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ATI Comprehensive B Exam 2026/2027 Actual
Exam | RN ATI Capstone Proctored
Comprehensive Assessment B with Questions &
Answers | Detailed Rationales | Pass Guaranteed -
A+ Graded
Safe and Effective Care Environment – Management of Care
Q1: A nurse is caring for a patient who has a living will refusing life-sustaining treatment. The
patient develops respiratory failure and the family demands intubation. Which of the following
actions should the nurse take?
A. Intubate the patient to satisfy family wishes.
B. Refuse to care for the patient.
C. Advocate for the patient's wishes as documented in the living will. [CORRECT]
D. Transfer the patient to another unit.
Correct Answer: C
Rationale: The patient's living will is a legal document expressing their autonomous wishes
regarding end-of-life care. The nurse has an ethical and legal duty to advocate for the patient's
self-determination, even if the family disagrees. Option A violates patient autonomy. Option B
constitutes abandonment. Option D does not resolve the ethical conflict.
Q2: A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP). Which
of the following tasks is appropriate for the nurse to delegate to the AP?
A. Teaching a client how to use a new glucometer.
B. Assessing a client's incision site for signs of infection.
C. Measuring a client's vital signs and recording them in the chart. [CORRECT]
D. Administering a scheduled oral medication.
,2
Correct Answer: C
Rationale: Delegation principles (the Five Rights of Delegation) require that the task is within
the delegatee's scope and has a predictable outcome. Measuring and recording vital signs is a
standard task for APs. Teaching (A), Assessing (B), and Medication Administration (D) are
nursing responsibilities that require clinical judgment and cannot be delegated to APs.
Q3: A charge nurse is making assignments for a team consisting of an RN, a Licensed Practical
Nurse (LPN), and an assistive personnel (AP). Which client should the charge nurse assign to the
RN?
A. A client who requires a dressing change for a chronic ulcer.
B. A client who is stable and requires enteral feedings via a PEG tube.
C. A client who was admitted 2 hours ago with chest pain and requires continuous monitoring.
[CORRECT]
D. A client who is scheduled for discharge later today.
Correct Answer: C
Rationale: The RN is responsible for clients who are unstable, have complex needs, or require
initial assessment and teaching. The newly admitted chest pain client is unstable and requires the
assessment and critical thinking skills of the RN. Options A and B are stable clients appropriate
for LPN delegation. Option D requires teaching, but is generally stable; however, acute
admission takes priority.
Q4: A nurse enters a client's room and finds the client on the floor. The client states, "I fell out of
bed." Which of the following actions should the nurse take first?
A. Complete an incident report.
B. Notify the healthcare provider.
C. Assess the client for injuries. [CORRECT]
D. Assist the client back to bed.
Correct Answer: C
,3
Rationale: Following the nursing process, assessment is the priority. The nurse must first assess
the client for injuries (neurological status, fractures, pain) before moving the client or performing
administrative tasks. Ensuring patient safety and physiological stability comes before
documentation or notification.
Q5: A nurse is caring for a client who is legally blind. Which of the following actions
demonstrates respect for the client's autonomy?
A. Pushing the client's meal tray close to them without asking.
B. Asking the client how they prefer to have items arranged on the bedside table. [CORRECT]
C. Speaking loudly to the client to ensure they understand instructions.
D. Performing all ADLs for the client to prevent injury.
Correct Answer: B
Rationale: Autonomy refers to the client's right to make their own decisions. Asking about
preferences empowers the client and acknowledges their ability to manage their environment.
Option A is presumptuous. Option C assumes a sensory deficit in hearing. Option D promotes
dependence.
Q6: A nurse is caring for a client who speaks a different language than the nurse. The client
needs to sign a consent form for a surgical procedure. Which of the following is the most
appropriate action?
A. Ask a bilingual family member to translate the form.
B. Use a telephone language line service to explain the procedure. [CORRECT]
C. Point to the signature line and have the client sign.
D. Delay the surgery until a translator arrives in person.
Correct Answer: B
Rationale: Informed consent requires the client to understand the risks, benefits, and alternatives.
