ATI RN Capstone Proctored Comprehensive
Assessment Forms A and B Exam | Complete
Test Bank with Practice Questions, Correct
Answers & Rationales | Latest NGN Format-
Updated 2026/2027
Question 1
A home health nurse is conducting an initial home visit for a client who has terminal
breast cancer. The client has two school-age children and a limited support system.
Which of the following is the priority nursing action?
A) Agree upon short-term goals for the client
B) Assist the client in finding child care options
C) Inform the client of available community resources
D) Ask the client about their understanding of the diagnosis
Answer: C
Rationale: Informing the client of available community resources is the priority to
address the client's immediate needs and limited support system. This empowers the
client to access necessary services.
Question 2
A nurse in an emergency department is assessing a client who has a nasal fracture.
Which of the following findings should cause the nurse to suspect a skull fracture?
A) Clear fluid drainage from the nares
B) Report of pain around the eyes
C) Dried blood in the mouth
D) Mandibular asymmetry
Answer: A
Rationale: Clear fluid drainage from the nares (cerebrospinal fluid rhinorrhea)
indicates a potential skull fracture and requires immediate intervention. This is a classic
sign of basilar skull fracture.
pg. 1
,Question 3
A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of
the following clinical findings are associated with this infection?
A) Hematuria
B) Frequency and dysuria
C) Low-grade fever
D) Profuse milky white discharge
Answer: D
Rationale: Bacterial vaginosis is characterized by a profuse, milky white or gray
vaginal discharge with a fishy odor.
Question 4
A nurse is discussing the Z-track administration of hydroxyzine with a newly licensed
nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A) This technique prevents injury to the sciatic nerve
B) This technique decreases the risk of subcutaneous infiltration
C) This technique allows a larger amount of medication to be injected
D) This technique increases the absorption rate of the drug
Answer: B
Rationale: The Z-track technique decreases the risk of subcutaneous infiltration and
tissue irritation by sealing the medication in the muscle tissue.
Question 5
A nurse is caring for a full-term newborn immediately following birth. Which of the
following actions should the nurse take first?
A) Instill erythromycin ophthalmic ointment in the newborn's eyes
B) Weigh the newborn
C) Place identification bracelets on the newborn
D) Dry the newborn
Answer: D
Rationale: Drying the newborn immediately after birth is the priority to prevent heat
loss and hypothermia. This is a critical step in initial newborn care.
Question 6
A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
pg. 2
,A) A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B) Hepatitis B is transmitted by contaminated food
C) Chronic hepatitis can lead to renal cell cancer
D) Clients who have a history of viral hepatitis are unable to donate blood
Answer: D
Rationale: Clients who have a history of viral hepatitis are unable to donate blood due
to the risk of transmission. Hepatitis A is transmitted by contaminated food, and
chronic hepatitis can lead to liver cancer.
Question 7
A nurse in a residential mental health facility is planning care for a new client who has
obsessive-compulsive disorder. Which of the following is appropriate for the nurse to
include in the plan of care?
A) Work with the client to create a flexible daily schedule
B) Gradually decrease the time allowed for ritualistic behavior
C) Offer solutions to assist in problem solving
D) Teach the client to meditate about obsessive thoughts
Answer: B
Rationale: Gradually decreasing the time allowed for ritualistic behavior is an
appropriate intervention for OCD. A flexible schedule may increase anxiety.
Question 8
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
Answer: B
Rationale: Neonatal hypoglycemia manifests as jitteriness, lethargy, poor feeding, and
hypotonia.
Question 9
A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip
about a Pavlik harness. Which of the following instructions should the nurse include?
A) Adjust the straps on the harness once per week
B) Use only ultra-thin diapers applied over the straps
C) Maintain the child in a prone position while the harness is in place
pg. 3
, D) Gently massage the skin under the straps once per day
Answer: D
Rationale: The guardian should gently massage the skin under the straps once per day
to prevent skin breakdown and promote circulation.
Question 10
A charge nurse is teaching a group of unit nurses about the policy for clients who have a
history of methicillin-resistant Staphylococcus aureus. Which of the following
information should the nurse include?
A) A client who has a history of MRSA will need antibiotics
B) A client who has a history of MRSA can develop immunity to the infection
C) A client who has a history of MRSA requires a protective environment
D) A client who has a history of MRSA can still transmit the infection
Answer: D
Rationale: A client who has a history of MRSA can still transmit the infection to others
through contact, even if they are not currently infected.
Question 11
A nurse is caring for an infant who is being treated for dehydration. Which of the
following findings indicates the treatment is effective?
A) Flat anterior fontanel
B) Oliguria
C) Oral intake of 4 oz every 3 hr
D) Capillary refill 4 seconds
Answer: A
Rationale: A flat anterior fontanel indicates adequate hydration. A sunken fontanel
indicates dehydration, while a bulging fontanel indicates increased intracranial
pressure.
Question 12
A nurse is receiving report on four clients. Which of the following clients should the
nurse assess first?
