Virtual ATI Comprehensive Predictor PDF 2026 | Green Light | NGN Study Guide, Exams of Nursing

INSTANT PDF DOWNLOAD of Virtual ATI Comprehensive Predictor Green Light preparation material for nursing students using Assessment Technologies Institute resources. Includes NGN-style practice questions, comprehensive nursing review topics, NCLEX-style preparation content, clinical judgment exercises, case-based nursing scenarios, and structured study notes designed to strengthen exam readiness and support nursing exam preparation. Virtual ATI, Green Light, Predictor Exam, NGN Questions, Study Guide, Nursing Review, Exam Prep, Clinical Judgment Virtual ATI Predictor, Green Light PDF, ATI Study Guide, NGN Practice PDF, Nursing Exam Prep, Comprehensive Review, Case Scenario Guide, Clinical Judgment Notes, Nursing Review Guide, Predictor Study Pack, Revision Notes PDF, Study Pack PDF, Exam Review Guide, High Yield Notes, Updated Study Guide, Complete Study Pack, ATI Nursing Review, NCLEX Prep Guide, Nursing Success Guide, Predictor Practice PDF

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Virtual ATI
Comprehensive Predictor
(Green
Light)
EXAM
(NGN-Style
Questions
&
Case
Scenario)
Actual
Qs
&
Ans
to
Pass
the
Exam
This ATI test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case Scenario
Expert-Verified Explanations & Solutions
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Download Virtual ATI Comprehensive Predictor PDF 2026 | Green Light | NGN Study Guide and more Exams Nursing in PDF only on Docsity!

Virtual ATI

Comprehensive Predictor

(Green Light) EXAM

(NGN-Style Questions & Case Scenario)

Actual Qs & Ans to Pass the Exam

This ATI test contains:

❖ passing score Guarantee

❖ Format Set of Multiple-choice

❖ questions with incorporating Next Generation

NCLEX (NGN) and Case Scenario

❖ Expert-Verified Explanations & Solutions

  1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?

A. Vomiting

B. Hypertension

C. Epigastric pain

D. Contractions

Correct Answer: D. Contractions

Expert Rationale: Amniocentesis can trigger uterine irritability leading to contractions and potential preterm labor, especially at 33 weeks gestation. Monitoring for contractions is essential. Vomiting, hypertension, and epigastric pain are not common complications of amniocentesis.

  1. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

A. Stay in bed at least 1 hr if unable to fall asleep

B. Take a 1 hr nap during the day

C. Perform exercises prior to bedtime

D. Eat a light snack before bedtime

Correct Answer: D. Eat a light snack before bedtime

Expert Rationale: A light carbohydrate or protein snack can promote sleep by preventing hunger. Napping too long or late in the day and vigorous

B. Allow the client's partner to translate

C. Request a female interpreter through the facility

D. Ask a nursing student who speaks the same language as the client to translate

Correct Answer: C. Request a female interpreter through the facility

Expert Rationale: Using a professional interpreter ensures accuracy and confidentiality. A female interpreter is preferred for obstetric care to respect cultural sensitivities. Family members, especially children, are not appropriate interpreters.

  1. A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?

a. Flushing

b. Tachycardia

c. Restlessness

d. Shivering

Correct Answer: d. Shivering

Expert Rationale: Shivering indicates the client is responding to cold by generating heat, which raises body temperature and counteracts the cooling intervention. This is an adverse effect and requires prompt reassessment of the approach.

  1. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Exhibit)

A. Position the client with the affected extremity lower than the heart

B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin

C. Administer acetaminophen

D. Massage the affected extremity every 4 hr

Correct Answer: B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin

Expert Rationale: Heparin therapeutic range is typically 1.5-2.5 times the normal PTT (30-40 secs). A lower PTT indicates subtherapeutic levels requiring withholding of heparin until levels are safe. Positioning with the leg elevated is the correct position (not lower), and massaging a DVT can dislodge a clot.

  1. A nurse is reviewing assessment data from several clients. For which of the following clients should the nurse recommend referral to a dietitian?

