ATI Virtual ATI (VATI) 2026–2027 Complete Study
Guide Coaching Resources, Practice Questions, and
NCLEX Success Preparation
Essential Reference Guide
What is Virtual ATI (VATI)?
Virtual-ATI® is an online NCLEX® review program that provides
individualized guidance and assignments in preparation for the NCLEX. It is
a 12-week, self-paced and personalized online review course that
prepares nursing students for NCLEX success. Each participant has access to
an expert ATI Nurse Educator who works with you one-on-one to verify
you're ready for success.
The VATI "Green Light"
Students successfully completing VATI will be assigned a "green
light," indicating the probability of passing NCLEX-RN at 92% or greater.
The VATI Green Light Predictor Exam is part of the Virtual ATI NCLEX review
program and is used to determine a nursing student's readiness to pass the
NCLEX.
VATI Assessment Content Areas
The VATI Comprehensive Predictor evaluates competency across all NCLEX
content areas:
Content Area Key Topics
Safe and Effective Care Management of care, safety and infection control,
Environment delegation, prioritization
Health Promotion and
Growth and development, disease prevention, screenin
Maintenance
,Content Area Key Topics
Mental health, coping mechanisms, therapeutic
Psychosocial Integrity
communication
Basic care and comfort, pharmacology, medical-surgical, maternal-
Physiological Integrity newborn, pediatrics
Core Nursing Competencies Tested
• Pharmacology – Pharmacokinetics, pharmacotherapeutics, dosage
calculation
• Medical-Surgical Nursing – Adult health, physiological adaptation
• Maternal-Newborn Care – Antepartum, intrapartum, postpartum,
newborn
• Pediatric Nursing – Growth and development, pediatric illnesses
• Mental Health – Psychiatric disorders, therapeutic interventions
• Leadership and Delegation – Prioritization, assignment, management
of care
• Community Health – Population health, epidemiology, vulnerable
populations
NGN (Next Generation NCLEX) Format
VATI assessments now include NGN-style questions, featuring clinical
judgment scenarios, case studies, and enhanced item formats. The NGN uses
the Clinical Judgment Measurement Model with six layers: Recognize Cues,
Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, and
Evaluate Outcomes.
VATI Coaching Resources
,Resource Description
ATI Nurse Educator One-on-one guidance and individualized evaluation
On-Demand Resources 400+ resources available 30 days prior to graduation
Customized Study Plan Personalized assignments and progress monitoring
BoardVitals Additional practice questions and review materials
Question 1
A nurse is caring for four clients. Which of the following clients should the
nurse assess FIRST?
A. A client with pneumonia who has crackles in the lung bases
B. A client who reports sudden onset of chest pain and shortness of
breath
C. A client with diabetes who has a blood glucose of 220 mg/dL
D. A client with a wound infection who has a temperature of 101.2°F
Rationale: The client with sudden onset of chest pain and shortness of
breath is experiencing a potential life-threatening emergency (possibly
pulmonary embolism or myocardial infarction). Airway and breathing are
compromised, making this the priority. Crackles in pneumonia,
hyperglycemia, and fever with wound infection are important but not
immediately life-threatening. Apply the ABC framework: Airway, Breathing,
Circulation.
Question 2
A nurse is preparing to administer a medication. Which of the following
actions should the nurse take to ensure the right patient?
, A. Ask the client, "What is your name?"
B. Verify the client's name and date of birth against the MAR using two
identifiers
C. Check the client's room number
D. Ask the client's family member to identify the client
Rationale: The correct method for verifying patient identification is to
use two identifiers (e.g., name and date of birth) and compare them to the
MAR. Asking only the client's name or using room numbers is insufficient.
Family members are not reliable identifiers. The "Rights of Medication
Administration" include Right Patient, Right Medication, Right Dose, Right
Route, Right Time, Right Documentation, Right Reason, Right Response, and
Right to Refuse.
Question 3
A nurse is caring for a client who is NPO (nothing by mouth) and has an NG
tube set to low intermittent suction. Which of the following actions should the
nurse take?
A. Provide oral care every 2 hours
B. Offer the client small sips of water
C. Keep the client in a supine position
D. Irrigate the NG tube with 100 mL of saline
Rationale: Clients who are NPO with an NG tube require frequent oral
care to maintain comfort and prevent dry mouth. Sips of water are
contraindicated for NPO clients. Supine positioning increases aspiration risk.
Irrigation should be done with 30–50 mL of normal saline, not 100 mL, and
only with an order.
Question 4
A nurse is assessing a client's pain using the PQRST method. Which of the
following questions addresses the R in PQRST?
