VATI Green Light Predictor
Comprehensive Exam - 2026 Update
1. A nurse is caring for four clients. Which client should be assessed first based on
prioritization principles?
A. A client with heart failure reporting a 3-lb weight gain in 2 days
B. A client with pneumonia and oxygen saturation of 84% on 2 L nasal cannula
C. A client with a blood glucose of 210 mg/dL before lunch
D. A client requesting discharge instructions
Answer: B
2. A client receiving morphine IV becomes difficult to arouse and has a respiratory rate of
8/min. What is the nurse’s priority action?
A. Notify the provider
B. Administer naloxone
C. Apply oxygen via nasal cannula
D. Document findings
Answer: B
3. The charge nurse is delegating tasks to an LPN and UAP. Which task is appropriate to
assign to the LPN?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of oral medications to a stable client
D. Client education regarding new insulin therapy
Answer: C
4. A nurse overhears a colleague discussing a client’s HIV status in a public hallway. Which
legal principle is violated?
A. Assault
B. Battery
C. Breach of confidentiality
D. False imprisonment
Answer: C
5. A client refuses a scheduled blood transfusion due to religious beliefs. What is the
nurse’s best response?
A. Explain the transfusion is required
B. Notify the provider of the refusal
C. Ask family to persuade the client
D. Document and proceed
Answer: B
6. A nurse is caring for a client with hyperkalemia. Which ECG finding is expected?
A. U waves
B. Peaked T waves
C. ST depression
, D. Prolonged PR interval
Answer: B
7. A client with suspected pulmonary embolism presents with sudden dyspnea and chest
pain. What is the priority intervention?
A. Encourage deep breathing
B. Apply oxygen
C. Administer oral fluids
D. Place in supine position
Answer: B
8. A nurse implements Lewin’s change theory. Which action reflects the “unfreezing”
stage?
A. Reinforcing new behaviors
B. Identifying need for change and educating staff
C. Auditing compliance
D. Updating policies
Answer: B
9. A client with DKA has glucose 550 mg/dL and pH 7.25. What is the priority treatment?
A. IV insulin infusion
B. Oral hypoglycemics
C. Fluid restriction
D. Sodium bicarbonate first
Answer: A
10.A nurse is caring for a client after thyroidectomy who reports tingling around lips. What
complication is suspected?
A. Hyperkalemia
B. Hypocalcemia
C. Hyperglycemia
D. Hyponatremia
Answer: B
11.A client receiving heparin has an aPTT of 120 seconds. What is the nurse’s action?
A. Continue infusion
B. Stop infusion and notify provider
C. Increase rate
D. Document only
Answer: B
12.A client with heart failure has crackles and frothy sputum. Which medication is priority?
A. Furosemide
B. Acetaminophen
C. Insulin
D. Warfarin
Answer: A
13.A nurse is caring for a client with C. difficile infection. Which precaution is required?
A. Droplet
B. Airborne
, C. Contact with soap and water
D. Standard only
Answer: C
14.A client with chest pain unrelieved by nitroglycerin requires which immediate action?
A. Document pain level
B. Encourage rest
C. Activate emergency response
D. Give antacid
Answer: C
15.A client with stroke has sudden slurred speech and weakness. What is the priority
action?
A. Obtain blood glucose
B. Call stroke alert
C. Document
D. Elevate legs
Answer: B
16.A nurse notes bright red drainage saturating a postoperative dressing. What is the
priority action?
A. Reinforce dressing
B. Apply pressure and notify provider
C. Remove sutures
D. Document
Answer: B
17.A client with asthma has no wheezing and severe dyspnea. What does this indicate?
A. Improvement
B. Airway obstruction worsening
C. Anxiety only
D. Hyperventilation
Answer: B
18.A client with sepsis has BP 82/48 mmHg and lactate 5 mmol/L. What is priority?
A. IV fluids
B. Antibiotics later
C. Oral fluids
D. Rest
Answer: A
19.A client with acute kidney injury has potassium 6.5 mEq/L. Which medication stabilizes
cardiac membranes?
A. Insulin
B. Calcium gluconate
C. Furosemide
D. Sodium chloride
Answer: B
20.A nurse delegates ambulation to UAP. Which instruction is appropriate?
