2026 UPDATED QUESTIONS DOWNLOAD
VIRTUAL ATI PREDICTOR GREEN LIGHT COMPREHESIVE
PREDICTOR LATEST 2025 ACTUAL EXAM ALL 180 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
This document contains the latest Virtual ATI Comprehensive Predictor (Green Light) exam questions
and verified answers designed to help nursing students prepare for the NCLEX-RN. It includes NCLEX-
style questions, rationales, and Next Generation NCLEX (NGN) formats covering prioritization,
pharmacology, safety, and clinical judgment. This study resource is ideal for ATI review, practice, and
boosting confidence before taking the VATI Comprehensive Predictor exam.
1. A nurse is caring for a client with a history of heart failure who reports a 2 kg
(4.4 lb) weight gain in 24 hours. Which is the priority action?
A. Notify the provider.
B. Auscultate the lungs for crackles.
C. Administer a PRN diuretic.
D. Weigh the client again.
• Answer: B
• Rationale: Using the ABC priority framework, the nurse must first assess for
pulmonary edema (crackles) caused by fluid overload before notifying the
provider.
2. A nurse is preparing to administer an IM injection to an infant. Which site is the
most appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
• Answer: C
• Rationale: The vastus lateralis (outer thigh) is the most developed muscle in
infants and is the preferred site for IM injections until they have been walking for
a year.
3. A nurse is reviewing the laboratory results for a client with Chronic Kidney
Disease. Which finding is expected?
,2026 UPDATED QUESTIONS DOWNLOAD
A. Hypokalemia
B. Hypercalcemia
C. Elevated Creatinine
D. Decreased BUN
• Answer: C
• Rationale: Creatinine is the most specific indicator of kidney function. In CKD,
creatinine and BUN increase, while calcium typically decreases.
4. A nurse is teaching a client about a new prescription for Digoxin. Which
statement indicates a need for further teaching?
A. "I will check my pulse before each dose."
B. "I will call the doctor if I see yellow halos."
C. "I will increase my intake of black licorice."
D. "I will report new onset of nausea."
• Answer: C
• Rationale: Black licorice can cause potassium loss, which increases the risk of
digoxin toxicity. Visual changes and nausea are classic signs of toxicity.
5. A nurse is caring for a client with an Airborne infection. Which PPE is
required?
A. Surgical mask
B. N95 respirator
C. Goggles
D. Gown and gloves only
• Answer: B
• Rationale: Airborne precautions (e.g., TB, Measles, Varicella) require an N95
respirator and a negative-pressure room.
6. Which of the following is an early sign of Hypovolemic Shock?
A. Hypotension
B. Tachycardia
C. Bradypnea
D. Warm, flushed skin
• Answer: B
,2026 UPDATED QUESTIONS DOWNLOAD
• Rationale: Tachycardia is a compensatory mechanism to maintain cardiac
output. Hypotension is a late sign of shock.
7. A nurse is triaging victims of a disaster. Which client receives a Red Tag?
A. A client with a simple fracture of the arm.
B. A client with a large head wound and no spontaneous respirations.
C. A client with an obstructed airway and gasping breaths.
D. A client with a 1-inch laceration on the leg.
• Answer: C
• Rationale: Red tags are for life-threatening injuries that are treatable (Emergent).
No respirations get a Black tag; simple fractures get Green or Yellow.
8. A nurse is assessing a client with Cushing’s Syndrome. Which finding is
expected?
A. Weight loss
B. Moon face and buffalo hump
C. Hypotension
D. Low serum cortisol
• Answer: B
• Rationale: Cushing's (excess cortisol) causes fat redistribution to the face and
upper back, along with fluid retention and hypertension.
9. A client is prescribed Warfarin. Which lab test monitors this medication?
A. aPTT
B. Platelets
C. PT/INR
D. Hemoglobin
• Answer: C
• Rationale: PT/INR is used for Warfarin. aPTT is used for Heparin.
10. A nurse is caring for a client with a C-spine injury. Which method should be
used to open the airway?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver
C. Hyperextension of the neck
D. Lateral neck rotation
, 2026 UPDATED QUESTIONS DOWNLOAD
• Answer: B
• Rationale: The jaw-thrust maneuver opens the airway without moving the cervical
spine, preventing further spinal cord injury.
11. A nurse is teaching a client about a clear liquid diet. Which item is allowed?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Low-fat yogurt
• Answer: C
• Rationale: Clear liquids must be transparent at room temperature. Pudding and
yogurt are part of a full liquid diet.
12. A client has a new prescription for Lithium. Which electrolyte must remain
stable?
A. Calcium
B. Magnesium
C. Sodium
D. Potassium
• Answer: C
• Rationale: Lithium is a salt. Low sodium levels (hyponatremia) cause the kidneys
to retain lithium, leading to toxicity.
13. A nurse is assessing a client with Hypocalcemia. Which sign is expected?
A. Positive Trousseau’s sign
B. Constipation
C. Diminished deep tendon reflexes
D. Bone pain
• Answer: A
• Rationale: Hypocalcemia causes neuromuscular irritability, evidenced by
Trousseau’s (carpal spasm) and Chvostek’s (facial twitch) signs.
