RN VATI FUNDAMENTALS 2026 ASSESSMENT|
Virtual ATI Test Answered | Complete Q&A
RN VATI Fundamentals 2026 Assessment
Complete Virtual ATI Test Guide with Verified Questions and Answers
SECTION 1: MEDICATION ADMINISTRATION & INSULIN PREPARATION
Question 1
A nurse is preparing to mix short-acting and intermediate-acting insulin in one
syringe to administer to a client who has type 1 diabetes mellitus. IdentifyRN VATI
FUNDAMENTALS 2026 ASSESSMENT| Virtual ATI Test Answered | Complete Q&A
the correct sequence the nurse should follow.
A) 1: Draw up intermediate-acting insulin; 2: Inject air into intermediate-acting
vial; 3: Inject air into short-acting vial; 4: Withdraw short-acting insulin; 5:
Withdraw intermediate-acting insulin
B) 1: Inject air into short-acting vial; 2: Inject air into intermediate-acting vial; 3:
Withdraw short-acting insulin; 4: Withdraw intermediate-acting insulin
C) 1: Inject air into intermediate-acting vial; 2: Inject air into short-acting vial; 3:
Withdraw short-acting insulin; 4: Withdraw intermediate-acting insulin
D) 1: Draw up short-acting insulin; 2: Draw up intermediate-acting insulin; 3: Inject
both into patient
Correct Answer: C
Rationale: To mix insulin from two vials in the same syringe, the nurse should first
inject a volume of air equal to the amount of insulin to withdraw from the
,intermediate-acting (cloudy) insulin vial. Next, inject air equal to the insulin dose
from the short-acting (clear) insulin vial. Then withdraw the prescribed amount of
insulin from the short-acting insulin vial. Lastly, withdraw the prescribed amount
of insulin from the intermediate-acting insulin vial. The mnemonic is "Clear to
Cloudy" - withdraw clear (short-acting) first to prevent contaminating the clear vial
with cloudy insulin .
Question 2
A nurse has administered 5 mL of medication to a client via NG tube. The nurse
then used 30 mL of water to flush the tube both before and after the instillation.
How much liquid intake should the nurse document?
A) 5 mL
B) 35 mL
C) 65 mL
D) 70 mL
Correct Answer: C
Rationale: The nurse should document 65 mL as liquid intake. This accounts for 5
mL of medication and two 30 mL flushes (before and after). Over a 24-hour period,
these liquids can amount to a significant intake and should be documented on the
intake and output record .
Question 3
A nurse receives a telephone prescription from the provider who states: "Four
milligrams of morphine diluted with 5 milliliters of sterile water intravenous each
morning at nine o'clock before client dressing changes." Which entry by the nurse
indicates correct transcription of the prescription?
A) Morphine 4 mg IV qAM
B) MSO4 4 mg IV bolus daily at 0900 before dressing change
C) Morphine 4 mg IV bolus daily at 0900 before dressing change, dilute medication
,with 5 mL of sterile water
D) Morphine 4 mg IV push daily
Correct Answer: C
Rationale: This entry indicates correct transcription as it contains acceptable
abbreviations according to The Joint Commission and includes complete
information from the provider. The nurse should avoid using unapproved
abbreviations like "MSO4" and "qAM" .
Question 4
A nurse is preparing to administer an oral medication. Which actions are correct?
(Select all that apply)
A) Verify the patient's identity using two identifiers
B) Check the medication label three times
C) Document the medication before administration
D) Offer water unless contraindicated
Correct Answer: A, B, D
Rationale: Correct medication administration involves verifying the patient using
two identifiers, checking the medication label three times, and assisting with
swallowing. Documentation occurs after giving the medication, not before .
Question 5
A nurse is preparing to delegate tasks at the beginning of the shift. Which task
should the nurse delegate to an assistive personnel (AP)?
A) Assess a client's wound healing
B) Teach a client about medication side effects
C) Assist a client with ambulation
D) Develop a plan of care for a client
Correct Answer: C
, Rationale: Assisting a client with ambulation is within the range of function for an
AP. Tasks that involve assessment, teaching, or developing a plan of care are
within the RN's scope and cannot be delegated. The delegating nurse should
follow the five rights of delegation: right task, right circumstance, right person,
right direction, and right evaluation .
SECTION 2: INFECTION CONTROL & ISOLATION PRECAUTIONS
Question 6
Which isolation precaution is required for a client with active pulmonary
tuberculosis?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective isolation
Correct Answer: C
Rationale: Tuberculosis spreads through airborne droplet nuclei that remain
suspended in the air. An N95 respirator and negative-pressure room are required
for airborne precautions. The client should be placed in a private room with
negative pressure .
Question 7
The nurse is caring for a client with Clostridioides difficile. Which hand hygiene
method is most appropriate?
