ATI RN Capstone Proctored Comprehensive Assessment – 200
Complete Questions and Answers with Rationales 2026/2027
Latest Update
This examination is designed for comprehensive RN-level review and is.
The questions are newly written to assess clinical judgment,
prioritization, delegation, safety, pharmacology, fundamentals, adult
medical-surgical nursing, maternal-newborn care, pediatrics, mental
health, community health, and leadership.
Topics Covered
Fundamentals of nursing
Safety and infection prevention
Clinical judgment and prioritization
Pharmacology
Adult medical-surgical nursing
Cardiovascular disorders
Respiratory disorders
Neurologic disorders
Endocrine disorders
Renal and urinary disorders
Gastrointestinal disorders
Hematologic and immune disorders
Perioperative nursing
Maternal-newborn nursing
Pediatric nursing
Mental health nursing
Community and public health
Leadership and management
Delegation
, Ethical and legal nursing practice
Emergency and disaster nursing
QUESTIONS 1–25: FUNDAMENTALS, SAFETY, AND CLINICAL
JUDGMENT
1. A nurse is caring for a client who is at increased risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the client's room dark at night
D. Encourage the client to ambulate independently
Answer: B
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed. Four side rails can
constitute a restraint, and adequate lighting and assistance are
important fall-prevention measures.
2. A nurse is preparing to administer medication to a client. Which
action is most important for preventing a medication error?
A. Ask another nurse to identify the client
B. Compare the medication with the prescription and medication
record
C. Explain the medication after administration
D. Document the medication before giving it
Answer: B
Rationale: Comparing the medication with the prescription and
medication administration record helps verify the correct medication,
dose, route, and timing before administration.
,3. A client begins having a generalized tonic-clonic seizure. What
should the nurse do first?
A. Insert an oral airway
B. Restrain the client's extremities
C. Protect the client's head from injury
D. Give oral medication
Answer: C
Rationale: During a seizure, the priority is maintaining safety and
preventing injury. The nurse should protect the head and remove
nearby hazards. Nothing should be placed in the client's mouth.
4. Which finding requires immediate intervention?
A. Temperature of 37.4°C (99.3°F)
B. Respiratory rate of 8/min in a sedated client
C. Blood pressure of 128/76 mm Hg
D. Pulse of 82/min
Answer: B
Rationale: Bradypnea in a sedated client can indicate respiratory
depression and requires immediate assessment and intervention.
5. A nurse is teaching a client about incentive spirometry. Which
instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when short of breath
D. Perform one breath every 4 hr
Answer: B
, Rationale: Slow, deep inhalation through an incentive spirometer
promotes alveolar expansion and helps prevent atelectasis.
6. Which action is appropriate when removing personal protective
equipment?
A. Remove the mask first
B. Remove gloves before touching clean surfaces
C. Remove the gown after leaving the room
D. Remove eye protection before gloves
Answer: B
Rationale: Gloves are generally among the most contaminated PPE
items and should be removed carefully before touching clean surfaces.
7. A client reports sudden chest pressure and shortness of breath.
What is the nurse's priority?
A. Ask the client to walk in the hallway
B. Obtain a focused assessment and vital signs
C. Offer a meal
D. Place the client flat
Answer: B
Rationale: Acute chest pressure with dyspnea may indicate a life-
threatening cardiovascular or respiratory problem. Immediate
assessment is required.
8. Which client should the nurse assess first?
A. Client requesting a blanket
B. Client with chronic arthritis reporting mild pain
C. Client with new-onset confusion and oxygen saturation of 86%
D. Client waiting for discharge instructions
Complete Questions and Answers with Rationales 2026/2027
Latest Update
This examination is designed for comprehensive RN-level review and is.
The questions are newly written to assess clinical judgment,
prioritization, delegation, safety, pharmacology, fundamentals, adult
medical-surgical nursing, maternal-newborn care, pediatrics, mental
health, community health, and leadership.
Topics Covered
Fundamentals of nursing
Safety and infection prevention
Clinical judgment and prioritization
Pharmacology
Adult medical-surgical nursing
Cardiovascular disorders
Respiratory disorders
Neurologic disorders
Endocrine disorders
Renal and urinary disorders
Gastrointestinal disorders
Hematologic and immune disorders
Perioperative nursing
Maternal-newborn nursing
Pediatric nursing
Mental health nursing
Community and public health
Leadership and management
Delegation
, Ethical and legal nursing practice
Emergency and disaster nursing
QUESTIONS 1–25: FUNDAMENTALS, SAFETY, AND CLINICAL
JUDGMENT
1. A nurse is caring for a client who is at increased risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the client's room dark at night
D. Encourage the client to ambulate independently
Answer: B
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed. Four side rails can
constitute a restraint, and adequate lighting and assistance are
important fall-prevention measures.
2. A nurse is preparing to administer medication to a client. Which
action is most important for preventing a medication error?
A. Ask another nurse to identify the client
B. Compare the medication with the prescription and medication
record
C. Explain the medication after administration
D. Document the medication before giving it
Answer: B
Rationale: Comparing the medication with the prescription and
medication administration record helps verify the correct medication,
dose, route, and timing before administration.
,3. A client begins having a generalized tonic-clonic seizure. What
should the nurse do first?
A. Insert an oral airway
B. Restrain the client's extremities
C. Protect the client's head from injury
D. Give oral medication
Answer: C
Rationale: During a seizure, the priority is maintaining safety and
preventing injury. The nurse should protect the head and remove
nearby hazards. Nothing should be placed in the client's mouth.
4. Which finding requires immediate intervention?
A. Temperature of 37.4°C (99.3°F)
B. Respiratory rate of 8/min in a sedated client
C. Blood pressure of 128/76 mm Hg
D. Pulse of 82/min
Answer: B
Rationale: Bradypnea in a sedated client can indicate respiratory
depression and requires immediate assessment and intervention.
5. A nurse is teaching a client about incentive spirometry. Which
instruction is correct?
A. Exhale forcefully into the device
B. Inhale slowly and deeply through the mouthpiece
C. Use the device only when short of breath
D. Perform one breath every 4 hr
Answer: B
, Rationale: Slow, deep inhalation through an incentive spirometer
promotes alveolar expansion and helps prevent atelectasis.
6. Which action is appropriate when removing personal protective
equipment?
A. Remove the mask first
B. Remove gloves before touching clean surfaces
C. Remove the gown after leaving the room
D. Remove eye protection before gloves
Answer: B
Rationale: Gloves are generally among the most contaminated PPE
items and should be removed carefully before touching clean surfaces.
7. A client reports sudden chest pressure and shortness of breath.
What is the nurse's priority?
A. Ask the client to walk in the hallway
B. Obtain a focused assessment and vital signs
C. Offer a meal
D. Place the client flat
Answer: B
Rationale: Acute chest pressure with dyspnea may indicate a life-
threatening cardiovascular or respiratory problem. Immediate
assessment is required.
8. Which client should the nurse assess first?
A. Client requesting a blanket
B. Client with chronic arthritis reporting mild pain
C. Client with new-onset confusion and oxygen saturation of 86%
D. Client waiting for discharge instructions