A. An older adult client who has a BMI of 24

B. A client who has a nonhealing leg ulcer

C. An older adult client who has presbyopia

  1. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration?

A. Sitting in a high-Fowler's position during the feeding

B. A history of gastroesophageal reflux disease

C. Receiving a high osmolarity formula

D. A residual of 65 mL 1 hr postprandial

Correct Answer: B. A history of gastroesophageal reflux disease

Expert Rationale: GERD increases risk for aspiration because stomach contents can reflux into the esophagus and airway. High Fowler’s position decreases aspiration risk. A residual of 65 mL is generally acceptable; formula osmolarity is less significant in aspiration risk.

  1. A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation?

A. Chorionic villus sampling

B. Cervical cultures for chlamydia

C. Nonstress test

D. Maternal serum alpha-fetoprotein (MSAFP) 16 to 18 weeks

Correct Answer: D. Maternal serum alpha-fetoprotein- 16 to 18 weeks

Expert Rationale: MSAFP is done at 16-18 weeks to screen for neural tube defects and chromosomal abnormalities. CVS is performed around 10- weeks, chlamydia screening is done early pregnancy, and nonstress test is done in the third trimester.

  1. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility?

A. Decreased serum calcium levels

B. Increased blood pressure

C. Swollen area on calf

D. Urinary frequency

Correct Answer: C. Swollen area on calf

Expert Rationale: Swelling in the calf indicates possible DVT, a known immobility complication. Immobilization increases bone resorption leading to hypercalcemia, not decreased calcium. Hypotension (not increased BP) and urinary retention/frequency may also occur but calf swelling is more urgent.

  1. A nurse in an acute care mental health facility is participating in a medication-education group. The leader of the group uses a laissez- faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

Correct Answer: D. "Have your child drink a small glass of water after swallowing the medication."

Expert Rationale: Drinking water helps clear medication taste and ensures full swallowing. Digoxin should not be mixed with large volumes of fluid due to dosing accuracy. Vomiting requires notifying provider, not repeating dose due to toxicity risk. Potassium should not be limited; hypokalemia increases digoxin toxicity risk.

  1. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?

A. Grapefruit

B. Spinach

C. Cottage cheese

D. Smoked salmon

Correct Answer: D. Smoked salmon

Expert Rationale: Phenelzine is an MAOI, requiring avoidance of tyramine-rich foods like smoked salmon to prevent hypertensive crisis. Spinach and some cheeses are lower risk if not aged; cottage cheese is generally considered safe.

  1. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has prescribed a diet of 1.5 g protein/kg/day. How

many grams of protein per day should the nurse include in the client's dietary plan? (Round to the nearest whole number.)

a. 68

Correct Answer: a. 68

Expert Rationale: Convert pounds to kg: 99 lb ÷ 2.2 = 45 kg

Protein requirement: 45 kg × 1.5 g/kg = 67.5 g ≈ 68 g/day

  1. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?

A. Encourage the client to spend time in the day room

B. Withdraw the client's TV privileges if he does not attend group therapy

C. Encourage the client to take frequent rest periods

D. Place the client in seclusion when he exhibits signs of anxiety

Correct Answer: C. Encourage the client to take frequent rest periods

Expert Rationale: Clients in mania have increased energy and impaired sleep, so rest periods are critical. Encouragement for social interaction depends on client tolerance; withdrawing privileges is punitive and not therapeutic; seclusion is reserved for aggression or safety concerns.

Correct Answer: a. Instruct the nurses to close the client's computer record

Expert Rationale: The first action must stop the violation of client privacy immediately by closing the record. Further disciplinary or educational actions follow.

  1. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

a. Heart rate 58/min

b. Fasting blood glucose 100 mg/dL

c. Hgb 14 g/dL

d. WBC count 2,900/mm

Correct Answer: d. WBC count 2,900/mm

Expert Rationale: Clozapine can cause agranulocytosis; WBC < 3,000/mm3 is a contraindication. Bradycardia and normal glucose/Hgb are not contraindications but need monitoring.

