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ATI Proctored Capstone Comprehensive Test B 2024 Exam Questions
With Complete Verified 100% Solutions
1. Safety/Prioritization
Four clients call the nurse at the same time. Who should the nurse see first?
A. A client with COPD, O₂ sat 89% on 2 L/min NC (baseline 88–90%)
B. A client 2 hr post-op with pain score 7/10 needing analgesia
C. A client receiving IV penicillin with new stridor and dyspnea
D. A client in DKA with glucose 420 mg/dL and K⁺ 5.6 mEq/L starting insulin
Answer: C
Rationale: Stridor after new medication = anaphylaxis → airway emergency (ABCs). Others are
urgent but not immediately life-threatening.
2. Infection Control
A nurse prepares to leave the room of a patient with C. difficile. Which is the correct sequence
for doffing PPE?
A. Gown → gloves → hand hygiene
B. Gloves → gown → hand hygiene with soap & water
C. Mask → gloves → gown
,2
D. Gloves → mask → gown → hand hygiene
Answer: B
Rationale: Gloves removed first (most contaminated), then gown, followed by soap and water
(not sanitizer) because of spores.
3. Pharmacology
Which order requires clarification?
A. Warfarin 10 mg PO for INR 1.1
B. Regular insulin IV infusion for K⁺ 6.2
C. Digoxin 0.25 mg PO, apical HR 82 bpm
D. Morphine 2 mg IV for pain score 8/10
Answer: A
Rationale: Warfarin starting dose is usually 2–5 mg; 10 mg is too high and risks bleeding.
Others are appropriate.
4. Diabetes Management
A patient receives NPH insulin at 0800. When is the client at highest risk for hypoglycemia?
A. 0830–0930
B. 1000–1100
C. 1200–1600
D. 1800–2200
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Answer: C
Rationale: NPH peak is 4–12 hr → afternoon hypoglycemia risk.
5. Heart Failure Teaching
Which patient statement indicates correct understanding?
A. “I will weigh myself every morning at the same time.”
B. “I’ll increase fluids to flush my kidneys.”
C. “I’ll take ibuprofen if I get swelling.”
D. “I’ll lie flat if I’m short of breath.”
Answer: A
Rationale: Daily weights detect fluid retention. Fluid overload and NSAIDs worsen HF.
Orthopnea is relieved by upright positioning.
6. Maternal/Newborn
A nurse notes late decelerations on fetal monitoring. First action?
A. Apply oxygen 10 L/min by non-rebreather
B. Reposition client to left side
C. Stop oxytocin infusion
D. Call provider immediately
Answer: B
Rationale: First action = reposition → improves placental perfusion. Then stop oxytocin, give
fluids/O₂, notify provider.
, 4
7. Postpartum Hemorrhage
Fundus boggy, heavy vaginal bleeding. Priority intervention?
A. Call HCP immediately
B. Fundal massage
C. Administer carboprost
D. Insert Foley catheter
Answer: B
Rationale: Initial management is fundal massage to promote contraction. If ineffective, assess
bladder, give meds, then escalate.
8. Pediatrics—Airway
Child with epiglottitis (drooling, tripod, stridor). Which is contraindicated?
A. Keep child calm in parent’s lap
B. Prepare for possible intubation
C. Administer humidified oxygen
D. Use tongue depressor to examine throat
Answer: D
Rationale: Throat exam can trigger complete airway obstruction.
9. Mental Health
A depressed client says, “I don’t want to live anymore.” Best nurse response?
ATI Proctored Capstone Comprehensive Test B 2024 Exam Questions
With Complete Verified 100% Solutions
1. Safety/Prioritization
Four clients call the nurse at the same time. Who should the nurse see first?
A. A client with COPD, O₂ sat 89% on 2 L/min NC (baseline 88–90%)
B. A client 2 hr post-op with pain score 7/10 needing analgesia
C. A client receiving IV penicillin with new stridor and dyspnea
D. A client in DKA with glucose 420 mg/dL and K⁺ 5.6 mEq/L starting insulin
Answer: C
Rationale: Stridor after new medication = anaphylaxis → airway emergency (ABCs). Others are
urgent but not immediately life-threatening.
2. Infection Control
A nurse prepares to leave the room of a patient with C. difficile. Which is the correct sequence
for doffing PPE?
A. Gown → gloves → hand hygiene
B. Gloves → gown → hand hygiene with soap & water
C. Mask → gloves → gown
,2
D. Gloves → mask → gown → hand hygiene
Answer: B
Rationale: Gloves removed first (most contaminated), then gown, followed by soap and water
(not sanitizer) because of spores.
3. Pharmacology
Which order requires clarification?
A. Warfarin 10 mg PO for INR 1.1
B. Regular insulin IV infusion for K⁺ 6.2
C. Digoxin 0.25 mg PO, apical HR 82 bpm
D. Morphine 2 mg IV for pain score 8/10
Answer: A
Rationale: Warfarin starting dose is usually 2–5 mg; 10 mg is too high and risks bleeding.
Others are appropriate.
4. Diabetes Management
A patient receives NPH insulin at 0800. When is the client at highest risk for hypoglycemia?
A. 0830–0930
B. 1000–1100
C. 1200–1600
D. 1800–2200
,3
Answer: C
Rationale: NPH peak is 4–12 hr → afternoon hypoglycemia risk.
5. Heart Failure Teaching
Which patient statement indicates correct understanding?
A. “I will weigh myself every morning at the same time.”
B. “I’ll increase fluids to flush my kidneys.”
C. “I’ll take ibuprofen if I get swelling.”
D. “I’ll lie flat if I’m short of breath.”
Answer: A
Rationale: Daily weights detect fluid retention. Fluid overload and NSAIDs worsen HF.
Orthopnea is relieved by upright positioning.
6. Maternal/Newborn
A nurse notes late decelerations on fetal monitoring. First action?
A. Apply oxygen 10 L/min by non-rebreather
B. Reposition client to left side
C. Stop oxytocin infusion
D. Call provider immediately
Answer: B
Rationale: First action = reposition → improves placental perfusion. Then stop oxytocin, give
fluids/O₂, notify provider.
, 4
7. Postpartum Hemorrhage
Fundus boggy, heavy vaginal bleeding. Priority intervention?
A. Call HCP immediately
B. Fundal massage
C. Administer carboprost
D. Insert Foley catheter
Answer: B
Rationale: Initial management is fundal massage to promote contraction. If ineffective, assess
bladder, give meds, then escalate.
8. Pediatrics—Airway
Child with epiglottitis (drooling, tripod, stridor). Which is contraindicated?
A. Keep child calm in parent’s lap
B. Prepare for possible intubation
C. Administer humidified oxygen
D. Use tongue depressor to examine throat
Answer: D
Rationale: Throat exam can trigger complete airway obstruction.
9. Mental Health
A depressed client says, “I don’t want to live anymore.” Best nurse response?
