ATI CAPSTONE FUNDAMENTALS EXAM Actual
Exam | Official Practice Exam – Complete Q&A
with Rationales – Pass Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Safe & Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion & Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Basic Care & Comfort | Q31 – Q40
Section 5 | Pharmacological & Parenteral Therapies / Reduction of Risk Potential | Q41
– Q50
Instructions: Choose the single best answer. Pass: 40 in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 72-year-old client with a confirmed Clostridioides difficile infection is being transferred
from the ICU to a medical-surgical unit. The receiving nurse is preparing the room and
gathering supplies. What action by the receiving nurse demonstrates appropriate
infection control?
A. Places a surgical mask at the doorway for all visitors to don before entering
B. Ensures contact precaution supplies are stocked at the room entrance
C. Positions an N95 respirator on the wall outside the room for staff use
D. Sets up a dedicated stethoscope inside the client's bathroom for storage
Correct Answer: B
Rationale: C. difficile spores spread by contact, so gowns and gloves must be available
at the entrance for anyone entering the room. Surgical masks and N95 respirators are
,unnecessary because C. difficile is not transmitted by droplet or airborne routes.
Keeping equipment in the bathroom rather than at the point of use increases the risk of
cross-contamination.
Question 2 of 50
During morning rounds on a busy surgical floor, the charge nurse observes a new
graduate nurse preparing to administer an oral medication to a client whose armband is
smudged and completely unreadable. What is the charge nurse's priority intervention?
A. Ask the client to state their full name and date of birth as the sole identifier
B. Have the graduate nurse scan the room barcode posted above the doorway
C. Instruct the graduate nurse to hold the medication and verify identity with another
identifier
D. Tell the graduate nurse to proceed since the client is alert and oriented to person
Correct Answer: C
Rationale: Two patient identifiers are required before any medication administration,
and an unreadable armband means the identification process has failed. Relying on a
single verbal identifier or a room barcode does not meet safety standards, and alertness
alone does not confirm identity. The medication must be held until the nurse can verify
the client with a second valid identifier, such as a date of birth or medical record
number.
Question 3 of 50
A nurse delegates ambulation of a stable postoperative client to an unlicensed assistive
personnel. Thirty minutes later, the nurse finds the client sitting in a chair with a blood
pressure of 88/52 mmHg and reporting severe dizziness. What is the nurse's first
action?
A. Reassess the client and place them back in bed with the legs elevated
B. Instruct the UAP to assist the client back to bed immediately
, C. Call the rapid response team for suspected orthostatic hypotension
D. Document the incident and notify the charge nurse after the client is stable
Correct Answer: A
Rationale: The nurse retains accountability for delegated tasks and must perform the
initial assessment when the client's condition changes. Elevating the legs promotes
venous return and cerebral perfusion while the nurse gathers further data. Delegating
the immediate response to the UAP or calling a rapid response before basic
interventions are attempted delays appropriate care.
Question 4 of 50
A 58-year-old client with a history of generalized tonic-clonic seizures is admitted after a
fall at home. During the admission safety assessment, the nurse inspects the room.
Which finding requires immediate correction?
A. The bed is positioned in the lowest level with the wheels locked
B. The call light is clipped to the pillowcase on the side rail within the client's reach
C. The bedside commode is positioned against the wall across the room from the bed
D. The pathway from the bed to the bathroom is free of clutter and obstructions
Correct Answer: C
Rationale: A bedside commode placed across the room creates a hazardous distance
for a client at high risk for falls and seizure activity. The commode should be positioned
close to the bed to minimize ambulation distance, especially during nighttime hours. A
clear pathway and a readily accessible call light are appropriate safety measures that
should remain in place.
Question 5 of 50
A nurse is caring for four clients on a medical-surgical unit and needs to delegate tasks
to unlicensed assistive personnel. Which task is appropriate for the nurse to delegate?
Exam | Official Practice Exam – Complete Q&A
with Rationales – Pass Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Safe & Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion & Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Basic Care & Comfort | Q31 – Q40
Section 5 | Pharmacological & Parenteral Therapies / Reduction of Risk Potential | Q41
– Q50
Instructions: Choose the single best answer. Pass: 40 in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 72-year-old client with a confirmed Clostridioides difficile infection is being transferred
from the ICU to a medical-surgical unit. The receiving nurse is preparing the room and
gathering supplies. What action by the receiving nurse demonstrates appropriate
infection control?
A. Places a surgical mask at the doorway for all visitors to don before entering
B. Ensures contact precaution supplies are stocked at the room entrance
C. Positions an N95 respirator on the wall outside the room for staff use
D. Sets up a dedicated stethoscope inside the client's bathroom for storage
Correct Answer: B
Rationale: C. difficile spores spread by contact, so gowns and gloves must be available
at the entrance for anyone entering the room. Surgical masks and N95 respirators are
,unnecessary because C. difficile is not transmitted by droplet or airborne routes.
Keeping equipment in the bathroom rather than at the point of use increases the risk of
cross-contamination.
Question 2 of 50
During morning rounds on a busy surgical floor, the charge nurse observes a new
graduate nurse preparing to administer an oral medication to a client whose armband is
smudged and completely unreadable. What is the charge nurse's priority intervention?
A. Ask the client to state their full name and date of birth as the sole identifier
B. Have the graduate nurse scan the room barcode posted above the doorway
C. Instruct the graduate nurse to hold the medication and verify identity with another
identifier
D. Tell the graduate nurse to proceed since the client is alert and oriented to person
Correct Answer: C
Rationale: Two patient identifiers are required before any medication administration,
and an unreadable armband means the identification process has failed. Relying on a
single verbal identifier or a room barcode does not meet safety standards, and alertness
alone does not confirm identity. The medication must be held until the nurse can verify
the client with a second valid identifier, such as a date of birth or medical record
number.
Question 3 of 50
A nurse delegates ambulation of a stable postoperative client to an unlicensed assistive
personnel. Thirty minutes later, the nurse finds the client sitting in a chair with a blood
pressure of 88/52 mmHg and reporting severe dizziness. What is the nurse's first
action?
A. Reassess the client and place them back in bed with the legs elevated
B. Instruct the UAP to assist the client back to bed immediately
, C. Call the rapid response team for suspected orthostatic hypotension
D. Document the incident and notify the charge nurse after the client is stable
Correct Answer: A
Rationale: The nurse retains accountability for delegated tasks and must perform the
initial assessment when the client's condition changes. Elevating the legs promotes
venous return and cerebral perfusion while the nurse gathers further data. Delegating
the immediate response to the UAP or calling a rapid response before basic
interventions are attempted delays appropriate care.
Question 4 of 50
A 58-year-old client with a history of generalized tonic-clonic seizures is admitted after a
fall at home. During the admission safety assessment, the nurse inspects the room.
Which finding requires immediate correction?
A. The bed is positioned in the lowest level with the wheels locked
B. The call light is clipped to the pillowcase on the side rail within the client's reach
C. The bedside commode is positioned against the wall across the room from the bed
D. The pathway from the bed to the bathroom is free of clutter and obstructions
Correct Answer: C
Rationale: A bedside commode placed across the room creates a hazardous distance
for a client at high risk for falls and seizure activity. The commode should be positioned
close to the bed to minimize ambulation distance, especially during nighttime hours. A
clear pathway and a readily accessible call light are appropriate safety measures that
should remain in place.
Question 5 of 50
A nurse is caring for four clients on a medical-surgical unit and needs to delegate tasks
to unlicensed assistive personnel. Which task is appropriate for the nurse to delegate?
