ATI RN CAPSTONE PROCTORED
COMPREHENSIVE EXAM 300 QUESTIONS
AND CORRECT ANSWERS
Question 1
The client reports, "I'm bloated and my stomach hurts
The nurse reviews the client's laboratory findings and vital signs. Select the 5
findings that require immediate follow-up.
A. Current medications
B. Temperature
C. Hemoglobin and hematocrit
D. WBC count
E. Blood pressure
F. Respiratory rate
G. Stool results Heart rate
H. Heart rate
Correct Answer
B
C
D
E
H
Question 2
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited.
Which of the following actions should the nurse perform first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device.
Correct Answer
A. Provide oral hygiene care.
or D?
Page 1 of 127
,Question 3
A nurse at a health department is providing anticipatory guidance to the parent
of a 1-month-old infant.
of a 1-month-old infant.
The nurse should inform the parent that the infant should receive which of the
following immunizations at the age of 2 months?
A. Varicella.
B. Rotavirus.
C. Influenza.
D. Hepatitis A
Correct Answer
B. Rotavirus.??
Question 1
A nurse is reviewing information about the Health Insurance Portability and
Accountability Act (HIPAA) with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer
"Information about a client can be disclosed to family members at any time."
This statement reflects a need for further teaching. Privacy relates to the
client's rights over the use and disclosure of his or her own personal health
information.
Question 2
A nurse is assessing a client who has hypoxia. Which of the following findings
should the nurse expect?
Correct Answer
Tachycardia
The nurse should expect the client who has hypoxia to manifest tachycardia.
Page 2 of 127
,Question 3
A nurse is admitting a client from a long-term care facility. The nurse should
use closed-ended questions when assessing which of the following factors?
Correct Answer
When asking if the client took his medications this morning?
A "yes" or "no" response is sufficient when asking if a client took his morning
medications. If he did not take them and should have, the nurse might want
to explore the issue further.
Question 4
A nurse is preparing to administer 10 units of regular insulin and 20 units of
NPH insulin to a client who has diabetes mellitus. When mixing the two types of
insulin, which of the following actions should the nurse take first?
Correct Answer
Inject 20 units of air into the NPH insulin vial.
The first action the nurse should take is to inject 20 units of air into the NPH
insulin vial because this insulin is the intermediate-acting insulin, which will be
drawn up last in order to avoid contaminating the regular insulin with NPH
insulin.
Question 5
A nurse is caring for a client who has emphysema and has difficulty with
mobility. The client receives home health care and spends most of his day in a
reclining chair. Which of the following physiological responses to prolonged
immobility should the nurse expect?
Correct Answer
Increased calcium excretion
Prolonged immobility leads to the breakdown of bone tissue. This results in
increased calcium excretion.
Page 3 of 127
, Question 6
A nurse is caring for a client who has cancer and is receiving palliative care.
Which of the following statements by the client indicates they understand this
type of treatment?
Correct Answer
"I am hoping this will limit my discomfort."
Clients receiving palliative care are aware that the outcome is to prevent
suffering and provide the best possible quality of life.
Question 7
A nurse is caring for a client who experienced a lacerated spleen and has been
on bedrest for several days. The nurse auscultates decreased breath sounds in
the lower lobes of both lungs. The nurse should realize that this finding is most
likely an indication of which of the following conditions?
Correct Answer
Atelectasis
Atelectasis is the collapse of part or all of a lung by blockage of the air
passages (bronchus or bronchioles) or by hypoventilation. Prolonged bedrest
with few changes in position, ineffective coughing, and underlying lung
disease are risk factors for the development of atelectasis.
Page 4 of 127
COMPREHENSIVE EXAM 300 QUESTIONS
AND CORRECT ANSWERS
Question 1
The client reports, "I'm bloated and my stomach hurts
The nurse reviews the client's laboratory findings and vital signs. Select the 5
findings that require immediate follow-up.
A. Current medications
B. Temperature
C. Hemoglobin and hematocrit
D. WBC count
E. Blood pressure
F. Respiratory rate
G. Stool results Heart rate
H. Heart rate
Correct Answer
B
C
D
E
H
Question 2
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited.
Which of the following actions should the nurse perform first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device.
Correct Answer
A. Provide oral hygiene care.
or D?
Page 1 of 127
,Question 3
A nurse at a health department is providing anticipatory guidance to the parent
of a 1-month-old infant.
of a 1-month-old infant.
The nurse should inform the parent that the infant should receive which of the
following immunizations at the age of 2 months?
A. Varicella.
B. Rotavirus.
C. Influenza.
D. Hepatitis A
Correct Answer
B. Rotavirus.??
Question 1
A nurse is reviewing information about the Health Insurance Portability and
Accountability Act (HIPAA) with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer
"Information about a client can be disclosed to family members at any time."
This statement reflects a need for further teaching. Privacy relates to the
client's rights over the use and disclosure of his or her own personal health
information.
Question 2
A nurse is assessing a client who has hypoxia. Which of the following findings
should the nurse expect?
Correct Answer
Tachycardia
The nurse should expect the client who has hypoxia to manifest tachycardia.
Page 2 of 127
,Question 3
A nurse is admitting a client from a long-term care facility. The nurse should
use closed-ended questions when assessing which of the following factors?
Correct Answer
When asking if the client took his medications this morning?
A "yes" or "no" response is sufficient when asking if a client took his morning
medications. If he did not take them and should have, the nurse might want
to explore the issue further.
Question 4
A nurse is preparing to administer 10 units of regular insulin and 20 units of
NPH insulin to a client who has diabetes mellitus. When mixing the two types of
insulin, which of the following actions should the nurse take first?
Correct Answer
Inject 20 units of air into the NPH insulin vial.
The first action the nurse should take is to inject 20 units of air into the NPH
insulin vial because this insulin is the intermediate-acting insulin, which will be
drawn up last in order to avoid contaminating the regular insulin with NPH
insulin.
Question 5
A nurse is caring for a client who has emphysema and has difficulty with
mobility. The client receives home health care and spends most of his day in a
reclining chair. Which of the following physiological responses to prolonged
immobility should the nurse expect?
Correct Answer
Increased calcium excretion
Prolonged immobility leads to the breakdown of bone tissue. This results in
increased calcium excretion.
Page 3 of 127
, Question 6
A nurse is caring for a client who has cancer and is receiving palliative care.
Which of the following statements by the client indicates they understand this
type of treatment?
Correct Answer
"I am hoping this will limit my discomfort."
Clients receiving palliative care are aware that the outcome is to prevent
suffering and provide the best possible quality of life.
Question 7
A nurse is caring for a client who experienced a lacerated spleen and has been
on bedrest for several days. The nurse auscultates decreased breath sounds in
the lower lobes of both lungs. The nurse should realize that this finding is most
likely an indication of which of the following conditions?
Correct Answer
Atelectasis
Atelectasis is the collapse of part or all of a lung by blockage of the air
passages (bronchus or bronchioles) or by hypoventilation. Prolonged bedrest
with few changes in position, ineffective coughing, and underlying lung
disease are risk factors for the development of atelectasis.
Page 4 of 127