A. “Walk the client when you can.”
Comprehensive Exam - 2026 Update
1. A nurse is caring for four clients. Which client should be assessed first based on
prioritization principles?
A. A client with heart failure reporting a 3-lb weight gain in 2 days
B. A client with pneumonia and oxygen saturation of 84% on 2 L nasal cannula
C. A client with a blood glucose of 210 mg/dL before lunch
D. A client requesting discharge instructions
Answer: B
2. A client receiving morphine IV becomes difficult to arouse and has a respiratory rate of
8/min. What is the nurse’s priority action?
A. Notify the provider
B. Administer naloxone
C. Apply oxygen via nasal cannula
D. Document findings
Answer: B
3. The charge nurse is delegating tasks to an LPN and UAP. Which task is appropriate to
assign to the LPN?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of oral medications to a stable client
D. Client education regarding new insulin therapy
Answer: C
4. A nurse overhears a colleague discussing a client’s HIV status in a public hallway. Which
legal principle is violated?
A. Assault
B. Battery
C. Breach of confidentiality
D. False imprisonment
Answer: C
5. A client refuses a scheduled blood transfusion due to religious beliefs. What is the
nurse’s best response?
A. Explain the transfusion is required
B. Notify the provider of the refusal
C. Ask family to persuade the client
D. Document and proceed
Answer: B
6. A nurse is caring for a client with hyperkalemia. Which ECG finding is expected?
A. U waves
B. Peaked T waves
C. ST depression
, D. Prolonged PR interval
Answer: B
7. A client with suspected pulmonary embolism presents with sudden dyspnea and chest
pain. What is the priority intervention?
A. Encourage deep breathing
B. Apply oxygen
C. Administer oral fluids
D. Place in supine position
Answer: B
8. A nurse implements Lewin’s change theory. Which action reflects the “unfreezing”
stage?
A. Reinforcing new behaviors
B. Identifying need for change and educating staff
C. Auditing compliance
D. Updating policies
Answer: B
9. A client with DKA has glucose 550 mg/dL and pH 7.25. What is the priority treatment?
A. IV insulin infusion
B. Oral hypoglycemics
C. Fluid restriction
D. Sodium bicarbonate first
Answer: A
10.A nurse is caring for a client after thyroidectomy who reports tingling around lips. What
complication is suspected?
A. Hyperkalemia
B. Hypocalcemia
C. Hyperglycemia
D. Hyponatremia
Answer: B
11.A client receiving heparin has an aPTT of 120 seconds. What is the nurse’s action?
A. Continue infusion
B. Stop infusion and notify provider
C. Increase rate
D. Document only
Answer: B
12.A client with heart failure has crackles and frothy sputum. Which medication is priority?
A. Furosemide
B. Acetaminophen
C. Insulin
D. Warfarin
Answer: A
13.A nurse is caring for a client with C. difficile infection. Which precaution is required?
A. Droplet
B. Airborne
, C. Contact with soap and water
D. Standard only
Answer: C
14.A client with chest pain unrelieved by nitroglycerin requires which immediate action?
A. Document pain level
B. Encourage rest
C. Activate emergency response
D. Give antacid
Answer: C
15.A client with stroke has sudden slurred speech and weakness. What is the priority
action?
A. Obtain blood glucose
B. Call stroke alert
C. Document
D. Elevate legs
Answer: B
16.A nurse notes bright red drainage saturating a postoperative dressing. What is the
priority action?
A. Reinforce dressing
B. Apply pressure and notify provider
C. Remove sutures
D. Document
Answer: B
17.A client with asthma has no wheezing and severe dyspnea. What does this indicate?
A. Improvement
B. Airway obstruction worsening
C. Anxiety only
D. Hyperventilation
Answer: B
18.A client with sepsis has BP 82/48 mmHg and lactate 5 mmol/L. What is priority?
A. IV fluids
B. Antibiotics later
C. Oral fluids
D. Rest
Answer: A
19.A client with acute kidney injury has potassium 6.5 mEq/L. Which medication stabilizes
cardiac membranes?
A. Insulin
B. Calcium gluconate
C. Furosemide
D. Sodium chloride
Answer: B
20.A nurse delegates ambulation to UAP. Which instruction is appropriate?
A. “Walk the client when you can.”
