ATI Capstone Comprehensive Predictor Examination v2.0
Advanced Practice Questions for Nursing Capstone & NCLEX-RN
Preparation
Fundamentals of Nursing (Questions 1–14)
1. A nurse is preparing to insert a urinary catheter for a female client. Which action demonstrates
proper sterile technique?
A. The nurse opens the sterile kit and places it on the client's overbed table, which is at waist level
B. The nurse wears sterile gloves and opens the kit using sterile technique
C. The nurse cleans the perineum with antiseptic solution using a back-and-forth motion
D. The nurse uses the dominant hand to handle sterile supplies and the non-dominant hand to
maintain sterility
Correct Answer: A
Rationale: The sterile field should be placed on a clean, dry surface at waist level or higher. The outer
1-inch border of the sterile field is considered unsterile. The nurse should use the non-dominant hand
(if sterile) or clean hand for catheter insertion.
2. A nurse is performing a sterile dressing change on a client's surgical wound. The nurse should
place the sterile field:
A. At eye level
B. At waist level or higher
C. On the client's bed
D. On a clean, dry surface at waist level
Correct Answer: D
Rationale: A sterile field should be placed on a clean, dry surface at waist level or higher. This prevents
contamination from surfaces below the waist.
,3. A nurse is caring for a client who has a stage III pressure injury. Which finding indicates wound
healing?
A. Increased wound drainage
B. Wound edges that are pink and smooth
C. Dark, necrotic tissue in the wound bed
D. Foul odor from the wound
Correct Answer: B
Rationale: Pink, smooth wound edges indicate granulation tissue formation and healing. Increased
drainage, necrotic tissue, and foul odor indicate infection or delayed healing.
4. A nurse is providing teaching to a client about wound care. Which statement by the client
indicates understanding?
A. "I should change my dressing when it becomes wet."
B. "I should apply alcohol to the wound."
C. "I should keep the wound dry."
D. "I should use hydrogen peroxide to clean the wound."
Correct Answer: A
Rationale: Wet dressings should be changed promptly to maintain a moist wound environment and
prevent infection. Alcohol and hydrogen peroxide can damage tissue and delay healing.
5. A nurse is assessing a client's IV site. Which finding indicates phlebitis?
A. Coolness and pallor
B. Erythema, warmth, and tenderness along the vein
C. Clear, serous drainage
D. Edema and blanching
Correct Answer: B
,Rationale: Erythema, warmth, and tenderness along the vein are signs of phlebitis (vein inflammation).
Coolness and pallor indicate arterial insufficiency. Edema and blanching may indicate infiltration.
6. A nurse is preparing to administer a blood transfusion. The nurse should verify that the client's
blood type is compatible. What is the most important action to prevent transfusion reactions?
A. Verify client identity with two identifiers
B. Check the blood product expiration date
C. Assess baseline vital signs
D. Obtain a signed consent form
Correct Answer: A
Rationale: Verifying client identity with two identifiers (e.g., name, date of birth, medical record
number) is the most important action to prevent transfusion reactions due to incompatible blood
administration.
7. A nurse is caring for a client who has a prescription for a 24-hour urine collection. The nurse
should:
A. Instruct the client to discard the first morning void
B. Instruct the client to save the first morning void
C. Collect all urine for 24 hours starting at midnight
D. Add preservatives to the collection container
Correct Answer: A
Rationale: For a 24-hour urine collection, the client should discard the first morning void and collect all
subsequent urine for the next 24 hours, including the final morning void.
8. A nurse is calculating a client's intake. The client received 500 mL of IV fluids, 150 mL of oral
fluids, and 100 mL of ice chips. What is the total intake?
, A. 750 mL
B. 700 mL
C. 650 mL
D. 550 mL
Correct Answer: B
Rationale: Ice chips should be recorded as half their volume (100 mL ÷ 2 = 50 mL). Total intake = 500
mL + 150 mL + 50 mL = 700 mL.
9. A nurse is assessing a client with a new tracheostomy. Which finding requires immediate action?
A. A small amount of blood-tinged sputum
B. Crackles auscultated in the lungs
C. The client is unable to speak
D. The tracheostomy tube is displaced
Correct Answer: D
Rationale: A displaced tracheostomy tube is a life-threatening emergency requiring immediate action
to maintain the airway. Blood-tinged sputum and crackles may be expected findings. Inability to speak
is expected with a tracheostomy.
10. A nurse is providing teaching to a client with a new colostomy. Which food should the client
avoid to prevent odor?
A. Applesauce
B. Yogurt
C. Eggs
D. Parsley
Correct Answer: C
Rationale: Eggs are gas-forming and can cause odor. Applesauce, yogurt, and parsley help reduce
odor and are recommended for clients with ostomies.
