ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT B COMPLETE CERTIFICATION
PRACTICE EXAM Multiple Choice Questions with
Answers and Rationales
EXAM OVERVIEW
Core Domains Covered:
• Management of Care & Ethical Principles
• Delegation & Staff Management
• Medical-Surgical Nursing
• Pharmacology
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Nursing Leadership & Management
• Priority Setting & Clinical Judgment
• Client Rights & Legal Issues
• Safety & Infection Control
• Health Promotion & Maintenance
DOMAIN 1: MANAGEMENT OF CARE & ETHICAL PRINCIPLES (Questions 1-20)
,1. A nurse is admitting a client to a medical-surgical unit. Which of the following
actions is required by the Patient Self-Determination Act (PSDA)?
• A) Ask the client if they have a living will or durable power of attorney for
healthcare
• B) Obtain the client's signature on a consent for treatment form
• C) Provide the client with a written copy of their advance directives
• D) Notify the client's family of their right to make healthcare decisions
Rationale: The PSDA requires the nurse to ask about the existence of advance directives
upon admission.
2. A client who is competent and oriented tells the nurse, "I'm leaving this hospital
right now. I don't care what the doctor says." Which action should the nurse take?
• A) Restrain the client to prevent leaving
• B) Call security to block the exit
• C) Have the client sign a form indicating they are leaving against medical
advice (AMA)
• D) Notify the client's family of the intent to leave
Rationale: Competent adults have the right to refuse treatment, including the right to leave
AMA. The client should be asked to sign a form acknowledging they understand the risks of
leaving.
3. A nurse is caring for a client who is refusing a blood transfusion due to religious
beliefs. Which action should the nurse take?
• A) Inform the client that the transfusion is necessary
• B) Respect the client's decision and notify the provider
• C) Administer the transfusion without the client's consent
• D) Contact the client's family to override the decision
,Rationale: Clients have the right to refuse treatment based on religious beliefs. The nurse
must respect the client's decision, document the refusal, and notify the provider.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client
begins to have respiratory arrest. Which action should the nurse take?
• A) Begin CPR immediately
• B) Provide comfort measures and support the client
• C) Call a code blue
• D) Intubate the client
Rationale: A DNR order indicates that CPR should not be performed. The nurse should
provide comfort measures and support the client and family.
5. A nurse is preparing to discharge a client who has a new colostomy. Which action
is the priority?
• A) Provide the client with written instructions
• B) Confirm that the client can perform the colostomy care independently
• C) Schedule a follow-up appointment
• D) Call the client's family
Rationale: Ensuring the client can perform the colostomy care independently prevents
complications and promotes successful discharge.
6. A nurse is caring for a client who has a living will. The client's family requests that
the nurse not follow the living will. Which action should the nurse take?
• A) Follow the family's request
• B) Follow the living will as written
• C) Call the hospital ethics committee
, • D) Ignore the living will
Rationale: The living will represents the client's wishes and must be followed regardless of
family preferences.
7. A nurse is caring for a client who has a history of substance abuse. The client
requests pain medication. Which action should the nurse take?
• A) Deny the pain medication
• B) Assess the client's pain level and administer medication if indicated
• C) Notify the provider immediately
• D) Give a placebo instead of pain medication
Rationale: Clients with a history of substance abuse deserve appropriate pain
management. The nurse should assess pain and administer medication as indicated.
8. A nurse is admitting a client who has a terminal illness. The client states, "I don't
want to be a burden to my family." Which response by the nurse is appropriate?
• A) "You shouldn't feel that way"
• B) "Tell me more about your concerns"
• C) "Your family will be fine"
• D) "Don't worry about that now"
Rationale: The nurse should encourage the client to express concerns and feelings. This
therapeutic communication allows the client to verbalize their worries.
9. A nurse is caring for a client who has a new diagnosis of cancer. The client states,
"I'm just going to die anyway." Which action should the nurse take?
