RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2026 FORM A AND B
ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS/LATEST
UPDATE!!!
Question 1
A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the
following actions should the nurse take?
A) Perform the procedure twice each day.
B) Hold the hand flat to perform percussions on the child.
C) Administer a bronchodilator after the procedure.
D) Perform the procedure prior to meals.
E) Perform the procedure immediately after the child eats.
Correct Answer: D) Perform the procedure prior to meals.
Rationale: Postural drainage and chest physiotherapy (CPT) should be performed at least 2
hours before a meal or 2 hours after to reduce the risk of vomiting and aspiration.
Performing it while the child has a full stomach can lead to gastrointestinal distress and
potential aspiration of stomach contents into the lungs.
Question 2
A nurse is developing a plan of care for a newborn experiencing neonatal abstinence syndrome
due to maternal heroin use. Which of the following actions should the nurse include?
A) Maintain eye contact with the newborn during feedings.
B) Swaddle the newborn with his legs extended.
C) Minimize noise in the newborn's environment.
D) Administer naloxone to the newborn.
E) Provide frequent, high-volume feedings to increase weight.
Correct Answer: C) Minimize noise in the newborn's environment.
Rationale: Infants with neonatal abstinence syndrome (NAS) are hypersensitive to
environmental stimuli. Minimizing noise, dimming lights, and reducing handling help
prevent overstimulation and irritability. Naloxone is contraindicated because it can trigger
immediate and severe withdrawal seizures in these infants.
Question 3
A nurse is performing medication reconciliation for a client being admitted to a medical-surgical
unit. Which of the following actions should the nurse take?
A) Include any adverse effects of the medications the client might develop.
B) Exclude nutritional supplements from the list.
C) Encourage the client to make his own list after he returns to his home.
D) Compare new prescriptions with the list of medications the client reports.
E) Only list medications that are covered by the hospital formulary.
Correct Answer: D) Compare new prescriptions with the list of medications the client
reports.
Rationale: Medication reconciliation is the process of comparing the client's current home
, 2
medication list (including prescriptions, OTCs, and supplements) with new prescriptions
ordered during a transition of care. This is done to prevent omissions, duplications, or
harmful drug-to-drug interactions.
Question 4
A school nurse is teaching a parent about absence seizures. Which of the following information
should the nurse include?
A) "The child usually has an aura prior to onset."
B) "This type of seizure can be mistaken for daydreaming."
C) "This type of seizure lasts 30 to 60 seconds."
D) "This type of seizure has a gradual onset."
E) "The child will experience rhythmic jerking of all extremities."
Correct Answer: B) "This type of seizure can be mistaken for daydreaming."
Rationale: Absence seizures (formerly petit mal) involve a brief loss of consciousness, often
lasting only 5 to 10 seconds. The child typically appears to be staring into space or
daydreaming. There is no aura, no postictal state, and the onset is sudden.
Question 5
A nurse is planning care for an older adult client who has dementia. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A) Reinforce orientation to time, place, and person.
B) Allow the client to choose among a variety of activities each day.
C) Give the client one simple direction at a time.
D) Establish eye contact when communicating with the client.
E) Refute the client's delusions using logic.
Correct Answer: A, C, D) Reinforce orientation; Give one simple direction; Establish eye
contact.
Rationale: Orientation helps reduce confusion. Simple, one-step directions prevent the client
from becoming overwhelmed. Eye contact ensures the client is attending to the
communication. Allowing too many choices (B) can cause anxiety, and logically refuting
delusions (E) is usually ineffective and may increase agitation.
Question 6
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report
to the provider. Which of the following findings should the nurse include?
A) Bleeding gums
B) Faintness upon rising
C) Swelling of the face
D) Urinary frequency
E) Increased vaginal discharge
Correct Answer: B) Faintness upon rising
ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS/LATEST
UPDATE!!!
Question 1
A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the
following actions should the nurse take?
A) Perform the procedure twice each day.
B) Hold the hand flat to perform percussions on the child.
C) Administer a bronchodilator after the procedure.
D) Perform the procedure prior to meals.
E) Perform the procedure immediately after the child eats.
Correct Answer: D) Perform the procedure prior to meals.
Rationale: Postural drainage and chest physiotherapy (CPT) should be performed at least 2
hours before a meal or 2 hours after to reduce the risk of vomiting and aspiration.
Performing it while the child has a full stomach can lead to gastrointestinal distress and
potential aspiration of stomach contents into the lungs.
Question 2
A nurse is developing a plan of care for a newborn experiencing neonatal abstinence syndrome
due to maternal heroin use. Which of the following actions should the nurse include?
A) Maintain eye contact with the newborn during feedings.
B) Swaddle the newborn with his legs extended.
C) Minimize noise in the newborn's environment.
D) Administer naloxone to the newborn.
E) Provide frequent, high-volume feedings to increase weight.
Correct Answer: C) Minimize noise in the newborn's environment.
Rationale: Infants with neonatal abstinence syndrome (NAS) are hypersensitive to
environmental stimuli. Minimizing noise, dimming lights, and reducing handling help
prevent overstimulation and irritability. Naloxone is contraindicated because it can trigger
immediate and severe withdrawal seizures in these infants.
Question 3
A nurse is performing medication reconciliation for a client being admitted to a medical-surgical
unit. Which of the following actions should the nurse take?
A) Include any adverse effects of the medications the client might develop.
B) Exclude nutritional supplements from the list.
C) Encourage the client to make his own list after he returns to his home.
D) Compare new prescriptions with the list of medications the client reports.
E) Only list medications that are covered by the hospital formulary.
Correct Answer: D) Compare new prescriptions with the list of medications the client
reports.
Rationale: Medication reconciliation is the process of comparing the client's current home
, 2
medication list (including prescriptions, OTCs, and supplements) with new prescriptions
ordered during a transition of care. This is done to prevent omissions, duplications, or
harmful drug-to-drug interactions.
Question 4
A school nurse is teaching a parent about absence seizures. Which of the following information
should the nurse include?
A) "The child usually has an aura prior to onset."
B) "This type of seizure can be mistaken for daydreaming."
C) "This type of seizure lasts 30 to 60 seconds."
D) "This type of seizure has a gradual onset."
E) "The child will experience rhythmic jerking of all extremities."
Correct Answer: B) "This type of seizure can be mistaken for daydreaming."
Rationale: Absence seizures (formerly petit mal) involve a brief loss of consciousness, often
lasting only 5 to 10 seconds. The child typically appears to be staring into space or
daydreaming. There is no aura, no postictal state, and the onset is sudden.
Question 5
A nurse is planning care for an older adult client who has dementia. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A) Reinforce orientation to time, place, and person.
B) Allow the client to choose among a variety of activities each day.
C) Give the client one simple direction at a time.
D) Establish eye contact when communicating with the client.
E) Refute the client's delusions using logic.
Correct Answer: A, C, D) Reinforce orientation; Give one simple direction; Establish eye
contact.
Rationale: Orientation helps reduce confusion. Simple, one-step directions prevent the client
from becoming overwhelmed. Eye contact ensures the client is attending to the
communication. Allowing too many choices (B) can cause anxiety, and logically refuting
delusions (E) is usually ineffective and may increase agitation.
Question 6
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report
to the provider. Which of the following findings should the nurse include?
A) Bleeding gums
B) Faintness upon rising
C) Swelling of the face
D) Urinary frequency
E) Increased vaginal discharge
Correct Answer: B) Faintness upon rising
