1
RN VATI FUNDAMENTALS 2026 ASSESSMENT|
Virtual ATI Test Answered | Complete Q&A
+ Rationales| Pass Guaranteed .
1. Medical/Surgical Asepsis
You are preparing to mix short-acting and intermediate-acting insulin in one syringe. What is
the correct sequence?
1. Draw up the volume of insulin from the intermediate-acting vial.
2. Inject air into the intermediate-acting vial.
3. Inject air into the short-acting vial.
4. Withdraw short-acting insulin.
5. Withdraw intermediate-acting insulin.
Correct Answer: 3, 2, 4, 5
Rationale: The mnemonic "RN" (Right NPH?) is often used, but the clinical rule is "Clear to
Cloudy." You inject air into the Cloudy (Intermediate) first, then into the Clear (Short) . You
withdraw the Clear first to prevent contaminating the clear vial with the cloudy insulin. You
then withdraw the Cloudy .
2. Basic Care & Comfort
A nurse is planning care for a client with dysphagia who is at risk for aspiration. Which referral is
most appropriate?
A. Occupational therapist
B. Physical therapist
C. Speech-language pathologist
D. Respiratory therapist
Correct Answer: C. Speech-language pathologist
Rationale: Speech-language pathologists (SLP) specialize in swallowing disorders. They perform
bedside swallow evaluations and recommend specific texture modifications (e.g., honey-thick
liquids) or compensatory strategies (e.g., chin tuck) to prevent aspiration pneumonia .
,3. Safety & Infection Control
A nurse is preparing to admit a client with pneumonia. Which observation about the client's
room requires immediate attention?
A. The bed is in the low position.
B. The wheel locks on the bed are malfunctioning.
C. The bedside table is within reach.
D. The call light is at the head of the bed.
Correct Answer: B. The wheel locks on the bed are malfunctioning.
Rationale: Safety is the priority. Malfunctioning wheel locks pose an immediate fall risk,
especially if the client needs to be stabilized during procedures or if they attempt to get up. The
nurse must use the "Least Restrictive Environment" but also ensure basic safety equipment
works .
4. Therapeutic Communication
A client with terminal cancer begins to cry and says, "I am afraid of dying." Which response by
the nurse is therapeutic?
A. "Don't cry, everything will be okay."
B. "You shouldn't feel that way; you have family."
C. "It must be a very difficult time for you."
D. "Have you talked to the chaplain about this?"
Correct Answer: C. "It must be a very difficult time for you."
Rationale: This response uses the technique of verbalizing the implied. It acknowledges the
client's emotional state and opens the door for further discussion without offering false
reassurance (A) or dismissing the client's feelings (B) .
5. Pharmacological & Parenteral Therapies
A client has an order for 4 mg of Morphine IV. The vial reads 10 mg/mL. You dilute this in 5 mL
of sterile water. How many mL of Morphine should you draw up?
A. 0.4 mL
B. 1 mL
C. 2.5 mL
, D. 4 mL
Correct Answer: A. 0.4 mL
Rationale: Use the formula: (Desired Dose / Available Dose) x Volume = (4 mg / 10 mg) x 1 mL =
0.4 mL. While you will push the total fluid (medication + diluent), the question asks for the
volume of medication to draw up .
6. Hygiene & Skin Integrity
A client wears partial dentures and reports mouth pain. What should the nurse do?
A. Remove the dentures for 24 hours.
B. Advise the client to rinse the mouth and dentures after each meal.
C. Clean the dentures with lemon-glycerin swabs.
D. Store the dentures in a dry paper cup.
Correct Answer: B. Advise the client to rinse the mouth and dentures after each meal.
Rationale: Food particles trapped under partial dentures can cause irritation, pain, and gum
breakdown. Rinsing removes debris. Lemon-glycerin swabs are drying and irritating to the oral
mucosa of a denture wearer .
7. Reduction of Risk Potential
A nurse is caring for a client with an NG tube. After administering 5 mL of medication, how
much water should the nurse use to flush the tube?
