ASSESSMENT TECHNOLOGIES INSTITUTE
Virtual ATI Adult Medical-Surgical Assessment
VATI-AMS — Assessment
RN VATI Adult Medical-Surgical
INSTITUTION | Assessment Technologies Institute
PROGRAM | Virtual ATI (VATI)
EXAM TITLE | RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
COURSE TITLE | Virtual ATI Adult Medical-Surgical Nursing Assessment
COURSE CODE | VATI-AMS
ACADEMIC YEAR | 2026/2027
TOTAL QUESTIONS | 250 Questions
VATI-AMS | 2026/2027
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive document contains 250 original verified questions covering the full RN VATI Adult Medical-
Surgical Assessment for the 2026/2027 academic year. The questions are distributed across eight core domains:
Domain 1: Management of Care & Prioritization (30 questions); Domain 2: Cardiovascular Disorders (40
questions); Domain 3: Respiratory Disorders (35 questions); Domain 4: Neurological Disorders (30 questions);
Domain 5: Gastrointestinal & Renal Disorders (35 questions); Domain 6: Endocrine & Musculoskeletal Disorders
(30 questions); Domain 7: Fluid/Electrolyte, Acid-Base & Perioperative Care (25 questions); and Domain 8:
Hematologic, Immunologic & Oncologic Disorders (25 questions). Content is original and designed to reinforce
the official VATI Adult Medical-Surgical course objectives for actual exam readiness and medical-surgical nursing
proficiency, aligned to the 2026/2027 academic year. Questions integrate prioritization, clinical judgment,
complication recognition, and evidence-based interventions to support professional nursing candidates in
developing comprehensive medical-surgical competence.
ACTUAL QUESTIONS
Domain 1: Management of Care & Prioritization
Question 1. Which client is the most appropriate assignment for an LPN?
A. A client who needs complex sterile wound assessment
B. A newly admitted client with unstable vital signs
C. A client requiring initial teaching about insulin administration
D. A stable client receiving routine oral antibiotics and scheduled dressing changes
Correct Answer: D
Rationale: LPNs may care for stable clients with predictable outcomes and perform routine medication
administration and dressing changes; the RN retains assessment, teaching, and unstable clients.
Question 2. Before administering medication, the nurse must:
A. Rely solely on the room number
B. Verify the client's identity using two approved identifiers
C. Ask only the family member for confirmation
D. Proceed if the ID band is missing
Correct Answer: B
Rationale: Two client identifiers must be used before medication administration; a missing ID band must be
replaced first.
Question 3. A client expresses fear about an upcoming procedure. Which response demonstrates
therapeutic communication?
A. Tell me more about what is making you feel that way
B. You should not worry; everything will be fine
C. I know exactly how you feel
D. Let's talk about something else
Correct Answer: A
Rationale: Open-ended responses invite the client to elaborate and convey empathy without false reassurance.
Question 4. After a client falls, the nurse's first action is to:
A. Call the family before assessing the client
B. Immediately help the client to stand
C. Document the fall and leave the room
D. Assess the client for injuries and obtain vital signs before moving the client
Correct Answer: D
Rationale: Safety requires assessment for injury and hemodynamic status before any attempt to move the
client.
Question 5. According to the NCSBN Clinical Judgment Measurement Model, after analyzing cues
the nurse should next:
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
, A. Skip prioritization
B. Implement interventions immediately without hypotheses
C. Generate hypotheses before taking action
D. Document only and leave
Correct Answer: C
Rationale: After analyzing cues, the nurse generates hypotheses, prioritizes them, and then takes action.
Question 6. Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assisting a stable client with ambulation and recording intake and output
B. Administering oral medications
C. Performing an initial assessment
D. Teaching a client about wound care
Correct Answer: A
Rationale: UAPs may assist with activities of daily living and collect routine data for stable clients; assessment,
teaching, and medication administration remain with licensed nurses.
Question 7. Which prioritization framework places airway, breathing, and circulation first?
A. Alphabetical order
B. Maslow's hierarchy only
C. Time management only
D. ABC prioritization
Correct Answer: D
Rationale: ABC prioritization addresses life-threatening physiologic needs before other concerns.
Question 8. A client refuses a prescribed medication. The nurse should first:
A. Explore the client's concerns and provide information, then document the refusal
B. Force the medication
C. Ignore the refusal
D. Notify only the family
Correct Answer: A
Rationale: Clients have the right to refuse; the nurse clarifies understanding, provides information, and
documents the refusal.
Question 9. Which client should the nurse see first?
A. A client with a scheduled dressing change
B. A client requesting a routine pain medication
C. A client waiting for discharge teaching
D. A client with sudden onset of chest pain and diaphoresis
Correct Answer: D
Rationale: Sudden chest pain with diaphoresis may indicate acute coronary syndrome and requires immediate
assessment.
Question 10. Which action demonstrates advocacy?