A. "Where is your pain located?"
B. "When did the pain start?"
Guide Coaching Resources, Practice Questions, and
NCLEX Success Preparation
Essential Reference Guide
What is Virtual ATI (VATI)?
Virtual-ATI® is an online NCLEX® review program that provides
individualized guidance and assignments in preparation for the NCLEX. It is
a 12-week, self-paced and personalized online review course that
prepares nursing students for NCLEX success. Each participant has access to
an expert ATI Nurse Educator who works with you one-on-one to verify
you're ready for success.
The VATI "Green Light"
Students successfully completing VATI will be assigned a "green
light," indicating the probability of passing NCLEX-RN at 92% or greater.
The VATI Green Light Predictor Exam is part of the Virtual ATI NCLEX review
program and is used to determine a nursing student's readiness to pass the
NCLEX.
VATI Assessment Content Areas
The VATI Comprehensive Predictor evaluates competency across all NCLEX
content areas:
Content Area Key Topics
Safe and Effective Care Management of care, safety and infection control,
Environment delegation, prioritization
Health Promotion and
Growth and development, disease prevention, screenin
Maintenance
,Content Area Key Topics
Mental health, coping mechanisms, therapeutic
Psychosocial Integrity
communication
Basic care and comfort, pharmacology, medical-surgical, maternal-
Physiological Integrity newborn, pediatrics
Core Nursing Competencies Tested
• Pharmacology – Pharmacokinetics, pharmacotherapeutics, dosage
calculation
• Medical-Surgical Nursing – Adult health, physiological adaptation
• Maternal-Newborn Care – Antepartum, intrapartum, postpartum,
newborn
• Pediatric Nursing – Growth and development, pediatric illnesses
• Mental Health – Psychiatric disorders, therapeutic interventions
• Leadership and Delegation – Prioritization, assignment, management
of care
• Community Health – Population health, epidemiology, vulnerable
populations
NGN (Next Generation NCLEX) Format
VATI assessments now include NGN-style questions, featuring clinical
judgment scenarios, case studies, and enhanced item formats. The NGN uses
the Clinical Judgment Measurement Model with six layers: Recognize Cues,
Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, and
Evaluate Outcomes.
VATI Coaching Resources
,Resource Description
ATI Nurse Educator One-on-one guidance and individualized evaluation
On-Demand Resources 400+ resources available 30 days prior to graduation
Customized Study Plan Personalized assignments and progress monitoring
BoardVitals Additional practice questions and review materials
Question 1
A nurse is caring for four clients. Which of the following clients should the
nurse assess FIRST?
A. A client with pneumonia who has crackles in the lung bases
B. A client who reports sudden onset of chest pain and shortness of
breath
C. A client with diabetes who has a blood glucose of 220 mg/dL
D. A client with a wound infection who has a temperature of 101.2°F
Rationale: The client with sudden onset of chest pain and shortness of
breath is experiencing a potential life-threatening emergency (possibly
pulmonary embolism or myocardial infarction). Airway and breathing are
compromised, making this the priority. Crackles in pneumonia,
hyperglycemia, and fever with wound infection are important but not
immediately life-threatening. Apply the ABC framework: Airway, Breathing,
Circulation.
Question 2
A nurse is preparing to administer a medication. Which of the following
actions should the nurse take to ensure the right patient?
, A. Ask the client, "What is your name?"
B. Verify the client's name and date of birth against the MAR using two
identifiers
C. Check the client's room number
D. Ask the client's family member to identify the client
Rationale: The correct method for verifying patient identification is to
use two identifiers (e.g., name and date of birth) and compare them to the
MAR. Asking only the client's name or using room numbers is insufficient.
Family members are not reliable identifiers. The "Rights of Medication
Administration" include Right Patient, Right Medication, Right Dose, Right
Route, Right Time, Right Documentation, Right Reason, Right Response, and
Right to Refuse.
Question 3
A nurse is caring for a client who is NPO (nothing by mouth) and has an NG
tube set to low intermittent suction. Which of the following actions should the
nurse take?
A. Provide oral care every 2 hours
B. Offer the client small sips of water
C. Keep the client in a supine position
D. Irrigate the NG tube with 100 mL of saline
Rationale: Clients who are NPO with an NG tube require frequent oral
care to maintain comfort and prevent dry mouth. Sips of water are
contraindicated for NPO clients. Supine positioning increases aspiration risk.
Irrigation should be done with 30–50 mL of normal saline, not 100 mL, and
only with an order.
Question 4
A nurse is assessing a client's pain using the PQRST method. Which of the
following questions addresses the R in PQRST?
A. "Where is your pain located?"
B. "When did the pain start?"
