VATI FUNDS — FUNDAMENTALS OF NURSING
PREMIUM ORIGINAL REMEDIATION & EXAM-PREP STUDY GUIDE
Safety • Prioritization • Delegation • Nutrition • TPN/Enteral Therapy • Medications • Infection Control • Fluids •
Wounds • Maternal/Pediatric/Geriatric Care • Legal/Ethical Practice
Source note: The referenced Stuvia listing is a 4-page VATI FUNDS remediation document from 2020/2021, categorized as
an exam elaboration containing questions and answers. Its visible listing preview includes ATI Focused Review-style
remediation and topics such as total parenteral nutrition, while the indexed metadata also points to fundamentals topics such
as interprofessional roles and fire response. This guide is independently written and expanded from those topic cues and
standard nursing knowledge. It does not reproduce the paid/locked document and does not claim to contain actual, leaked,
recalled, or verified VATI questions.
VATI FUNDS — Independent Fundamentals Study Resource Page 1
, FUNDAMENTALS: SAFE, PRIORITY NURSING CARE
Question: A nurse enters a client's room and finds a fire. What is the nurse's priority action?
A. Remove the client from immediate danger
B. Activate the unit's fire alarm after completing documentation
C. Close the chart
D. Gather personal belongings
Correct Answer: A. Remove the client from immediate danger
Rationale: Client safety comes first. Use the fire-response sequence RACE: Rescue/Remove those in immediate danger,
Alarm/Activate the alarm, Confine/Contain the fire, and Extinguish/Evacuate as appropriate.
Exam Focus: Exam trap: Never delay immediate rescue to collect equipment or documentation.
Question: Which action is appropriate when evacuating clients during a fire?
A. Move clients away from the immediate hazard according to the facility evacuation plan
B. Use elevators automatically
C. Return to the room for valuables
D. Leave immobile clients until the fire is extinguished
Correct Answer: A. Move clients away from the immediate hazard according to the facility evacuation plan
Rationale: Horizontal evacuation to a safer area on the same floor is commonly used first when feasible; facility policy
determines the exact process. Ambulatory clients may be directed to walk, while dependent clients require appropriate
assistance or equipment.
Exam Focus: Memory aid: RACE = Rescue, Alarm, Confine, Extinguish/Evacuate.
Question: Which task is generally appropriate for an RN to delegate to assistive personnel?
A. Ambulate a stable client who has already been assessed and has an established plan
B. Perform the initial assessment of a newly admitted client
C. Teach insulin self-administration
D. Evaluate a new change in neurological status
Correct Answer: A. Ambulate a stable client who has already been assessed and has an established plan
Rationale: Delegation depends on stability, predictability, scope of practice and facility policy. Assessment, teaching, clinical
judgment and evaluation remain nursing responsibilities.
Exam Focus: Exam focus: RN retains assessment, teaching, planning and evaluation.
VATI FUNDS — Independent Fundamentals Study Resource Page 2
, Question: A client develops sudden dyspnea, cyanosis and a markedly decreased level of
consciousness. What should the nurse do first?
A. Assess airway and breathing and initiate emergency support
B. Complete the medication reconciliation
C. Ask about dietary preferences
D. Document the event before intervening
Correct Answer: A. Assess airway and breathing and initiate emergency support
Rationale: Airway and breathing are immediate priorities in a deteriorating client. Use an ABC approach while activating
appropriate emergency resources.
Exam Focus: Clinical pearl: When a question describes an unstable airway or breathing problem, do not choose a routine
task.
NUTRITION, ENTERAL & PARENTERAL THERAPY
Question: Which complication is a major concern during total parenteral nutrition (TPN) therapy?
A. Blood glucose abnormalities and catheter-related infection
B. Otitis externa
C. Cataracts within minutes
D. Immediate appendicitis
Correct Answer: A. Blood glucose abnormalities and catheter-related infection
Rationale: TPN provides concentrated nutrients intravenously, often through central access. Major concerns include
hyperglycemia, electrolyte disturbances, infection and metabolic complications. Care requires sterile catheter technique and
monitoring.
Exam Focus: Exam trap: TPN is not simply 'IV food'; it requires close metabolic and line monitoring.
Question: A client receiving TPN suddenly has the infusion stopped because the central line is
unavailable. What complication is the nurse particularly concerned about?
A. Rebound hypoglycemia
B. Hypercalcemia from oral intake
C. Immediate iron overload
D. Constipation only
Correct Answer: A. Rebound hypoglycemia
Rationale: Abrupt interruption of a continuous dextrose-rich infusion can cause hypoglycemia, especially in clients receiving
high-concentration glucose. Follow the prescribed protocol and monitor glucose closely.
Exam Focus: Exam focus: Continuous dextrose infusion + abrupt stop = hypoglycemia risk.