A. Speaking up for a client's stated preferences and rights when they cannot do so themselves
B. Making all decisions for the client
C. Ignoring the client's wishes
D. Deferring all decisions to the family only
Correct Answer: A
Rationale: Advocacy involves supporting the client's rights, preferences, and best interests.
Question 11. Which principle guides safe delegation?
A. Delegating any task to any staff member
B. Right task, right circumstance, right person, right direction, and right supervision
C. Avoiding all delegation
D. Delegating only assessment
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
, Correct Answer: B
Rationale: The five rights of delegation ensure safe assignment of tasks.
Question 12. Which client situation requires the RN to retain responsibility?
A. Assisting with feeding a stable client
B. Routine vital signs on a stable client
C. Initial assessment of a newly admitted client
D. Transporting a stable client to radiology
Correct Answer: C
Rationale: Initial assessment, teaching, and evaluation cannot be delegated.
Question 13. Which response is appropriate when a client asks about a prognosis the nurse is not
authorized to discuss?
A. I am not allowed to talk to you
B. I will ask the provider to speak with you about that
C. You should not ask that question
D. Everything will be fine
Correct Answer: B
Rationale: The nurse facilitates communication with the appropriate provider rather than providing
unauthorized information.
Question 14. Which action is required when a medication error is discovered?
A. Only document in the medical record without notification
B. Hide the error
C. Assess the client, notify the provider, and complete an incident report
D. Wait until the end of the shift
Correct Answer: C
Rationale: Client safety requires immediate assessment, provider notification, and transparent reporting.
Question 15. Which client has the highest priority based on Maslow's hierarchy?
A. A client with mild anxiety
B. A client with acute hypoxia
C. A client requesting social interaction
D. A client with a delayed meal
Correct Answer: B
Rationale: Physiologic needs such as oxygenation take precedence over higher-level needs.
Question 16. Which principle guides safe delegation?
A. Avoiding all delegation
B. Delegating any task to any staff member
C. Right task, right circumstance, right person, right direction, and right supervision
D. Delegating only assessment
Correct Answer: C
Rationale: The five rights of delegation ensure safe assignment of tasks.
Question 17. Which client situation requires the RN to retain responsibility?
A. Transporting a stable client to radiology
B. Routine vital signs on a stable client
C. Assisting with feeding a stable client
D. Initial assessment of a newly admitted client
Correct Answer: D
Rationale: Initial assessment, teaching, and evaluation cannot be delegated.
Question 18. Which response is appropriate when a client asks about a prognosis the nurse is not
authorized to discuss?
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
Virtual ATI Adult Medical-Surgical Assessment
VATI-AMS — Assessment
RN VATI Adult Medical-Surgical
INSTITUTION | Assessment Technologies Institute
PROGRAM | Virtual ATI (VATI)
EXAM TITLE | RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
COURSE TITLE | Virtual ATI Adult Medical-Surgical Nursing Assessment
COURSE CODE | VATI-AMS
ACADEMIC YEAR | 2026/2027
TOTAL QUESTIONS | 250 Questions
VATI-AMS | 2026/2027
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive document contains 250 original verified questions covering the full RN VATI Adult Medical-
Surgical Assessment for the 2026/2027 academic year. The questions are distributed across eight core domains:
Domain 1: Management of Care & Prioritization (30 questions); Domain 2: Cardiovascular Disorders (40
questions); Domain 3: Respiratory Disorders (35 questions); Domain 4: Neurological Disorders (30 questions);
Domain 5: Gastrointestinal & Renal Disorders (35 questions); Domain 6: Endocrine & Musculoskeletal Disorders
(30 questions); Domain 7: Fluid/Electrolyte, Acid-Base & Perioperative Care (25 questions); and Domain 8:
Hematologic, Immunologic & Oncologic Disorders (25 questions). Content is original and designed to reinforce
the official VATI Adult Medical-Surgical course objectives for actual exam readiness and medical-surgical nursing
proficiency, aligned to the 2026/2027 academic year. Questions integrate prioritization, clinical judgment,
complication recognition, and evidence-based interventions to support professional nursing candidates in
developing comprehensive medical-surgical competence.
ACTUAL QUESTIONS
Domain 1: Management of Care & Prioritization
Question 1. Which client is the most appropriate assignment for an LPN?
A. A client who needs complex sterile wound assessment
B. A newly admitted client with unstable vital signs
C. A client requiring initial teaching about insulin administration
D. A stable client receiving routine oral antibiotics and scheduled dressing changes
Correct Answer: D
Rationale: LPNs may care for stable clients with predictable outcomes and perform routine medication
administration and dressing changes; the RN retains assessment, teaching, and unstable clients.
Question 2. Before administering medication, the nurse must:
A. Rely solely on the room number
B. Verify the client's identity using two approved identifiers
C. Ask only the family member for confirmation
D. Proceed if the ID band is missing
Correct Answer: B
Rationale: Two client identifiers must be used before medication administration; a missing ID band must be
replaced first.
