Page 1 of 227
ATI RN CAPSTONE COMPREHENSIVE
ASSESSMENT 2026-2027
THE DEFINITIVE PRACTICE QUESTION BANK:
330 MULTIPLE-CHOICE QUESTIONS,
DETAILED RATIONALES, AND VERIFIED
ANSWERS FOR EXAM SUCCESS VERIFIED
SOLUTIONS | GRADED A+ | LATEST UPDATED
GUIDELINES | NCLEX-RN ALIGNED
# TABLE OF CONTENTS
| Section | Content Area | Question Numbers |
|---------|--------------|------------------|
| **I** | **Management of Care & Ethical/Legal Principles** | 1 - 35 |
| **II** | **Safety & Infection Control** | 36 - 55 |
| **III** | **Health Promotion & Maintenance** | 56 - 75 |
| **IV** | **Psychosocial Integrity** | 76 - 95 |
| **V** | **Basic Care & Comfort** | 96 - 115 |
| **VI** | **Pharmacological & Parenteral Therapies** | 116 - 150 |
| **VII** | **Reduction of Risk Potential** | 151 - 175 |
| **VIII** | **Physiological Adaptation** | 176 - 220 |
| **IX** | **Medical-Surgical Nursing** | 221 - 255 |
| **X** | **Maternal-Newborn Nursing** | 256 - 275 |
| **XI** | **Pediatric Nursing** | 276 - 295 |
| **XII** | **Psychiatric-Mental Health Nursing** | 296 - 310 |
| **XIII** | **Community Health & Leadership** | 311 - 330 |
,Page 2 of 227
SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
## Questions 1 - 35
### Question 1
A charge nurse is assigning client care to a team consisting of an RN, an LPN/LVN, and an AP.
Which client should the charge nurse assign to the LPN/LVN?
A) A client who is 2 hours post-operative from a total hip arthroplasty requiring frequent
neurovascular checks
B) A client with new-onset atrial fibrillation requiring continuous telemetry monitoring
C) A client with a stable tracheostomy who requires routine tracheostomy care and suctioning
D) A client admitted with acute respiratory distress syndrome requiring ventilator management
---
**Correct Answer: C**
**Rationale:** The LPN/LVN scope of practice includes caring for clients with stable,
predictable conditions and performing routine procedures such as tracheostomy care and
suctioning. Option A requires frequent assessment and critical thinking best suited for an RN.
Option B involves continuous cardiac monitoring and potential intervention requiring RN
assessment skills. Option D involves complex respiratory management and ventilator care that
requires RN-level assessment and intervention. The charge nurse must delegate tasks
appropriately based on each team member's scope of practice and the client's acuity level.
---
### Question 2
A nurse is caring for a client who refuses a prescribed blood transfusion based on religious
beliefs. Which action should the nurse take?
,Page 3 of 227
A) Administer the transfusion because it is medically necessary
B) Notify the provider and respect the client's decision
C) Ask the client's family to convince the client to accept the transfusion
D) Document the refusal and administer the transfusion anyway
---
**Correct Answer: B**
**Rationale:** Clients have the right to refuse treatment based on their religious or cultural
beliefs, as protected by the Patient Self-Determination Act. The nurse must respect the client's
autonomy, notify the healthcare provider, and explore alternative treatments. Options A and D
violate the client's right to refuse treatment and could result in legal action for battery. Option C
is inappropriate as it pressures the client and does not respect their autonomy.
---
### Question 3
A nurse is preparing to delegate tasks to an AP. Which of the following tasks is appropriate to
delegate to an AP?
A) Assessing a client's surgical incision for signs of infection
B) Administering oral medications to a stable client
C) Assisting a client with ambulation using a gait belt
D) Evaluating the effectiveness of pain medication
---
, Page 4 of 227
**Correct Answer: C**
**Rationale:** Assisting with ambulation using a gait belt is a standard, routine task that falls
within the AP's scope of practice. Assessment (Option A) and evaluation (Option D) require RN-
level clinical judgment and cannot be delegated. Medication administration (Option B) requires
licensed personnel (RN or LPN/LVN) and cannot be delegated to an AP.
---
### Question 4
A nurse observes a colleague administering medication to a client without verifying the client's
identity using two identifiers. Which action should the nurse take?
A) Ignore the situation because the colleague is experienced
B) Report the colleague to the nursing supervisor immediately
C) Approach the colleague privately and remind them of the policy
D) Document the incident in the client's medical record
---
**Correct Answer: C**
**Rationale:** The nurse should first address the issue directly with the colleague in a private,
non-confrontational manner to reinforce safety protocols. If the behavior continues or if client
safety is immediately at risk, the nurse should escalate to the nursing supervisor. Option A is
negligent. Option B may be appropriate if the behavior persists or is egregious, but the initial
step should be peer-to-peer feedback. Option D is not the primary action; the focus should be on
correcting the behavior.