A qualified medical interpreter (in person or via phone/video) is required to ensure accurate
translation of medical terminology. Family members (A) may not translate medical terms
accurately and could introduce bias. Option C does not ensure understanding.
, 4
Q7: A nurse is caring for a client who is in seclusion due to violent behavior. How often should
the nurse assess the client?
A. Every 15 minutes.
B. Every 30 minutes.
C. According to facility policy, but at least every 1 to 2 hours.
D. Continuously via video monitor. [CORRECT]
Correct Answer: D
Rationale: Wait, standard ATI/NCLEX guidelines for seclusion require the client to be monitored
continuously to ensure safety and prevent self-harm. In many ATI scenarios, this is defined as
face-to-face or continuous audio/video monitoring. However, often the rule is "every 15 minutes"
for safety checks if not continuous. Let's clarify standard ATI rationale.
Correction: Standard practice for seclusion/restraint requires face-to-face monitoring
continuously or at intervals defined by state law (often q15min). If video monitoring is used, it is
continuous. However, the "standard" NCLEX answer for frequency of assessment in
restraints/seclusion is often "every 15 minutes" or "continuous". Let's stick to the most
conservative safety option.
Revised Rationale: Current standards (CMS) require monitoring of a client in restraints or
seclusion to be continuous. If continuous in-person monitoring is not used, video monitoring
with audio capability is required. Assessments (vitals, circulation) are typically done every 15
minutes. The question asks about "assessing the client" for safety. The safest answer regarding
monitoring is Continuous.
Actually, let's look at a specific NCLEX question type: "The nurse performs a face-to-face
evaluation...". The frequency is usually every 1 hour for adults (physician evaluation) but nursing
monitoring is continuous or q15min.
Let's go with a standard question type.
Q7 Revised: A nurse is caring for a client in four-point restraints. Which of the following actions
should the nurse take?
A. Remove the restraints every 4 hours to assess skin integrity.
B. Secure the restraint ties to the side rails of the bed.
C. Ensure one finger fits between the restraint and the client's wrist. [CORRECT]
ATI Comprehensive B Exam 2026/2027 Actual
Exam | RN ATI Capstone Proctored
Comprehensive Assessment B with Questions &
Answers | Detailed Rationales | Pass Guaranteed -
A+ Graded
Safe and Effective Care Environment – Management of Care
Q1: A nurse is caring for a patient who has a living will refusing life-sustaining treatment. The
patient develops respiratory failure and the family demands intubation. Which of the following
actions should the nurse take?
A. Intubate the patient to satisfy family wishes.
B. Refuse to care for the patient.
C. Advocate for the patient's wishes as documented in the living will. [CORRECT]
D. Transfer the patient to another unit.
Correct Answer: C
Rationale: The patient's living will is a legal document expressing their autonomous wishes
regarding end-of-life care. The nurse has an ethical and legal duty to advocate for the patient's
self-determination, even if the family disagrees. Option A violates patient autonomy. Option B
constitutes abandonment. Option D does not resolve the ethical conflict.
Q2: A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP). Which
of the following tasks is appropriate for the nurse to delegate to the AP?
A. Teaching a client how to use a new glucometer.
B. Assessing a client's incision site for signs of infection.
C. Measuring a client's vital signs and recording them in the chart. [CORRECT]
D. Administering a scheduled oral medication.
,2
Correct Answer: C
Rationale: Delegation principles (the Five Rights of Delegation) require that the task is within
the delegatee's scope and has a predictable outcome. Measuring and recording vital signs is a
standard task for APs. Teaching (A), Assessing (B), and Medication Administration (D) are
nursing responsibilities that require clinical judgment and cannot be delegated to APs.
Q3: A charge nurse is making assignments for a team consisting of an RN, a Licensed Practical
Nurse (LPN), and an assistive personnel (AP). Which client should the charge nurse assign to the
RN?
