ATI PN Capstone Proctored
Comprehensive Assessment
2024/2025/2026 Test Bank | Forms A &
B | Verified Real Exam Questions,
Answers, and Rationales | Graded A+
Management of Care & Delegation
Question 1
A charge nurse is assigning tasks to an LPN. Which task should the charge nurse
delegate?
A. Assess a client admitted with shortness of breath.
B. Administer a dose of metoprolol to a stable client with hypertension.
C. Create the nursing care plan for a client with pneumonia.
D. Perform the initial admission assessment on a post-op client.
Rationale: LPNs can administer oral medications to stable clients. RNs are
responsible for initial assessments, unstable clients, and creating care plans .
Question 2
A nurse on a medical-surgical unit is overwhelmed with admissions. Which task
can be delegated to an AP (Assistive Personnel)?
A. Teach a client how to use an incentive spirometer.
B. Obtain a clean-catch urine specimen from a client.
C. Check the client's surgical dressing for bleeding.
D. Determine if the client is having incisional pain.
Rationale: AP can collect non-sterile specimens. The RN must teach, assess, and
evaluate care .
,Question 3
A nurse is discharging a client with schizophrenia. Which resource should the nurse
include in the discharge plan?
A. Contact information for a community mental health center.
B. A referral for respite care services.
C. A list of primary prevention activities.
D. Contact info for enrollment in a 12-step program.
Rationale: Community mental health centers provide follow-up care, medication
management, and support for clients with serious mental illness .
⚖️ Legal & Ethical Issues
Question 4
A client with a valid DNR order is pulseless and not breathing. The family demands
that the nurse "do everything." What should the nurse do?
A. Begin CPR immediately to satisfy the family.
B. Call the provider to reverse the DNR order.
C. Continue supportive care without CPR and gently remind the family of the
DNR order.
D. Ask the family to sign a form revoking the DNR before acting.
Rationale: A valid DNR order must be respected. The nurse should support the
family while following the legal and ethical directive .
Question 5
A nurse suspects a colleague is impaired due to the smell of alcohol. What is the
priority action?
A. Confront the colleague directly.
B. Notify the nursing supervisor immediately.
C. Ignore it to avoid conflict.
D. Ask another nurse to smell the colleague.
Rationale: Patient safety is the priority. Reporting to the supervisor follows the
chain of command and fulfills legal and ethical duties .
Question 6
A client refuses a blood transfusion for religious reasons. What is the nurse's best
,response?
A. Explain the risks of refusing treatment.
B. Ask the family to convince the client.
C. Document the refusal and notify the provider.
D. Prepare to give the blood anyway.
Rationale: The nurse must respect the client's autonomy. The provider can discuss
alternatives .
🩺 Medical-Surgical Nursing
Question 7
A client with heart failure is on a 2g sodium diet. Which meal choice is most
appropriate?
A. Ham sandwich and canned soup.
B. Baked chicken, steamed green beans, and a baked potato.
C. Cheeseburger and French fries.
D. Frozen pizza and diet soda.
Rationale: Unprocessed foods are naturally low in sodium. Avoid processed
meats, canned goods, and fast food .
Question 8
A client is 1 day post-op following abdominal surgery. Which of the following
actions is the priority?
A. Assess fluid intake every 24 hours.
B. Ambulate three times a day.
C. Assist with deep breathing and coughing.
D. Monitor the incision site for infection.
Rationale: Using the ABCs (Airway, Breathing, Circulation), deep breathing
prevents post-operative pneumonia, which is a respiratory complication .
Question 9
A client with active pulmonary tuberculosis is admitted. Which action should the
nurse take?
A. Wear a surgical mask during care.
B. Have visitors wear gloves.
, C. Assign the client to a private room with negative air pressure.
D. Keep the door open for observation.
Rationale: TB requires airborne precautions: negative pressure room, N95
respirator for staff .
Question 10
A client is receiving heparin therapy. Which finding indicates a potential
complication?
A. Platelet count 60,000/mm³
B. Blood pressure 130/80 mm Hg
C. Potassium 4.0 mEq/L
D. Hemoglobin 13 g/dL
Rationale: Thrombocytopenia (low platelets) may indicate Heparin-Induced
Thrombocytopenia (HIT), a serious complication .
🤰 Maternal-Newborn
Question 11
A nurse is caring for a client who is at 6 weeks of gestation. Which finding should
the nurse report to the provider?
A. WBC 7,000/mm³
B. Hemoglobin 13 g/dL
C. Blood glucose 130 mg/dL
D. RBC 5.8 million/mm³
Rationale: Hemoglobin 13 g/dL is a normal value. Trick question—this would be a
normal finding, not reportable. Report low Hgb (<11) or high glucose .
Question 12
A client with gestational diabetes asks about the baby's risks. What should the
nurse tell her?