ATI RN CAPSTONE COMPREHENSIVE
ASSESSMENT 2026-2027
THE DEFINITIVE PRACTICE QUESTION BANK:
330 MULTIPLE-CHOICE QUESTIONS,
DETAILED RATIONALES, AND VERIFIED
ANSWERS FOR EXAM SUCCESS VERIFIED
SOLUTIONS | GRADED A+ | LATEST UPDATED
GUIDELINES | NCLEX-RN ALIGNED
# TABLE OF CONTENTS
| Section | Content Area | Question Numbers |
|---------|--------------|------------------|
| **I** | **Management of Care & Ethical/Legal Principles** | 1 - 35 |
| **II** | **Safety & Infection Control** | 36 - 55 |
| **III** | **Health Promotion & Maintenance** | 56 - 75 |
| **IV** | **Psychosocial Integrity** | 76 - 95 |
| **V** | **Basic Care & Comfort** | 96 - 115 |
| **VI** | **Pharmacological & Parenteral Therapies** | 116 - 150 |
| **VII** | **Reduction of Risk Potential** | 151 - 175 |
| **VIII** | **Physiological Adaptation** | 176 - 220 |
| **IX** | **Medical-Surgical Nursing** | 221 - 255 |
| **X** | **Maternal-Newborn Nursing** | 256 - 275 |
| **XI** | **Pediatric Nursing** | 276 - 295 |
| **XII** | **Psychiatric-Mental Health Nursing** | 296 - 310 |
| **XIII** | **Community Health & Leadership** | 311 - 330 |
,Page 2 of 227
SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
## Questions 1 - 35
### Question 1
A charge nurse is assigning client care to a team consisting of an RN, an LPN/LVN, and an AP.
Which client should the charge nurse assign to the LPN/LVN?
A) A client who is 2 hours post-operative from a total hip arthroplasty requiring frequent
neurovascular checks
B) A client with new-onset atrial fibrillation requiring continuous telemetry monitoring
C) A client with a stable tracheostomy who requires routine tracheostomy care and suctioning
D) A client admitted with acute respiratory distress syndrome requiring ventilator management
---
**Correct Answer: C**
**Rationale:** The LPN/LVN scope of practice includes caring for clients with stable,
predictable conditions and performing routine procedures such as tracheostomy care and
suctioning. Option A requires frequent assessment and critical thinking best suited for an RN.
Option B involves continuous cardiac monitoring and potential intervention requiring RN
assessment skills. Option D involves complex respiratory management and ventilator care that
requires RN-level assessment and intervention. The charge nurse must delegate tasks
appropriately based on each team member's scope of practice and the client's acuity level.
---
### Question 2
A nurse is caring for a client who refuses a prescribed blood transfusion based on religious
beliefs. Which action should the nurse take?
,Page 3 of 227
A) Administer the transfusion because it is medically necessary
B) Notify the provider and respect the client's decision
C) Ask the client's family to convince the client to accept the transfusion
D) Document the refusal and administer the transfusion anyway
---
**Correct Answer: B**
**Rationale:** Clients have the right to refuse treatment based on their religious or cultural
beliefs, as protected by the Patient Self-Determination Act. The nurse must respect the client's
autonomy, notify the healthcare provider, and explore alternative treatments. Options A and D
violate the client's right to refuse treatment and could result in legal action for battery. Option C
is inappropriate as it pressures the client and does not respect their autonomy.
---
### Question 3
A nurse is preparing to delegate tasks to an AP. Which of the following tasks is appropriate to
delegate to an AP?
A) Assessing a client's surgical incision for signs of infection
B) Administering oral medications to a stable client
C) Assisting a client with ambulation using a gait belt
D) Evaluating the effectiveness of pain medication
---
, Page 4 of 227
**Correct Answer: C**
**Rationale:** Assisting with ambulation using a gait belt is a standard, routine task that falls
within the AP's scope of practice. Assessment (Option A) and evaluation (Option D) require RN-
level clinical judgment and cannot be delegated. Medication administration (Option B) requires
licensed personnel (RN or LPN/LVN) and cannot be delegated to an AP.
---
### Question 4
A nurse observes a colleague administering medication to a client without verifying the client's
identity using two identifiers. Which action should the nurse take?
A) Ignore the situation because the colleague is experienced
B) Report the colleague to the nursing supervisor immediately
C) Approach the colleague privately and remind them of the policy
D) Document the incident in the client's medical record
---
**Correct Answer: C**
**Rationale:** The nurse should first address the issue directly with the colleague in a private,
non-confrontational manner to reinforce safety protocols. If the behavior continues or if client
safety is immediately at risk, the nurse should escalate to the nursing supervisor. Option A is
negligent. Option B may be appropriate if the behavior persists or is egregious, but the initial
step should be peer-to-peer feedback. Option D is not the primary action; the focus should be on
correcting the behavior.
