ATI PN Capstone Proctored Comprehensive Assessment Test Bank
Latest Update 2026/2027 | 200 Practice Questions & Detailed Answers | NGNStyle Q&A with Correct
Answers Highlighted | A+ Graded
SECTION 1: MANAGEMENT OF CARE & LEADERSHIP (Questions 1–25)
1. A charge nurse is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate to delegate to the UAP?
A. Administering a tap water enema
B. Performing tracheostomy care
C. Obtaining a sterile urine specimen
D. Inserting a urinary catheter
Correct Answer: A
Rationale: Administering a tap water enema is a task that can be delegated to a UAP as it does not
require sterile technique or advanced assessment skills. Tracheostomy care, obtaining sterile urine
specimens, and inserting urinary catheters require sterile technique and are outside the scope of UAP
duties.
2. A nurse is caring for a client who has a new diagnosis of terminal illness. The client states, "I don't
want to be a burden to my family." Which of the following responses by the nurse is therapeutic?
A. "You shouldn't feel that way. Your family loves you."
B. "Tell me more about what you mean by being a burden."
C. "I understand how you feel. I would feel the same way."
D. "Let's focus on your treatment options instead."
Correct Answer: B
,Rationale: The most therapeutic response is to encourage the client to explore their feelings with an
openended question. This validates the client's concerns and promotes further communication. Option
A offers false reassurance, Option C is dismissive and focuses on the nurse's feelings, and Option D
changes the subject.
3. A nurse is preparing a client for a procedure. Which of the following is the nurse's priority legal
responsibility?
A. Obtaining informed consent from the client
B. Explaining the risks and benefits of the procedure
C. Witnessing the client's signature on the consent form
D. Ensuring the client understands the procedure
Correct Answer: C
Rationale: The nurse's primary legal responsibility is to witness the client's signature on the consent
form and ensure the client is competent and consenting voluntarily. Explaining risks and benefits is the
provider's responsibility. While the nurse can reinforce teaching, witnessing the signature is the legal
duty.
4. A nurse is caring for a client who is postoperative and has a patientcontrolled analgesia (PCA) pump.
The client's family member asks if they can press the button for the client while the client is sleeping.
Which of the following responses should the nurse give?
A. "Yes, you can press the button if the client is sleeping."
B. "Only the client can press the button to control their pain."
C. "I will press the button for the client while they sleep."
D. "You can press the button if the client is in severe pain."
,Correct Answer: B
Rationale: Only the client should press the PCA button to administer medication. This ensures the
medication is given only when the client experiences pain and reduces the risk of overmedication.
Family members should not press the button, even if the client is sleeping.
5. A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of
the following statements by the client indicates a need for further teaching?
A. "I will use an electric razor to shave."
B. "I will avoid eating green leafy vegetables."
C. "I will take my medication at the same time every day."
D. "I will notify my provider if I have dark, tarry stools."
Correct Answer: B
Rationale: Clients on warfarin should maintain a consistent intake of vitamin Krich foods (green leafy
vegetables), not avoid them entirely. Fluctuating vitamin K intake can alter the INR. Electric razors,
consistent timing, and reporting dark stools are all correct statements.
6. A charge nurse is assigning rooms for four clients. Which client should be assigned to a private room?
A. A client with pneumonia and a productive cough
B. A client with a wound infection infected with MRSA
C. A client with heart failure and shortness of breath
D. A client with diabetes and a foot ulcer
Correct Answer: B
, Rationale: A client with MRSA requires contact precautions and should be placed in a private room to
prevent transmission. Pneumonia requires droplet precautions but may not always require a private
room. Heart failure and diabetes do not require isolation.
7. A nurse is preparing a client for transfer to a longterm care facility. Which of the following actions
should the nurse take to ensure continuity of care?
A. Send the client's original medical records with the client
B. Provide a verbal report to the receiving facility
C. Ensure a written transfer summary is sent with the client
D. Discontinue all client medications before transfer
Correct Answer: C
Rationale: A written transfer summary (including medications, diagnoses, allergies, and current
treatment plan) is essential for continuity of care. Verbal reports are not as reliable. Original medical
records should remain at the facility.
8. A nurse is caring for a client who has a donotresuscitate (DNR) order. The client's family member
requests that CPR be initiated if the client's heart stops. Which of the following actions should the nurse
take?