A. 5 mL
B. 15 mL
C. 30 mL
D. 60 mL
Correct Answer: C. 30 mL
Rationale: Standard practice is to flush with 30 mL of water before and after medication
administration to clear the tube, prevent clogging, and ensure the patient receives the full
dose. This fluid counts towards the patient's daily intake .
8. Legal & Ethical Issues
A nurse receives a telephone prescription from a provider for "4 mg of Morphine IV." Which
action is essential?
, A. Implement the order immediately.
B. Have a second nurse listen to the phone order.
C. Ask the provider to come to the unit.
D. Document the order in the chart now.
Correct Answer: B. Have a second nurse listen to the phone order.
Rationale: This is a high-risk medication. According to the "Do Not Use" list and safe practice,
telephone orders must be read back to the provider, and a second RN should listen to the
verbal order to ensure accuracy and patient safety .
9. Mobility & Immobility
A nurse is moving a client up in bed with the assistance of another nurse. Which action should
the nurse take?
A. Raise the head of the bed to 90 degrees.
B. Place the client's arms across their chest.
C. Grab the client under the armpits.
D. Pull the draw sheet using a jerking motion.
Correct Answer: B. Place the client's arms across their chest.
Rationale: Crossing the arms prevents the client's hands/fingers from getting trapped under
the body and dragged across the sheets, which causes friction shearing. The bed should be flat
or Trendelenburg, not high-Fowler's .
10. Home Safety
A client on home oxygen therapy using a compressed oxygen system makes a statement. Which
indicates a need for further teaching?
A. "I will store oxygen tanks in an upright position."
B. "I will keep the tanks at least 5 feet away from the stove."
C. "I can use an electric razor while my oxygen is on."
D. "I will post a 'No Smoking' sign inside the front door."
Correct Answer: C. "I can use an electric razor while my oxygen is on."
Rationale: Electric razors and hair dryers can emit sparks that ignite oxygen. Patients must
use battery-operated razors only. Oxygen accelerates combustion, so any spark is dangerous .
RN VATI FUNDAMENTALS 2026 ASSESSMENT|
Virtual ATI Test Answered | Complete Q&A
+ Rationales| Pass Guaranteed .
1. Medical/Surgical Asepsis
You are preparing to mix short-acting and intermediate-acting insulin in one syringe. What is
the correct sequence?
1. Draw up the volume of insulin from the intermediate-acting vial.
2. Inject air into the intermediate-acting vial.
3. Inject air into the short-acting vial.
4. Withdraw short-acting insulin.
5. Withdraw intermediate-acting insulin.
Correct Answer: 3, 2, 4, 5
Rationale: The mnemonic "RN" (Right NPH?) is often used, but the clinical rule is "Clear to
Cloudy." You inject air into the Cloudy (Intermediate) first, then into the Clear (Short) . You
withdraw the Clear first to prevent contaminating the clear vial with the cloudy insulin. You
then withdraw the Cloudy .
2. Basic Care & Comfort
A nurse is planning care for a client with dysphagia who is at risk for aspiration. Which referral is
most appropriate?
A. Occupational therapist
B. Physical therapist
C. Speech-language pathologist
D. Respiratory therapist
Correct Answer: C. Speech-language pathologist
Rationale: Speech-language pathologists (SLP) specialize in swallowing disorders. They perform
bedside swallow evaluations and recommend specific texture modifications (e.g., honey-thick
liquids) or compensatory strategies (e.g., chin tuck) to prevent aspiration pneumonia .
,3. Safety & Infection Control
A nurse is preparing to admit a client with pneumonia. Which observation about the client's
room requires immediate attention?
A. The bed is in the low position.
B. The wheel locks on the bed are malfunctioning.
C. The bedside table is within reach.
D. The call light is at the head of the bed.
Correct Answer: B. The wheel locks on the bed are malfunctioning.
Rationale: Safety is the priority. Malfunctioning wheel locks pose an immediate fall risk,
especially if the client needs to be stabilized during procedures or if they attempt to get up. The
nurse must use the "Least Restrictive Environment" but also ensure basic safety equipment
works .