A) Alcohol-based hand rub
B) Plain soap and water only
C) Chlorhexidine wash
D) No hand hygiene needed after gloves
Correct Answer: B
Virtual ATI Test Answered | Complete Q&A
RN VATI Fundamentals 2026 Assessment
Complete Virtual ATI Test Guide with Verified Questions and Answers
SECTION 1: MEDICATION ADMINISTRATION & INSULIN PREPARATION
Question 1
A nurse is preparing to mix short-acting and intermediate-acting insulin in one
syringe to administer to a client who has type 1 diabetes mellitus. IdentifyRN VATI
FUNDAMENTALS 2026 ASSESSMENT| Virtual ATI Test Answered | Complete Q&A
the correct sequence the nurse should follow.
A) 1: Draw up intermediate-acting insulin; 2: Inject air into intermediate-acting
vial; 3: Inject air into short-acting vial; 4: Withdraw short-acting insulin; 5:
Withdraw intermediate-acting insulin
B) 1: Inject air into short-acting vial; 2: Inject air into intermediate-acting vial; 3:
Withdraw short-acting insulin; 4: Withdraw intermediate-acting insulin
C) 1: Inject air into intermediate-acting vial; 2: Inject air into short-acting vial; 3:
Withdraw short-acting insulin; 4: Withdraw intermediate-acting insulin
D) 1: Draw up short-acting insulin; 2: Draw up intermediate-acting insulin; 3: Inject
both into patient
Correct Answer: C
Rationale: To mix insulin from two vials in the same syringe, the nurse should first
inject a volume of air equal to the amount of insulin to withdraw from the
,intermediate-acting (cloudy) insulin vial. Next, inject air equal to the insulin dose
from the short-acting (clear) insulin vial. Then withdraw the prescribed amount of
insulin from the short-acting insulin vial. Lastly, withdraw the prescribed amount
of insulin from the intermediate-acting insulin vial. The mnemonic is "Clear to
Cloudy" - withdraw clear (short-acting) first to prevent contaminating the clear vial
with cloudy insulin .
Question 2
A nurse has administered 5 mL of medication to a client via NG tube. The nurse
then used 30 mL of water to flush the tube both before and after the instillation.
How much liquid intake should the nurse document?
A) 5 mL
B) 35 mL
C) 65 mL
D) 70 mL
Correct Answer: C
Rationale: The nurse should document 65 mL as liquid intake. This accounts for 5
mL of medication and two 30 mL flushes (before and after). Over a 24-hour period,
these liquids can amount to a significant intake and should be documented on the
intake and output record .
Question 3
A nurse receives a telephone prescription from the provider who states: "Four
milligrams of morphine diluted with 5 milliliters of sterile water intravenous each
morning at nine o'clock before client dressing changes." Which entry by the nurse
indicates correct transcription of the prescription?
A) Morphine 4 mg IV qAM
B) MSO4 4 mg IV bolus daily at 0900 before dressing change
C) Morphine 4 mg IV bolus daily at 0900 before dressing change, dilute medication
,with 5 mL of sterile water
D) Morphine 4 mg IV push daily
Correct Answer: C
Rationale: This entry indicates correct transcription as it contains acceptable
abbreviations according to The Joint Commission and includes complete
information from the provider. The nurse should avoid using unapproved
abbreviations like "MSO4" and "qAM" .
Question 4
A nurse is preparing to administer an oral medication. Which actions are correct?
(Select all that apply)
A) Verify the patient's identity using two identifiers
B) Check the medication label three times
C) Document the medication before administration
D) Offer water unless contraindicated
Correct Answer: A, B, D
Rationale: Correct medication administration involves verifying the patient using
two identifiers, checking the medication label three times, and assisting with
swallowing. Documentation occurs after giving the medication, not before .
Question 5
A nurse is preparing to delegate tasks at the beginning of the shift. Which task
should the nurse delegate to an assistive personnel (AP)?
A) Assess a client's wound healing
B) Teach a client about medication side effects
C) Assist a client with ambulation
D) Develop a plan of care for a client
Correct Answer: C
, Rationale: Assisting a client with ambulation is within the range of function for an
AP. Tasks that involve assessment, teaching, or developing a plan of care are
within the RN's scope and cannot be delegated. The delegating nurse should
follow the five rights of delegation: right task, right circumstance, right person,
right direction, and right evaluation .
SECTION 2: INFECTION CONTROL & ISOLATION PRECAUTIONS
Question 6
Which isolation precaution is required for a client with active pulmonary
tuberculosis?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective isolation
Correct Answer: C
Rationale: Tuberculosis spreads through airborne droplet nuclei that remain
suspended in the air. An N95 respirator and negative-pressure room are required
for airborne precautions. The client should be placed in a private room with
negative pressure .
Question 7
The nurse is caring for a client with Clostridioides difficile. Which hand hygiene
method is most appropriate?
A) Alcohol-based hand rub
B) Plain soap and water only
C) Chlorhexidine wash
D) No hand hygiene needed after gloves
Correct Answer: B
