RN ATI Capstone Proctored Comprehensive
Assessment 2019 B Exam Questions with
Answers and Rationales
Fundamentals of Nursing
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the
therapy has been effective?
• A. Hematocrit 32%
• B. Hemoglobin 14.9 g/dL
• C. White blood cell count 11,000/mm³
• D. Platelet count 150,000/mm³
Answer: B. Hemoglobin 14.9 g/dL
Rationale: Packed RBCs are administered to clients who have decreased
hemoglobin or hematocrit levels. A hemoglobin level of 14.9 g/dL falls within the
expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL for females,
indicating the therapy has been effective.
2. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
• A. An older adult client with a hip fracture who is alert and oriented
• B. A middle adult client who has unstable vital signs
• C. A young adult client with a minor laceration
• D. A child with a fever and mild dehydration
Answer: B. A middle adult client who has unstable vital signs
,Rationale: Using the stable versus unstable approach to client care, the nurse
should recommend priority treatment for the client who has unstable vital signs
because this client requires immediate treatment to reduce the risk of further injury
or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
• A. Assess the client's lung sounds
• B. Measure the client's daily weight
• C. Administer IV diuretics
• D. Evaluate the client's intake and output
Answer: B. Measure the client's daily weight
Rationale: It is within the CNA's range of function to measure a client's daily
weight, so the nurse should delegate this task to them. RNs retain responsibility for
assessment, evaluation, and medication administration.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as
a test dose to a client who has severe oliguria. The client weighs 198 lb. What
is the amount in grams the nurse should administer?
• A. 9 g
• B. 18 g
• C. 27 g
• D. 36 g
Answer: B. 18 g
Rationale: First convert pounds to kilograms: 198 lb ÷ 2.2 = 90 kg. Then
calculate: 0.2 g/kg × 90 kg = 18 g. Mannitol is an osmotic diuretic used to assess
renal function in clients with severe oliguria.
,5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following actions
indicates the adolescent is abducting the hip joint?
• A. Moving the leg toward the midline of the body
• B. Moving the leg away from the midline of the body
• C. Bending the knee toward the chest
• D. Rotating the leg internally
Answer: B. Moving the leg away from the midline of the body
Rationale: Abduction is the movement of a body part away from the midline of
the body. Adduction is movement toward the midline. The nurse should correctly
identify this range of motion assessment.
6. A nurse is caring for a client who has hyperthyroidism. Which of the
following findings should the nurse expect?
• A. Bradycardia
• B. Weight gain
• C. Tremors
• D. Cold intolerance
Answer: C. Tremors
Rationale: Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia. Bradycardia,
weight gain, and cold intolerance are associated with hypothyroidism.
7. A charge nurse is assigning tasks to an LPN. Which task should the charge
nurse delegate to the LPN?
• A. Perform an initial admission assessment on a new client
• B. Administer a dose of metoprolol to a stable client with hypertension
• C. Develop a plan of care for a client with diabetes
, • D. Administer IV push morphine to a client in pain
Answer: B. Administer a dose of metoprolol to a stable client with
hypertension
Rationale: LPNs can administer oral medications to stable clients. RNs retain
responsibility for initial assessments, unstable clients, and IV push medications.
8. A client with a DNR order is pulseless and not breathing. The family
demands that the nurse "do everything." What should the nurse do first?
• A. Begin CPR immediately to honor the family's wishes
• B. Gently remind the family of the DNR order and continue supportive care
without CPR
• C. Page the provider for an updated order
• D. Transfer the client to the ICU
Answer: B. Gently remind the family of the DNR order and continue
supportive care without CPR
Rationale: A valid DNR order must be respected; the nurse should support the
family while following the legal directive. The nurse should provide
compassionate communication and emotional support to the family.
9. A nurse on a medical-surgical unit is overwhelmed with admissions. Which
task can be delegated to an AP?
• A. Administer oral medications
• B. Obtain a clean-catch urine specimen from a client
• C. Assess a client's surgical incision
• D. Educate a client about their new diagnosis
Answer: B. Obtain a clean-catch urine specimen from a client
Rationale: AP can collect non-sterile specimens such as clean-catch urine
specimens. The RN must perform assessments, client education, and medication
administration.
