VATI GREEN LIGHT COMPREHENSIVE PREDICTOR (FORMS A,B,C)-
LATEST 2026 ACTUAL EXAM: ALL QUESTIONS WITH VERIFIED
ANSWERS:ALL QUESTIONS WITH VERIFIED ANSWERS AND DETAILED
RATIONALES |VERIFIED Q&A –ALREADY GRADED A+
Question 1
A nurse is caring for a client who had a stroke. Which of the following actions
should the nurse take to prevent aspiration?
A. Place the client in a supine position
B. Offer thin liquids frequently
C. Position the client with the head of the bed elevated 90 degrees during
meals
D. Encourage talking while eating
Correct Answer: C
Rationale: Elevating the head of the bed to at least 60–90 degrees during
meals helps prevent aspiration in clients with dysphagia.
Question 2
A nurse is assessing a newborn 1 hour after birth. Which of the following
findings is an expected finding?
A.Respiratory rate of 70 breaths per minute
B.Heart rate of 95 beats per minute
C. Axillary temperature of 36.5°C (97.7°F)
D.Acrocyanosis of hands and feet
Correct Answer: D
1
,Rationale:Acrocyanosis (bluish discoloration of hands and feet) is a normal
finding in newborns during the first few hours of life
Question 3
A nurse is inserting a nasogastric tube for a client. Which of the following
actions should the nurse take to verify tube placement?
A.Inject 10 mL of air and auscultate over the epigastrium
B.Measure the pH of gastric aspirate
C.Place the end of the tube in water and observe for bubbles
D.Obtain an abdominal X-ray
Correct Answer: D
Rationale: Abdominal X-ray is the most reliable method to confirm NG tube
placement. pH testing and auscultation are supportive methods but not
definitive.
Question 4
A nurse is teaching 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 increase my intake of foods high in vitamin K."
B. "I should use a soft-bristled toothbrush for oral hygiene."
C."I can take aspirin for my occasional headaches."
D. "I will limit my alcohol intake to one drink per day."
Correct Answer: B
2
,Rationale: Warfarin is an anticoagulant that increases the risk of bleeding.
Clients should use a soft-bristled toothbrush to prevent gum bleeding. Vitamin
K intake should remain consistent, aspirin/NSAIDs should be avoided, and
alcohol should be limited or avoided.
Question 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
Which of the following actions should the nurse take?
A.Change the TPN tubing every 72 hours
B.Monitor blood glucose levels every 4 to 6 hours
C.Administer the TPN solution at room temperature
D. Weigh the client every other day
Correct Answer: B
Rationale:TPN can cause hyperglycemia; therefore, blood glucose should be
monitored every 4–6 hours. TPN tubing is changed every 24 hours, the
solution is administered via an infusion pump at the prescribed rate, and daily
weights are recommended.
Question 6
A nurse is assessing a client who has preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Blood pressure 138/88 mm Hg
B.Urine protein 1+
C. Deep tendon reflexes 4+
D.Platelet count 160,000/mm³
3
, Correct Answer: C
Rationale:4+ deep tendon reflexes indicate hyperreflexia, a sign of severe
preeclampsia and increased risk for seizures (eclampsia). This requires
immediate intervention.
Question 7
A nurse is delegating tasks on a medical-surgical unit. Which of the following
tasks should the nurse delegate to assistive personnel (AP)?
A.Administering a tap water enema
B.Obtaining vital signs on a stable client
C.Performing a sterile dressing change
D. Teaching a client about a low-sodium diet
Correct Answer: B
Rationale:Assistive personnel can perform activities of daily living and obtain
vital signs on stable clients. Invasive procedures, sterile techniques, and client
education are not delegated to AP.
Question 8
A nurse is caring for a client who is 2 days postoperative following an
abdominal surgery. Which of the following findings should the nurse report to
the provider?
