Comprehensive Practice B 2025 | RN ATI Capstone
Proctored Assessment B with questions and
answers
1. A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L.
Which intervention should the nurse implement first?
Administer calcium gluconate IV to stabilize the cardiac membrane.
2. A nurse is caring for a client who is 2 days postoperative following abdominal surgery
and has a temperature of 38.9°C (102°F). Which action should the nurse take first?
Assess the surgical site for signs of infection.
3. A client with heart failure reports sudden weight gain of 3 kg in 2 days. Which action
should the nurse take first?
Assess for edema and respiratory status.
4. A nurse is caring for a client receiving morphine sulfate for pain. Which finding
requires immediate action?
Respiratory rate of 8/min.
5. A client receiving heparin has a platelet count of 80,000/mm³. Which complication
should the nurse monitor for?
Heparin-induced thrombocytopenia (HIT).
6. A client with chronic obstructive pulmonary disease (COPD) has a PaO₂ of 55 mmHg.
Which oxygen delivery method is most appropriate?
Nasal cannula at 2 L/min.
7. A nurse is preparing to administer a blood transfusion. Which action should the
nurse take first?
Verify the client’s identity and blood product with another licensed nurse.
8. A client with type 1 diabetes mellitus is experiencing nausea, vomiting, and
abdominal pain. Lab results show blood glucose 450 mg/dL and positive ketones. Which
is the priority action?
Initiate IV fluids and insulin therapy for diabetic ketoacidosis.
9. A nurse is caring for a client with a nasogastric tube connected to suction. The client
reports nausea and abdominal distention. Which action should the nurse take first?
Check the tube for patency.
10. A client who had a stroke 24 hours ago is showing left-sided weakness and facial
droop. Which intervention should the nurse implement first?
Perform a neurological assessment.
, 11. A nurse is caring for a client receiving vancomycin IV. Which finding requires
immediate action?
Red rash on the client’s neck and chest.
12. A client with heart failure has crackles in both lungs and 3+ pitting edema. Which
medication should the nurse anticipate administering?
Furosemide (Lasix) IV.
13. A nurse is teaching a client about discharge after total hip replacement. Which
statement indicates understanding?
"I will avoid bending my hip more than 90 degrees."
14. A client is receiving a blood transfusion and develops chills, fever, and low back
pain. Which action should the nurse take first?
Stop the transfusion immediately.
15. A nurse is caring for a client with chronic liver disease. Which lab value should the
nurse monitor for bleeding risk?
Prothrombin time (PT).
16. A client is admitted with diabetic ketoacidosis. Which electrolyte imbalance is the
nurse most concerned about after starting insulin therapy?
Hypokalemia.
17. A client with a new tracheostomy is experiencing difficulty breathing. Which action
should the nurse take first?
Assess the airway patency and suction as needed.
18. A nurse is caring for a client with hypertension and a new prescription for lisinopril.
Which statement by the client indicates understanding?
"I may develop a cough while taking this medication."
19. A client with chronic heart failure has shortness of breath, orthopnea, and 2+
edema. Which intervention should the nurse implement first?
Place the client in high-Fowler’s position.
20. A nurse is preparing to administer digoxin 0.25 mg PO. The client’s apical pulse is
48 bpm. What should the nurse do?
Hold the dose and notify the healthcare provider.
21. A client receiving total parenteral nutrition (TPN) develops a temperature of 38.5°C
(101.3°F). Which action should the nurse take first?
Assess the catheter site for signs of infection.
22. A client with asthma reports shortness of breath and wheezing. Which medication
should the nurse administer first?
Albuterol via nebulizer.
Proctored Assessment B with questions and
answers
1. A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L.
Which intervention should the nurse implement first?
Administer calcium gluconate IV to stabilize the cardiac membrane.
2. A nurse is caring for a client who is 2 days postoperative following abdominal surgery
and has a temperature of 38.9°C (102°F). Which action should the nurse take first?
Assess the surgical site for signs of infection.
3. A client with heart failure reports sudden weight gain of 3 kg in 2 days. Which action
should the nurse take first?
Assess for edema and respiratory status.
4. A nurse is caring for a client receiving morphine sulfate for pain. Which finding
requires immediate action?
Respiratory rate of 8/min.
5. A client receiving heparin has a platelet count of 80,000/mm³. Which complication
should the nurse monitor for?
Heparin-induced thrombocytopenia (HIT).
6. A client with chronic obstructive pulmonary disease (COPD) has a PaO₂ of 55 mmHg.
Which oxygen delivery method is most appropriate?
Nasal cannula at 2 L/min.
7. A nurse is preparing to administer a blood transfusion. Which action should the
nurse take first?
Verify the client’s identity and blood product with another licensed nurse.
8. A client with type 1 diabetes mellitus is experiencing nausea, vomiting, and
abdominal pain. Lab results show blood glucose 450 mg/dL and positive ketones. Which
is the priority action?
Initiate IV fluids and insulin therapy for diabetic ketoacidosis.
9. A nurse is caring for a client with a nasogastric tube connected to suction. The client
reports nausea and abdominal distention. Which action should the nurse take first?
Check the tube for patency.
10. A client who had a stroke 24 hours ago is showing left-sided weakness and facial
droop. Which intervention should the nurse implement first?
Perform a neurological assessment.
, 11. A nurse is caring for a client receiving vancomycin IV. Which finding requires
immediate action?
Red rash on the client’s neck and chest.
12. A client with heart failure has crackles in both lungs and 3+ pitting edema. Which
medication should the nurse anticipate administering?
Furosemide (Lasix) IV.
13. A nurse is teaching a client about discharge after total hip replacement. Which
statement indicates understanding?
"I will avoid bending my hip more than 90 degrees."
14. A client is receiving a blood transfusion and develops chills, fever, and low back
pain. Which action should the nurse take first?
Stop the transfusion immediately.
15. A nurse is caring for a client with chronic liver disease. Which lab value should the
nurse monitor for bleeding risk?
Prothrombin time (PT).
16. A client is admitted with diabetic ketoacidosis. Which electrolyte imbalance is the
nurse most concerned about after starting insulin therapy?
Hypokalemia.
17. A client with a new tracheostomy is experiencing difficulty breathing. Which action
should the nurse take first?
Assess the airway patency and suction as needed.
18. A nurse is caring for a client with hypertension and a new prescription for lisinopril.
Which statement by the client indicates understanding?
"I may develop a cough while taking this medication."
19. A client with chronic heart failure has shortness of breath, orthopnea, and 2+
edema. Which intervention should the nurse implement first?
Place the client in high-Fowler’s position.
20. A nurse is preparing to administer digoxin 0.25 mg PO. The client’s apical pulse is
48 bpm. What should the nurse do?
Hold the dose and notify the healthcare provider.
21. A client receiving total parenteral nutrition (TPN) develops a temperature of 38.5°C
(101.3°F). Which action should the nurse take first?
Assess the catheter site for signs of infection.
22. A client with asthma reports shortness of breath and wheezing. Which medication
should the nurse administer first?
Albuterol via nebulizer.