4. Therapeutic Communication
A client with terminal cancer begins to cry and says, "I am afraid of dying." Which response by
the nurse is therapeutic?
A. "Don't cry, everything will be okay."
B. "You shouldn't feel that way; you have family."
C. "It must be a very difficult time for you."
D. "Have you talked to the chaplain about this?"
Correct Answer: C. "It must be a very difficult time for you."
Rationale: This response uses the technique of verbalizing the implied. It acknowledges the
client's emotional state and opens the door for further discussion without offering false
reassurance (A) or dismissing the client's feelings (B) .
5. Pharmacological & Parenteral Therapies
A client has an order for 4 mg of Morphine IV. The vial reads 10 mg/mL. You dilute this in 5 mL
of sterile water. How many mL of Morphine should you draw up?
A. 0.4 mL
B. 1 mL
C. 2.5 mL
, D. 4 mL
Correct Answer: A. 0.4 mL
Rationale: Use the formula: (Desired Dose / Available Dose) x Volume = (4 mg / 10 mg) x 1 mL =
0.4 mL. While you will push the total fluid (medication + diluent), the question asks for the
volume of medication to draw up .
6. Hygiene & Skin Integrity
A client wears partial dentures and reports mouth pain. What should the nurse do?
A. Remove the dentures for 24 hours.
B. Advise the client to rinse the mouth and dentures after each meal.
C. Clean the dentures with lemon-glycerin swabs.
D. Store the dentures in a dry paper cup.
Correct Answer: B. Advise the client to rinse the mouth and dentures after each meal.
Rationale: Food particles trapped under partial dentures can cause irritation, pain, and gum
breakdown. Rinsing removes debris. Lemon-glycerin swabs are drying and irritating to the oral
mucosa of a denture wearer .
7. Reduction of Risk Potential
A nurse is caring for a client with an NG tube. After administering 5 mL of medication, how
much water should the nurse use to flush the tube?
A. 5 mL
B. 15 mL
C. 30 mL
D. 60 mL
Correct Answer: C. 30 mL
Rationale: Standard practice is to flush with 30 mL of water before and after medication
administration to clear the tube, prevent clogging, and ensure the patient receives the full
dose. This fluid counts towards the patient's daily intake .
8. Legal & Ethical Issues
A nurse receives a telephone prescription from a provider for "4 mg of Morphine IV." Which
action is essential?
, A. Implement the order immediately.
B. Have a second nurse listen to the phone order.
C. Ask the provider to come to the unit.
D. Document the order in the chart now.
Correct Answer: B. Have a second nurse listen to the phone order.
Rationale: This is a high-risk medication. According to the "Do Not Use" list and safe practice,
telephone orders must be read back to the provider, and a second RN should listen to the
verbal order to ensure accuracy and patient safety .
9. Mobility & Immobility
A nurse is moving a client up in bed with the assistance of another nurse. Which action should
the nurse take?
A. Raise the head of the bed to 90 degrees.
B. Place the client's arms across their chest.
C. Grab the client under the armpits.
D. Pull the draw sheet using a jerking motion.
Correct Answer: B. Place the client's arms across their chest.
Rationale: Crossing the arms prevents the client's hands/fingers from getting trapped under
the body and dragged across the sheets, which causes friction shearing. The bed should be flat
or Trendelenburg, not high-Fowler's .
10. Home Safety
A client on home oxygen therapy using a compressed oxygen system makes a statement. Which
indicates a need for further teaching?
A. "I will store oxygen tanks in an upright position."
B. "I will keep the tanks at least 5 feet away from the stove."
C. "I can use an electric razor while my oxygen is on."
D. "I will post a 'No Smoking' sign inside the front door."
Correct Answer: C. "I can use an electric razor while my oxygen is on."
Rationale: Electric razors and hair dryers can emit sparks that ignite oxygen. Patients must
use battery-operated razors only. Oxygen accelerates combustion, so any spark is dangerous .
