ATI Capstone Comprehensive Assessment Form B Exam – 200
Complete Questions and Answers with Rationales 2026/2027
Latest Update
This assessment is designed to help RN students prepare for
comprehensive nursing examinations by integrating adult medical-
surgical, pharmacology, maternal-newborn, pediatric, mental-health,
leadership, community-health, and safety concepts.
Topics covered
Fundamentals and safety
Adult medical-surgical nursing
Pharmacology
Cardiovascular disorders
Respiratory disorders
Neurologic disorders
Endocrine disorders
Renal and gastrointestinal disorders
Maternal-newborn nursing
Pediatric nursing
Mental-health nursing
Leadership and management
Infection prevention
Emergency and priority care
Patient education and discharge planning
Questions 1–25: Fundamentals, Safety & Priority Care
,1. A nurse is receiving four clients at the beginning of a shift. Which
client should the nurse assess first?
A. A client with chronic arthritis reporting pain of 7/10
B. A client with pneumonia whose oxygen saturation is 86%
C. A client awaiting discharge instructions
D. A client requesting assistance with bathing
Answer: B
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia. Airway and breathing take priority over pain, hygiene, and
discharge needs.
2. A nurse enters a room to find a client lying on the floor. What is the
nurse's priority action?
A. Move the client back to bed
B. Assess the client's airway, breathing, and circulation
C. Complete an incident report
D. Notify the client's family
Answer: B
Rationale: The client must first be assessed for immediate threats to
life and injury before being moved.
3. Which intervention is most appropriate for a client at high risk for
falls?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the room completely dark at night
D. Encourage the client to ambulate independently
Answer: B
Rationale: Keeping the call light accessible promotes safe assistance.
Four raised side rails can constitute a restraint.
,4. A client receiving IV potassium reports burning at the infusion site.
Which action should the nurse take first?
A. Increase the infusion rate
B. Stop the infusion and assess the IV site
C. Apply a heating pad
D. Document the expected finding
Answer: B
Rationale: IV potassium can cause significant tissue injury if infiltration
occurs. The infusion should be stopped and the site assessed.
5. Which finding requires immediate intervention in a postoperative
client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C (99.3°F)
C. Urine output of 15 mL/hr
D. Mild nausea after anesthesia
Answer: C
Rationale: Urine output below approximately 30 mL/hr in an adult can
indicate inadequate renal perfusion and requires prompt assessment.
6. A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Ask another client to confirm the medication
B. Use two client identifiers
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B
Rationale: Using two identifiers helps ensure the medication is
administered to the correct client.
, 7. Which finding indicates a possible transfusion reaction?
A. Increased appetite
B. Chills and flank pain
C. Mild thirst
D. Warm hands
Answer: B
Rationale: Chills, fever, flank pain, dyspnea, and hypotension can occur
with an acute hemolytic transfusion reaction.
8. A client begins having a seizure while in bed. What should the nurse
do?
A. Restrain the client's extremities
B. Place a tongue blade in the mouth
C. Protect the client's head and maintain safety
D. Force the client into a sitting position
Answer: C
Rationale: The nurse should protect the client from injury and maintain
airway safety without restraining the client or placing objects in the
mouth.
9. Which task can the RN delegate to assistive personnel?
A. Assessing a newly admitted client
B. Teaching insulin administration
C. Obtaining vital signs for a stable client
D. Evaluating response to pain medication
Answer: C
Rationale: Routine vital signs for a stable client are within the scope of
appropriately trained assistive personnel.
10. Which action demonstrates correct use of standard precautions?
A. Wearing gloves only for clients with known infections
Complete Questions and Answers with Rationales 2026/2027
Latest Update
This assessment is designed to help RN students prepare for
comprehensive nursing examinations by integrating adult medical-
surgical, pharmacology, maternal-newborn, pediatric, mental-health,
leadership, community-health, and safety concepts.
Topics covered
Fundamentals and safety
Adult medical-surgical nursing
Pharmacology
Cardiovascular disorders
Respiratory disorders
Neurologic disorders
Endocrine disorders
Renal and gastrointestinal disorders
Maternal-newborn nursing
Pediatric nursing
Mental-health nursing
Leadership and management
Infection prevention
Emergency and priority care
Patient education and discharge planning
Questions 1–25: Fundamentals, Safety & Priority Care
,1. A nurse is receiving four clients at the beginning of a shift. Which
client should the nurse assess first?
A. A client with chronic arthritis reporting pain of 7/10
B. A client with pneumonia whose oxygen saturation is 86%
C. A client awaiting discharge instructions
D. A client requesting assistance with bathing
Answer: B
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia. Airway and breathing take priority over pain, hygiene, and
discharge needs.
2. A nurse enters a room to find a client lying on the floor. What is the
nurse's priority action?
A. Move the client back to bed
B. Assess the client's airway, breathing, and circulation
C. Complete an incident report
D. Notify the client's family
Answer: B
Rationale: The client must first be assessed for immediate threats to
life and injury before being moved.
3. Which intervention is most appropriate for a client at high risk for
falls?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the room completely dark at night
D. Encourage the client to ambulate independently
Answer: B
Rationale: Keeping the call light accessible promotes safe assistance.
Four raised side rails can constitute a restraint.
,4. A client receiving IV potassium reports burning at the infusion site.
Which action should the nurse take first?
A. Increase the infusion rate
B. Stop the infusion and assess the IV site
C. Apply a heating pad
D. Document the expected finding
Answer: B
Rationale: IV potassium can cause significant tissue injury if infiltration
occurs. The infusion should be stopped and the site assessed.
5. Which finding requires immediate intervention in a postoperative
client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C (99.3°F)
C. Urine output of 15 mL/hr
D. Mild nausea after anesthesia
Answer: C
Rationale: Urine output below approximately 30 mL/hr in an adult can
indicate inadequate renal perfusion and requires prompt assessment.
6. A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Ask another client to confirm the medication
B. Use two client identifiers
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B
Rationale: Using two identifiers helps ensure the medication is
administered to the correct client.
, 7. Which finding indicates a possible transfusion reaction?
A. Increased appetite
B. Chills and flank pain
C. Mild thirst
D. Warm hands
Answer: B
Rationale: Chills, fever, flank pain, dyspnea, and hypotension can occur
with an acute hemolytic transfusion reaction.
8. A client begins having a seizure while in bed. What should the nurse
do?
A. Restrain the client's extremities
B. Place a tongue blade in the mouth
C. Protect the client's head and maintain safety
D. Force the client into a sitting position
Answer: C
Rationale: The nurse should protect the client from injury and maintain
airway safety without restraining the client or placing objects in the
mouth.
9. Which task can the RN delegate to assistive personnel?
A. Assessing a newly admitted client
B. Teaching insulin administration
C. Obtaining vital signs for a stable client
D. Evaluating response to pain medication
Answer: C
Rationale: Routine vital signs for a stable client are within the scope of
appropriately trained assistive personnel.
10. Which action demonstrates correct use of standard precautions?
A. Wearing gloves only for clients with known infections
