Virtual ATI Predictor – Green Light Comprehensive
Predictor Exam Prep
Description: Review materials for the Virtual ATI Predictor Green Light exam, focusing on
NCLEX-style questions, test-taking strategies, and high-yield nursing concepts. Designed for final
readiness checks.
Keywords:
ati predictor green light
nclex style questions
nursing readiness exam
test taking strategies
comprehensive predictor
1. A client with heart failure is prescribed furosemide 40 mg IV twice daily. Which finding
indicates to the nurse that the medication is effective?
a) Increased urine output to 50 mL/hr
b) Weight gain of 1 kg (2.2 lbs) overnight
c) Respiratory rate of 10 breaths per minute
d) Potassium level of 5.8 mEq/L
Answer: a) Increased urine output to 50 mL/hr
Rationale: Furosemide is a loop diuretic that promotes fluid excretion. Increased urine output is
the primary indicator of its effectiveness. Weight gain indicates fluid retention. Bradycardia (RR
10) is not related. Hyperkalemia is a potential adverse effect, not a sign of effectiveness.
2. When assessing a postpartum client, the nurse notes a firm, boggy uterus that becomes
firm with massage and is located 2 fingerbreadths above the umbilicus. What is the nurse's
priority action?
a) Document the findings as normal.
b) Encourage the client to ambulate.
c) Assist the client to empty her bladder.
d) Administer prescribed oxytocin.
Answer: c) Assist the client to empty her bladder.
Rationale: A full bladder can displace the uterus and prevent it from contracting, leading to
uterine atony and hemorrhage. The first action is to have the client empty her bladder, which
often allows the uterus to contract. Massage is then performed.
,3. A nurse is caring for a client with a new tracheostomy. Which item is the most important to
keep at the bedside?
a) Suction equipment
b) Humidification setup
c) Spare tracheostomy tube of the same size
d) Obturator from the current tracheostomy tube
Answer: a) Suction equipment
Rationale: While all are important, a patent airway is the highest priority. New tracheostomies
produce significant secretions that can occlude the tube, leading to respiratory arrest.
Suctioning is the immediate intervention to maintain a patent airway.
4. A client with type 1 diabetes mellitus reports feeling dizzy and shaky. The nurse finds the
client diaphoretic and pale. What should the nurse do first?
a) Administer 1 mg of glucagon IM.
b) Check the client's blood glucose level.
c) Provide 4 oz of fruit juice.
d) Have the client ambulate to increase circulation.
Answer: b) Check the client's blood glucose level.
Rationale: The symptoms are classic for hypoglycemia. However, the nurse must confirm low
blood glucose (<70 mg/dL) before administering a rapid-acting carbohydrate to avoid giving
sugar for a hyperglycemic episode.
5. The nurse is teaching a client with Parkinson's disease about carbidopa-levodopa. Which
statement by the client indicates a need for further teaching?
a) "I should avoid taking this medication with a high-protein meal."
b) "I may experience a sudden onset of sleepiness during daytime activities."
c) "This medication will cure my Parkinson's disease over time."
d) "My urine and sweat might turn a dark color."
Answer: c) "This medication will cure my Parkinson's disease over time."
Rationale: Carbidopa-levodopa helps manage symptoms but does not cure or halt the
progression of Parkinson's disease. The other statements are accurate side effects and
administration instructions.
6. A client is receiving a unit of packed red blood cells. Fifteen minutes after the transfusion
begins, the client reports chills and low back pain. What is the nurse's priority action?
a) Slow the infusion rate and monitor vital signs.
b) Stop the transfusion and keep the IV line open with normal saline.
c) Administer an antihistamine as prescribed.
d) Place warm blankets on the client.
, Answer: b) Stop the transfusion and keep the IV line open with normal saline.
Rationale: These are classic signs of a hemolytic transfusion reaction, a medical emergency. The
first step is to stop the transfusion to prevent further infusion of the incompatible blood and
maintain IV access for emergency medications.
