ATI PN CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT NEWEST
2026 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
Section 1: Delegation, Assignment, & Leadership (Sample Questions 1-15)
Q1. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5
days ago to an assistive personnel (AP). Which of the following information should
the nurse share with the AP? (Select all that apply)
• A) The client's roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain meds 30 minutes ago
• E) The client is allergic to codeine
Correct Answer(s): B, C & D
Rationale: The nurse must provide clear directions and information to the
AP. This includes how the client ambulates (walker, footwear), the client's
pain status, and any specific safety concerns. Information about the
roommate and allergies is not directly relevant for the AP for this specific
task.
Q2. A nurse on a med-surg unit is making assignments. Which of the following
tasks is appropriate to delegate to an AP?
• A) Feeding a client with dysphagia
• B) Ambulating a stable client
• C) Administering a PRN pain medication
• D) Obtaining vital signs on a stable client
Correct Answer(s): B & D
Rationale: Tasks that are routine and have a predictable outcome can be
delegated to APs. FedExding a client with dysphagia requires assessment
, and is not appropriate. Administering PRN medications involves nursing
judgment.
Q3. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share with
the AP? (Select all that apply)
• A) The client's roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain meds 30 minutes ago
• E) The client is allergic to codeine
Correct Answer(s): B, C & D
Rationale: The nurse must provide clear directions and information to the
AP. This includes how the client ambulates (walker, footwear), the client's
pain status, and any specific safety concerns. Information about the
roommate and allergies is not directly relevant for the AP for this specific
task.
Q4. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions is the priority?
• A) Assess fluid intake every 24 hours
• B) Ambulate three times a day
• C) Assist with deep breathing and coughing
• D) Monitor the incision site for findings of infection
Correct Answer(s): C
Rationale: Using the airway, breathing, circulation (ABC) approach to client
care, assisting with deep breathing and coughing reduces the risk for
postoperative pneumonia, making it the priority action over the other options.
Q5. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks can the nurse safely delegate?
• A) Feeding a client with dysphagia
• B) Ambulating a stable client
• C) Administering a PRN pain medication
• D) Obtaining vital signs on a stable client
Correct Answer(s): B, D
, Rationale: Tasks that are routine and have a predictable outcome, such as
ambulating a stable client and obtaining routine vital signs, can be delegated.
Feeding a client with dysphagia requires assessment and is not appropriate.
Administering medications involves nursing judgment.
Q6. A nurse is reviewing the "Five Rights" of delegation. The nurse knows that
ensuring the AP is trained and validated to perform a task addresses which of the
following rights?
• A) Right task
• B) Right circumstance
• C) Right person
• D) Right direction/communication
• E) Right supervision
Correct Answer(s): C
Rationale: The "Five Rights of Delegation" state that the right person means
the AP must be trained, competent, and validated to perform the specific
task.
Q7. A charge nurse is planning an educational session for staff about working with
parents whose children have a terminal illness. Which of the following topics
should the charge nurse plan to include?
• A) The five stages of grief as defined by Kubler-Ross
• B) The concept of anticipatory grieving
• C) Effective communication strategies with grieving families
• D) All of the above
Correct Answer(s): D
Rationale: When caring for families of children with terminal illness,
education should include an understanding of grief stages, anticipatory grief,
and effective, therapeutic communication strategies to support them.
Q8. A nurse is talking with a client who has stage IV breast cancer. The nurse
should recognize which of the following statements by the client as a constructive
use of a defense mechanism?
• A) "I have experienced physical discomfort when intimate with my partner
since my diagnosis."
• B) "I wish other women would stop socializing with my partner."
, • C) "I told my doctor that I would like to start a support group for other women
who are sick in my community."
• D) "I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness."
Correct Answer(s): C
Rationale: This statement indicates that the client is using the constructive
defense mechanism of sublimation by transforming their personal distress
into a socially acceptable and altruistic activity. This is healthier than the
other options.
Q9. A nurse is caring for a client who has a chest tube and drainage system in
place. Which of the following are expected findings? (Select all that apply)
• A) Continuous bubbling in the water seal chamber
• B) Gentle constant bubbling in the suction control chamber
• C) Rise and fall of water in the water seal chamber with respiration
• D) An occlusive dressing at the insertion site
• E) The drainage system is kept upright and below chest level
Correct Answer(s): B, C, D, E
Rationale: Gentle bubbling in the suction chamber is normal. Tidaling (rise
and fall) in the water seal chamber is expected. The insertion site should
have an occlusive dressing. The system must remain upright and below
chest level. Continuous bubbling in the water seal chamber indicates an air
leak.
Q10. A nurse is assisting a provider with the removal of a chest tube. Which of the
following actions should the nurse take?
• A) Instruct the client to lie prone with arms by the sides
• B) Complete a surgical checklist on the client
• C) Remind the client that there is minimal discomfort during the removal
process
• D) Place an occlusive dressing over the site once the tube is removed
Correct Answer(s): D
Rationale: After chest tube removal, the nurse must immediately place an
occlusive dressing over the site to prevent air from entering the pleural space
and causing a pneumothorax.