A. Temperature 37.8°C (100°F)
B. Serosanguinous drainage on the dressing
C. Urinary output of 30 mL/hr for 2 consecutive hours
D. Absent bowel sounds in all quadrants
4
LATEST 2026 ACTUAL EXAM: ALL QUESTIONS WITH VERIFIED
ANSWERS:ALL QUESTIONS WITH VERIFIED ANSWERS AND DETAILED
RATIONALES |VERIFIED Q&A –ALREADY GRADED A+
Question 1
A nurse is caring for a client who had a stroke. Which of the following actions
should the nurse take to prevent aspiration?
A. Place the client in a supine position
B. Offer thin liquids frequently
C. Position the client with the head of the bed elevated 90 degrees during
meals
D. Encourage talking while eating
Correct Answer: C
Rationale: Elevating the head of the bed to at least 60–90 degrees during
meals helps prevent aspiration in clients with dysphagia.
Question 2
A nurse is assessing a newborn 1 hour after birth. Which of the following
findings is an expected finding?
A.Respiratory rate of 70 breaths per minute
B.Heart rate of 95 beats per minute
C. Axillary temperature of 36.5°C (97.7°F)
D.Acrocyanosis of hands and feet
Correct Answer: D
1
,Rationale:Acrocyanosis (bluish discoloration of hands and feet) is a normal
finding in newborns during the first few hours of life
Question 3
A nurse is inserting a nasogastric tube for a client. Which of the following
actions should the nurse take to verify tube placement?
A.Inject 10 mL of air and auscultate over the epigastrium
B.Measure the pH of gastric aspirate
C.Place the end of the tube in water and observe for bubbles
D.Obtain an abdominal X-ray
Correct Answer: D
Rationale: Abdominal X-ray is the most reliable method to confirm NG tube
placement. pH testing and auscultation are supportive methods but not
definitive.
Question 4
A nurse is teaching 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 increase my intake of foods high in vitamin K."
B. "I should use a soft-bristled toothbrush for oral hygiene."
C."I can take aspirin for my occasional headaches."
D. "I will limit my alcohol intake to one drink per day."
Correct Answer: B
2
,Rationale: Warfarin is an anticoagulant that increases the risk of bleeding.
Clients should use a soft-bristled toothbrush to prevent gum bleeding. Vitamin
K intake should remain consistent, aspirin/NSAIDs should be avoided, and
alcohol should be limited or avoided.
Question 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
Which of the following actions should the nurse take?
A.Change the TPN tubing every 72 hours
B.Monitor blood glucose levels every 4 to 6 hours
C.Administer the TPN solution at room temperature
D. Weigh the client every other day
Correct Answer: B
Rationale:TPN can cause hyperglycemia; therefore, blood glucose should be
monitored every 4–6 hours. TPN tubing is changed every 24 hours, the
solution is administered via an infusion pump at the prescribed rate, and daily
weights are recommended.
Question 6
A nurse is assessing a client who has preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Blood pressure 138/88 mm Hg
B.Urine protein 1+
C. Deep tendon reflexes 4+
D.Platelet count 160,000/mm³
3
, Correct Answer: C
Rationale:4+ deep tendon reflexes indicate hyperreflexia, a sign of severe
preeclampsia and increased risk for seizures (eclampsia). This requires
immediate intervention.
Question 7
A nurse is delegating tasks on a medical-surgical unit. Which of the following
tasks should the nurse delegate to assistive personnel (AP)?
A.Administering a tap water enema
B.Obtaining vital signs on a stable client
C.Performing a sterile dressing change
D. Teaching a client about a low-sodium diet
Correct Answer: B
Rationale:Assistive personnel can perform activities of daily living and obtain
vital signs on stable clients. Invasive procedures, sterile techniques, and client
education are not delegated to AP.
Question 8
A nurse is caring for a client who is 2 days postoperative following an
abdominal surgery. Which of the following findings should the nurse report to
the provider?
A. Temperature 37.8°C (100°F)
B. Serosanguinous drainage on the dressing
C. Urinary output of 30 mL/hr for 2 consecutive hours
D. Absent bowel sounds in all quadrants
4
