Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
INSTANT PDF DOWNLOAD of Virtual ATI Predictor Green Light preparation material for nursing students using Assessment Technologies Institute resources. Includes 900+ practice questions, NGN-style nursing review content, comprehensive predictor preparation, NCLEX-style practice, 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, NGN Questions, Study Guide, Practice Bank, Nursing Review, Exam Prep, Clinical Judgment Virtual ATI Predictor, Green Light PDF, 900 Questions Guide, NGN Practice PDF, ATI Study Guide, Nursing Exam Prep, Predictor Review Notes, Clinical Judgment Guide, NCLEX Practice Review, Case Scenario Guide, Revision Notes PDF, Study Pack PDF, Exam Review Guide, High Yield Notes, Updated Study Guide, Complete Study Pack, ATI Nursing Review, Nursing Success Guide, Predictor Practice PDF, Exam Prep Guide
Typology: Exams
1 / 622
This page cannot be seen from the preview
Don't miss anything!
Actual Qs & Ans to Pass the Exam
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.
2. 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
4. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
A. Have the client's child translate
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.
5. 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.
6. 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; x
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.
Correct Answer: a. Eat 1 g/kg of protein per day
Expert Rationale: Protein needs are increased due to losses during
dialysis. Magnesium-containing antacids are avoided because kidney
disease impairs magnesium clearance. Fluid intake is often restricted,
and potassium intake typically limited.
9. 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.
10. 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.
11. 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
13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching?
A. "You can add the medication to a half-cup of your child's favorite juice."
B. "Repeat the dose if your child vomits within 1 hour after
taking medication."
C. "Limit your child's potassium intake while she is taking
this medication."
D. "Have your child drink a small glass of water after swallowing
the medication."
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.
14. 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.
15. 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
Correct Answer: b. Initiate a discussion with clients about ways to cope
with changes in family dynamics
Expert Rationale: Focus on coping strategies and adjustment
promotes healing. Discussing prevention or setting grieving timelines
prematurely may hinder processing or cause guilt. Sharing feelings,
positive or negative, is therapeutic.
18. A nurse manager observes two staff nurses reviewing the computer records of a client who is not under their care. Which of the following actions should the nurse manager take first?
a. Instruct the nurses to close the client's computer record
b. Request the nurses present an in-service on client confidentiality
c. Advise the nurses to read the facility's confidentiality policy
d. Place documentation of the nurses' actions in the personnel file
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.
19. 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.
20. 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
c. Cleanse the tip of the penis in a side-to-side motion
d. Pick up the catheter 13 cm (5 cm) from its tip
Correct Answer: b. Lift the penis so that it is perpendicular to the client's
body
Expert Rationale: This straightens the urethra to facilitate catheter
insertion. Cleaning is done in a circular motion from meatus outward.
Fresh swabs should be used for each cleaning stroke, but typically 3-
swabs are used, not just two.
23. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include?
a. Bleeding gums
b. Faintness upon rising
c. Swelling of the face
d. Urinary frequency
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.
24. 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.
25. 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
27. A nurse is caring for a client who has acute diverticulitis. Which of the following diets should the nurse recommend to the client?
a. High residue
b. Lactose-free
c. Gluten-free
d. Low-fiber
Correct Answer: d. Low-fiber
Expert Rationale: During acute diverticulitis, a low-fiber diet is
recommended to reduce bowel irritation. High fiber is advised during
recovery or diverticulosis but contraindicated during active
inflammation.
28. A nurse is caring for a client who is 48 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse include in the plan of care?
A. Administer low-dose heparin
B. Place the client on a full liquid diet
C. Use an incentive spirometer every 3 hr
D. Maintain the client on bed rest
Correct Answer: A. Administer low-dose heparin
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.
29. 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.
30. 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
