VATI Green Light Comprehensive Predictor
(Forms A, B, C) - Latest 2026 Actual Exam:All
Questions with Verified Answers and Detailed
Rationales |Verified Q&A- Already Graded A+
Question 1
A nurse is assessing a client who has antisocial personality disorder. Which of the
following client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pervasive pattern of
disregard for and violation of the rights of others, including manipulation, deceit, and
using others for personal gain without remorse.
Question 2
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the
teaching about insulin administration?
A. "I will store my unopened insulin vials in the freezer to keep them fresh."
B. "I should inject my insulin into the same spot every time to ensure consistent
absorption."
C. "I will roll the NPH insulin vial between my palms before drawing it up."
D. "I need to eat a meal within 2 hours after taking my regular insulin."
Correct Answer: C
Rationale: NPH insulin is an intermediate-acting insulin that appears cloudy. It
should be gently rolled between the palms (not shaken) to resuspend the particles
before drawing it up. Unopened insulin vials should be refrigerated, not frozen. Insulin
injection sites should be rotated to prevent lipodystrophy. Regular insulin should be
given 30-60 minutes before a meal.
,Question 3
A nurse is assessing a client who has heart failure and is taking furosemide. Which of
the following findings indicates the client is experiencing an adverse effect of the
medication?
A. Weight gain of 1 kg in 24 hours
B. Blood pressure 140/90 mm Hg
C. Serum potassium 3.2 mEq/L
D. Urine output 60 mL/hour
Correct Answer: C
Rationale: Furosemide is a loop diuretic that can cause hypokalemia (low potassium).
Normal serum potassium is 3.5-5.0 mEq/L. A level of 3.2 mEq/L indicates
hypokalemia, which can lead to cardiac dysrhythmias.
Question 4
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I will take ibuprofen if I have a headache."
B. "I will eat more green leafy vegetables like spinach and kale."
C. "I will have my blood drawn regularly to check my INR levels."
D. "I will stop taking this medication if I notice any bruising."
Correct Answer: C
Rationale: Warfarin therapy requires regular monitoring of INR to ensure therapeutic
levels and prevent bleeding complications. Ibuprofen increases bleeding risk. Green
leafy vegetables contain vitamin K, which antagonizes warfarin. Bruising is expected,
but the medication should not be stopped without provider instruction.
,Question 5
A nurse is caring for a client who is 2 hours postoperative following a total knee
arthroplasty. Which of the following findings should the nurse report to the provider
immediately?
A. Pain level 6 on a scale of 0 to 10
B. Temperature 37.5°C (99.5°F)
C. Oxygen saturation 89% on room air
D. Urinary output of 100 mL in 2 hours
Correct Answer: C
Rationale: Oxygen saturation of 89% indicates hypoxemia and requires immediate
intervention. Postoperative clients are at risk for pulmonary complications such as
atelectasis, pneumonia, or pulmonary embolism.
Question 6
A nurse is teaching a client who has a new prescription for albuterol inhaler. Which of
the following instructions should the nurse include?
A. "Use this inhaler for long-term control of your asthma."
B. "Rinse your mouth after using this inhaler to prevent thrush."
C. "Wait 60 seconds between puffs if you need a second puff."
D. "This medication works by reducing inflammation in your airways."
Correct Answer: C
Rationale: Albuterol is a short-acting beta2-agonist used for acute symptom relief.
Clients should wait 60 seconds between puffs to allow the medication to be effective.
Rinsing the mouth is for inhaled corticosteroids, not albuterol. Albuterol is a
bronchodilator, not an anti-inflammatory.
Question 7
A nurse is assessing a client who has pneumonia. Which of the following findings
should the nurse expect?
A. Bradycardia
B. Bradypnea
, C. Crackles in the lung bases
D. Absent breath sounds
Correct Answer: C
Rationale: Crackles (rales) are a common finding in pneumonia due to fluid
accumulation in the alveoli. Tachycardia and tachypnea are expected, not bradycardia
or bradypnea. Absent breath sounds may indicate pleural effusion or pneumothorax.
Question 8
A nurse is caring for a client who is receiving a blood transfusion. The client reports
chills and low back pain. Which of the following actions should the nurse take first?
A. Stop the transfusion.
B. Administer acetaminophen.
C. Notify the provider.
D. Obtain a urine specimen.
Correct Answer: A
Rationale: Chills and low back pain are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately to prevent further
reaction. Then the nurse should maintain IV access with normal saline, notify the
provider, and send the blood bag and tubing to the lab.
Question 9
A nurse is providing teaching to a client who has a new prescription for digoxin.
Which of the following should the nurse include in the teaching?
A. "Take your pulse before taking this medication."
B. "Increase your intake of potassium-rich foods."
C. "Expect to have blurred vision as a normal side effect."
D. "Take this medication with an antacid to prevent stomach upset."
Correct Answer: A
Rationale: Clients taking digoxin should check their pulse before each dose and hold
the medication if the pulse is below 60/min or above 100/min. Blurred vision is a sign
of digoxin toxicity, not a normal side effect. Potassium levels should be monitored,
(Forms A, B, C) - Latest 2026 Actual Exam:All
Questions with Verified Answers and Detailed
Rationales |Verified Q&A- Already Graded A+
Question 1
A nurse is assessing a client who has antisocial personality disorder. Which of the
following client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pervasive pattern of
disregard for and violation of the rights of others, including manipulation, deceit, and
using others for personal gain without remorse.
