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Virtual ATI Predictor Green Light Exam
2026/2027 Actual Exam - 370 Questions with
Detailed Rationales | 100% Verified Graded A+
Pass Guaranteed - A+ Graded
Q1: A nurse on a medical-surgical unit is receiving shift report for four clients. Which of the
following clients should the nurse assess first?
A. A client who is postoperative following a total knee replacement and reports pain as a 4 on a
scale of 0 to 10
B. A client who has heart failure and reports a 2 kg weight gain over the past 2 days
C. A client who has type 2 diabetes mellitus and a fasting blood glucose level of 140 mg/dL
D. A client who has a new diagnosis of pneumonia and a temperature of 38.4°C (101.1°F)
Correct Answer: B
Rationale: The nurse should apply the safety and risk reduction framework to prioritize client
care. A 2 kg weight gain in 2 days indicates fluid retention, which is an early sign of worsening
heart failure and requires immediate assessment for pulmonary edema. The other clients have
findings that require intervention but are not immediately life-threatening compared to fluid
overload.
Q2: A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks should the charge nurse delegate to the AP?
A. Administering an enema to a client who has constipation
B. Measuring the intake and output of a client who has a Foley catheter
C. Performing a sterile dressing change for a client who has a surgical wound
D. Assessing the vital signs of a client who just returned from the post-anesthesia care unit
Correct Answer: B
Rationale: Measuring intake and output is a standardized, non-invasive task that falls within the
scope of practice for an AP. Administering an enema and performing a sterile dressing change are
nursing tasks that require specialized training and licensure. Assessing vital signs of a newly
transferred post-anesthesia client requires critical thinking and licensed nursing assessment.
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Q3: A nurse is providing discharge teaching to a client who has a new prescription for a walker.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will place the walker ahead of me and then step into it with both legs."
B. "I will advance the walker about a step length ahead of me."
C. "I will pick up the walker to move it forward when I am walking on carpet."
D. "I will lean over the walker to reach items on the floor."
Correct Answer: B
Rationale: Advancing the walker a step length ahead provides a stable base of support and
prevents the client from leaning too far forward, reducing the risk of falls. Stepping into the
walker before moving it, picking it up, and leaning over it are all incorrect techniques that
compromise balance and safety.
Q4: A nurse is caring for a client who is scheduled for a cardiac catheterization. Which of the
following actions should the nurse take?
A. Verify the client has signed the informed consent form
B. Administer the prescribed preprocedure sedative 2 hours before the procedure
C. Ensure the client has been NPO for 4 hours prior to the procedure
D. Check the client's most recent serum potassium level
Correct Answer: A
Rationale: A signed informed consent form is required before any invasive procedure, verifying
the client understands the risks, benefits, and alternatives. The preprocedure sedative is typically
given 1 hour prior, NPO status is usually 6 to 8 hours, and while lab work is drawn, verifying
consent is the priority nursing action pre-procedure to prevent legal and ethical violations.
Q5: A nurse manager is planning to implement a quality improvement initiative on the unit.
Which of the following actions should the nurse manager take first?
A. Form a committee of interdisciplinary team members
B. Identify a clinical issue that impacts client outcomes
C. Review current evidence-based literature regarding the issue
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D. Develop a specific aim statement for the project
Correct Answer: B
Rationale: The first step in a quality improvement project is to identify the problem or clinical
issue that needs to be addressed. Once the issue is identified, the nurse manager can form a team,
review literature, and develop an aim statement to guide the initiative.
Q6: A nurse is caring for a client who has a terminal illness and is experiencing dyspnea. Which
of the following actions should the nurse take?
A. Place the client in a supine position
B. Administer supplemental oxygen at 2 L/min via nasal cannula
C. Restrict the client's fluid intake
D. Instruct the client to breathe through pursed lips
Correct Answer: D
Rationale: Pursed-lip breathing prolongs exhalation, creates airway pressure that keeps airways
open, and helps release trapped air, thereby relieving dyspnea. A supine position worsens
dyspnea; high Fowler's is preferred. Oxygen may or may not relieve dyspnea in terminal illness,
and fluid restriction is not an immediate intervention for dyspnea.
Q7: A nurse is preparing to administer a blood transfusion to a client. Which of the following
actions should the nurse take?
