ATI CAPSTONE COMPREHENSIVE REVIEW NOTES –
MOCK EXAM NEWEST 2025- 2026 UPDATE ACTUAL
100 QUESTIONS & 100% CORRECT ANSWERS
GRADED A+ (BRAND NEW!!)
Most Tested Areas Covered:
• Prioritization & Delegation
• Management of Care
• Safety & Infection Control
• Health Promotion & Maintenance
• Physiological Integrity (Med-Surg, Pharmacology)
• Psychosocial Integrity
• Reduction of Risk Potential
• Basic Clinical Skills & Nursing Process
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a stage II pressure injury
B. A client requesting pain medication
C. A client with shortness of breath and oxygen saturation of 88%
D. A client who needs discharge teaching
,Answer: C. A client with shortness of breath and oxygen saturation of 88%
Airway and oxygenation take priority over pain or teaching according to the ABC
(Airway, Breathing, Circulation) principle.
2. A client is prescribed furosemide 40 mg PO daily. Which finding requires
immediate nursing action?
A. Blood pressure 130/80 mmHg
B. Potassium level 2.8 mEq/L
C. Urine output 1200 mL in 24 hours
D. Mild dizziness
Answer: B. Potassium level 2.8 mEq/L
Hypokalemia can cause life-threatening arrhythmias; it requires urgent
intervention.
3. The nurse is preparing to administer a blood transfusion. Which action is most
important before starting the transfusion?
A. Check the client’s vital signs
B. Verify the client’s blood type and crossmatch with another nurse
C. Prime the IV line with normal saline
D. Educate the client about potential reactions
Answer: B. Verify the client’s blood type and crossmatch with another nurse
Correct identification of the blood product is critical to prevent hemolytic
reactions.
4. A client is on droplet precautions. Which personal protective equipment (PPE)
is required when entering the room?
A. Gloves only
B. Gown and gloves
,C. Surgical mask and gloves
D. Surgical mask, gloves, and gown
Answer: C. Surgical mask and gloves
Droplet precautions require a mask when within 3–6 feet of the client; gloves are
used when in contact with body fluids.
5. Which task can the nurse safely delegate to a unlicensed assistive personnel
(UAP)?
A. Assessing a client’s pain level
B. Administering oral medications
C. Measuring and recording a client’s vital signs
D. Performing a neurological assessment
Answer: C. Measuring and recording a client’s vital signs
Vital signs measurement is within the scope of UAP; assessment and medication
administration require nursing judgment.
6. A client is experiencing acute chest pain. Which is the nurse’s priority action?
A. Place the client in a supine position
B. Obtain a 12-lead ECG immediately
C. Offer a warm blanket
D. Document the pain
Answer: B. Obtain a 12-lead ECG immediately
Rapid diagnosis of myocardial infarction is essential; ECG should be obtained
within 10 minutes of chest pain onset.
7. A client on a continuous IV infusion reports sudden shortness of breath, chest
tightness, and a cough. What should the nurse do first?
, A. Stop the IV and maintain IV site
B. Administer antihistamine
C. Elevate the head of the bed and apply oxygen
D. Notify the provider
Answer: C. Elevate the head of the bed and apply oxygen
These are signs of fluid overload or transfusion reaction; airway and oxygenation
take priority.
8. A nurse is caring for a client with Clostridioides difficile. Which precaution is
required?
A. Airborne
B. Contact
C. Droplet
D. Standard
Answer: B. Contact
CDI is transmitted via spores; contact precautions and hand hygiene with soap and
water are essential.
9. A client is being discharged with a prescription for warfarin. Which instruction
is most important?
A. Avoid grapefruit juice
B. Report any bruising or bleeding
C. Take the medication at bedtime
D. Increase intake of vitamin K
Answer: B. Report any bruising or bleeding
Warfarin increases bleeding risk; the client must report signs of hemorrhage
immediately.
MOCK EXAM NEWEST 2025- 2026 UPDATE ACTUAL
100 QUESTIONS & 100% CORRECT ANSWERS
GRADED A+ (BRAND NEW!!)
Most Tested Areas Covered:
• Prioritization & Delegation
• Management of Care
• Safety & Infection Control
• Health Promotion & Maintenance
• Physiological Integrity (Med-Surg, Pharmacology)
• Psychosocial Integrity
• Reduction of Risk Potential
• Basic Clinical Skills & Nursing Process
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a stage II pressure injury
B. A client requesting pain medication
C. A client with shortness of breath and oxygen saturation of 88%
D. A client who needs discharge teaching
,Answer: C. A client with shortness of breath and oxygen saturation of 88%
Airway and oxygenation take priority over pain or teaching according to the ABC
(Airway, Breathing, Circulation) principle.
2. A client is prescribed furosemide 40 mg PO daily. Which finding requires
immediate nursing action?
A. Blood pressure 130/80 mmHg
B. Potassium level 2.8 mEq/L
C. Urine output 1200 mL in 24 hours
D. Mild dizziness
Answer: B. Potassium level 2.8 mEq/L
Hypokalemia can cause life-threatening arrhythmias; it requires urgent
intervention.
3. The nurse is preparing to administer a blood transfusion. Which action is most
important before starting the transfusion?
A. Check the client’s vital signs
B. Verify the client’s blood type and crossmatch with another nurse
C. Prime the IV line with normal saline
D. Educate the client about potential reactions
Answer: B. Verify the client’s blood type and crossmatch with another nurse
Correct identification of the blood product is critical to prevent hemolytic
reactions.
4. A client is on droplet precautions. Which personal protective equipment (PPE)
is required when entering the room?
A. Gloves only
B. Gown and gloves
,C. Surgical mask and gloves
D. Surgical mask, gloves, and gown
Answer: C. Surgical mask and gloves
Droplet precautions require a mask when within 3–6 feet of the client; gloves are
used when in contact with body fluids.
5. Which task can the nurse safely delegate to a unlicensed assistive personnel
(UAP)?
A. Assessing a client’s pain level
B. Administering oral medications
C. Measuring and recording a client’s vital signs
D. Performing a neurological assessment
Answer: C. Measuring and recording a client’s vital signs
Vital signs measurement is within the scope of UAP; assessment and medication
administration require nursing judgment.
6. A client is experiencing acute chest pain. Which is the nurse’s priority action?
A. Place the client in a supine position
B. Obtain a 12-lead ECG immediately
C. Offer a warm blanket
D. Document the pain
Answer: B. Obtain a 12-lead ECG immediately
Rapid diagnosis of myocardial infarction is essential; ECG should be obtained
within 10 minutes of chest pain onset.
7. A client on a continuous IV infusion reports sudden shortness of breath, chest
tightness, and a cough. What should the nurse do first?
, A. Stop the IV and maintain IV site
B. Administer antihistamine
C. Elevate the head of the bed and apply oxygen
D. Notify the provider
Answer: C. Elevate the head of the bed and apply oxygen
These are signs of fluid overload or transfusion reaction; airway and oxygenation
take priority.
8. A nurse is caring for a client with Clostridioides difficile. Which precaution is
required?
A. Airborne
B. Contact
C. Droplet
D. Standard
Answer: B. Contact
CDI is transmitted via spores; contact precautions and hand hygiene with soap and
water are essential.
9. A client is being discharged with a prescription for warfarin. Which instruction
is most important?
A. Avoid grapefruit juice
B. Report any bruising or bleeding
C. Take the medication at bedtime
D. Increase intake of vitamin K
Answer: B. Report any bruising or bleeding
Warfarin increases bleeding risk; the client must report signs of hemorrhage
immediately.