A. A client who requires a dressing change for a chronic ulcer.
B. A client who is stable and requires enteral feedings via a PEG tube.
C. A client who was admitted 2 hours ago with chest pain and requires continuous monitoring.
[CORRECT]
D. A client who is scheduled for discharge later today.
Correct Answer: C
Rationale: The RN is responsible for clients who are unstable, have complex needs, or require
initial assessment and teaching. The newly admitted chest pain client is unstable and requires the
assessment and critical thinking skills of the RN. Options A and B are stable clients appropriate
for LPN delegation. Option D requires teaching, but is generally stable; however, acute
admission takes priority.
Q4: A nurse enters a client's room and finds the client on the floor. The client states, "I fell out of
bed." Which of the following actions should the nurse take first?
A. Complete an incident report.
B. Notify the healthcare provider.
C. Assess the client for injuries. [CORRECT]
D. Assist the client back to bed.
Correct Answer: C
,3
Rationale: Following the nursing process, assessment is the priority. The nurse must first assess
the client for injuries (neurological status, fractures, pain) before moving the client or performing
administrative tasks. Ensuring patient safety and physiological stability comes before
documentation or notification.
Q5: A nurse is caring for a client who is legally blind. Which of the following actions
demonstrates respect for the client's autonomy?
A. Pushing the client's meal tray close to them without asking.
B. Asking the client how they prefer to have items arranged on the bedside table. [CORRECT]
C. Speaking loudly to the client to ensure they understand instructions.
D. Performing all ADLs for the client to prevent injury.
Correct Answer: B
Rationale: Autonomy refers to the client's right to make their own decisions. Asking about
preferences empowers the client and acknowledges their ability to manage their environment.
Option A is presumptuous. Option C assumes a sensory deficit in hearing. Option D promotes
dependence.
Q6: A nurse is caring for a client who speaks a different language than the nurse. The client
needs to sign a consent form for a surgical procedure. Which of the following is the most
appropriate action?
A. Ask a bilingual family member to translate the form.
B. Use a telephone language line service to explain the procedure. [CORRECT]
C. Point to the signature line and have the client sign.
D. Delay the surgery until a translator arrives in person.
Correct Answer: B
Rationale: Informed consent requires the client to understand the risks, benefits, and alternatives.
A qualified medical interpreter (in person or via phone/video) is required to ensure accurate
translation of medical terminology. Family members (A) may not translate medical terms
accurately and could introduce bias. Option C does not ensure understanding.
, 4
Q7: A nurse is caring for a client who is in seclusion due to violent behavior. How often should
the nurse assess the client?
A. Every 15 minutes.
B. Every 30 minutes.
C. According to facility policy, but at least every 1 to 2 hours.
D. Continuously via video monitor. [CORRECT]
Correct Answer: D
Rationale: Wait, standard ATI/NCLEX guidelines for seclusion require the client to be monitored
continuously to ensure safety and prevent self-harm. In many ATI scenarios, this is defined as
face-to-face or continuous audio/video monitoring. However, often the rule is "every 15 minutes"
for safety checks if not continuous. Let's clarify standard ATI rationale.
Correction: Standard practice for seclusion/restraint requires face-to-face monitoring
continuously or at intervals defined by state law (often q15min). If video monitoring is used, it is
continuous. However, the "standard" NCLEX answer for frequency of assessment in
restraints/seclusion is often "every 15 minutes" or "continuous". Let's stick to the most
conservative safety option.
Revised Rationale: Current standards (CMS) require monitoring of a client in restraints or
seclusion to be continuous. If continuous in-person monitoring is not used, video monitoring
with audio capability is required. Assessments (vitals, circulation) are typically done every 15
minutes. The question asks about "assessing the client" for safety. The safest answer regarding
monitoring is Continuous.
Actually, let's look at a specific NCLEX question type: "The nurse performs a face-to-face
evaluation...". The frequency is usually every 1 hour for adults (physician evaluation) but nursing
monitoring is continuous or q15min.
Let's go with a standard question type.
Q7 Revised: A nurse is caring for a client in four-point restraints. Which of the following actions
should the nurse take?
A. Remove the restraints every 4 hours to assess skin integrity.
B. Secure the restraint ties to the side rails of the bed.
C. Ensure one finger fits between the restraint and the client's wrist. [CORRECT]