• A) Tell the client not to be negative
• B) Allow the client to express feelings and provide support
ASSESSMENT B COMPLETE CERTIFICATION
PRACTICE EXAM Multiple Choice Questions with
Answers and Rationales
EXAM OVERVIEW
Core Domains Covered:
• Management of Care & Ethical Principles
• Delegation & Staff Management
• Medical-Surgical Nursing
• Pharmacology
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Nursing Leadership & Management
• Priority Setting & Clinical Judgment
• Client Rights & Legal Issues
• Safety & Infection Control
• Health Promotion & Maintenance
DOMAIN 1: MANAGEMENT OF CARE & ETHICAL PRINCIPLES (Questions 1-20)
,1. A nurse is admitting a client to a medical-surgical unit. Which of the following
actions is required by the Patient Self-Determination Act (PSDA)?
• A) Ask the client if they have a living will or durable power of attorney for
healthcare
• B) Obtain the client's signature on a consent for treatment form
• C) Provide the client with a written copy of their advance directives
• D) Notify the client's family of their right to make healthcare decisions
Rationale: The PSDA requires the nurse to ask about the existence of advance directives
upon admission.
2. A client who is competent and oriented tells the nurse, "I'm leaving this hospital
right now. I don't care what the doctor says." Which action should the nurse take?
• A) Restrain the client to prevent leaving
• B) Call security to block the exit
• C) Have the client sign a form indicating they are leaving against medical
advice (AMA)
• D) Notify the client's family of the intent to leave
Rationale: Competent adults have the right to refuse treatment, including the right to leave
AMA. The client should be asked to sign a form acknowledging they understand the risks of
leaving.
3. A nurse is caring for a client who is refusing a blood transfusion due to religious
beliefs. Which action should the nurse take?
• A) Inform the client that the transfusion is necessary
• B) Respect the client's decision and notify the provider
• C) Administer the transfusion without the client's consent
• D) Contact the client's family to override the decision
,Rationale: Clients have the right to refuse treatment based on religious beliefs. The nurse
must respect the client's decision, document the refusal, and notify the provider.
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client
begins to have respiratory arrest. Which action should the nurse take?
• A) Begin CPR immediately
• B) Provide comfort measures and support the client
• C) Call a code blue
• D) Intubate the client
Rationale: A DNR order indicates that CPR should not be performed. The nurse should
provide comfort measures and support the client and family.
5. A nurse is preparing to discharge a client who has a new colostomy. Which action
is the priority?
• A) Provide the client with written instructions
• B) Confirm that the client can perform the colostomy care independently
• C) Schedule a follow-up appointment
• D) Call the client's family
Rationale: Ensuring the client can perform the colostomy care independently prevents
complications and promotes successful discharge.
6. A nurse is caring for a client who has a living will. The client's family requests that
the nurse not follow the living will. Which action should the nurse take?
• A) Follow the family's request
• B) Follow the living will as written
• C) Call the hospital ethics committee
, • D) Ignore the living will
Rationale: The living will represents the client's wishes and must be followed regardless of
family preferences.
7. A nurse is caring for a client who has a history of substance abuse. The client
requests pain medication. Which action should the nurse take?
• A) Deny the pain medication
• B) Assess the client's pain level and administer medication if indicated
• C) Notify the provider immediately
• D) Give a placebo instead of pain medication
Rationale: Clients with a history of substance abuse deserve appropriate pain
management. The nurse should assess pain and administer medication as indicated.
8. A nurse is admitting a client who has a terminal illness. The client states, "I don't
want to be a burden to my family." Which response by the nurse is appropriate?
• A) "You shouldn't feel that way"
• B) "Tell me more about your concerns"
• C) "Your family will be fine"
• D) "Don't worry about that now"
Rationale: The nurse should encourage the client to express concerns and feelings. This
therapeutic communication allows the client to verbalize their worries.
9. A nurse is caring for a client who has a new diagnosis of cancer. The client states,
"I'm just going to die anyway." Which action should the nurse take?
• A) Tell the client not to be negative
• B) Allow the client to express feelings and provide support
