1
VATI Green Light Comprehensive Exam –
Form A, B, C | NCLEX Nursing Questions
with Correct Answers
1. A nurse is admitting a client who has antisocial personality disorder. Which of
the following client behaviors should the nurse identify as consistent with this
disorder?
Correct Answer:-Uses others for personal gain
2. A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
Correct Answer:-Prepare the client for a cesarean section
3. A charge nurse on a pediatric unit is making assignments for a float nurse from
the medical unit. Which of the following clients is appropriate to assign to the float
nurse?
Correct Answer:-A 10-year-old client who has pneumonia and is receiving
respiratory treatments
4. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the
priority action?
Correct Answer:-Notify the facility operator
5. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
Correct Answer:-Generalized edema
, 2
6. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
Correct Answer:-This technique decreases the risk of subcutaneous infiltration
7. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan?
Correct Answer:-Monitor the client for 1 hr after meals
8. A nurse is planning care for a child who has increased intracranial pressure with
a decrease in level of consciousness. Which of the following interventions should
the nurse include in the plan of care?
Correct Answer:-Maintain the head at a midline position
9. A nurse is assessing a client who has delirium due to a febrile illness. Which of
the following findings should the nurse expect?
Correct Answer:-Hallucinations
10. A nurse is assessing a client who is receiving enteral feedings via a
gastrostomy tube. The nurse should identify that which of the following findings
indicates fluid overload?
Correct Answer:-Bounding pulses
11. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?
Correct Answer:-Hyperemesis
, 3
12. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. The nurse should evaluate which of the following laboratory
tests to determine effective long-term management of blood glucose levels?
Correct Answer:-HbA1c
13. A nurse is caring for a client who has a new diagnosis of deep vein thrombosis
(DVT). Which of the following interventions should the nurse implement first?
Correct Answer:-Apply compression stockings as prescribed
14. A nurse is providing discharge teaching to a client who has heart failure.
Which of the following statements by the client indicates an understanding of the
teaching?
Correct Answer:-"I will weigh myself every morning before breakfast."
15. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?
Correct Answer:-Barrel-shaped chest
16. A nurse is caring for a client who is 2 hours postpartum and has a boggy uterus
with heavy lochia. Which of the following actions should the nurse take first?
Correct Answer:-Massage the uterine fundus
17. A nurse is administering a blood transfusion to a client. Which of the following
findings indicates a hemolytic transfusion reaction?
Correct Answer:-Low back pain and hypotension
18. A nurse is assessing a client who has major depressive disorder. Which of the
following findings should the nurse expect?
, 4
Correct Answer:-Anhedonia
19. A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which of the following actions should the nurse take?
Correct Answer:-Discard the first voiding of the collection period
20. A nurse is providing education to a client who has a new ileostomy. Which of
the following dietary instructions should the nurse include?
Correct Answer:-Chew foods thoroughly to prevent blockage
21. A nurse is assessing a client who has a chest tube following a thoracotomy.
Which of the following findings requires immediate intervention?
Correct Answer:-Continuous bubbling in the water seal chamber
22. A nurse is caring for a client who has a new diagnosis of hypertension. Which
of the following lifestyle modifications should the nurse recommend?
Correct Answer:-Reduce dietary sodium intake to less than 2,300 mg per day
23. A nurse is preparing to administer insulin to a client who has type 1 diabetes.
Which of the following sites has the fastest absorption rate?
Correct Answer:-Abdomen
24. A nurse is assessing a client who has Alzheimer's disease. Which of the
following findings is an early manifestation?
Correct Answer:-Short-term memory loss
25. A nurse is caring for a client who is in active labor and has meconium-stained
amniotic fluid. Which of the following actions should the nurse take?
VATI Green Light Comprehensive Exam –
Form A, B, C | NCLEX Nursing Questions
with Correct Answers
1. A nurse is admitting a client who has antisocial personality disorder. Which of
the following client behaviors should the nurse identify as consistent with this
disorder?
Correct Answer:-Uses others for personal gain
2. A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
Correct Answer:-Prepare the client for a cesarean section
3. A charge nurse on a pediatric unit is making assignments for a float nurse from
the medical unit. Which of the following clients is appropriate to assign to the float
nurse?
Correct Answer:-A 10-year-old client who has pneumonia and is receiving
respiratory treatments
4. A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the following is the
priority action?
Correct Answer:-Notify the facility operator
5. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
Correct Answer:-Generalized edema
, 2
6. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
Correct Answer:-This technique decreases the risk of subcutaneous infiltration
7. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan?
Correct Answer:-Monitor the client for 1 hr after meals
8. A nurse is planning care for a child who has increased intracranial pressure with
a decrease in level of consciousness. Which of the following interventions should
the nurse include in the plan of care?
Correct Answer:-Maintain the head at a midline position
9. A nurse is assessing a client who has delirium due to a febrile illness. Which of
the following findings should the nurse expect?
Correct Answer:-Hallucinations
10. A nurse is assessing a client who is receiving enteral feedings via a
gastrostomy tube. The nurse should identify that which of the following findings
indicates fluid overload?
Correct Answer:-Bounding pulses
11. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?
Correct Answer:-Hyperemesis
, 3
12. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. The nurse should evaluate which of the following laboratory
tests to determine effective long-term management of blood glucose levels?
Correct Answer:-HbA1c
13. A nurse is caring for a client who has a new diagnosis of deep vein thrombosis
(DVT). Which of the following interventions should the nurse implement first?
Correct Answer:-Apply compression stockings as prescribed
14. A nurse is providing discharge teaching to a client who has heart failure.
Which of the following statements by the client indicates an understanding of the
teaching?
Correct Answer:-"I will weigh myself every morning before breakfast."
15. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?
Correct Answer:-Barrel-shaped chest
16. A nurse is caring for a client who is 2 hours postpartum and has a boggy uterus
with heavy lochia. Which of the following actions should the nurse take first?
Correct Answer:-Massage the uterine fundus
17. A nurse is administering a blood transfusion to a client. Which of the following
findings indicates a hemolytic transfusion reaction?
Correct Answer:-Low back pain and hypotension
18. A nurse is assessing a client who has major depressive disorder. Which of the
following findings should the nurse expect?
, 4
Correct Answer:-Anhedonia
19. A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which of the following actions should the nurse take?
Correct Answer:-Discard the first voiding of the collection period
20. A nurse is providing education to a client who has a new ileostomy. Which of
the following dietary instructions should the nurse include?
Correct Answer:-Chew foods thoroughly to prevent blockage
21. A nurse is assessing a client who has a chest tube following a thoracotomy.
Which of the following findings requires immediate intervention?
Correct Answer:-Continuous bubbling in the water seal chamber
22. A nurse is caring for a client who has a new diagnosis of hypertension. Which
of the following lifestyle modifications should the nurse recommend?
Correct Answer:-Reduce dietary sodium intake to less than 2,300 mg per day
23. A nurse is preparing to administer insulin to a client who has type 1 diabetes.
Which of the following sites has the fastest absorption rate?
Correct Answer:-Abdomen
24. A nurse is assessing a client who has Alzheimer's disease. Which of the
following findings is an early manifestation?
Correct Answer:-Short-term memory loss
25. A nurse is caring for a client who is in active labor and has meconium-stained
amniotic fluid. Which of the following actions should the nurse take?
