Virtual ATI Predictor Green Light Exam
ACTUAL EXAM 2026/2027 | NCLEX
Readiness | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Management of Care (50 Questions)
Q1: A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with stable vital signs scheduled for discharge
B. Client complaining of mild itching from a new medication
C. Client with chest pain rated 8/10 and diaphoresis. [CORRECT]
D. Client requesting assistance with meal selection
Correct Answer: C
Rationale: Chest pain with diaphoretic appearance indicates potential myocardial infarction requiring
immediate assessment. The ABCs and life-threatening conditions always take priority using Maslow's
hierarchy and safety principles.
Q2: A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate
to delegate?
A. Administering oral medications to stable clients
B. Assessing a postoperative client's incision
C. Obtaining vital signs on a client 2 hours post-surgery. [CORRECT]
D. Teaching a client about diabetic foot care
Correct Answer: C
Rationale: UAP can collect data (vital signs) on stable postoperative clients. Assessment, teaching, and
medication administration require licensed nurse judgment and scope of practice.
,Q3: A client with terminal cancer requests discontinuation of artificial nutrition and hydration. What is
the nurse's priority action?
A. Refuse the request to prevent harm
B. Notify the physician and ensure advance directive documentation is current. [CORRECT]
C. Begin nutrition support without consent
D. Transfer the client to another facility
Correct Answer: B
Rationale: Clients have the right to refuse treatment. The nurse must facilitate communication with the
healthcare team and verify that the client's wishes are documented and honored according to ethical
and legal standards.
Q4: A nurse is supervising a newly licensed nurse. Which action requires immediate intervention?
A. Documenting vital signs within 30 minutes of collection
B. Wearing gloves while changing a sterile dressing
C. Leaving a bed in high position after providing client care. [CORRECT]
D. Checking client identification before medication administration
Correct Answer: C
Rationale: Beds must be kept in low position with brakes locked to prevent falls. This safety hazard
requires immediate correction to protect client welfare.
Q5: [Select All That Apply] A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which
actions are appropriate?
A. Providing comfort measures and pain relief. [CORRECT]
B. Administering medications to treat pneumonia. [CORRECT]
C. Initiating chest compressions if the client stops breathing
D. Offering emotional support to the family. [CORRECT]
E. Withholding all medical interventions
Correct Answer: A, B, D
Rationale: DNR orders apply only to resuscitation efforts. Comfort care, treatment of reversible
conditions, and family support continue. Withholding all interventions (E) represents misunderstanding
of DNR scope.
,Q6: A nurse manager is implementing quality improvement. Which data collection method provides the
most objective measurement of client falls?
A. Incident reports filed by staff
B. Direct observation of client ambulation
C. Review of electronic health record fall documentation. [CORRECT]
D. Client satisfaction surveys
Correct Answer: C
Rationale: Electronic health record review provides comprehensive, objective data on fall incidence,
circumstances, and outcomes. Incident reports may be incomplete; observations are limited; surveys are
subjective.
Q7: A client is scheduled for surgery but refuses to sign the consent form, stating they do not
understand the procedure. What is the nurse's best action?
A. Have the client sign and document refusal to listen
B. Notify the surgeon to provide additional explanation. [CORRECT]
C. Proceed with preoperative preparations
D. Ask a family member to sign instead
Correct Answer: B
Rationale: Informed consent requires understanding. The surgeon must explain until the client
comprehends risks, benefits, and alternatives. Nurses witness consent, not obtain it for surgical
procedures.
Q8: A nurse is caring for a client who speaks limited English. An interpreter is unavailable. Which action
demonstrates cultural competency?
A. Use a family member to interpret medical information
B. Speak loudly and slowly in English
C. Use a professional telephone interpreting service. [CORRECT]
D. Postpone all communication until an interpreter arrives
Correct Answer: C
Rationale: Professional telephone or video interpreting services ensure accurate communication and
protect confidentiality. Family members may filter information; speaking loudly does not overcome
language barriers.
, Q9: [Ordered Response] Place the steps of the nursing process in correct order for prioritizing client
care:
1. Evaluation
2. Planning
3. Assessment
4. Implementation
5. Diagnosis
Correct Order: 3, 5, 2, 4, 1
Rationale: The nursing process follows a systematic sequence: assessment (data collection), diagnosis
(analysis), planning (goals/interventions), implementation (action), and evaluation (outcomes).
Q10: A nurse is leading a change initiative to reduce medication errors. Which leadership style is most
effective for this situation?
A. Autocratic, with the nurse manager making all decisions
B. Democratic, involving staff in identifying solutions and implementation. [CORRECT]
C. Laissez-faire, allowing staff to self-manage without guidance
D. Bureaucratic, following all policies without modification
Correct Answer: B
Rationale: Democratic leadership engages frontline staff who have expertise in workflow and barriers.
Shared decision-making increases buy-in and sustainability of quality improvements.
Q11: A client has a living will stating no extraordinary measures. The client develops respiratory distress.
What is the nurse's priority?
