OBJECTIVE ASSESSMENT - EXAM
Vati Green Light
Comprehensive Form A, B, C
2026/2027 Newest Actual Exam
Comprehensive Nursing Predictor Exam
400 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Process and Clinical Decision-Making Pharmacology Calculations and Safe Medication Practices
Fluid, Electrolyte, and Acid-Base Balance Maternal Health and Newborn Care
Cardiovascular and Respiratory Disorders Mental Health Disorders and Therapeutic Communication
COVER PAGE - 1
,Vati Green Light Comprehensive Form A, B, C 2026/2027 Newest Actual Exam 3 Versions Complete 440+ Questions And Correct Answers (Verified Answers)
, SECTION 1 | Fundamentals of Nursing | Q1-Q80 | Vati Green Light Comprehensive Form A, B, C 2026/2027 Newest Actual Exam 3
Q1 Question 1 of 400
A 68-year-old client with chronic heart failure is admitted to the medical-surgical unit. The
nurse notes a blood pressure of 92/58 mmHg, heart rate of 112 bpm, and respiratory rate of
24 breaths per minute. The client reports dizziness upon standing. Which nursing action
should the nurse prioritize?
A. Encourage the client to increase oral fluid intake to 3,000 mL per day.
B. Place the client in a semi-Fowler's position and notify the healthcare provider immediately.
C. Administer the prescribed diuretic to reduce fluid overload.
D. Assist the client to ambulate slowly to improve circulation.
Correct Answer: B
Rationale:
The client is showing signs of hypotension and possible hypoperfusion (BP 92/58, tachycardia, tachypnea,
orthostatic dizziness). Semi-Fowler's improves venous return and the provider must be notified for potential
medication adjustments. Option A could worsen fluid overload in heart failure. Option C would further reduce
preload. Option D is unsafe with orthostatic hypotension.
Q2 Question 2 of 400
A nurse is caring for a client who had a total knee arthroplasty 8 hours ago. The client
reports a pain level of 8 out of 10 and refuses to perform ankle pumps. Which action by the
nurse demonstrates appropriate clinical judgment?
A. Document the client's refusal and move on to the next task.
B. Administer the prescribed PRN opioid analgesic and reassess pain in 30 minutes before
re-educating on ankle pumps.
C. Explain that pain is expected after surgery and insist the client perform the exercises
immediately.
D. Call the surgeon to report the client's noncompliance with the postoperative plan.
Correct Answer: B
Rationale:
Uncontrolled pain (8/10) is a barrier to mobility and increases risk for complications like deep vein thrombosis.
The nurse should first address pain with prescribed analgesia, then re-educate. Option A neglects the client's
needs. Option C dismisses valid pain. Option D is premature and punitive.
Vati Green Light Comprehensive Form A, B, C 2026/2027 Newest Actual Exam 3 Versions Complete 440+ Questions And Correct Answers (Verified Answers)
, Q3 Question 3 of 400
During morning rounds, a nurse finds a 79-year-old client with diabetes lying on the floor
next to the bed. The client is alert and oriented but complains of right hip pain. Which action
should the nurse take first?
A. Assess the client's vital signs and neurological status.
B. Help the client back into bed and apply a cold pack to the hip.
C. Call the radiology department to schedule a hip X-ray.
D. Check the client's blood glucose level to rule out hypoglycemia.
Correct Answer: A
Rationale:
After a fall, the first priority is a rapid head-to-toe assessment including vital signs and neuro status to identify
life-threatening injuries. Option B could worsen an undetected fracture. Option C is premature without provider
orders. Option D is important but secondary to immediate physical assessment.
Q4 Question 4 of 400
A nurse is preparing to administer enteral nutrition via a nasogastric tube to a client who is
unconscious. Before starting the feeding, which intervention is most essential?
A. Elevate the head of the bed to 30 to 45 degrees.
B. Flush the tube with 30 mL of sterile water.
C. Verify tube placement by auscultating over the epigastrium while instilling air.
D. Warm the formula to body temperature in a microwave.
Correct Answer: A
Rationale:
Head elevation to 30-45 degrees is essential to prevent aspiration during enteral feeding, especially in
unconscious clients. Option B is good practice but not the most essential. Option C (air insufflation) is an
outdated and unreliable method; pH testing or X-ray is preferred. Option D is unsafe as microwaves create hot
spots.
Vati Green Light Comprehensive Form A, B, C 2026/2027 Newest Actual Exam 3 Versions Complete 440+ Questions And Correct Answers (Verified Answers)