RN ATI CAPSTONE COMPREHENSIVE
ASSESSMENT 2026 NURSING SYNTHESIS
AND NCLEX PREPARATION COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Esophageal Disorders: Dietary Selections for a Client Who Has a
Hiatal Hernia (Active Learning Template - System Disorder, RN QSEN
- Patient-centered Care, RM AMS RN 10.0 Chp 48)
Answer: Avoid eating immediately prior to going to bed
Avoid foods and beverages that decrease LES pressure (fatty and
fried foods, chocolate, coffee, peppermint, spicy foods, tomatoes,
citrus fruits, and alcohol)
◉ Musculoskeletal Trauma: Teaching Strategies to Prevent Carpal
Tunnel Syndrome (RN QSEN - Safety , RM AMS RN 10.0 Chp 71,
Active Learning Template - Basic Concept)
Answer: Avoid repetitive flexion of wrist
Perform ROM
Have item under wrists while using computer to prevent prolonged
flexion
,Elevate hand above level of heart
◉ Renal Calculi: Priority Intervention for a Client Who Has Renal
Calculi (Active Learning Template - System Disorder, RM AMS RN
10.0 Chp 61)
Answer: Report laboratory and diagnostic findings to the provider
Strain all urine to check for passage of the calculus and save the
calculus for laboratory analysis
Encourage client to increase oral intake to 3L/day unless
contraindicated
Encourage ambulation to promote passage of the calculus
Administer IV fluids as prescribed
◉ Asthma: Monitoring peak expiratory flow rates (AMS Ch. 21)
Answer: fastest airflow rate reached during exhalation.
◉ Urinary Elimination: Identifying Type of Urinary Incontinence
(Active Learning Template - System Disorder, RM FUND 9.0 Ch 44)
Answer: Stress: loss of small amounts of urine from increased
abdominal pressure without bladder muscle contraction with
laughing, sneezing or lifting
,Urge: inability to stop urine flow long enough to reach the bathroom
due to an overactive detrusor muscle with increased bladder
pressure
Overflow: urinary retention from bladder overdistention and
frequent loss of small amounts of urine due to obstruction of the
urinary outlet or an impaired detrusor muscle
Reflex: involuntary loss of a moderate amount of urine usually
without warning due to hyperreflexia of the detrusor muscle, usually
from spinal cord dysfunction
Functional: loss of urine due to factors that interfere with
responding to the need to urinate, such as cognitive, mobility and
environmental barriers
Total: unpredictable involuntary loss of urine that generally does not
respond to treatment
◉ Rheumatoid Arthritis: Adverse Effects of NSAIDs (Active Learning
Template - Medication, RM AMS RN 10.0 Chp 88)
Answer: NSAIDS -> provide analgesic, antipyretic and anti-
inflammatory effects.
*NSAIDs can cause considerable gastrointestinal (GI) distress*
, Nursing considerations:
Monitor for fluid retention, hypertension and renal dysfunction
Education:
Have client take with food or full glass of water or milk, if taken
routinely an H2 receptor antagonist can also be prescribed
Instruct the client to observe for GI bleeding (coffee-ground emesis;
dark, tarry stools).
Instruct the client to avoid alcohol, which can increase the risk of GI
complications
◉ Cancer Disorders: Positioning Following a Liver Biopsy (RM AMS
RN 10.0 Chp 92, RN QSEN - Safety , Active Learning Template -
Diagnostic Procedure)
Answer: Position the client to the right side for 1 to 2 hr to ensure
hemostasis
◉ Cancer Disorders: Postoperative Teaching Following a Colectomy
(Active Learning Template - Therapeutic Procedure, RM AMS RN
10.0 Chp 92)
Answer: Teach client regarding turning and deep breathing
ASSESSMENT 2026 NURSING SYNTHESIS
AND NCLEX PREPARATION COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Esophageal Disorders: Dietary Selections for a Client Who Has a
Hiatal Hernia (Active Learning Template - System Disorder, RN QSEN
- Patient-centered Care, RM AMS RN 10.0 Chp 48)
Answer: Avoid eating immediately prior to going to bed
Avoid foods and beverages that decrease LES pressure (fatty and
fried foods, chocolate, coffee, peppermint, spicy foods, tomatoes,
citrus fruits, and alcohol)
◉ Musculoskeletal Trauma: Teaching Strategies to Prevent Carpal
Tunnel Syndrome (RN QSEN - Safety , RM AMS RN 10.0 Chp 71,
Active Learning Template - Basic Concept)
Answer: Avoid repetitive flexion of wrist
Perform ROM
Have item under wrists while using computer to prevent prolonged
flexion
,Elevate hand above level of heart
◉ Renal Calculi: Priority Intervention for a Client Who Has Renal
Calculi (Active Learning Template - System Disorder, RM AMS RN
10.0 Chp 61)
Answer: Report laboratory and diagnostic findings to the provider
Strain all urine to check for passage of the calculus and save the
calculus for laboratory analysis
Encourage client to increase oral intake to 3L/day unless
contraindicated
Encourage ambulation to promote passage of the calculus
Administer IV fluids as prescribed
◉ Asthma: Monitoring peak expiratory flow rates (AMS Ch. 21)
Answer: fastest airflow rate reached during exhalation.
◉ Urinary Elimination: Identifying Type of Urinary Incontinence
(Active Learning Template - System Disorder, RM FUND 9.0 Ch 44)
Answer: Stress: loss of small amounts of urine from increased
abdominal pressure without bladder muscle contraction with
laughing, sneezing or lifting
,Urge: inability to stop urine flow long enough to reach the bathroom
due to an overactive detrusor muscle with increased bladder
pressure
Overflow: urinary retention from bladder overdistention and
frequent loss of small amounts of urine due to obstruction of the
urinary outlet or an impaired detrusor muscle
Reflex: involuntary loss of a moderate amount of urine usually
without warning due to hyperreflexia of the detrusor muscle, usually
from spinal cord dysfunction
Functional: loss of urine due to factors that interfere with
responding to the need to urinate, such as cognitive, mobility and
environmental barriers
Total: unpredictable involuntary loss of urine that generally does not
respond to treatment
◉ Rheumatoid Arthritis: Adverse Effects of NSAIDs (Active Learning
Template - Medication, RM AMS RN 10.0 Chp 88)
Answer: NSAIDS -> provide analgesic, antipyretic and anti-
inflammatory effects.
*NSAIDs can cause considerable gastrointestinal (GI) distress*
, Nursing considerations:
Monitor for fluid retention, hypertension and renal dysfunction
Education:
Have client take with food or full glass of water or milk, if taken
routinely an H2 receptor antagonist can also be prescribed
Instruct the client to observe for GI bleeding (coffee-ground emesis;
dark, tarry stools).
Instruct the client to avoid alcohol, which can increase the risk of GI
complications
◉ Cancer Disorders: Positioning Following a Liver Biopsy (RM AMS
RN 10.0 Chp 92, RN QSEN - Safety , Active Learning Template -
Diagnostic Procedure)
Answer: Position the client to the right side for 1 to 2 hr to ensure
hemostasis
◉ Cancer Disorders: Postoperative Teaching Following a Colectomy
(Active Learning Template - Therapeutic Procedure, RM AMS RN
10.0 Chp 92)
Answer: Teach client regarding turning and deep breathing