A. Prime the blood tubing with 0.9% sodium chloride
B. Check the client's identity using the room number
C. Obtain the blood product from the refrigerator 30 minutes before starting the transfusion
D. Administer the transfusion over a maximum of 2 hours
Correct Answer: A
Rationale: Blood tubing must be primed with 0.9% sodium chloride to prevent hemolysis of the
red blood cells. Client identification must use two unique identifiers, not the room number.
Blood should be obtained immediately before infusion and administered within 4 hours to
prevent bacterial growth.
, 4
Q8: A case manager is planning care for a client who has a new diagnosis of COPD. Which of
the following actions should the case manager take to ensure continuity of care?
A. Arrange for a home health nurse to evaluate the client's home environment
B. Provide the client with a list of community resources for smoking cessation
C. Coordinate a multidisciplinary team meeting to establish discharge goals
D. Educate the client on the proper use of a metered-dose inhaler
Correct Answer: C
Rationale: Case managers coordinate care by organizing multidisciplinary team meetings to
establish comprehensive discharge goals, ensuring all providers are aligned for continuity of
care. Providing education and community resources are nursing interventions, and arranging
home health is a referral action that occurs after goals are set.
Q9: A nurse is reviewing the medical record of a client who is to undergo an elective surgical
procedure. The nurse notes that the client has an advance directive in the chart. Which of the
following actions should the nurse take?
A. Ensure a copy of the advance directive is placed in the client's medical record
B. Verify that the advance directive was signed within the past 24 hours
C. Request the client's family to witness the advance directive prior to surgery
D. Send the advance directive to the risk management department
Correct Answer: A
Rationale: The advance directive should be a prominent part of the medical record so all
healthcare providers are aware of the client's wishes regarding resuscitation and life-sustaining
treatment. Advance directives do not expire in 24 hours, do not require family witnesses prior to
surgery, and stay in the medical record rather than being sent to risk management.
Q10: A nurse is caring for a client who is experiencing an acute manic episode. Which of the
following actions is the nurse's priority?
A. Providing a structured, low-stimulation environment
B. Encouraging the client to participate in group therapy
C. Offering high-calorie, easily consumed snacks
Virtual ATI Predictor Green Light Exam
2026/2027 Actual Exam - 370 Questions with
Detailed Rationales | 100% Verified Graded A+
Pass Guaranteed - A+ Graded
Q1: A nurse on a medical-surgical unit is receiving shift report for four clients. Which of the
following clients should the nurse assess first?
A. A client who is postoperative following a total knee replacement and reports pain as a 4 on a
scale of 0 to 10
B. A client who has heart failure and reports a 2 kg weight gain over the past 2 days
C. A client who has type 2 diabetes mellitus and a fasting blood glucose level of 140 mg/dL
D. A client who has a new diagnosis of pneumonia and a temperature of 38.4°C (101.1°F)
Correct Answer: B
Rationale: The nurse should apply the safety and risk reduction framework to prioritize client
care. A 2 kg weight gain in 2 days indicates fluid retention, which is an early sign of worsening
heart failure and requires immediate assessment for pulmonary edema. The other clients have
findings that require intervention but are not immediately life-threatening compared to fluid
overload.
Q2: A charge nurse is delegating tasks to an assistive personnel (AP). Which of the following
tasks should the charge nurse delegate to the AP?
A. Administering an enema to a client who has constipation
B. Measuring the intake and output of a client who has a Foley catheter
C. Performing a sterile dressing change for a client who has a surgical wound
D. Assessing the vital signs of a client who just returned from the post-anesthesia care unit
Correct Answer: B
Rationale: Measuring intake and output is a standardized, non-invasive task that falls within the
scope of practice for an AP. Administering an enema and performing a sterile dressing change are
nursing tasks that require specialized training and licensure. Assessing vital signs of a newly
transferred post-anesthesia client requires critical thinking and licensed nursing assessment.
,2
Q3: A nurse is providing discharge teaching to a client who has a new prescription for a walker.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will place the walker ahead of me and then step into it with both legs."
B. "I will advance the walker about a step length ahead of me."
C. "I will pick up the walker to move it forward when I am walking on carpet."
D. "I will lean over the walker to reach items on the floor."
Correct Answer: B
Rationale: Advancing the walker a step length ahead provides a stable base of support and
prevents the client from leaning too far forward, reducing the risk of falls. Stepping into the
walker before moving it, picking it up, and leaning over it are all incorrect techniques that
compromise balance and safety.
