RN VATI FUNDAMENTALS ASSESSMENT – ATI NURSING EDUCATION – NURSING
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
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.
Identify the sequence the nurse should follow.: 1: Draw up the volume of insulin from the
intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial
4: Withdraw the prescribed amount of insulin form the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin vial.
To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal to the volume of
insulin from the intermediate-acting insulin vial. The nurse should then inject the volume of air equal to the amount
of insulin to withdraw from the intermediate-acting insulin vial, making sure the needle does not touch the insulin.
Next, the nurse should inject the volume of air equal to the insulin dose from the short-acting insulin vial. Then, the
nurse should withdraw the prescribed amount of insulin from the short-acting insulin vial. Lastly, the nurse should
withdraw the prescribed amount of insulin from the intermediate-acting insulin vial. The insulins are now mixed and
ready to administer.
2. A nurse is assessing a client who wears partial dentures and reports mouth
pain. Which of the following actions should the nurse take?
Provide the client with an alcohol-based mouthwash.
Instruct the client to brush their remaining teeth with a firm toothbrush.
Advise the client to rinse their mouth and dentures after each meal.
Swab the client's mouth with lemon-glycerin sponges at bedtime.: Advise the client
to rinse their mouth and dentures after each meal.
The nurse should advise the client to rinse their mouth and dentures after each meal to remove food and particles
, RN VATI FUNDAMENTALS ASSESSMENT – ATI NURSING EDUCATION – NURSING
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
and to promote healing of gums and oral mucosa.
The nurse should instruct the client to rinse their mouth four times each day with mild rinses, such as normal saline
or sodium bicarbonate solution. The nurse should inform the client that mouthwashes containing alcohol dry the oral
mucosa and can irritate tissue.
The nurse should instruct the client to brush their remaining teeth with a soft toothbrush at least twice each day to
reduce the risk for gum abrasions.
The nurse should avoid using lemon-glycerin sponges because they can cause erosion of the client's tooth enamel,
dry the mucous membranes, and increase the client's current discomfort.
3. A nurse is planning care for a client who has dysphagia and is at risk for aspi-
ration. Which of the following referrals should the nurse make?: Speech-language
pathologist
The nurse should recommend a referral for a client who has dysphagia to a speech-language pathologist. Clients
who have dysphagia have diflculty swallowing and are at risk for aspiration. The speech-language pathologist can
perform a swallow study to determine the extent of the client's dysphagia and work with the client to develop new
swallowing techniques.
4. A nurse is planning teaching for a client who has a new diagnosis of type 2
diabetes mellitus. Which of the following actions should the nurse take prior
to performing the teaching? (select all that apply): - Establish the client's learning needs
- Determine the client's literacy level
- Evaluate the client's readiness for learning
- Identify the client's learning style
Establish the client's learning needs is correct. Prior to planning any teaching session, the nurse should perform
a comprehensive assessment of the client's learning needs. This assessment incorporates information from the
client's history and physical assessment, current health problems, understanding of and adherence to the prescribed
treatment plan, and support system. Determine the client's literacy level is correct. Knowing the client's literacy level is
an important factor in communicating with the client and in delivering audiovisual presentations and written materials.
, RN VATI FUNDAMENTALS ASSESSMENT – ATI NURSING EDUCATION – NURSING
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
If the client cannot understand the information the nurse presents, they will not learn. Evaluate the client's readiness
for learning is correct. The nurse should determine the client's physical readiness (pain control), emotional readiness
(acceptance of diagnosis), and cognitive readiness (appropriate level of consciousness). Identify the client's learning
style is correct. The best way to learn varies from client to client. Some people learn best by watching a demonstration,
while others thrive in a group setting, and others prefer to read information on their own. In a group setting, the nurse
should use a variety of styles to accommodate most learners.
5. A nurse is preparing to notify the provider about a change in a client's status.
Which of the following information should the nurse plan to include in the
"background" portion of the SBAR communication tool?
Client's present condition
Questions for the provider regarding client care
Physical findings
Previous treatments: Previous treatments
The nurse should include previous treatments in the "background" portion of the SBAR communication tool. Other
information the nurse should include in the "background" portion is the client's admission history, diagnosis,
pertinent medical history, and code status. The nurse should include physical findings in the "assessment" portion
of the SBAR communication tool. The nurse should include questions regarding client care in the "recommendation"
portion of the SBAR communication tool. The nurse should include the client's present condition in the "situation"
portion of the SBAR communication tool.
6. A nurse is providing discharge teaching to a client who has a new prescrip-
tion for home oxygen therapy utilizing a compressed oxygen system. Which
of the following statements by the client indicates an understanding of the
teaching?
"I will regulate the oxygen flow rate as needed."
"I will store oxygen tanks in an upright position."
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
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.