A. Immediately intubate the client
B. Assess if the situation is reversible and review the document scope with the healthcare team.
[CORRECT]
C. Ignore the living will in an emergency
D. Ask the family to override the living will
Correct Answer: B
ACTUAL EXAM 2026/2027 | NCLEX
Readiness | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Management of Care (50 Questions)
Q1: A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with stable vital signs scheduled for discharge
B. Client complaining of mild itching from a new medication
C. Client with chest pain rated 8/10 and diaphoresis. [CORRECT]
D. Client requesting assistance with meal selection
Correct Answer: C
Rationale: Chest pain with diaphoretic appearance indicates potential myocardial infarction requiring
immediate assessment. The ABCs and life-threatening conditions always take priority using Maslow's
hierarchy and safety principles.
Q2: A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate
to delegate?
A. Administering oral medications to stable clients
B. Assessing a postoperative client's incision
C. Obtaining vital signs on a client 2 hours post-surgery. [CORRECT]
D. Teaching a client about diabetic foot care
Correct Answer: C
Rationale: UAP can collect data (vital signs) on stable postoperative clients. Assessment, teaching, and
medication administration require licensed nurse judgment and scope of practice.
,Q3: A client with terminal cancer requests discontinuation of artificial nutrition and hydration. What is
the nurse's priority action?
A. Refuse the request to prevent harm
B. Notify the physician and ensure advance directive documentation is current. [CORRECT]
C. Begin nutrition support without consent
D. Transfer the client to another facility
Correct Answer: B
Rationale: Clients have the right to refuse treatment. The nurse must facilitate communication with the
healthcare team and verify that the client's wishes are documented and honored according to ethical
and legal standards.
Q4: A nurse is supervising a newly licensed nurse. Which action requires immediate intervention?
A. Documenting vital signs within 30 minutes of collection
B. Wearing gloves while changing a sterile dressing
C. Leaving a bed in high position after providing client care. [CORRECT]
D. Checking client identification before medication administration
Correct Answer: C
Rationale: Beds must be kept in low position with brakes locked to prevent falls. This safety hazard
requires immediate correction to protect client welfare.
Q5: [Select All That Apply] A nurse is caring for a client with a do-not-resuscitate (DNR) order. Which
actions are appropriate?
A. Providing comfort measures and pain relief. [CORRECT]
B. Administering medications to treat pneumonia. [CORRECT]
C. Initiating chest compressions if the client stops breathing
D. Offering emotional support to the family. [CORRECT]
E. Withholding all medical interventions
Correct Answer: A, B, D
Rationale: DNR orders apply only to resuscitation efforts. Comfort care, treatment of reversible
conditions, and family support continue. Withholding all interventions (E) represents misunderstanding
of DNR scope.
,Q6: A nurse manager is implementing quality improvement. Which data collection method provides the
most objective measurement of client falls?
A. Incident reports filed by staff
B. Direct observation of client ambulation
C. Review of electronic health record fall documentation. [CORRECT]
D. Client satisfaction surveys
Correct Answer: C
Rationale: Electronic health record review provides comprehensive, objective data on fall incidence,
circumstances, and outcomes. Incident reports may be incomplete; observations are limited; surveys are
subjective.
Q7: A client is scheduled for surgery but refuses to sign the consent form, stating they do not
understand the procedure. What is the nurse's best action?
A. Have the client sign and document refusal to listen
B. Notify the surgeon to provide additional explanation. [CORRECT]
C. Proceed with preoperative preparations
D. Ask a family member to sign instead
Correct Answer: B
Rationale: Informed consent requires understanding. The surgeon must explain until the client
comprehends risks, benefits, and alternatives. Nurses witness consent, not obtain it for surgical
procedures.
Q8: A nurse is caring for a client who speaks limited English. An interpreter is unavailable. Which action
demonstrates cultural competency?
A. Use a family member to interpret medical information
B. Speak loudly and slowly in English
C. Use a professional telephone interpreting service. [CORRECT]
D. Postpone all communication until an interpreter arrives
Correct Answer: C
Rationale: Professional telephone or video interpreting services ensure accurate communication and
protect confidentiality. Family members may filter information; speaking loudly does not overcome
language barriers.
, Q9: [Ordered Response] Place the steps of the nursing process in correct order for prioritizing client
care:
1. Evaluation
2. Planning
3. Assessment
4. Implementation
5. Diagnosis
Correct Order: 3, 5, 2, 4, 1
Rationale: The nursing process follows a systematic sequence: assessment (data collection), diagnosis
(analysis), planning (goals/interventions), implementation (action), and evaluation (outcomes).
Q10: A nurse is leading a change initiative to reduce medication errors. Which leadership style is most
effective for this situation?
A. Autocratic, with the nurse manager making all decisions
B. Democratic, involving staff in identifying solutions and implementation. [CORRECT]
C. Laissez-faire, allowing staff to self-manage without guidance
D. Bureaucratic, following all policies without modification
Correct Answer: B
Rationale: Democratic leadership engages frontline staff who have expertise in workflow and barriers.
Shared decision-making increases buy-in and sustainability of quality improvements.
Q11: A client has a living will stating no extraordinary measures. The client develops respiratory distress.
What is the nurse's priority?
A. Immediately intubate the client
B. Assess if the situation is reversible and review the document scope with the healthcare team.
[CORRECT]
C. Ignore the living will in an emergency
D. Ask the family to override the living will
Correct Answer: B