VATI FUNDS — Independent Fundamentals Study Resource Page 3
PREMIUM ORIGINAL REMEDIATION & EXAM-PREP STUDY GUIDE
Safety • Prioritization • Delegation • Nutrition • TPN/Enteral Therapy • Medications • Infection Control • Fluids •
Wounds • Maternal/Pediatric/Geriatric Care • Legal/Ethical Practice
Source note: The referenced Stuvia listing is a 4-page VATI FUNDS remediation document from 2020/2021, categorized as
an exam elaboration containing questions and answers. Its visible listing preview includes ATI Focused Review-style
remediation and topics such as total parenteral nutrition, while the indexed metadata also points to fundamentals topics such
as interprofessional roles and fire response. This guide is independently written and expanded from those topic cues and
standard nursing knowledge. It does not reproduce the paid/locked document and does not claim to contain actual, leaked,
recalled, or verified VATI questions.
VATI FUNDS — Independent Fundamentals Study Resource Page 1
, FUNDAMENTALS: SAFE, PRIORITY NURSING CARE
Question: A nurse enters a client's room and finds a fire. What is the nurse's priority action?
A. Remove the client from immediate danger
B. Activate the unit's fire alarm after completing documentation
C. Close the chart
D. Gather personal belongings
Correct Answer: A. Remove the client from immediate danger
Rationale: Client safety comes first. Use the fire-response sequence RACE: Rescue/Remove those in immediate danger,
Alarm/Activate the alarm, Confine/Contain the fire, and Extinguish/Evacuate as appropriate.
Exam Focus: Exam trap: Never delay immediate rescue to collect equipment or documentation.
Question: Which action is appropriate when evacuating clients during a fire?
A. Move clients away from the immediate hazard according to the facility evacuation plan
B. Use elevators automatically
C. Return to the room for valuables
D. Leave immobile clients until the fire is extinguished
Correct Answer: A. Move clients away from the immediate hazard according to the facility evacuation plan
Rationale: Horizontal evacuation to a safer area on the same floor is commonly used first when feasible; facility policy
determines the exact process. Ambulatory clients may be directed to walk, while dependent clients require appropriate
assistance or equipment.
Exam Focus: Memory aid: RACE = Rescue, Alarm, Confine, Extinguish/Evacuate.
Question: Which task is generally appropriate for an RN to delegate to assistive personnel?
A. Ambulate a stable client who has already been assessed and has an established plan
B. Perform the initial assessment of a newly admitted client
C. Teach insulin self-administration
D. Evaluate a new change in neurological status
Correct Answer: A. Ambulate a stable client who has already been assessed and has an established plan
Rationale: Delegation depends on stability, predictability, scope of practice and facility policy. Assessment, teaching, clinical
judgment and evaluation remain nursing responsibilities.
Exam Focus: Exam focus: RN retains assessment, teaching, planning and evaluation.
VATI FUNDS — Independent Fundamentals Study Resource Page 2
, Question: A client develops sudden dyspnea, cyanosis and a markedly decreased level of
consciousness. What should the nurse do first?
A. Assess airway and breathing and initiate emergency support
B. Complete the medication reconciliation
C. Ask about dietary preferences
D. Document the event before intervening
Correct Answer: A. Assess airway and breathing and initiate emergency support
Rationale: Airway and breathing are immediate priorities in a deteriorating client. Use an ABC approach while activating
appropriate emergency resources.
Exam Focus: Clinical pearl: When a question describes an unstable airway or breathing problem, do not choose a routine
task.
NUTRITION, ENTERAL & PARENTERAL THERAPY
Question: Which complication is a major concern during total parenteral nutrition (TPN) therapy?
A. Blood glucose abnormalities and catheter-related infection
B. Otitis externa
C. Cataracts within minutes
D. Immediate appendicitis
Correct Answer: A. Blood glucose abnormalities and catheter-related infection
Rationale: TPN provides concentrated nutrients intravenously, often through central access. Major concerns include
hyperglycemia, electrolyte disturbances, infection and metabolic complications. Care requires sterile catheter technique and
monitoring.
Exam Focus: Exam trap: TPN is not simply 'IV food'; it requires close metabolic and line monitoring.
Question: A client receiving TPN suddenly has the infusion stopped because the central line is
unavailable. What complication is the nurse particularly concerned about?
A. Rebound hypoglycemia
B. Hypercalcemia from oral intake
C. Immediate iron overload
D. Constipation only
Correct Answer: A. Rebound hypoglycemia
Rationale: Abrupt interruption of a continuous dextrose-rich infusion can cause hypoglycemia, especially in clients receiving
high-concentration glucose. Follow the prescribed protocol and monitor glucose closely.
Exam Focus: Exam focus: Continuous dextrose infusion + abrupt stop = hypoglycemia risk.
VATI FUNDS — Independent Fundamentals Study Resource Page 3
