring
may be indicated to ensure well-being. Immediate recognition and intervention help prevent
maternal and fetal complications.
2. A nurse is providing teaching to an older adult about promoting nighttime sleep. Which
instruction should the nurse include?
A. Stay in bed at least 1 hr if unable to sleep
B. Take a 1-hr nap during the day
C. Perform exercises before bedtime
D. Eat a light snack before bedtime
,Answer: D. Eat a light snack before bedtime
Rationale: Light snacks such as milk or toast provide tryptophan and carbohydrates that
promote serotonin production, aiding sleep onset. Heavy meals, caffeine, or late-evening
exercise should be avoided. Encouraging a consistent bedtime routine and limiting daytime
naps further improves sleep quality in older adults.
3. A telemetry-unit nurse finds a client unconscious with ventricular tachycardia on the
monitor and no palpable pulse. What action should be taken first?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Answer: B. Defibrillate
Rationale: Pulseless VT is a shockable rhythm. Immediate defibrillation within seconds can
restore cardiac rhythm and perfusion. Other interventions — IV access, medications, and
compressions — follow according to ACLS protocols, but defibrillation is the lifesaving first
step.
4. A nurse admits a postpartum client (1 week) with heavy vaginal bleeding who speaks a
different language. Her partner and 10-year-old child are present. What should the nurse do
to gather admission data?
A. Have the child translate
B. Allow the partner to translate
C. Request a female interpreter through the facility
D. Ask a bilingual student nurse to translate
, Answer: C. Request a female interpreter through the facility
Rationale: A trained medical interpreter ensures confidentiality, accuracy, and compliance
with legal standards such as Title VI of the Civil Rights Act. Family members — especially
minors — should not translate because of potential errors or privacy breaches. Using a same-
gender interpreter also promotes comfort in sensitive postpartum situations.
5. A febrile client receives a cooling blanket. Which finding indicates an adverse reaction to
the therapy?
A. Flushing
B. Tachycardia
C. Restlessness
D. Shivering
Answer: D. Shivering
Rationale: Shivering increases metabolic rate and oxygen demand, counteracting cooling. It
may precipitate hypothermia or cardiovascular stress in vulnerable clients. If shivering
occurs, the blanket should be removed and rewarming initiated gradually while antipyretic
measures are adjusted.
6. A nurse is caring for a client with deep-vein thrombosis (DVT) of the left leg. Which action
is appropriate?
A. Position leg below heart level
B. Withhold heparin IV infusion if PTT 30–40 sec
C. Administer acetaminophen
D. Massage the affected leg every 4 hr
Virtual ATI Predictor Green Light | VATI Study Guide 180
Questions and Answers with Detailed Rationales, 100%
Guaranteed Pass || Complete A+ Guide
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 | VATI Study Guide 180
Questions and Answers with Detailed Rationales, 100%
Guaranteed Pass || Complete A+ Guide
1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Answer: D. Contractions
Rationale: After an amniocentesis, uterine contractions can signal preterm labor or
premature rupture of membranes. The nurse should assess for abdominal tightening,
cramping, or low-back pain and report these findings promptly. Continuous fetal monitoring
may be indicated to ensure well-being. Immediate recognition and intervention help prevent
maternal and fetal complications.
2. A nurse is providing teaching to an older adult about promoting nighttime sleep. Which
instruction should the nurse include?
A. Stay in bed at least 1 hr if unable to sleep
B. Take a 1-hr nap during the day
C. Perform exercises before bedtime
D. Eat a light snack before bedtime
,Answer: D. Eat a light snack before bedtime
Rationale: Light snacks such as milk or toast provide tryptophan and carbohydrates that
promote serotonin production, aiding sleep onset. Heavy meals, caffeine, or late-evening
exercise should be avoided. Encouraging a consistent bedtime routine and limiting daytime
naps further improves sleep quality in older adults.
3. A telemetry-unit nurse finds a client unconscious with ventricular tachycardia on the
monitor and no palpable pulse. What action should be taken first?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Answer: B. Defibrillate
Rationale: Pulseless VT is a shockable rhythm. Immediate defibrillation within seconds can
restore cardiac rhythm and perfusion. Other interventions — IV access, medications, and
compressions — follow according to ACLS protocols, but defibrillation is the lifesaving first
step.
4. A nurse admits a postpartum client (1 week) with heavy vaginal bleeding who speaks a
different language. Her partner and 10-year-old child are present. What should the nurse do
to gather admission data?
A. Have the child translate
B. Allow the partner to translate
C. Request a female interpreter through the facility
D. Ask a bilingual student nurse to translate
, Answer: C. Request a female interpreter through the facility
Rationale: A trained medical interpreter ensures confidentiality, accuracy, and compliance
with legal standards such as Title VI of the Civil Rights Act. Family members — especially
minors — should not translate because of potential errors or privacy breaches. Using a same-
gender interpreter also promotes comfort in sensitive postpartum situations.
5. A febrile client receives a cooling blanket. Which finding indicates an adverse reaction to
the therapy?
A. Flushing
B. Tachycardia
C. Restlessness
D. Shivering
Answer: D. Shivering
Rationale: Shivering increases metabolic rate and oxygen demand, counteracting cooling. It
may precipitate hypothermia or cardiovascular stress in vulnerable clients. If shivering
occurs, the blanket should be removed and rewarming initiated gradually while antipyretic
measures are adjusted.
6. A nurse is caring for a client with deep-vein thrombosis (DVT) of the left leg. Which action
is appropriate?
A. Position leg below heart level
B. Withhold heparin IV infusion if PTT 30–40 sec
C. Administer acetaminophen
D. Massage the affected leg every 4 hr