Identify the sequence the nurse should follow.: 1: Draw up the volume of insulin from the
intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial
4: Withdraw the prescribed amount of insulin form the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin vial.
To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal to the volume of
insulin from the intermediate-acting insulin vial. The nurse should then inject the volume of air equal to the amount
of insulin to withdraw from the intermediate-acting insulin vial, making sure the needle does not touch the insulin.
Next, the nurse should inject the volume of air equal to the insulin dose from the short-acting insulin vial. Then, the
nurse should withdraw the prescribed amount of insulin from the short-acting insulin vial. Lastly, the nurse should
withdraw the prescribed amount of insulin from the intermediate-acting insulin vial. The insulins are now mixed and
ready to administer.
2. A nurse is assessing a client who wears partial dentures and reports mouth
pain. Which of the following actions should the nurse take?
Provide the client with an alcohol-based mouthwash.
Instruct the client to brush their remaining teeth with a firm toothbrush.
Advise the client to rinse their mouth and dentures after each meal.
Swab the client's mouth with lemon-glycerin sponges at bedtime.: Advise the client
to rinse their mouth and dentures after each meal.
The nurse should advise the client to rinse their mouth and dentures after each meal to remove food and particles
, RN VATI FUNDAMENTALS ASSESSMENT – ATI NURSING EDUCATION – NURSING
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
and to promote healing of gums and oral mucosa.
The nurse should instruct the client to rinse their mouth four times each day with mild rinses, such as normal saline
or sodium bicarbonate solution. The nurse should inform the client that mouthwashes containing alcohol dry the oral
mucosa and can irritate tissue.
The nurse should instruct the client to brush their remaining teeth with a soft toothbrush at least twice each day to
reduce the risk for gum abrasions.
The nurse should avoid using lemon-glycerin sponges because they can cause erosion of the client's tooth enamel,
dry the mucous membranes, and increase the client's current discomfort.
3. A nurse is planning care for a client who has dysphagia and is at risk for aspi-
ration. Which of the following referrals should the nurse make?: Speech-language
pathologist
The nurse should recommend a referral for a client who has dysphagia to a speech-language pathologist. Clients
who have dysphagia have diflculty swallowing and are at risk for aspiration. The speech-language pathologist can
perform a swallow study to determine the extent of the client's dysphagia and work with the client to develop new
swallowing techniques.
4. A nurse is planning teaching for a client who has a new diagnosis of type 2
diabetes mellitus. Which of the following actions should the nurse take prior
to performing the teaching? (select all that apply): - Establish the client's learning needs
- Determine the client's literacy level
- Evaluate the client's readiness for learning
- Identify the client's learning style
Establish the client's learning needs is correct. Prior to planning any teaching session, the nurse should perform
a comprehensive assessment of the client's learning needs. This assessment incorporates information from the
client's history and physical assessment, current health problems, understanding of and adherence to the prescribed
treatment plan, and support system. Determine the client's literacy level is correct. Knowing the client's literacy level is
an important factor in communicating with the client and in delivering audiovisual presentations and written materials.
, RN VATI FUNDAMENTALS ASSESSMENT – ATI NURSING EDUCATION – NURSING
FUNDAMENTALS – COMPREHENSIVE PRACTICE ASSESSMENT WITH RATIONALES A+
VERIFIED LATEST VERSION (2026-2027)
If the client cannot understand the information the nurse presents, they will not learn. Evaluate the client's readiness
for learning is correct. The nurse should determine the client's physical readiness (pain control), emotional readiness
(acceptance of diagnosis), and cognitive readiness (appropriate level of consciousness). Identify the client's learning
style is correct. The best way to learn varies from client to client. Some people learn best by watching a demonstration,
while others thrive in a group setting, and others prefer to read information on their own. In a group setting, the nurse
should use a variety of styles to accommodate most learners.
5. A nurse is preparing to notify the provider about a change in a client's status.
Which of the following information should the nurse plan to include in the
"background" portion of the SBAR communication tool?
Client's present condition
Questions for the provider regarding client care
Physical findings
Previous treatments: Previous treatments
The nurse should include previous treatments in the "background" portion of the SBAR communication tool. Other
information the nurse should include in the "background" portion is the client's admission history, diagnosis,
pertinent medical history, and code status. The nurse should include physical findings in the "assessment" portion
of the SBAR communication tool. The nurse should include questions regarding client care in the "recommendation"
portion of the SBAR communication tool. The nurse should include the client's present condition in the "situation"
portion of the SBAR communication tool.
6. A nurse is providing discharge teaching to a client who has a new prescrip-
tion for home oxygen therapy utilizing a compressed oxygen system. Which
of the following statements by the client indicates an understanding of the
teaching?
"I will regulate the oxygen flow rate as needed."
"I will store oxygen tanks in an upright position."