A. "My baby is at risk for being underweight."
B. "My baby will be monitored for hypoglycemia after birth."
C. "I should eat 5% protein daily."
D. "I will check my glucose every 8 hours."
Comprehensive Assessment
2024/2025/2026 Test Bank | Forms A &
B | Verified Real Exam Questions,
Answers, and Rationales | Graded A+
Management of Care & Delegation
Question 1
A charge nurse is assigning tasks to an LPN. Which task should the charge nurse
delegate?
A. Assess a client admitted with shortness of breath.
B. Administer a dose of metoprolol to a stable client with hypertension.
C. Create the nursing care plan for a client with pneumonia.
D. Perform the initial admission assessment on a post-op client.
Rationale: LPNs can administer oral medications to stable clients. RNs are
responsible for initial assessments, unstable clients, and creating care plans .
Question 2
A nurse on a medical-surgical unit is overwhelmed with admissions. Which task
can be delegated to an AP (Assistive Personnel)?
A. Teach a client how to use an incentive spirometer.
B. Obtain a clean-catch urine specimen from a client.
C. Check the client's surgical dressing for bleeding.
D. Determine if the client is having incisional pain.
Rationale: AP can collect non-sterile specimens. The RN must teach, assess, and
evaluate care .
,Question 3
A nurse is discharging a client with schizophrenia. Which resource should the nurse
include in the discharge plan?
A. Contact information for a community mental health center.
B. A referral for respite care services.
C. A list of primary prevention activities.
D. Contact info for enrollment in a 12-step program.
Rationale: Community mental health centers provide follow-up care, medication
management, and support for clients with serious mental illness .
⚖️ Legal & Ethical Issues
Question 4
A client with a valid DNR order is pulseless and not breathing. The family demands
that the nurse "do everything." What should the nurse do?
A. Begin CPR immediately to satisfy the family.
B. Call the provider to reverse the DNR order.
C. Continue supportive care without CPR and gently remind the family of the
DNR order.
D. Ask the family to sign a form revoking the DNR before acting.
Rationale: A valid DNR order must be respected. The nurse should support the
family while following the legal and ethical directive .
Question 5
A nurse suspects a colleague is impaired due to the smell of alcohol. What is the
priority action?
A. Confront the colleague directly.
B. Notify the nursing supervisor immediately.
C. Ignore it to avoid conflict.
D. Ask another nurse to smell the colleague.
Rationale: Patient safety is the priority. Reporting to the supervisor follows the
chain of command and fulfills legal and ethical duties .
Question 6
A client refuses a blood transfusion for religious reasons. What is the nurse's best
,response?
A. Explain the risks of refusing treatment.
B. Ask the family to convince the client.
C. Document the refusal and notify the provider.
D. Prepare to give the blood anyway.
Rationale: The nurse must respect the client's autonomy. The provider can discuss
alternatives .
🩺 Medical-Surgical Nursing
Question 7
A client with heart failure is on a 2g sodium diet. Which meal choice is most
appropriate?
A. Ham sandwich and canned soup.
B. Baked chicken, steamed green beans, and a baked potato.
C. Cheeseburger and French fries.
D. Frozen pizza and diet soda.
Rationale: Unprocessed foods are naturally low in sodium. Avoid processed
meats, canned goods, and fast food .
Question 8
A client is 1 day post-op following abdominal surgery. Which of the following
actions is the priority?
A. Assess fluid intake every 24 hours.
B. Ambulate three times a day.
C. Assist with deep breathing and coughing.
D. Monitor the incision site for infection.
Rationale: Using the ABCs (Airway, Breathing, Circulation), deep breathing
prevents post-operative pneumonia, which is a respiratory complication .
Question 9
A client with active pulmonary tuberculosis is admitted. Which action should the
nurse take?
A. Wear a surgical mask during care.
B. Have visitors wear gloves.
, C. Assign the client to a private room with negative air pressure.
D. Keep the door open for observation.
Rationale: TB requires airborne precautions: negative pressure room, N95
respirator for staff .
Question 10
A client is receiving heparin therapy. Which finding indicates a potential
complication?
A. Platelet count 60,000/mm³
B. Blood pressure 130/80 mm Hg
C. Potassium 4.0 mEq/L
D. Hemoglobin 13 g/dL
Rationale: Thrombocytopenia (low platelets) may indicate Heparin-Induced
Thrombocytopenia (HIT), a serious complication .
🤰 Maternal-Newborn
Question 11
A nurse is caring for a client who is at 6 weeks of gestation. Which finding should
the nurse report to the provider?
A. WBC 7,000/mm³
B. Hemoglobin 13 g/dL
C. Blood glucose 130 mg/dL
D. RBC 5.8 million/mm³
Rationale: Hemoglobin 13 g/dL is a normal value. Trick question—this would be a
normal finding, not reportable. Report low Hgb (<11) or high glucose .
Question 12
A client with gestational diabetes asks about the baby's risks. What should the
nurse tell her?
A. "My baby is at risk for being underweight."
B. "My baby will be monitored for hypoglycemia after birth."
C. "I should eat 5% protein daily."
D. "I will check my glucose every 8 hours."