A) A client who has an ileal conduit and mucus in the pouch
B) A client who has an arteriovenous fistula that vibrates when palpated
C) A client who had a transurethral resection of the prostate with red-tinged urine in the
bag
D) A client who has chronic kidney disease with cloudy dialysate outflow
Answer: D
pg. 4
Assessment Forms A and B Exam | Complete
Test Bank with Practice Questions, Correct
Answers & Rationales | Latest NGN Format-
Updated 2026/2027
Question 1
A home health nurse is conducting an initial home visit for a client who has terminal
breast cancer. The client has two school-age children and a limited support system.
Which of the following is the priority nursing action?
A) Agree upon short-term goals for the client
B) Assist the client in finding child care options
C) Inform the client of available community resources
D) Ask the client about their understanding of the diagnosis
Answer: C
Rationale: Informing the client of available community resources is the priority to
address the client's immediate needs and limited support system. This empowers the
client to access necessary services.
Question 2
A nurse in an emergency department is assessing a client who has a nasal fracture.
Which of the following findings should cause the nurse to suspect a skull fracture?
A) Clear fluid drainage from the nares
B) Report of pain around the eyes
C) Dried blood in the mouth
D) Mandibular asymmetry
Answer: A
Rationale: Clear fluid drainage from the nares (cerebrospinal fluid rhinorrhea)
indicates a potential skull fracture and requires immediate intervention. This is a classic
sign of basilar skull fracture.
pg. 1
,Question 3
A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of
the following clinical findings are associated with this infection?
A) Hematuria
B) Frequency and dysuria
C) Low-grade fever
D) Profuse milky white discharge
Answer: D
Rationale: Bacterial vaginosis is characterized by a profuse, milky white or gray
vaginal discharge with a fishy odor.
Question 4
A nurse is discussing the Z-track administration of hydroxyzine with a newly licensed
nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique?
A) This technique prevents injury to the sciatic nerve
B) This technique decreases the risk of subcutaneous infiltration
C) This technique allows a larger amount of medication to be injected
D) This technique increases the absorption rate of the drug
Answer: B
Rationale: The Z-track technique decreases the risk of subcutaneous infiltration and
tissue irritation by sealing the medication in the muscle tissue.
Question 5
A nurse is caring for a full-term newborn immediately following birth. Which of the
following actions should the nurse take first?
A) Instill erythromycin ophthalmic ointment in the newborn's eyes
B) Weigh the newborn
C) Place identification bracelets on the newborn
D) Dry the newborn
Answer: D
Rationale: Drying the newborn immediately after birth is the priority to prevent heat
loss and hypothermia. This is a critical step in initial newborn care.
Question 6
A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
pg. 2
,A) A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B) Hepatitis B is transmitted by contaminated food
C) Chronic hepatitis can lead to renal cell cancer
D) Clients who have a history of viral hepatitis are unable to donate blood
Answer: D
Rationale: Clients who have a history of viral hepatitis are unable to donate blood due
to the risk of transmission. Hepatitis A is transmitted by contaminated food, and
chronic hepatitis can lead to liver cancer.
Question 7
A nurse in a residential mental health facility is planning care for a new client who has
obsessive-compulsive disorder. Which of the following is appropriate for the nurse to
include in the plan of care?
A) Work with the client to create a flexible daily schedule
B) Gradually decrease the time allowed for ritualistic behavior
C) Offer solutions to assist in problem solving
D) Teach the client to meditate about obsessive thoughts
Answer: B
Rationale: Gradually decreasing the time allowed for ritualistic behavior is an
appropriate intervention for OCD. A flexible schedule may increase anxiety.
Question 8
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
Answer: B
Rationale: Neonatal hypoglycemia manifests as jitteriness, lethargy, poor feeding, and
hypotonia.
Question 9
A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip
about a Pavlik harness. Which of the following instructions should the nurse include?
A) Adjust the straps on the harness once per week
B) Use only ultra-thin diapers applied over the straps
C) Maintain the child in a prone position while the harness is in place
pg. 3
, D) Gently massage the skin under the straps once per day
Answer: D
Rationale: The guardian should gently massage the skin under the straps once per day
to prevent skin breakdown and promote circulation.
Question 10
A charge nurse is teaching a group of unit nurses about the policy for clients who have a
history of methicillin-resistant Staphylococcus aureus. Which of the following
information should the nurse include?
A) A client who has a history of MRSA will need antibiotics
B) A client who has a history of MRSA can develop immunity to the infection
C) A client who has a history of MRSA requires a protective environment
D) A client who has a history of MRSA can still transmit the infection
Answer: D
Rationale: A client who has a history of MRSA can still transmit the infection to others
through contact, even if they are not currently infected.
Question 11
A nurse is caring for an infant who is being treated for dehydration. Which of the
following findings indicates the treatment is effective?
A) Flat anterior fontanel
B) Oliguria
C) Oral intake of 4 oz every 3 hr
D) Capillary refill 4 seconds
Answer: A
Rationale: A flat anterior fontanel indicates adequate hydration. A sunken fontanel
indicates dehydration, while a bulging fontanel indicates increased intracranial
pressure.
Question 12
A nurse is receiving report on four clients. Which of the following clients should the
nurse assess first?
A) A client who has an ileal conduit and mucus in the pouch
B) A client who has an arteriovenous fistula that vibrates when palpated
C) A client who had a transurethral resection of the prostate with red-tinged urine in the
bag
D) A client who has chronic kidney disease with cloudy dialysate outflow
Answer: D
pg. 4