14. A nurse is caring for a client in a Buck’s Traction. What is the priority?
A. Remove the weights every 4 hours.
B. Ensure weights hang freely.
VIRTUAL ATI PREDICTOR GREEN LIGHT COMPREHESIVE
PREDICTOR LATEST 2025 ACTUAL EXAM ALL 180 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
This document contains the latest Virtual ATI Comprehensive Predictor (Green Light) exam questions
and verified answers designed to help nursing students prepare for the NCLEX-RN. It includes NCLEX-
style questions, rationales, and Next Generation NCLEX (NGN) formats covering prioritization,
pharmacology, safety, and clinical judgment. This study resource is ideal for ATI review, practice, and
boosting confidence before taking the VATI Comprehensive Predictor exam.
1. A nurse is caring for a client with a history of heart failure who reports a 2 kg
(4.4 lb) weight gain in 24 hours. Which is the priority action?
A. Notify the provider.
B. Auscultate the lungs for crackles.
C. Administer a PRN diuretic.
D. Weigh the client again.
• Answer: B
• Rationale: Using the ABC priority framework, the nurse must first assess for
pulmonary edema (crackles) caused by fluid overload before notifying the
provider.
2. A nurse is preparing to administer an IM injection to an infant. Which site is the
most appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
• Answer: C
• Rationale: The vastus lateralis (outer thigh) is the most developed muscle in
infants and is the preferred site for IM injections until they have been walking for
a year.
3. A nurse is reviewing the laboratory results for a client with Chronic Kidney
Disease. Which finding is expected?
,2026 UPDATED QUESTIONS DOWNLOAD
A. Hypokalemia
B. Hypercalcemia
C. Elevated Creatinine
D. Decreased BUN
• Answer: C
• Rationale: Creatinine is the most specific indicator of kidney function. In CKD,
creatinine and BUN increase, while calcium typically decreases.
4. A nurse is teaching a client about a new prescription for Digoxin. Which
statement indicates a need for further teaching?
A. "I will check my pulse before each dose."
B. "I will call the doctor if I see yellow halos."
C. "I will increase my intake of black licorice."
D. "I will report new onset of nausea."
• Answer: C
• Rationale: Black licorice can cause potassium loss, which increases the risk of
digoxin toxicity. Visual changes and nausea are classic signs of toxicity.
5. A nurse is caring for a client with an Airborne infection. Which PPE is
required?
A. Surgical mask
B. N95 respirator
C. Goggles
D. Gown and gloves only
• Answer: B
• Rationale: Airborne precautions (e.g., TB, Measles, Varicella) require an N95
respirator and a negative-pressure room.
6. Which of the following is an early sign of Hypovolemic Shock?
A. Hypotension
B. Tachycardia
C. Bradypnea
D. Warm, flushed skin
• Answer: B
,2026 UPDATED QUESTIONS DOWNLOAD
• Rationale: Tachycardia is a compensatory mechanism to maintain cardiac
output. Hypotension is a late sign of shock.
7. A nurse is triaging victims of a disaster. Which client receives a Red Tag?
A. A client with a simple fracture of the arm.
B. A client with a large head wound and no spontaneous respirations.
C. A client with an obstructed airway and gasping breaths.
D. A client with a 1-inch laceration on the leg.
• Answer: C
• Rationale: Red tags are for life-threatening injuries that are treatable (Emergent).
No respirations get a Black tag; simple fractures get Green or Yellow.
8. A nurse is assessing a client with Cushing’s Syndrome. Which finding is
expected?
A. Weight loss
B. Moon face and buffalo hump
C. Hypotension
D. Low serum cortisol
• Answer: B
• Rationale: Cushing's (excess cortisol) causes fat redistribution to the face and
upper back, along with fluid retention and hypertension.
9. A client is prescribed Warfarin. Which lab test monitors this medication?
A. aPTT
B. Platelets
C. PT/INR
D. Hemoglobin
• Answer: C
• Rationale: PT/INR is used for Warfarin. aPTT is used for Heparin.
10. A nurse is caring for a client with a C-spine injury. Which method should be
used to open the airway?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver
C. Hyperextension of the neck
D. Lateral neck rotation
, 2026 UPDATED QUESTIONS DOWNLOAD
• Answer: B
• Rationale: The jaw-thrust maneuver opens the airway without moving the cervical
spine, preventing further spinal cord injury.
11. A nurse is teaching a client about a clear liquid diet. Which item is allowed?
A. Vanilla pudding
B. Orange juice with pulp
C. Apple juice
D. Low-fat yogurt
• Answer: C
• Rationale: Clear liquids must be transparent at room temperature. Pudding and
yogurt are part of a full liquid diet.
12. A client has a new prescription for Lithium. Which electrolyte must remain
stable?
A. Calcium
B. Magnesium
C. Sodium
D. Potassium
• Answer: C
• Rationale: Lithium is a salt. Low sodium levels (hyponatremia) cause the kidneys
to retain lithium, leading to toxicity.
13. A nurse is assessing a client with Hypocalcemia. Which sign is expected?
A. Positive Trousseau’s sign
B. Constipation
C. Diminished deep tendon reflexes
D. Bone pain
• Answer: A
• Rationale: Hypocalcemia causes neuromuscular irritability, evidenced by
Trousseau’s (carpal spasm) and Chvostek’s (facial twitch) signs.
14. A nurse is caring for a client in a Buck’s Traction. What is the priority?
A. Remove the weights every 4 hours.
B. Ensure weights hang freely.
