VATI Green Light Predictor Actual Exam
2026/2027 | Complete Exam-Style Questions |
Detailed Rationales – 100% Verified – Pass
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[SECTION 1: Safe & Effective Care Environment — Questions 1-35]
Q1: The charge nurse is making client assignments for the shift. Which task should be delegated
to the unlicensed assistive personnel (UAP)?
A. Performing the initial admission assessment for a new client
B. Administering a medication through a nasogastric tube
C. Assisting a stable client with ambulation and hygiene
D. Evaluating the effectiveness of pain medication
Correct Answer: C
Rationale: Delegation to UAP is appropriate for tasks that are routine, repetitive, and do not
require critical thinking or nursing judgment, such as hygiene and ambulation for stable clients.
Initial assessments (Option A), medication administration (especially via NG tube) (Option B),
and evaluation (Option D) are within the scope of practice of the RN and cannot be delegated.
Q2: A nurse is triaging victims in a mass casualty incident. Which client should be tagged
"GREEN" (Minor)?
A. A client with a sucking chest wound and labored breathing
B. A client who is unconscious and has no pulse
C. A client with a fractured femur who is awake and can walk
D. A client with severe head injury and agonal breathing
Correct Answer: C
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Rationale: In the START triage system, "GREEN" indicates minor injuries that require minimal
care; clients in this category are often able to walk. Option A (Red) has immediate breathing
issues. Option B (Black) is deceased/incompatible with life. Option D (Red) has an immediate
airway/circulation issue.
Q3: The nurse is caring for a client who is confused and at risk for falling. The provider has
written an order for mechanical restraints. What is the nurse’s first action?
A. Obtain the provider's order
B. Explain the procedure to the client and family
C. Apply the restraints and document
D. Conduct a face-to-face assessment
Correct Answer: B
Rationale: Before applying restraints, the nurse must ensure the client and family understand the
necessity, risks, and benefits of the intervention, unless the client is in immediate danger where
there is no time to explain. While an order (Option A) is required, explanation is standard
practice before application. Options C and D follow.
Q4: A client presents to the emergency department with a suspected severe allergic reaction. The
nurse observes urticaria, stridor, and wheezing. Which action is the priority?
A. Administer diphenhydramine (Benadryl) IM
B. Check the client's blood pressure
C. Administer epinephrine 1:1000 IM
D. Insert an IV line
Correct Answer: C
Rationale: Airway and breathing are the priority. The signs of anaphylaxis (stridor, wheezing)
indicate respiratory compromise. Epinephrine is the first-line treatment for anaphylaxis to
reverse bronchoconstriction and mucosal edema. Diphenhydramine (Option A) is an
antihistamine but not the first priority for airway compromise.
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Q5: The nurse receives report on four clients. Which client should the nurse assess first?
A. A client 1 day post-op who reports pain of 4/10
B. A client with a history of heart failure who reports dyspnea on exertion
C. A client awaiting discharge who needs discharge teaching
D. A client with diabetes who has a blood glucose of 180 mg/dL
Correct Answer: B
Rationale: Dyspnea on exertion in a client with heart failure suggests potential exacerbation and
is an acute physiological change requiring immediate assessment. Options A, C, and D are stable
or non-urgent compared to potential respiratory compromise.
Q6: Which client requires droplet precautions?
A. A client with active tuberculosis (TB)
B. A client with methicillin-resistant Staphylococcus aureus (MRSA) wound infection
C. A client with meningococcal meningitis
D. A client with Clostridium difficile (C. diff) infection
Correct Answer: C
Rationale: Droplet precautions are required for pathogens spread by large droplets generated
during coughing, sneezing, or talking, such as meningococcal meningitis. TB (Option A) requires
airborne precautions. MRSA (Option B) and C. diff (Option D) require contact precautions.
Q7: A client is prescribed a new medication. The nurse’s teaching should include which essential
client right?
A. The right to have a generic drug substituted
B. The right to refuse the medication
C. The right to administer the medication themselves
D. The right to pay for the medication in installments
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Correct Answer: B
Rationale: The client has the right to informed consent, which includes the right to refuse
treatment or medication. While generic substitution (Option A) is an option, it is not a
fundamental "right" in the same safety context as refusal. Self-administration (Option C)
depends on facility policy.
Q8: The nurse is caring for a client in restraints. What is the requirement regarding monitoring?
A. Monitor face-to-face every 15 minutes
B. Monitor face-to-face every 2 hours
C. Check the client every 8 hours
D. Leave the client alone to ensure rest
Correct Answer: A
Rationale: For clients in physical restraints, standards (and often state regulations like OBRA)
require face-to-face assessment and monitoring at least every 15 minutes to check circulation,
skin integrity, and needs. Options B and C are too infrequent.
Q9: The nurse enters a client’s room and smells smoke. The nurse sees smoke coming from the
waste basket. What is the nurse’s first action using the RACE mnemonic?
A. Rescue clients in immediate danger
B. Activate the alarm
C. Contain the fire
D. Extinguish the fire
Correct Answer: A
Rationale: The RACE mnemonic stands for Rescue, Alarm, Confine, Extinguish. The first
priority is always to rescue anyone in immediate danger before activating the alarm or attempting
to fight the fire.