ATI RN CAPSTONE COMPREHENSIVE PREDICTOR
2023/2024 FORM A,B,C GUIDE TO A GUARANTEED A+
SCORE.
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of
the following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
2. A nurse is assessing a client who is immediately post-operative following hip
arthroplasty, which of the following considerations should the nurse take when
positioning the client?
A. Place the client’s heels directly against the bed mattress
B. Ensure that the client’s hips remain in an abducted position.
C. Maintain the client in a supine position for the first 24 hr. after surgery.
D. Flex the client’s hip up to 120° when sitting in a chair.
3. A nurse is assessing a client who is immediately postoperative following a subtotal
thyroidectomy. Which of the following should the nurse expect to administer?
A. Calcium gluconate.
B. Sodium bicarbonate.
C. Potassium chloride.
D. Sodium phosphate.
4. A nurse is caring for an adult client who has prescriptions for multiple medications.
Which of the following (Unable to read) as an age-related change that increases the risk
for adverse effects from this medication?
A. Rapid gastric emptying.
B. Prolonged medication half-life.
C. Increased medication elimination.
D. Decreased medication sensitivity.
5. A nurse manager is planning to promote client advocacy among staff in a medical
unit. Which of the following actions should the nurse take?
A. Encourage staff to implement the principle of paternalism when a client is having
difficulty making a choice.
B. Tell staff explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.
D. Develop a system for staff members to report safety concerns in the client care
environment.
,6. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
7. A nurse is administering digoxin 0.125 mg PO to an adult client. For which of the
following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
8. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the
following manifestations indicates acute chest syndrome and should be immediately
reported to the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
9. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
10. A nurse is providing care for a client who is in the advance stage of amyotrophic
lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
11.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
,12.A nurse is caring for a client who has generalized petechiae and ecchymoses. The
nurse should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
13
14 A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not want life-sustaining measures. The client’s family want
theclient to have life-sustaining measures. Which of the following action should
the nursetake?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
15. A nurse is caring for a client who wears glasses. Which of the following actions
should the nurse take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
16. A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is on contact precautions. Which of the following should the
nurse include in the teaching?
A. Remove the protective gown after the client’s room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client’s room.
17 A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
, D. Obtain a cardiac rehabilitation consultation.
18.The nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives. Which of the following conditions in the client’s history is a
contradiction to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
19. A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client’s understanding of life-sustaining measures.
C. Determine the client’s preferences about post mortem care.
D. Request a conference with the client’s family.
20. A nurse is caring for a client following application of a cast. Which of the following
actions should the nurse take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
21. A nurse is caring for a client who has vision loss. Which of the following actions
should the nurse take? (Select all that apply)
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E. Touch the client gently to announce presence.
22. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has
questions about the disease. To research the nurse should identify that which of the
following electronic database has the most comprehensive collection of nursing (Unable
to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
23. A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first?
2023/2024 FORM A,B,C GUIDE TO A GUARANTEED A+
SCORE.
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of
the following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
2. A nurse is assessing a client who is immediately post-operative following hip
arthroplasty, which of the following considerations should the nurse take when
positioning the client?
A. Place the client’s heels directly against the bed mattress
B. Ensure that the client’s hips remain in an abducted position.
C. Maintain the client in a supine position for the first 24 hr. after surgery.
D. Flex the client’s hip up to 120° when sitting in a chair.
3. A nurse is assessing a client who is immediately postoperative following a subtotal
thyroidectomy. Which of the following should the nurse expect to administer?
A. Calcium gluconate.
B. Sodium bicarbonate.
C. Potassium chloride.
D. Sodium phosphate.
4. A nurse is caring for an adult client who has prescriptions for multiple medications.
Which of the following (Unable to read) as an age-related change that increases the risk
for adverse effects from this medication?
A. Rapid gastric emptying.
B. Prolonged medication half-life.
C. Increased medication elimination.
D. Decreased medication sensitivity.
5. A nurse manager is planning to promote client advocacy among staff in a medical
unit. Which of the following actions should the nurse take?
A. Encourage staff to implement the principle of paternalism when a client is having
difficulty making a choice.
B. Tell staff explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.
D. Develop a system for staff members to report safety concerns in the client care
environment.
,6. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
7. A nurse is administering digoxin 0.125 mg PO to an adult client. For which of the
following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
8. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the
following manifestations indicates acute chest syndrome and should be immediately
reported to the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
9. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
10. A nurse is providing care for a client who is in the advance stage of amyotrophic
lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
11.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
,12.A nurse is caring for a client who has generalized petechiae and ecchymoses. The
nurse should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
13
14 A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not want life-sustaining measures. The client’s family want
theclient to have life-sustaining measures. Which of the following action should
the nursetake?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
15. A nurse is caring for a client who wears glasses. Which of the following actions
should the nurse take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
16. A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is on contact precautions. Which of the following should the
nurse include in the teaching?
A. Remove the protective gown after the client’s room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client’s room.
17 A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
, D. Obtain a cardiac rehabilitation consultation.
18.The nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives. Which of the following conditions in the client’s history is a
contradiction to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
19. A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client’s understanding of life-sustaining measures.
C. Determine the client’s preferences about post mortem care.
D. Request a conference with the client’s family.
20. A nurse is caring for a client following application of a cast. Which of the following
actions should the nurse take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
21. A nurse is caring for a client who has vision loss. Which of the following actions
should the nurse take? (Select all that apply)
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E. Touch the client gently to announce presence.
22. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has
questions about the disease. To research the nurse should identify that which of the
following electronic database has the most comprehensive collection of nursing (Unable
to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
23. A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first?