  1. A nurse is caring for several clients on a medical-surgical unit. For which of the following nurse activities is it required that the nurse use sterile gloves?

a. Inserting an NG tube

b. Administering total parenteral nutrition through a central venous access device

c. Initiating IV access

d. Performing tracheostomy care

Correct Answer: d. Performing tracheostomy care

Expert Rationale: Tracheostomy care is a sterile procedure requiring sterile gloves to reduce infection risk. IV insertion and TPN connections involve sterile techniques but usually clean gloves are used; NG tube insertion is a clean procedure.

  1. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following immunizations should the nurse give?

a. Influenza

b. Measles, mumps, and rubella

c. Human papilloma virus

d. Varicella

Correct Answer: a. Influenza

Expert Rationale: Inactivated influenza vaccine is safe and recommended anytime during pregnancy. MMR and varicella vaccines are live and contraindicated. HPV vaccine is not recommended during pregnancy.

Correct Answer: c. Swelling of the face

Expert Rationale: Facial swelling during pregnancy can indicate preeclampsia, a serious complication requiring immediate medical attention. Bleeding gums and urinary frequency are common. Faintness should be monitored but is less urgent.

  1. A nurse has received change-of-shift report for a group of clients. Which of the following actions should the nurse take to manage time effectively?

a. Document client care at the end of the shift

b. Make the client to-do list for the day

c. Skip breaks until the client tasks are completed

d. Focus on several client tasks at a time

Correct Answer: b. Make the client to-do list for the day

Expert Rationale: Making a to-do list prioritizes and organizes tasks, improving time management. Documenting as you go is safer than waiting until the end. Skipping breaks and multitasking may decrease efficiency and increase errors.

  1. A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include?

a. Minimize noise in the newborn's environment

b. Administer naloxone to the newborn

c. Swaddle the newborn with his legs extended

d. Maintain eye contact with the newborn during feedings

Correct Answer: a. Minimize noise in the newborn's environment

Expert Rationale: Minimizing stimuli like noise and bright lights reduces irritability and seizures in neonatal abstinence syndrome. Naloxone is contraindicated in these infants. Swaddling is recommended but with flexed legs. Eye contact may overstimulate.

  1. A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

A. The anterior fontanel is open

b. The posterior fontanel is open

c. Both fontanels are the same size

d. Both fontanels show molding

Correct Answer: A. The anterior fontanel is open

Expert Rationale: The anterior fontanel typically remains open until 12- months. The posterior fontanel closes by 2-3 months. Molding is a temporary change from vaginal birth and is not present at this age.

Expert Rationale: Low-dose heparin or anticoagulation therapy is standard to prevent postoperative deep vein thrombosis. Incentive spirometry is encouraged but every 3 hr is insufficient frequency. Mobilization, not prolonged bed rest, is also essential.

  1. A nurse is providing teaching to the parent of an infant who has a cleft lip palate. Which of the following feeding techniques should the nurse include?

A. Burp the infant frequently during feedings

B. Position the nipple at the front of the infant's mouth

C. Hold the infant in a supine position

D. Use feeding devices without nipples

Correct Answer: A. Burp the infant frequently during feedings

Expert Rationale: Frequent burping reduces air swallowed due to poor seal and swallowing difficulties. Nipple should be positioned toward the back of the mouth. Supine position increases aspiration risk; semi-upright preferred. Specialized nipples are recommended.

  1. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?

A. A client who depressive disorder and requires assistance with ADLs

B. A client who has obsessive-compulsive disorder and is upset about a change in a daily routine

C. A client who is taking clozapine to treat schizophrenia and reports sore throat

D. A client who has narcissistic personality disorder and is mocking others during group therapy

Correct Answer: C. A client who is taking clozapine to treat schizophrenia and reports sore throat

Expert Rationale: A sore throat can indicate agranulocytosis, a life- threatening side effect of clozapine requiring immediate assessment. Other clients have nonurgent needs.

  1. A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?

A. Develop an hourly time frame for tasks

B. Schedule daily activities

C. Determine goals of the day

D. Delegate tasks to the AP

Correct Answer: C. Determine goals of the day