ATI RN Capstone Comprehensive Assessment B
Practice Exam Questions And Correct Answers
(Verified Answers) Plus Rationales 2025/2026 Q&A |
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1. A nurse is caring for a client with heart failure who reports dyspnea when
lying flat. What is the priority intervention?
A. Administer IV fluids
B. Place the client in high-Fowler’s position
C. Encourage coughing exercises
D. Restrict sodium intake
Answer: B
High-Fowler’s position decreases venous return and improves lung expansion,
reducing dyspnea.
2. A client with type 1 diabetes has a blood glucose of 55 mg/dL. What should
the nurse administer?
A. Regular insulin
B. 8 oz milk
C. 15 g fast-acting carbohydrate
D. Glucagon IM immediately
Answer: C
The 15-15 rule recommends 15 g of fast-acting carbohydrates for
hypoglycemia.
3. A nurse notes peaked T waves on the ECG. This indicates:
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
,Answer: B
Peaked T waves are a classic sign of elevated potassium levels.
4. Which finding indicates compartment syndrome?
A. Bounding pulse
B. Warm skin
C. Severe pain unrelieved by medication
D. Capillary refill <2 seconds
Answer: C
Pain out of proportion and unrelieved by opioids is an early sign of
compartment syndrome.
5. A client receiving warfarin has an INR of 5.5. What is the priority action?
A. Administer heparin
B. Continue medication
C. Hold warfarin and notify provider
D. Increase dose
Answer: C
An INR above therapeutic range increases bleeding risk and requires holding
medication.
6. A nurse is teaching about metformin. Which statement indicates
understanding?
A. “I will take this on an empty stomach.”
B. “I should monitor for ringing in my ears.”
C. “I will report muscle pain.”
D. “I should expect weight gain.”
Answer: C
Muscle pain can indicate lactic acidosis, a serious adverse effect.
7. A postpartum client saturates a pad in 10 minutes. The nurse should:
, A. Reassess in 30 minutes
B. Massage the fundus
C. Encourage ambulation
D. Provide ice packs
Answer: B
Excessive bleeding suggests uterine atony; fundal massage promotes
contraction.
8. A client with meningitis requires which isolation?
A. Airborne
B. Contact
C. Droplet
D. Protective
Answer: C
Meningitis is transmitted via respiratory droplets.
9. A client taking lisinopril should report:
A. Increased urination
B. Persistent dry cough
C. Constipation
D. Weight gain
Answer: B
ACE inhibitors commonly cause a dry cough.
10. Which lab value requires immediate reporting?
A. Sodium 138 mEq/L
B. Potassium 4.0 mEq/L
C. Platelets 40,000/mm³
D. Hemoglobin 14 g/dL
Answer: C
Severe thrombocytopenia increases bleeding risk.
Practice Exam Questions And Correct Answers
(Verified Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1. A nurse is caring for a client with heart failure who reports dyspnea when
lying flat. What is the priority intervention?
A. Administer IV fluids
B. Place the client in high-Fowler’s position
C. Encourage coughing exercises
D. Restrict sodium intake
Answer: B
High-Fowler’s position decreases venous return and improves lung expansion,
reducing dyspnea.
2. A client with type 1 diabetes has a blood glucose of 55 mg/dL. What should
the nurse administer?
A. Regular insulin
B. 8 oz milk
C. 15 g fast-acting carbohydrate
D. Glucagon IM immediately
Answer: C
The 15-15 rule recommends 15 g of fast-acting carbohydrates for
hypoglycemia.
3. A nurse notes peaked T waves on the ECG. This indicates:
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
,Answer: B
Peaked T waves are a classic sign of elevated potassium levels.
4. Which finding indicates compartment syndrome?
A. Bounding pulse
B. Warm skin
C. Severe pain unrelieved by medication
D. Capillary refill <2 seconds
Answer: C
Pain out of proportion and unrelieved by opioids is an early sign of
compartment syndrome.
5. A client receiving warfarin has an INR of 5.5. What is the priority action?
A. Administer heparin
B. Continue medication
C. Hold warfarin and notify provider
D. Increase dose
Answer: C
An INR above therapeutic range increases bleeding risk and requires holding
medication.
6. A nurse is teaching about metformin. Which statement indicates
understanding?
A. “I will take this on an empty stomach.”
B. “I should monitor for ringing in my ears.”
C. “I will report muscle pain.”
D. “I should expect weight gain.”
Answer: C
Muscle pain can indicate lactic acidosis, a serious adverse effect.
7. A postpartum client saturates a pad in 10 minutes. The nurse should:
, A. Reassess in 30 minutes
B. Massage the fundus
C. Encourage ambulation
D. Provide ice packs
Answer: B
Excessive bleeding suggests uterine atony; fundal massage promotes
contraction.
8. A client with meningitis requires which isolation?
A. Airborne
B. Contact
C. Droplet
D. Protective
Answer: C
Meningitis is transmitted via respiratory droplets.
9. A client taking lisinopril should report:
A. Increased urination
B. Persistent dry cough
C. Constipation
D. Weight gain
Answer: B
ACE inhibitors commonly cause a dry cough.
10. Which lab value requires immediate reporting?
A. Sodium 138 mEq/L
B. Potassium 4.0 mEq/L
C. Platelets 40,000/mm³
D. Hemoglobin 14 g/dL
Answer: C
Severe thrombocytopenia increases bleeding risk.
