VIRTUAL ATI PREDICTOR
(GREEN LIGHT) EXAM
UPDATED
1. A nurse is caring for a client with heart failure who has crackles in both lungs.
Which prescription should the nurse implement first?
A. Administer furosemide IV
B. Encourage oral fluids
C. Obtain a chest X-ray
D. Measure daily weight
Answer: A
Rationale: Pulmonary crackles indicate fluid overload. IV diuretics reduce preload
and improve oxygenation.
2. A client with diabetes reports shakiness and diaphoresis. Which action should the
nurse take first?
A. Administer insulin
B. Check blood glucose
C. Provide 15 g of carbohydrates
D. Notify the provider
Answer: B
Rationale: Symptoms suggest hypoglycemia. Blood glucose must be confirmed
before intervention.
,3. A nurse is caring for four postoperative clients. Which client should be assessed
first?
A. Client with pain rated 6/10
B. Client with oxygen saturation of 88%
C. Client requesting antiemetics
D. Client awaiting discharge teaching
Answer: B
Rationale: Oxygen saturation below 90% is life-threatening and requires immediate
assessment.
4. Which finding indicates effective treatment of a client with pneumonia?
A. Decreased white blood cell count
B. Increased respiratory rate
C. Crackles in lung bases
D. Productive cough
Answer: A
Rationale: Decreasing WBCs indicate resolution of infection.
5. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A. “I will eat more leafy greens.”
B. “I will use a soft-bristle toothbrush.”
C. “I can stop the medication once I feel better.”
D. “I should take aspirin for pain.”
Answer: B
Rationale: Warfarin increases bleeding risk; soft toothbrush reduces injury. Leafy
greens interfere with warfarin.
6. A nurse is caring for a client with suspected stroke. Which action is the priority?
,A. Check blood glucose
B. Administer aspirin
C. Perform a swallow study
D. Encourage oral fluids
Answer: A
Rationale: Hypoglycemia can mimic stroke symptoms and must be ruled out first.
7. Which task can the nurse delegate to an unlicensed assistive personnel (UAP)?
A. Administer oral medications
B. Perform sterile wound care
C. Measure intake and output
D. Teach incentive spirometry
Answer: C
Rationale: Measuring I&O is within UAP scope.
8. A client with chronic kidney disease has potassium level of 6.2 mEq/L. Which
action should the nurse take first?
A. Administer calcium gluconate
B. Place the client on a cardiac monitor
C. Restrict dietary potassium
D. Notify the dietitian
Answer: B
Rationale: Hyperkalemia can cause lethal dysrhythmias; monitoring is priority.
9. Which client is at highest risk for developing pressure injuries?
A. Client who ambulates twice daily
B. Client with urinary incontinence
C. Client receiving IV antibiotics
D. Client with hypertension
, Answer: B
Rationale: Moisture and impaired skin integrity increase pressure injury risk.
10. A nurse is caring for a client with COPD. Which finding requires immediate
intervention?
A. Barrel chest
B. Productive cough
C. Oxygen saturation of 85%
D. Clubbing of fingers
Answer: C
Rationale: Severe hypoxemia is life-threatening.
11. A client with chest pain receives nitroglycerin. Which finding indicates the
medication is effective?
A. Decreased heart rate
B. Relief of chest pain
C. Increased blood pressure
D. Improved appetite
Answer: B
Rationale: Primary goal of nitroglycerin is relief of angina.
12. Which statement by a newly licensed nurse indicates understanding of infection
control?
A. “I remove gloves after leaving the room.”
B. “I perform hand hygiene before and after client contact.”
C. “I reuse gowns if they appear clean.”
D. “I wear gloves only when blood is present.”
Answer: B
(GREEN LIGHT) EXAM
UPDATED
1. A nurse is caring for a client with heart failure who has crackles in both lungs.
Which prescription should the nurse implement first?
A. Administer furosemide IV
B. Encourage oral fluids
C. Obtain a chest X-ray
D. Measure daily weight
Answer: A
Rationale: Pulmonary crackles indicate fluid overload. IV diuretics reduce preload
and improve oxygenation.
2. A client with diabetes reports shakiness and diaphoresis. Which action should the
nurse take first?
A. Administer insulin
B. Check blood glucose
C. Provide 15 g of carbohydrates
D. Notify the provider
Answer: B
Rationale: Symptoms suggest hypoglycemia. Blood glucose must be confirmed
before intervention.
,3. A nurse is caring for four postoperative clients. Which client should be assessed
first?
A. Client with pain rated 6/10
B. Client with oxygen saturation of 88%
C. Client requesting antiemetics
D. Client awaiting discharge teaching
Answer: B
Rationale: Oxygen saturation below 90% is life-threatening and requires immediate
assessment.
4. Which finding indicates effective treatment of a client with pneumonia?
A. Decreased white blood cell count
B. Increased respiratory rate
C. Crackles in lung bases
D. Productive cough
Answer: A
Rationale: Decreasing WBCs indicate resolution of infection.
5. A nurse is teaching a client about warfarin therapy. Which statement indicates
understanding?
A. “I will eat more leafy greens.”
B. “I will use a soft-bristle toothbrush.”
C. “I can stop the medication once I feel better.”
D. “I should take aspirin for pain.”
Answer: B
Rationale: Warfarin increases bleeding risk; soft toothbrush reduces injury. Leafy
greens interfere with warfarin.
6. A nurse is caring for a client with suspected stroke. Which action is the priority?
,A. Check blood glucose
B. Administer aspirin
C. Perform a swallow study
D. Encourage oral fluids
Answer: A
Rationale: Hypoglycemia can mimic stroke symptoms and must be ruled out first.
7. Which task can the nurse delegate to an unlicensed assistive personnel (UAP)?
A. Administer oral medications
B. Perform sterile wound care
C. Measure intake and output
D. Teach incentive spirometry
Answer: C
Rationale: Measuring I&O is within UAP scope.
8. A client with chronic kidney disease has potassium level of 6.2 mEq/L. Which
action should the nurse take first?
A. Administer calcium gluconate
B. Place the client on a cardiac monitor
C. Restrict dietary potassium
D. Notify the dietitian
Answer: B
Rationale: Hyperkalemia can cause lethal dysrhythmias; monitoring is priority.
9. Which client is at highest risk for developing pressure injuries?
A. Client who ambulates twice daily
B. Client with urinary incontinence
C. Client receiving IV antibiotics
D. Client with hypertension
, Answer: B
Rationale: Moisture and impaired skin integrity increase pressure injury risk.
10. A nurse is caring for a client with COPD. Which finding requires immediate
intervention?
A. Barrel chest
B. Productive cough
C. Oxygen saturation of 85%
D. Clubbing of fingers
Answer: C
Rationale: Severe hypoxemia is life-threatening.
11. A client with chest pain receives nitroglycerin. Which finding indicates the
medication is effective?
A. Decreased heart rate
B. Relief of chest pain
C. Increased blood pressure
D. Improved appetite
Answer: B
Rationale: Primary goal of nitroglycerin is relief of angina.
12. Which statement by a newly licensed nurse indicates understanding of infection
control?
A. “I remove gloves after leaving the room.”
B. “I perform hand hygiene before and after client contact.”
C. “I reuse gowns if they appear clean.”
D. “I wear gloves only when blood is present.”
Answer: B