Question 3. A client expresses fear about an upcoming procedure. Which response demonstrates
therapeutic communication?
A. Tell me more about what is making you feel that way
B. You should not worry; everything will be fine
C. I know exactly how you feel
D. Let's talk about something else
Correct Answer: A
Rationale: Open-ended responses invite the client to elaborate and convey empathy without false reassurance.
Question 4. After a client falls, the nurse's first action is to:
A. Call the family before assessing the client
B. Immediately help the client to stand
C. Document the fall and leave the room
D. Assess the client for injuries and obtain vital signs before moving the client
Correct Answer: D
Rationale: Safety requires assessment for injury and hemodynamic status before any attempt to move the
client.
Question 5. According to the NCSBN Clinical Judgment Measurement Model, after analyzing cues
the nurse should next:
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
, A. Skip prioritization
B. Implement interventions immediately without hypotheses
C. Generate hypotheses before taking action
D. Document only and leave
Correct Answer: C
Rationale: After analyzing cues, the nurse generates hypotheses, prioritizes them, and then takes action.
Question 6. Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assisting a stable client with ambulation and recording intake and output
B. Administering oral medications
C. Performing an initial assessment
D. Teaching a client about wound care
Correct Answer: A
Rationale: UAPs may assist with activities of daily living and collect routine data for stable clients; assessment,
teaching, and medication administration remain with licensed nurses.
Question 7. Which prioritization framework places airway, breathing, and circulation first?
A. Alphabetical order
B. Maslow's hierarchy only
C. Time management only
D. ABC prioritization
Correct Answer: D
Rationale: ABC prioritization addresses life-threatening physiologic needs before other concerns.
Question 8. A client refuses a prescribed medication. The nurse should first:
A. Explore the client's concerns and provide information, then document the refusal
B. Force the medication
C. Ignore the refusal
D. Notify only the family
Correct Answer: A
Rationale: Clients have the right to refuse; the nurse clarifies understanding, provides information, and
documents the refusal.
Question 9. Which client should the nurse see first?
A. A client with a scheduled dressing change
B. A client requesting a routine pain medication
C. A client waiting for discharge teaching
D. A client with sudden onset of chest pain and diaphoresis
Correct Answer: D
Rationale: Sudden chest pain with diaphoresis may indicate acute coronary syndrome and requires immediate
assessment.
Question 10. Which action demonstrates advocacy?
A. Speaking up for a client's stated preferences and rights when they cannot do so themselves
B. Making all decisions for the client
C. Ignoring the client's wishes
D. Deferring all decisions to the family only
Correct Answer: A
Rationale: Advocacy involves supporting the client's rights, preferences, and best interests.
Question 11. Which principle guides safe delegation?
A. Delegating any task to any staff member
B. Right task, right circumstance, right person, right direction, and right supervision
C. Avoiding all delegation
D. Delegating only assessment
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
, Correct Answer: B
Rationale: The five rights of delegation ensure safe assignment of tasks.
Question 12. Which client situation requires the RN to retain responsibility?
A. Assisting with feeding a stable client
B. Routine vital signs on a stable client
C. Initial assessment of a newly admitted client
D. Transporting a stable client to radiology
Correct Answer: C
Rationale: Initial assessment, teaching, and evaluation cannot be delegated.
Question 13. Which response is appropriate when a client asks about a prognosis the nurse is not
authorized to discuss?
A. I am not allowed to talk to you
B. I will ask the provider to speak with you about that
C. You should not ask that question
D. Everything will be fine
Correct Answer: B
Rationale: The nurse facilitates communication with the appropriate provider rather than providing
unauthorized information.
Question 14. Which action is required when a medication error is discovered?
A. Only document in the medical record without notification
B. Hide the error
C. Assess the client, notify the provider, and complete an incident report
D. Wait until the end of the shift
Correct Answer: C
Rationale: Client safety requires immediate assessment, provider notification, and transparent reporting.
Question 15. Which client has the highest priority based on Maslow's hierarchy?
A. A client with mild anxiety
B. A client with acute hypoxia
C. A client requesting social interaction
D. A client with a delayed meal
Correct Answer: B
Rationale: Physiologic needs such as oxygenation take precedence over higher-level needs.
Question 16. Which principle guides safe delegation?
A. Avoiding all delegation
B. Delegating any task to any staff member
C. Right task, right circumstance, right person, right direction, and right supervision
D. Delegating only assessment
Correct Answer: C
Rationale: The five rights of delegation ensure safe assignment of tasks.
Question 17. Which client situation requires the RN to retain responsibility?
A. Transporting a stable client to radiology
B. Routine vital signs on a stable client
C. Assisting with feeding a stable client
D. Initial assessment of a newly admitted client
Correct Answer: D
Rationale: Initial assessment, teaching, and evaluation cannot be delegated.
Question 18. Which response is appropriate when a client asks about a prognosis the nurse is not
authorized to discuss?
RN VATI Adult Medical-Surgical Assessment 2026/2027 | Verified Questions
