ASSESSMENT test bank Question Practice Examination with
Multiple Answers, Correct Answers Highlighted, and Detailed
Rationales - 239 Questions and Answers Already Graded A+
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Subject Area Practical Nursing Comprehensive Assessment
Description This examination assesses the practical nursing student's ability to integrate and
apply knowledge across all major content areas including pharmacology,
medical-surgical nursing, maternal-newborn care, pediatric nursing, mental health,
and leadership. The exam emphasizes clinical reasoning, prioritization, and safe
patient care.
Expected Grade A+
Total Questions 239
Duration 3 hours
Learning Outcomes 1. Apply nursing process and clinical judgment to prioritize care for patients with
complex health alterations.
2. Analyze pharmacological data to ensure safe medication administration and
monitoring.
3. Integrate knowledge of growth and development to provide age-appropriate
care across the lifespan.
4. Demonstrate leadership and delegation skills in a simulated team environment.
Accreditation This exam aligns with the NCLEX-PN test plan and meets standards for
accredited practical nursing programs in the United States.
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,ati. ATI PN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT test bank
Question Practice Examination with Multiple Answers, Correct Answers
Question: 1 of 239
A patient with chronic kidney disease (CKD) stage 4 is prescribed a calcium-based
phosphate binder. Which laboratory value requires immediate intervention before
administration?
Serum phosphate 5.2 mg/dL
Serum calcium 10.8 mg/dL
Serum potassium 5.0 mEq/L
Serum magnesium 2.0 mEq/L
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Question: 2 of 239
A patient receiving a continuous IV infusion of heparin has an aPTT of 98 seconds
(therapeutic range 60-80 seconds). Which action should the nurse prioritize?
Decrease the heparin infusion rate by 2 units/kg/hr
Stop the heparin infusion immediately
Administer protamine sulfate as prescribed
Continue the infusion and recheck aPTT in 6 hours
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,ati. ATI PN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT test bank
Question Practice Examination with Multiple Answers, Correct Answers
Question: 3 of 239
A patient with type 2 diabetes is started on metformin extended-release. Which
instruction is most important to include in discharge teaching?
Take the medication with meals to reduce gastrointestinal upset
Avoid alcohol consumption while taking this medication
Monitor blood glucose levels once daily in the morning
Report any episodes of hypoglycemia to the provider
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Question: 4 of 239
A patient with heart failure is receiving furosemide 40 mg IV push. Which assessment
finding indicates the medication is effective?
Increased urine output of 200 mL over 2 hours
Decreased peripheral edema and weight loss of 1 kg in 24 hours
Serum potassium level of 3.5 mEq/L
Blood pressure decrease from 150/90 to 130/80 mmHg
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, ati. ATI PN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT test bank
Question Practice Examination with Multiple Answers, Correct Answers
Question: 5 of 239
A patient is admitted with suspected bacterial meningitis. Which intervention should
the nurse implement first?
Administer intravenous antibiotics after blood cultures are obtained
Initiate droplet precautions and place the patient in a private room
Prepare the patient for a lumbar puncture
Start intravenous fluids at 125 mL/hr
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Question: 6 of 239
A patient with major depressive disorder is prescribed phenelzine, an MAOI. Which
food should the patient be instructed to avoid?
Aged cheese
Fresh fruits
Whole grain bread
Lean chicken
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