COMPREHENSIVE ASSESSMENT NEWEST
2026 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
Section 1: Delegation, Assignment, & Leadership (Sample Questions 1-15)
Q1. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5
days ago to an assistive personnel (AP). Which of the following information should
the nurse share with the AP? (Select all that apply)
• A) The client's roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain meds 30 minutes ago
• E) The client is allergic to codeine
Correct Answer(s): B, C & D
Rationale: The nurse must provide clear directions and information to the
AP. This includes how the client ambulates (walker, footwear), the client's
pain status, and any specific safety concerns. Information about the
roommate and allergies is not directly relevant for the AP for this specific
task.
Q2. A nurse on a med-surg unit is making assignments. Which of the following
tasks is appropriate to delegate to an AP?
• A) Feeding a client with dysphagia
• B) Ambulating a stable client
• C) Administering a PRN pain medication
• D) Obtaining vital signs on a stable client
Correct Answer(s): B & D
Rationale: Tasks that are routine and have a predictable outcome can be
delegated to APs. FedExding a client with dysphagia requires assessment
, and is not appropriate. Administering PRN medications involves nursing
judgment.
Q3. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share with
the AP? (Select all that apply)
• A) The client's roommate is up independently
• B) The client ambulates with his slippers on over his antiembolic stockings
• C) The client uses a front-wheeled walker when ambulating
• D) The client had pain meds 30 minutes ago
• E) The client is allergic to codeine
Correct Answer(s): B, C & D
Rationale: The nurse must provide clear directions and information to the
AP. This includes how the client ambulates (walker, footwear), the client's
pain status, and any specific safety concerns. Information about the
roommate and allergies is not directly relevant for the AP for this specific
task.
Q4. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions is the priority?
• A) Assess fluid intake every 24 hours
• B) Ambulate three times a day
• C) Assist with deep breathing and coughing
• D) Monitor the incision site for findings of infection
Correct Answer(s): C
Rationale: Using the airway, breathing, circulation (ABC) approach to client
care, assisting with deep breathing and coughing reduces the risk for
postoperative pneumonia, making it the priority action over the other options.
Q5. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks can the nurse safely delegate?
• A) Feeding a client with dysphagia
• B) Ambulating a stable client
• C) Administering a PRN pain medication
• D) Obtaining vital signs on a stable client
Correct Answer(s): B, D
, Rationale: Tasks that are routine and have a predictable outcome, such as
ambulating a stable client and obtaining routine vital signs, can be delegated.
Feeding a client with dysphagia requires assessment and is not appropriate.
Administering medications involves nursing judgment.
Q6. A nurse is reviewing the "Five Rights" of delegation. The nurse knows that
ensuring the AP is trained and validated to perform a task addresses which of the
following rights?
• A) Right task
• B) Right circumstance
• C) Right person
• D) Right direction/communication
• E) Right supervision
Correct Answer(s): C
Rationale: The "Five Rights of Delegation" state that the right person means
the AP must be trained, competent, and validated to perform the specific
task.
Q7. A charge nurse is planning an educational session for staff about working with
parents whose children have a terminal illness. Which of the following topics
should the charge nurse plan to include?
• A) The five stages of grief as defined by Kubler-Ross
• B) The concept of anticipatory grieving
• C) Effective communication strategies with grieving families
• D) All of the above
Correct Answer(s): D
Rationale: When caring for families of children with terminal illness,
education should include an understanding of grief stages, anticipatory grief,
and effective, therapeutic communication strategies to support them.
Q8. A nurse is talking with a client who has stage IV breast cancer. The nurse
should recognize which of the following statements by the client as a constructive
use of a defense mechanism?
• A) "I have experienced physical discomfort when intimate with my partner
since my diagnosis."
• B) "I wish other women would stop socializing with my partner."
, • C) "I told my doctor that I would like to start a support group for other women
who are sick in my community."
• D) "I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness."
Correct Answer(s): C
Rationale: This statement indicates that the client is using the constructive
defense mechanism of sublimation by transforming their personal distress
into a socially acceptable and altruistic activity. This is healthier than the
other options.
Q9. A nurse is caring for a client who has a chest tube and drainage system in
place. Which of the following are expected findings? (Select all that apply)
• A) Continuous bubbling in the water seal chamber
• B) Gentle constant bubbling in the suction control chamber
• C) Rise and fall of water in the water seal chamber with respiration
• D) An occlusive dressing at the insertion site
• E) The drainage system is kept upright and below chest level
Correct Answer(s): B, C, D, E
Rationale: Gentle bubbling in the suction chamber is normal. Tidaling (rise
and fall) in the water seal chamber is expected. The insertion site should
have an occlusive dressing. The system must remain upright and below
chest level. Continuous bubbling in the water seal chamber indicates an air
leak.
Q10. A nurse is assisting a provider with the removal of a chest tube. Which of the
following actions should the nurse take?
• A) Instruct the client to lie prone with arms by the sides
• B) Complete a surgical checklist on the client
• C) Remind the client that there is minimal discomfort during the removal
process
• D) Place an occlusive dressing over the site once the tube is removed
Correct Answer(s): D
Rationale: After chest tube removal, the nurse must immediately place an
occlusive dressing over the site to prevent air from entering the pleural space
and causing a pneumothorax.