Assessment 2019 B Exam Questions with
Answers and Rationales
Fundamentals of Nursing
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the
therapy has been effective?
• A. Hematocrit 32%
• B. Hemoglobin 14.9 g/dL
• C. White blood cell count 11,000/mm³
• D. Platelet count 150,000/mm³
Answer: B. Hemoglobin 14.9 g/dL
Rationale: Packed RBCs are administered to clients who have decreased
hemoglobin or hematocrit levels. A hemoglobin level of 14.9 g/dL falls within the
expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL for females,
indicating the therapy has been effective.
2. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
• A. An older adult client with a hip fracture who is alert and oriented
• B. A middle adult client who has unstable vital signs
• C. A young adult client with a minor laceration
• D. A child with a fever and mild dehydration
Answer: B. A middle adult client who has unstable vital signs
,Rationale: Using the stable versus unstable approach to client care, the nurse
should recommend priority treatment for the client who has unstable vital signs
because this client requires immediate treatment to reduce the risk of further injury
or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
• A. Assess the client's lung sounds
• B. Measure the client's daily weight
• C. Administer IV diuretics
• D. Evaluate the client's intake and output
Answer: B. Measure the client's daily weight
Rationale: It is within the CNA's range of function to measure a client's daily
weight, so the nurse should delegate this task to them. RNs retain responsibility for
assessment, evaluation, and medication administration.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as
a test dose to a client who has severe oliguria. The client weighs 198 lb. What
is the amount in grams the nurse should administer?
• A. 9 g
• B. 18 g
• C. 27 g
• D. 36 g
Answer: B. 18 g
Rationale: First convert pounds to kilograms: 198 lb ÷ 2.2 = 90 kg. Then
calculate: 0.2 g/kg × 90 kg = 18 g. Mannitol is an osmotic diuretic used to assess
renal function in clients with severe oliguria.
,5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following actions
indicates the adolescent is abducting the hip joint?
• A. Moving the leg toward the midline of the body
• B. Moving the leg away from the midline of the body
• C. Bending the knee toward the chest
• D. Rotating the leg internally
Answer: B. Moving the leg away from the midline of the body
Rationale: Abduction is the movement of a body part away from the midline of
the body. Adduction is movement toward the midline. The nurse should correctly
identify this range of motion assessment.
6. A nurse is caring for a client who has hyperthyroidism. Which of the
following findings should the nurse expect?
• A. Bradycardia
• B. Weight gain
• C. Tremors
• D. Cold intolerance
Answer: C. Tremors
Rationale: Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia. Bradycardia,
weight gain, and cold intolerance are associated with hypothyroidism.
7. A charge nurse is assigning tasks to an LPN. Which task should the charge
nurse delegate to the LPN?
• A. Perform an initial admission assessment on a new client
• B. Administer a dose of metoprolol to a stable client with hypertension
• C. Develop a plan of care for a client with diabetes
, • D. Administer IV push morphine to a client in pain
Answer: B. Administer a dose of metoprolol to a stable client with
hypertension
Rationale: LPNs can administer oral medications to stable clients. RNs retain
responsibility for initial assessments, unstable clients, and IV push medications.
8. A client with a DNR order is pulseless and not breathing. The family
demands that the nurse "do everything." What should the nurse do first?
• A. Begin CPR immediately to honor the family's wishes
• B. Gently remind the family of the DNR order and continue supportive care
without CPR
• C. Page the provider for an updated order
• D. Transfer the client to the ICU
Answer: B. Gently remind the family of the DNR order and continue
supportive care without CPR
Rationale: A valid DNR order must be respected; the nurse should support the
family while following the legal directive. The nurse should provide
compassionate communication and emotional support to the family.
9. A nurse on a medical-surgical unit is overwhelmed with admissions. Which
task can be delegated to an AP?
• A. Administer oral medications
• B. Obtain a clean-catch urine specimen from a client
• C. Assess a client's surgical incision
• D. Educate a client about their new diagnosis
Answer: B. Obtain a clean-catch urine specimen from a client
Rationale: AP can collect non-sterile specimens such as clean-catch urine
specimens. The RN must perform assessments, client education, and medication
administration.