Question 2
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following statements by the client indicates an understanding of the
teaching about insulin administration?
A. "I will store my unopened insulin vials in the freezer to keep them fresh."
B. "I should inject my insulin into the same spot every time to ensure consistent
absorption."
C. "I will roll the NPH insulin vial between my palms before drawing it up."
D. "I need to eat a meal within 2 hours after taking my regular insulin."
Correct Answer: C
Rationale: NPH insulin is an intermediate-acting insulin that appears cloudy. It
should be gently rolled between the palms (not shaken) to resuspend the particles
before drawing it up. Unopened insulin vials should be refrigerated, not frozen. Insulin
injection sites should be rotated to prevent lipodystrophy. Regular insulin should be
given 30-60 minutes before a meal.
,Question 3
A nurse is assessing a client who has heart failure and is taking furosemide. Which of
the following findings indicates the client is experiencing an adverse effect of the
medication?
A. Weight gain of 1 kg in 24 hours
B. Blood pressure 140/90 mm Hg
C. Serum potassium 3.2 mEq/L
D. Urine output 60 mL/hour
Correct Answer: C
Rationale: Furosemide is a loop diuretic that can cause hypokalemia (low potassium).
Normal serum potassium is 3.5-5.0 mEq/L. A level of 3.2 mEq/L indicates
hypokalemia, which can lead to cardiac dysrhythmias.
Question 4
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I will take ibuprofen if I have a headache."
B. "I will eat more green leafy vegetables like spinach and kale."
C. "I will have my blood drawn regularly to check my INR levels."
D. "I will stop taking this medication if I notice any bruising."
Correct Answer: C
Rationale: Warfarin therapy requires regular monitoring of INR to ensure therapeutic
levels and prevent bleeding complications. Ibuprofen increases bleeding risk. Green
leafy vegetables contain vitamin K, which antagonizes warfarin. Bruising is expected,
but the medication should not be stopped without provider instruction.
,Question 5
A nurse is caring for a client who is 2 hours postoperative following a total knee
arthroplasty. Which of the following findings should the nurse report to the provider
immediately?
A. Pain level 6 on a scale of 0 to 10
B. Temperature 37.5°C (99.5°F)
C. Oxygen saturation 89% on room air
D. Urinary output of 100 mL in 2 hours
Correct Answer: C
Rationale: Oxygen saturation of 89% indicates hypoxemia and requires immediate
intervention. Postoperative clients are at risk for pulmonary complications such as
atelectasis, pneumonia, or pulmonary embolism.
Question 6
A nurse is teaching a client who has a new prescription for albuterol inhaler. Which of
the following instructions should the nurse include?
A. "Use this inhaler for long-term control of your asthma."
B. "Rinse your mouth after using this inhaler to prevent thrush."
C. "Wait 60 seconds between puffs if you need a second puff."
D. "This medication works by reducing inflammation in your airways."
Correct Answer: C
Rationale: Albuterol is a short-acting beta2-agonist used for acute symptom relief.
Clients should wait 60 seconds between puffs to allow the medication to be effective.
Rinsing the mouth is for inhaled corticosteroids, not albuterol. Albuterol is a
bronchodilator, not an anti-inflammatory.
Question 7
A nurse is assessing a client who has pneumonia. Which of the following findings
should the nurse expect?
A. Bradycardia
B. Bradypnea
, C. Crackles in the lung bases
D. Absent breath sounds
Correct Answer: C
Rationale: Crackles (rales) are a common finding in pneumonia due to fluid
accumulation in the alveoli. Tachycardia and tachypnea are expected, not bradycardia
or bradypnea. Absent breath sounds may indicate pleural effusion or pneumothorax.
Question 8
A nurse is caring for a client who is receiving a blood transfusion. The client reports
chills and low back pain. Which of the following actions should the nurse take first?
A. Stop the transfusion.
B. Administer acetaminophen.
C. Notify the provider.
D. Obtain a urine specimen.
Correct Answer: A
Rationale: Chills and low back pain are signs of an acute hemolytic transfusion
reaction. The priority action is to stop the transfusion immediately to prevent further
reaction. Then the nurse should maintain IV access with normal saline, notify the
provider, and send the blood bag and tubing to the lab.
Question 9
A nurse is providing teaching to a client who has a new prescription for digoxin.
Which of the following should the nurse include in the teaching?
A. "Take your pulse before taking this medication."
B. "Increase your intake of potassium-rich foods."
C. "Expect to have blurred vision as a normal side effect."
D. "Take this medication with an antacid to prevent stomach upset."
Correct Answer: A
Rationale: Clients taking digoxin should check their pulse before each dose and hold
the medication if the pulse is below 60/min or above 100/min. Blurred vision is a sign
of digoxin toxicity, not a normal side effect. Potassium levels should be monitored,
