ATI RN CAPSTONE COMPREHENSIVE
PREDICTOR FORM A AND B WITH 180
REAL EXAM QUESTIONS AND
CORRECT ANSWERS
1. A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an assistive personnel?
“A client who had a cerebrovascular accident 2 days ago and needs help toileting.”
2. A nurse is evaluating outcome for a client who had an aminoinfusion for
oligohydramnios. Which of the following findings indicate and adverse
response this treatment?
Meconium aspiration
3. A nurse is caring for a client who has been diagnosed with influenza. To
prevent transmitting the virus, which of the following personal protective
equipment should the nurse plan to use?
A surgical mask
4. A nurse assesses an older adult client with decreased caloric intake and weight
loss. Which of the following findings should the nurse report to the provider
immediately?
5. The nurse is caring for a client who is 12 hr postoperative following a
transurethral resection of the prostate. Which of the following findings should
the nurse report to the provider?
Burgundy-color urine
6. A nurse is caring for a school-age child who is 2-hr post cardiac catheterization. The
nurse observes blood on the child’s
dressing. Which of the following is appropriate?
Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site
7. A case manager is planning care for an older adult client who is 2 days
postoperative following a hip pinning. The client wants to participate in therapy
but is easily fatigued. Which of the following should the case manager integrate
in the client’s plan of care?
, Offer rest periods between therapy sessions.
8. A nurse has just received change-of-shift report. Based on the information
provided, which of the following client should the nurse assess first?
A client who was just given a glass of orange juice for a low blood glucose level.
9. A nurse is caring for a client who is receiving mechanical ventilation for
respiratory failure. The low-pressure alarm on the ventilator sounds. Which of
the following actions should the nurse take?
Check the tubing for disconnection
10. A nurse is performing hand hygiene before client care. Which of the following
actions should the nurse take?
Rinse hands under warm running water.
11. A client who is at 40 weeks of gestation arrives for an elective induction of labor
by amniotomy. The membranes are ruptures and reveal clear odourless fluid. As
the nurse continues to monitor the client, which of the followings requires
intervention?
Fetal heart rate of 100/min
12. The nurse is providing teaching about the use of crutches who has fracture tibia
and must not bear weight on the right leg. Which of the following crutch gait
should the nurse plan to teach this client?
3-point gait
13. A nurse is caring for a male client who has spinal injury. Which of the following
technique should the nurse use when perineal care?
, "Discard the washcloth after cleansing the urethral meatus."
14. A nurse caring for a client who has Graves’ disease and is experiencing thyroid
storm. Which of the following nursing intervention is a highest priority?
Monitor cardiac rhythm/
? Administer 0.9% sodium chloride IV
15. A nurse is giving discharge instructions to a client who has a new ileostomy.
The nurse should recognize that the teaching has been effective when the
client states.
“The stoma will drain liquid fluid continuously.”
16. A nurse is teaching a parent of a toddler about appropriate food choices.
Choosing which of the following snacks indicate an understanding of the
teaching?
Graham crackers
17. A nurse is creating a discharge plan for a client who requires initial education
regarding safe use of oxygen at home. The nurse should recognize that which of
the following team members assigned to the client should provide the teaching?
The registered nurse
18. When evaluating the use of various types of client restraints, a nurse should
determine that which of the following is an appropriate selection?
Elbow restraints on an infant recovering from clef t lip surgery.
19. A client is to receive a pudendal block when giving birth. The nurse should expect
that a pudendal block will
, Diminish pain in the perineum
20. A nurse is caring for a postoperative client who report incisional pain of 8 on a
scale from 0 to 10. The client has a prescription of morphine sulfate 2 mg IV
bolus Q4H PRN for incisional pain. The client was given 2 mg 3 hr ago. Which of
the following is an appropriate action for the nurse to take?
Report the findings to the provider and request and adjustment to the medication
order.
21. A nurse is caring for several clients on a medical-surgical unit. For which of the
following nursing activities is it required that the nurse use sterile gloves?
Performing tracheostomy care
22. A nurse is monitoring a client who is prescribed heparin IV at 1,000 units/hr.
Available is heparin 50 units/mL. The nurse should maintain the IV infusion at
how many mL/hr? (Round the answer to the nearest whole number.)
20 mL/ hr
23. A nurse is assessing a client with post-traumatic stress disorder. Which of the
following should the nurse expect to find?
Loss of interest in usual activities
24. A nurse enters the client’s room to administer the medication and finds the
client sitting on the floor next to the bed. The client states that he fell out of the
bed. Which of the following actions should the nurse take first?
Check the client to determine if any injuries were sustained.
25. A nurse is observing bonding between a client and her newborn. Which of the
following actions by the client would require a nurse to intervene?
Viewing the newborn’s actions to be uncooperative.
A client’s view of her infant as being uncooperative is a sign of impaired maternal-
infant bonding
26. An older adult client is admitted with a ruptured L3 intervertebral disk. The
client reports anaphylactic-like allergic reaction to aspirin. Which of the
following medication should the nurse clarify?
Ketorolac (Toradol)
27. A nurse is observing a newly licensed nurse prepare a client for an ECG. Which of
the following statements by the newly licensed nurse indicates an understanding
of proper lead placement?
"One of the chest leads serves as the ground electrode."
28. A nurse is teaching a client who undergoing radiation therapy about skin
cancer. Which of the following statements made by the client indicates an
understanding of the teaching?
"I should wash the irradiated skin gently with mild soap and water"
29. A client is having suicidal thoughts tells the nurse “It just does not seem worth it
anymore. Why not end my misery?”