7. Four hours after a total abdominal hysterectomy, a client's urinary output is 20 mL for the
past two hours. What is the nurse's best initial action?
a) Notify the surgeon immediately.
b) Encourage the client to increase oral fluid intake.
c) Assess the bladder for distention by palpating the lower abdomen.
d) Irrigate the indwelling urinary catheter.
Answer: c) Assess the bladder for distention by palpating the lower abdomen.
Rationale: Postoperative urinary retention is common due to anesthesia and opioids. Assessing
for bladder distention is a non-invasive first step before moving to interventions like catheter
irrigation or notifying the provider.
8. A nurse is preparing to administer digoxin 0.125 mg PO to a client with heart failure. The
client's apical pulse is 52 beats/min. What is the correct action by the nurse?
a) Administer the digoxin as ordered.
b) Withhold the digoxin and notify the provider.
c) Administer the digoxin and recheck the pulse in 1 hour.
d) Withhold the digoxin and encourage the client to ambulate.
Answer: b) Withhold the digoxin and notify the provider.
Rationale: Digoxin is held and the provider notified for an apical pulse below 60 bpm in an
adult. Digoxin decreases heart rate, and administering it with bradycardia could lead to life-
threatening dysrhythmias.
9. A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse
anticipates the provider will prescribe which combination of medications?
a) Omeprazole, amoxicillin, and clarithromycin
b) Sucralfate, pantoprazole, and magnesium hydroxide
c) Famotidine, metronidazole, and Pepto-Bismol
d) Esomeprazole, aluminum hydroxide, and metronidazole
Answer: a) Omeprazole (PPI), amoxicillin, and clarithromycin
Rationale: This is standard triple therapy for H. pylori. It includes a proton pump inhibitor and
two antibiotics to eradicate the bacteria.
10. A client with rheumatoid arthritis has been taking prednisone for several months. Which
statement by the client is most important to report to the provider?
a) "I've noticed some swelling in my ankles."
Predictor Exam Prep
Description: Review materials for the Virtual ATI Predictor Green Light exam, focusing on
NCLEX-style questions, test-taking strategies, and high-yield nursing concepts. Designed for final
readiness checks.
Keywords:
ati predictor green light
nclex style questions
nursing readiness exam
test taking strategies
comprehensive predictor
1. A client with heart failure is prescribed furosemide 40 mg IV twice daily. Which finding
indicates to the nurse that the medication is effective?
a) Increased urine output to 50 mL/hr
b) Weight gain of 1 kg (2.2 lbs) overnight
c) Respiratory rate of 10 breaths per minute
d) Potassium level of 5.8 mEq/L
Answer: a) Increased urine output to 50 mL/hr
Rationale: Furosemide is a loop diuretic that promotes fluid excretion. Increased urine output is
the primary indicator of its effectiveness. Weight gain indicates fluid retention. Bradycardia (RR
10) is not related. Hyperkalemia is a potential adverse effect, not a sign of effectiveness.
2. When assessing a postpartum client, the nurse notes a firm, boggy uterus that becomes
firm with massage and is located 2 fingerbreadths above the umbilicus. What is the nurse's
priority action?
a) Document the findings as normal.
b) Encourage the client to ambulate.
c) Assist the client to empty her bladder.
d) Administer prescribed oxytocin.
Answer: c) Assist the client to empty her bladder.
Rationale: A full bladder can displace the uterus and prevent it from contracting, leading to
uterine atony and hemorrhage. The first action is to have the client empty her bladder, which
often allows the uterus to contract. Massage is then performed.
,3. A nurse is caring for a client with a new tracheostomy. Which item is the most important to
keep at the bedside?
a) Suction equipment
b) Humidification setup
c) Spare tracheostomy tube of the same size
d) Obturator from the current tracheostomy tube
Answer: a) Suction equipment
Rationale: While all are important, a patent airway is the highest priority. New tracheostomies
produce significant secretions that can occlude the tube, leading to respiratory arrest.