Q4: A nurse is caring for a client who is scheduled for a cardiac catheterization. Which of the
following actions should the nurse take?
A. Verify the client has signed the informed consent form
B. Administer the prescribed preprocedure sedative 2 hours before the procedure
C. Ensure the client has been NPO for 4 hours prior to the procedure
D. Check the client's most recent serum potassium level
Correct Answer: A
Rationale: A signed informed consent form is required before any invasive procedure, verifying
the client understands the risks, benefits, and alternatives. The preprocedure sedative is typically
given 1 hour prior, NPO status is usually 6 to 8 hours, and while lab work is drawn, verifying
consent is the priority nursing action pre-procedure to prevent legal and ethical violations.
Q5: A nurse manager is planning to implement a quality improvement initiative on the unit.
Which of the following actions should the nurse manager take first?
A. Form a committee of interdisciplinary team members
B. Identify a clinical issue that impacts client outcomes
C. Review current evidence-based literature regarding the issue
,3
D. Develop a specific aim statement for the project
Correct Answer: B
Rationale: The first step in a quality improvement project is to identify the problem or clinical
issue that needs to be addressed. Once the issue is identified, the nurse manager can form a team,
review literature, and develop an aim statement to guide the initiative.
Q6: A nurse is caring for a client who has a terminal illness and is experiencing dyspnea. Which
of the following actions should the nurse take?
A. Place the client in a supine position
B. Administer supplemental oxygen at 2 L/min via nasal cannula
C. Restrict the client's fluid intake
D. Instruct the client to breathe through pursed lips
Correct Answer: D
Rationale: Pursed-lip breathing prolongs exhalation, creates airway pressure that keeps airways
open, and helps release trapped air, thereby relieving dyspnea. A supine position worsens
dyspnea; high Fowler's is preferred. Oxygen may or may not relieve dyspnea in terminal illness,
and fluid restriction is not an immediate intervention for dyspnea.
Q7: A nurse is preparing to administer a blood transfusion to a client. Which of the following
actions should the nurse take?
A. Prime the blood tubing with 0.9% sodium chloride
B. Check the client's identity using the room number
C. Obtain the blood product from the refrigerator 30 minutes before starting the transfusion
D. Administer the transfusion over a maximum of 2 hours
Correct Answer: A
Rationale: Blood tubing must be primed with 0.9% sodium chloride to prevent hemolysis of the
red blood cells. Client identification must use two unique identifiers, not the room number.
Blood should be obtained immediately before infusion and administered within 4 hours to
prevent bacterial growth.
, 4
Q8: A case manager is planning care for a client who has a new diagnosis of COPD. Which of
the following actions should the case manager take to ensure continuity of care?
A. Arrange for a home health nurse to evaluate the client's home environment
B. Provide the client with a list of community resources for smoking cessation
C. Coordinate a multidisciplinary team meeting to establish discharge goals
D. Educate the client on the proper use of a metered-dose inhaler
Correct Answer: C
Rationale: Case managers coordinate care by organizing multidisciplinary team meetings to
establish comprehensive discharge goals, ensuring all providers are aligned for continuity of
care. Providing education and community resources are nursing interventions, and arranging
home health is a referral action that occurs after goals are set.
Q9: A nurse is reviewing the medical record of a client who is to undergo an elective surgical
procedure. The nurse notes that the client has an advance directive in the chart. Which of the
following actions should the nurse take?
A. Ensure a copy of the advance directive is placed in the client's medical record
B. Verify that the advance directive was signed within the past 24 hours
C. Request the client's family to witness the advance directive prior to surgery
D. Send the advance directive to the risk management department
Correct Answer: A
Rationale: The advance directive should be a prominent part of the medical record so all
healthcare providers are aware of the client's wishes regarding resuscitation and life-sustaining
treatment. Advance directives do not expire in 24 hours, do not require family witnesses prior to
surgery, and stay in the medical record rather than being sent to risk management.
Q10: A nurse is caring for a client who is experiencing an acute manic episode. Which of the
following actions is the nurse's priority?
A. Providing a structured, low-stimulation environment
B. Encouraging the client to participate in group therapy
C. Offering high-calorie, easily consumed snacks