A. Initiate CPR as requested by the family member
B. Notify the provider of the family member's request
C. Follow the DNR order and do not initiate CPR
D. Ask the family member to sign a waiver
Correct Answer: C
Latest Update 2026/2027 | 200 Practice Questions & Detailed Answers | NGNStyle Q&A with Correct
Answers Highlighted | A+ Graded
SECTION 1: MANAGEMENT OF CARE & LEADERSHIP (Questions 1–25)
1. A charge nurse is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate to delegate to the UAP?
A. Administering a tap water enema
B. Performing tracheostomy care
C. Obtaining a sterile urine specimen
D. Inserting a urinary catheter
Correct Answer: A
Rationale: Administering a tap water enema is a task that can be delegated to a UAP as it does not
require sterile technique or advanced assessment skills. Tracheostomy care, obtaining sterile urine
specimens, and inserting urinary catheters require sterile technique and are outside the scope of UAP
duties.
2. A nurse is caring for a client who has a new diagnosis of terminal illness. The client states, "I don't
want to be a burden to my family." Which of the following responses by the nurse is therapeutic?
A. "You shouldn't feel that way. Your family loves you."
B. "Tell me more about what you mean by being a burden."
C. "I understand how you feel. I would feel the same way."
D. "Let's focus on your treatment options instead."
Correct Answer: B
,Rationale: The most therapeutic response is to encourage the client to explore their feelings with an
openended question. This validates the client's concerns and promotes further communication. Option
A offers false reassurance, Option C is dismissive and focuses on the nurse's feelings, and Option D
changes the subject.
3. A nurse is preparing a client for a procedure. Which of the following is the nurse's priority legal
responsibility?
A. Obtaining informed consent from the client
B. Explaining the risks and benefits of the procedure
C. Witnessing the client's signature on the consent form
D. Ensuring the client understands the procedure
Correct Answer: C
Rationale: The nurse's primary legal responsibility is to witness the client's signature on the consent
form and ensure the client is competent and consenting voluntarily. Explaining risks and benefits is the
provider's responsibility. While the nurse can reinforce teaching, witnessing the signature is the legal
duty.
4. A nurse is caring for a client who is postoperative and has a patientcontrolled analgesia (PCA) pump.
The client's family member asks if they can press the button for the client while the client is sleeping.
Which of the following responses should the nurse give?
A. "Yes, you can press the button if the client is sleeping."
B. "Only the client can press the button to control their pain."
C. "I will press the button for the client while they sleep."
D. "You can press the button if the client is in severe pain."
,Correct Answer: B
Rationale: Only the client should press the PCA button to administer medication. This ensures the
medication is given only when the client experiences pain and reduces the risk of overmedication.
Family members should not press the button, even if the client is sleeping.
5. A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of
the following statements by the client indicates a need for further teaching?
A. "I will use an electric razor to shave."
B. "I will avoid eating green leafy vegetables."
C. "I will take my medication at the same time every day."
D. "I will notify my provider if I have dark, tarry stools."
Correct Answer: B
Rationale: Clients on warfarin should maintain a consistent intake of vitamin Krich foods (green leafy
vegetables), not avoid them entirely. Fluctuating vitamin K intake can alter the INR. Electric razors,
consistent timing, and reporting dark stools are all correct statements.
6. A charge nurse is assigning rooms for four clients. Which client should be assigned to a private room?
A. A client with pneumonia and a productive cough
B. A client with a wound infection infected with MRSA
C. A client with heart failure and shortness of breath
D. A client with diabetes and a foot ulcer
Correct Answer: B
, Rationale: A client with MRSA requires contact precautions and should be placed in a private room to
prevent transmission. Pneumonia requires droplet precautions but may not always require a private
room. Heart failure and diabetes do not require isolation.
7. A nurse is preparing a client for transfer to a longterm care facility. Which of the following actions
should the nurse take to ensure continuity of care?
A. Send the client's original medical records with the client
B. Provide a verbal report to the receiving facility
C. Ensure a written transfer summary is sent with the client
D. Discontinue all client medications before transfer
Correct Answer: C
Rationale: A written transfer summary (including medications, diagnoses, allergies, and current
treatment plan) is essential for continuity of care. Verbal reports are not as reliable. Original medical
records should remain at the facility.
8. A nurse is caring for a client who has a donotresuscitate (DNR) order. The client's family member
requests that CPR be initiated if the client's heart stops. Which of the following actions should the nurse
take?
A. Initiate CPR as requested by the family member
B. Notify the provider of the family member's request
C. Follow the DNR order and do not initiate CPR
D. Ask the family member to sign a waiver
Correct Answer: C
