VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR EXAM QUESTIONS COMPLETE WITH 100% CORRECT ANSWERS

VIRTUAL ATI GREEN LIGHT COMPREHENSIVE PREDICTOR EXAM QUESTIONS COMPLETE WITH 100% CORRECT ANSWERS 1. A nurse is caring for a client who has a prescription for a continuous enteral feeding. Which of the following actions should the nurse take to prevent aspiration? A) Position the client supine during feeding B) Check gastric residual volume every 4 hours C) Administer the feeding at a cold temperature D) Flush the tube with 50 mL of water after feeding Correct Answer: B. Checking gastric residual volume every 4 hours helps identify delayed gastric emptying, which increases aspiration risk. The client should be positioned with the head of bed elevated 30-45 degrees, not supine. Feedings should be at room temperature, and flushing is done before and after feedings but does not prevent aspiration. ________________________________________ 2. A nurse is preparing to administer a subcutaneous injection of heparin. Which of the following actions is appropriate? A) Massage the site after injection B) Aspirate before injecting the medication C) Insert the needle at a 90-degree angle D) Use the same site for each injection Correct Answer: C. Heparin is administered subcutaneously using a 90-degree angle if using a ⅝-inch needle or 45-degree angle if using a ½-inch needle. Massaging can cause bruising, aspiration is not recommended for subcutaneous injections, and sites should be rotated to prevent hematoma formation. ________________________________________ 3. A nurse is assessing a client who has diabetes mellitus and is experiencing hypoglycemia. Which of the following findings should the nurse expect? A) Deep rapid respirations B) Fruity breath odor C) Cool, clammy skin D) Polyuria Correct Answer: C. Cool, clammy skin is a classic sign of hypoglycemia along with diaphoresis, tremors, and confusion. Deep rapid respirations and fruity breath odor indicate diabetic ketoacidosis (hyperglycemia). Polyuria is associated with hyperglycemia. ________________________________________ 4. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? A) Keep the drainage bag on the bed B) Empty the drainage bag when it is completely full C) Secure the catheter to the client's thigh D) Irrigate the catheter daily with sterile saline Correct Answer: C. Securing the catheter to the client's thigh prevents traction and urethral trauma, reducing infection risk. The drainage bag should hang below the level of the bladder, never on the bed. Empty the bag when it is half full to prevent backflow. Routine irrigation is not recommended unless prescribed. ________________________________________ 5. A nurse is providing teaching to a client who has hypertension. Which of the following dietary modifications should the nurse recommend? A) Increase intake of processed meats B) Limit sodium intake to 2,300 mg per day C) Increase consumption of canned vegetables D) Limit potassium-rich foods Correct Answer: B. The Dietary Approaches to Stop Hypertension (DASH) diet recommends limiting sodium to 2,300 mg per day (or 1,500 mg for certain populations). Processed meats and canned vegetables are high in sodium. Potassium-rich foods should be encouraged, not limited, unless contraindicated. ________________________________________ 6. A nurse is assessing a client who has chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect? A) Prolonged expiratory phase B) Decreased anterior-posterior chest diameter C) Increased breath sounds D) Hypertension Correct Answer: A. COPD is characterized by airway obstruction leading to a prolonged expiratory phase. The anterior-posterior chest diameter is increased (barrel chest). Breath sounds are diminished, and hypertension is not a typical finding. ________________________________________ 7. A nurse is preparing to administer a tuberculin skin test. Which of the following actions should the nurse take? A) Use a 25-gauge needle B) Administer the injection intradermally C) Massage the site after injection D) Draw blood before injecting the test Correct Answer: B. Tuberculin skin tests are administered intradermally using a 27-gauge needle. The site should not be massaged, and blood is not drawn for this test. A wheal should form at the injection site. ________________________________________ 8. A nurse is caring for a client who has a new prescription for warfarin. Which of the following laboratory values should the nurse monitor? A) Activated partial thromboplastin time (aPTT) B) International normalized ratio (INR) C) Platelet count D) Fibrinogen level Correct Answer: B. Warfarin therapy is monitored using INR, with a therapeutic range typically between 2 and 3. aPTT is monitored for heparin therapy. Platelet count and fibrinogen are not specific monitoring parameters for warfarin. ________________________________________ 9. A nurse is assessing a client who has heart failure. Which of the following findings indicates fluid overload? A) Decreased blood pressure B) Flat jugular veins C) Weight loss D) Crackles in the lungs Correct Answer: D. Crackles (rales) in the lungs indicate pulmonary congestion from fluid overload. Other signs include increased blood pressure, distended jugular veins, weight gain, and peripheral edema. ________________________________________ 10. A nurse is providing discharge teaching to a client who has a new colostomy. Which of the following statements by the client indicates understanding? A) "I will change the ostomy pouch every day" B) "I will increase my intake of foods that cause gas" C) "I will empty the pouch when it is one-third to one-half full" D) "I will avoid drinking fluids between meals" Correct Answer: C. Emptying the pouch when it is one-third to one-half full prevents leakage and weight strain on the adhesive. Pouches can be