Suctioning is the immediate intervention to maintain a patent airway.
4. A client with type 1 diabetes mellitus reports feeling dizzy and shaky. The nurse finds the
client diaphoretic and pale. What should the nurse do first?
a) Administer 1 mg of glucagon IM.
b) Check the client's blood glucose level.
c) Provide 4 oz of fruit juice.
d) Have the client ambulate to increase circulation.
Answer: b) Check the client's blood glucose level.
Rationale: The symptoms are classic for hypoglycemia. However, the nurse must confirm low
blood glucose (<70 mg/dL) before administering a rapid-acting carbohydrate to avoid giving
sugar for a hyperglycemic episode.
5. The nurse is teaching a client with Parkinson's disease about carbidopa-levodopa. Which
statement by the client indicates a need for further teaching?
a) "I should avoid taking this medication with a high-protein meal."
b) "I may experience a sudden onset of sleepiness during daytime activities."
c) "This medication will cure my Parkinson's disease over time."
d) "My urine and sweat might turn a dark color."
Answer: c) "This medication will cure my Parkinson's disease over time."
Rationale: Carbidopa-levodopa helps manage symptoms but does not cure or halt the
progression of Parkinson's disease. The other statements are accurate side effects and
administration instructions.
6. A client is receiving a unit of packed red blood cells. Fifteen minutes after the transfusion
begins, the client reports chills and low back pain. What is the nurse's priority action?
a) Slow the infusion rate and monitor vital signs.
b) Stop the transfusion and keep the IV line open with normal saline.
c) Administer an antihistamine as prescribed.
d) Place warm blankets on the client.
, Answer: b) Stop the transfusion and keep the IV line open with normal saline.
Rationale: These are classic signs of a hemolytic transfusion reaction, a medical emergency. The
first step is to stop the transfusion to prevent further infusion of the incompatible blood and
maintain IV access for emergency medications.
7. Four hours after a total abdominal hysterectomy, a client's urinary output is 20 mL for the
past two hours. What is the nurse's best initial action?
a) Notify the surgeon immediately.
b) Encourage the client to increase oral fluid intake.
c) Assess the bladder for distention by palpating the lower abdomen.
d) Irrigate the indwelling urinary catheter.
Answer: c) Assess the bladder for distention by palpating the lower abdomen.
Rationale: Postoperative urinary retention is common due to anesthesia and opioids. Assessing
for bladder distention is a non-invasive first step before moving to interventions like catheter
irrigation or notifying the provider.
8. A nurse is preparing to administer digoxin 0.125 mg PO to a client with heart failure. The
client's apical pulse is 52 beats/min. What is the correct action by the nurse?
a) Administer the digoxin as ordered.
b) Withhold the digoxin and notify the provider.
c) Administer the digoxin and recheck the pulse in 1 hour.
d) Withhold the digoxin and encourage the client to ambulate.
Answer: b) Withhold the digoxin and notify the provider.
Rationale: Digoxin is held and the provider notified for an apical pulse below 60 bpm in an
adult. Digoxin decreases heart rate, and administering it with bradycardia could lead to life-
threatening dysrhythmias.
9. A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse
anticipates the provider will prescribe which combination of medications?
a) Omeprazole, amoxicillin, and clarithromycin
b) Sucralfate, pantoprazole, and magnesium hydroxide
c) Famotidine, metronidazole, and Pepto-Bismol
d) Esomeprazole, aluminum hydroxide, and metronidazole
Answer: a) Omeprazole (PPI), amoxicillin, and clarithromycin
Rationale: This is standard triple therapy for H. pylori. It includes a proton pump inhibitor and
two antibiotics to eradicate the bacteria.
10. A client with rheumatoid arthritis has been taking prednisone for several months. Which
statement by the client is most important to report to the provider?
a) "I've noticed some swelling in my ankles."