PREDICTOR FORM A AND B WITH 180
REAL EXAM QUESTIONS AND
CORRECT ANSWERS
1. A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an assistive personnel?
“A client who had a cerebrovascular accident 2 days ago and needs help toileting.”
2. A nurse is evaluating outcome for a client who had an aminoinfusion for
oligohydramnios. Which of the following findings indicate and adverse
response this treatment?
Meconium aspiration
3. A nurse is caring for a client who has been diagnosed with influenza. To
prevent transmitting the virus, which of the following personal protective
equipment should the nurse plan to use?
A surgical mask
4. A nurse assesses an older adult client with decreased caloric intake and weight
loss. Which of the following findings should the nurse report to the provider
immediately?
5. The nurse is caring for a client who is 12 hr postoperative following a
transurethral resection of the prostate. Which of the following findings should
the nurse report to the provider?
Burgundy-color urine
6. A nurse is caring for a school-age child who is 2-hr post cardiac catheterization. The
nurse observes blood on the child’s
dressing. Which of the following is appropriate?
Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site
7. A case manager is planning care for an older adult client who is 2 days
postoperative following a hip pinning. The client wants to participate in therapy
but is easily fatigued. Which of the following should the case manager integrate
in the client’s plan of care?
, Offer rest periods between therapy sessions.
8. A nurse has just received change-of-shift report. Based on the information
provided, which of the following client should the nurse assess first?
A client who was just given a glass of orange juice for a low blood glucose level.
9. A nurse is caring for a client who is receiving mechanical ventilation for
respiratory failure. The low-pressure alarm on the ventilator sounds. Which of
the following actions should the nurse take?
Check the tubing for disconnection
10. A nurse is performing hand hygiene before client care. Which of the following
actions should the nurse take?
Rinse hands under warm running water.
11. A client who is at 40 weeks of gestation arrives for an elective induction of labor
by amniotomy. The membranes are ruptures and reveal clear odourless fluid. As
the nurse continues to monitor the client, which of the followings requires
intervention?
Fetal heart rate of 100/min
12. The nurse is providing teaching about the use of crutches who has fracture tibia
and must not bear weight on the right leg. Which of the following crutch gait
should the nurse plan to teach this client?
3-point gait
13. A nurse is caring for a male client who has spinal injury. Which of the following
technique should the nurse use when perineal care?
, "Discard the washcloth after cleansing the urethral meatus."
14. A nurse caring for a client who has Graves’ disease and is experiencing thyroid
storm. Which of the following nursing intervention is a highest priority?
Monitor cardiac rhythm/
? Administer 0.9% sodium chloride IV
15. A nurse is giving discharge instructions to a client who has a new ileostomy.
The nurse should recognize that the teaching has been effective when the
client states.
“The stoma will drain liquid fluid continuously.”
16. A nurse is teaching a parent of a toddler about appropriate food choices.
Choosing which of the following snacks indicate an understanding of the
teaching?
Graham crackers
17. A nurse is creating a discharge plan for a client who requires initial education
regarding safe use of oxygen at home. The nurse should recognize that which of
the following team members assigned to the client should provide the teaching?
The registered nurse
18. When evaluating the use of various types of client restraints, a nurse should
determine that which of the following is an appropriate selection?
Elbow restraints on an infant recovering from clef t lip surgery.
19. A client is to receive a pudendal block when giving birth. The nurse should expect
that a pudendal block will
, Diminish pain in the perineum
20. A nurse is caring for a postoperative client who report incisional pain of 8 on a
scale from 0 to 10. The client has a prescription of morphine sulfate 2 mg IV
bolus Q4H PRN for incisional pain. The client was given 2 mg 3 hr ago. Which of
the following is an appropriate action for the nurse to take?
Report the findings to the provider and request and adjustment to the medication
order.
21. A nurse is caring for several clients on a medical-surgical unit. For which of the
following nursing activities is it required that the nurse use sterile gloves?
Performing tracheostomy care
22. A nurse is monitoring a client who is prescribed heparin IV at 1,000 units/hr.
Available is heparin 50 units/mL. The nurse should maintain the IV infusion at
how many mL/hr? (Round the answer to the nearest whole number.)
20 mL/ hr
23. A nurse is assessing a client with post-traumatic stress disorder. Which of the
following should the nurse expect to find?
Loss of interest in usual activities
24. A nurse enters the client’s room to administer the medication and finds the
client sitting on the floor next to the bed. The client states that he fell out of the
bed. Which of the following actions should the nurse take first?
Check the client to determine if any injuries were sustained.
25. A nurse is observing bonding between a client and her newborn. Which of the
following actions by the client would require a nurse to intervene?
Viewing the newborn’s actions to be uncooperative.
A client’s view of her infant as being uncooperative is a sign of impaired maternal-
infant bonding
26. An older adult client is admitted with a ruptured L3 intervertebral disk. The
client reports anaphylactic-like allergic reaction to aspirin. Which of the
following medication should the nurse clarify?
Ketorolac (Toradol)
27. A nurse is observing a newly licensed nurse prepare a client for an ECG. Which of
the following statements by the newly licensed nurse indicates an understanding
of proper lead placement?
"One of the chest leads serves as the ground electrode."
28. A nurse is teaching a client who undergoing radiation therapy about skin
cancer. Which of the following statements made by the client indicates an
understanding of the teaching?
"I should wash the irradiated skin gently with mild soap and water"
29. A client is having suicidal thoughts tells the nurse “It just does not seem worth it
anymore. Why not end my misery?”
