RN VATI Fundamentals Assessment
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is preparing to insert an indwelling urinary catheter for a female client. What is the first
nursing action?
✔✔Perform hand hygiene and set up a sterile field.
A nurse is caring for a client with impaired mobility. What is the best way to prevent pressure
injuries?
✔✔Reposition the client at least every two hours.
A nurse is evaluating a client’s understanding of home oxygen therapy. What client statement
indicates correct understanding?
✔✔"I will avoid using petroleum-based products near my oxygen."
A nurse enters a client’s room and sees the client on the floor. What is the nurse’s first action?
✔✔Assess the client for injury before moving them.
1
,A nurse is teaching a client how to use a walker. What is the correct instruction?
✔✔Move the walker forward, then step with the affected leg.
A nurse is reinforcing teaching about hand hygiene. When should the nurse use soap and water
instead of alcohol-based sanitizer?
✔✔When hands are visibly soiled or after contact with bodily fluids.
A nurse is changing a surgical dressing and notes thick yellow drainage. What should the nurse
do next?
✔✔Notify the provider of signs of possible infection.
A nurse is preparing to ambulate a postoperative client. What is the priority assessment?
✔✔Check the client’s blood pressure and level of alertness.
A nurse is caring for a client who is NPO and scheduled for a procedure. The client requests
water. What is the appropriate response?
✔✔Explain the reason for the restriction and provide mouth care instead.
2
,A client tells the nurse, “I’m scared about my surgery tomorrow.” What is the best response?
✔✔"Tell me more about what is making you feel scared."
A nurse is caring for a client receiving enteral tube feeding. What action helps prevent
aspiration?
✔✔Keep the head of the bed elevated at least 30 degrees.
A nurse is caring for a client with a fever. What is the most important initial assessment?
✔✔Check for signs of infection or inflammation.
A nurse is caring for a client with hearing loss. What is the best way to enhance communication?
✔✔Face the client and speak clearly without shouting.
A nurse is preparing a sterile field. What action contaminates the field?
✔✔Reaching over the field to grab supplies.
A nurse is preparing to assist a client with ambulation who is at risk for falling. What equipment
should the nurse use?
3
, ✔✔A gait belt.
A nurse is caring for a client with a nasogastric tube. The client reports nausea. What is the first
action?
✔✔Check tube placement and patency.
A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate
to delegate?
✔✔Measuring a client’s intake and output.
A client is on seizure precautions. What should the nurse keep at the bedside?
✔✔Suction equipment and oxygen.
A nurse is preparing to administer medication through a feeding tube. What must the nurse do
first?
✔✔Verify placement of the tube.
A nurse is reviewing fire safety with staff. What acronym is used to guide response to a fire?
4
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is preparing to insert an indwelling urinary catheter for a female client. What is the first
nursing action?
✔✔Perform hand hygiene and set up a sterile field.
A nurse is caring for a client with impaired mobility. What is the best way to prevent pressure
injuries?
✔✔Reposition the client at least every two hours.
A nurse is evaluating a client’s understanding of home oxygen therapy. What client statement
indicates correct understanding?
✔✔"I will avoid using petroleum-based products near my oxygen."
A nurse enters a client’s room and sees the client on the floor. What is the nurse’s first action?
✔✔Assess the client for injury before moving them.
1
,A nurse is teaching a client how to use a walker. What is the correct instruction?
✔✔Move the walker forward, then step with the affected leg.
A nurse is reinforcing teaching about hand hygiene. When should the nurse use soap and water
instead of alcohol-based sanitizer?
✔✔When hands are visibly soiled or after contact with bodily fluids.
A nurse is changing a surgical dressing and notes thick yellow drainage. What should the nurse
do next?
✔✔Notify the provider of signs of possible infection.
A nurse is preparing to ambulate a postoperative client. What is the priority assessment?
✔✔Check the client’s blood pressure and level of alertness.
A nurse is caring for a client who is NPO and scheduled for a procedure. The client requests
water. What is the appropriate response?
✔✔Explain the reason for the restriction and provide mouth care instead.
2
,A client tells the nurse, “I’m scared about my surgery tomorrow.” What is the best response?
✔✔"Tell me more about what is making you feel scared."
A nurse is caring for a client receiving enteral tube feeding. What action helps prevent
aspiration?
✔✔Keep the head of the bed elevated at least 30 degrees.
A nurse is caring for a client with a fever. What is the most important initial assessment?
✔✔Check for signs of infection or inflammation.
A nurse is caring for a client with hearing loss. What is the best way to enhance communication?
✔✔Face the client and speak clearly without shouting.
A nurse is preparing a sterile field. What action contaminates the field?
✔✔Reaching over the field to grab supplies.
A nurse is preparing to assist a client with ambulation who is at risk for falling. What equipment
should the nurse use?
3
, ✔✔A gait belt.
A nurse is caring for a client with a nasogastric tube. The client reports nausea. What is the first
action?
✔✔Check tube placement and patency.
A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is appropriate
to delegate?
✔✔Measuring a client’s intake and output.
A client is on seizure precautions. What should the nurse keep at the bedside?
✔✔Suction equipment and oxygen.
A nurse is preparing to administer medication through a feeding tube. What must the nurse do
first?
✔✔Verify placement of the tube.
A nurse is reviewing fire safety with staff. What acronym is used to guide response to a fire?
4
