1|Page
VATI FUNDAMENTALS FOCUSED REVIEW
LATEST SOLUTION 2026–2027 EDITION 220
QUESTIONS | VERIFIED ANSWERS | DETAILED
RATIONALES | GRADED A+** HIGH YIELD
CONTENT
## SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Q1–
35)
**Q1.** A nurse is preparing to transfer a client from bed to stretcher.
Which action by the nurse demonstrates correct body mechanics?
A) Twist the torso while pulling the client
B) Keep feet together and lift with the back
C) Hold the client close to the nurse’s body
D) Position the stretcher lower than the bed
**Correct Answer: C**
**Rationale:** Holding the load close to the center of gravity reduces
strain on lower back. Twisting (A) increases injury risk. Feet should be
shoulder-width apart (B). Stretcher should be at the same height or
slightly lower than the bed (D) to allow rolling, not lifting.
**Key Takeaway:** Use broad base of support, keep load close, avoid
twisting.
,2|Page
---
**Q2.** A nurse observes smoke coming from an electrical outlet in a
client’s room. What is the nurse’s priority action?
A) Unplug all devices from the outlet
B) Activate the fire alarm
C) Use a fire extinguisher
D) Move the client out of the room
**Correct Answer: D**
**Rationale:** RACE protocol: **R**escue (move client), **A**larm,
**C**ontain, **E**xtinguish. Client safety is always first. After moving
client, activate alarm (B), then attempt to extinguish if safe.
**Key Takeaway:** RACE – Rescue, Alarm, Contain, Extinguish.
---
**Q3.** Which task is appropriate for the nurse to delegate to a licensed
practical nurse (LPN)?
A) Initial admission assessment
B) Insertion of a Foley catheter
C) Creation of the nursing care plan
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D) Evaluation of client outcomes
**Correct Answer: B**
**Rationale:** LPNs can perform stable, predictable procedures
(catheter insertion, wound care, meds). RN must perform initial
assessment (A), care plan (C), and evaluation (D).
**Key Takeaway:** LPN = stable, standard procedures. RN =
assessment, planning, evaluation.
---
**Q4.** A client is placed in wrist restraints after pulling out an IV line.
How often must the nurse remove the restraints for range-of-motion
exercises?
A) Every 30 minutes
B) Every 1 hour
C) Every 2 hours
D) Every 4 hours
**Correct Answer: C**
**Rationale:** Restraints require removal every 2 hours for ROM,
repositioning, and toileting. Check neurovascular status and skin
integrity. Document attempts at less restrictive measures.
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**Key Takeaway:** Restraints: remove q2h, document alternatives
tried.
---
**Q5.** A nurse is caring for a client on contact precautions for
*Clostridioides difficile*. Which hand hygiene method is correct after
removing gloves?
A) Alcohol-based hand rub
B) Soap and water only
C) Either soap/water or alcohol rub
D) Chlorhexidine wipes
**Correct Answer: B**
**Rationale:** C. diff spores are not killed by alcohol-based hand rubs.
Mechanical washing with soap and water is required. Chlorhexidine (D)
is not sporicidal.
**Key Takeaway:** C. diff – soap and water ONLY. Alcohol
ineffective.
---
**Q6.** A nurse receives a telephone order from a provider for
morphine 4 mg IV push. Which action is most important?
VATI FUNDAMENTALS FOCUSED REVIEW
LATEST SOLUTION 2026–2027 EDITION 220
QUESTIONS | VERIFIED ANSWERS | DETAILED
RATIONALES | GRADED A+** HIGH YIELD
CONTENT
## SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Q1–
35)
**Q1.** A nurse is preparing to transfer a client from bed to stretcher.
Which action by the nurse demonstrates correct body mechanics?
A) Twist the torso while pulling the client
B) Keep feet together and lift with the back
C) Hold the client close to the nurse’s body
D) Position the stretcher lower than the bed
**Correct Answer: C**
**Rationale:** Holding the load close to the center of gravity reduces
strain on lower back. Twisting (A) increases injury risk. Feet should be
shoulder-width apart (B). Stretcher should be at the same height or
slightly lower than the bed (D) to allow rolling, not lifting.
**Key Takeaway:** Use broad base of support, keep load close, avoid
twisting.
,2|Page
---
**Q2.** A nurse observes smoke coming from an electrical outlet in a
client’s room. What is the nurse’s priority action?
A) Unplug all devices from the outlet
B) Activate the fire alarm
C) Use a fire extinguisher
D) Move the client out of the room
**Correct Answer: D**
**Rationale:** RACE protocol: **R**escue (move client), **A**larm,
**C**ontain, **E**xtinguish. Client safety is always first. After moving
client, activate alarm (B), then attempt to extinguish if safe.
**Key Takeaway:** RACE – Rescue, Alarm, Contain, Extinguish.
---
**Q3.** Which task is appropriate for the nurse to delegate to a licensed
practical nurse (LPN)?
A) Initial admission assessment
B) Insertion of a Foley catheter
C) Creation of the nursing care plan
,3|Page
D) Evaluation of client outcomes
**Correct Answer: B**
**Rationale:** LPNs can perform stable, predictable procedures
(catheter insertion, wound care, meds). RN must perform initial
assessment (A), care plan (C), and evaluation (D).
**Key Takeaway:** LPN = stable, standard procedures. RN =
assessment, planning, evaluation.
---
**Q4.** A client is placed in wrist restraints after pulling out an IV line.
How often must the nurse remove the restraints for range-of-motion
exercises?
A) Every 30 minutes
B) Every 1 hour
C) Every 2 hours
D) Every 4 hours
**Correct Answer: C**
**Rationale:** Restraints require removal every 2 hours for ROM,
repositioning, and toileting. Check neurovascular status and skin
integrity. Document attempts at less restrictive measures.
, 4|Page
**Key Takeaway:** Restraints: remove q2h, document alternatives
tried.
---
**Q5.** A nurse is caring for a client on contact precautions for
*Clostridioides difficile*. Which hand hygiene method is correct after
removing gloves?
A) Alcohol-based hand rub
B) Soap and water only
C) Either soap/water or alcohol rub
D) Chlorhexidine wipes
**Correct Answer: B**
**Rationale:** C. diff spores are not killed by alcohol-based hand rubs.
Mechanical washing with soap and water is required. Chlorhexidine (D)
is not sporicidal.
**Key Takeaway:** C. diff – soap and water ONLY. Alcohol
ineffective.
---
**Q6.** A nurse receives a telephone order from a provider for
morphine 4 mg IV push. Which action is most important?