Advanced Practice Questions for Nursing Capstone & NCLEX-RN
Preparation
Fundamentals of Nursing (Questions 1–14)
1. A nurse is preparing to insert a urinary catheter for a female client. Which action demonstrates
proper sterile technique?
A. The nurse opens the sterile kit and places it on the client's overbed table, which is at waist level
B. The nurse wears sterile gloves and opens the kit using sterile technique
C. The nurse cleans the perineum with antiseptic solution using a back-and-forth motion
D. The nurse uses the dominant hand to handle sterile supplies and the non-dominant hand to
maintain sterility
Correct Answer: A
Rationale: The sterile field should be placed on a clean, dry surface at waist level or higher. The outer
1-inch border of the sterile field is considered unsterile. The nurse should use the non-dominant hand
(if sterile) or clean hand for catheter insertion.
2. A nurse is performing a sterile dressing change on a client's surgical wound. The nurse should
place the sterile field:
A. At eye level
B. At waist level or higher
C. On the client's bed
D. On a clean, dry surface at waist level
Correct Answer: D
Rationale: A sterile field should be placed on a clean, dry surface at waist level or higher. This prevents
contamination from surfaces below the waist.
,3. A nurse is caring for a client who has a stage III pressure injury. Which finding indicates wound
healing?
A. Increased wound drainage
B. Wound edges that are pink and smooth
C. Dark, necrotic tissue in the wound bed
D. Foul odor from the wound
Correct Answer: B
Rationale: Pink, smooth wound edges indicate granulation tissue formation and healing. Increased
drainage, necrotic tissue, and foul odor indicate infection or delayed healing.
4. A nurse is providing teaching to a client about wound care. Which statement by the client
indicates understanding?
A. "I should change my dressing when it becomes wet."
B. "I should apply alcohol to the wound."
C. "I should keep the wound dry."
D. "I should use hydrogen peroxide to clean the wound."
Correct Answer: A
Rationale: Wet dressings should be changed promptly to maintain a moist wound environment and
prevent infection. Alcohol and hydrogen peroxide can damage tissue and delay healing.
5. A nurse is assessing a client's IV site. Which finding indicates phlebitis?
A. Coolness and pallor
B. Erythema, warmth, and tenderness along the vein
C. Clear, serous drainage
D. Edema and blanching
Correct Answer: B
,Rationale: Erythema, warmth, and tenderness along the vein are signs of phlebitis (vein inflammation).
Coolness and pallor indicate arterial insufficiency. Edema and blanching may indicate infiltration.
6. A nurse is preparing to administer a blood transfusion. The nurse should verify that the client's
blood type is compatible. What is the most important action to prevent transfusion reactions?
A. Verify client identity with two identifiers
B. Check the blood product expiration date
C. Assess baseline vital signs
D. Obtain a signed consent form
Correct Answer: A
Rationale: Verifying client identity with two identifiers (e.g., name, date of birth, medical record
number) is the most important action to prevent transfusion reactions due to incompatible blood
administration.
7. A nurse is caring for a client who has a prescription for a 24-hour urine collection. The nurse
should:
A. Instruct the client to discard the first morning void
B. Instruct the client to save the first morning void
C. Collect all urine for 24 hours starting at midnight
D. Add preservatives to the collection container
Correct Answer: A
Rationale: For a 24-hour urine collection, the client should discard the first morning void and collect all
subsequent urine for the next 24 hours, including the final morning void.
8. A nurse is calculating a client's intake. The client received 500 mL of IV fluids, 150 mL of oral
fluids, and 100 mL of ice chips. What is the total intake?
, A. 750 mL
B. 700 mL
C. 650 mL
D. 550 mL
Correct Answer: B
Rationale: Ice chips should be recorded as half their volume (100 mL ÷ 2 = 50 mL). Total intake = 500
mL + 150 mL + 50 mL = 700 mL.
9. A nurse is assessing a client with a new tracheostomy. Which finding requires immediate action?
A. A small amount of blood-tinged sputum
B. Crackles auscultated in the lungs
C. The client is unable to speak
D. The tracheostomy tube is displaced
Correct Answer: D
Rationale: A displaced tracheostomy tube is a life-threatening emergency requiring immediate action
to maintain the airway. Blood-tinged sputum and crackles may be expected findings. Inability to speak
is expected with a tracheostomy.
10. A nurse is providing teaching to a client with a new colostomy. Which food should the client
avoid to prevent odor?
A. Applesauce
B. Yogurt
C. Eggs
D. Parsley
Correct Answer: C
Rationale: Eggs are gas-forming and can cause odor. Applesauce, yogurt, and parsley help reduce
odor and are recommended for clients with ostomies.
