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ATI PN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2026/2027 COMPLETE (100) CURRENT
TESTING QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
ATI PN
Prepare for the ATI PN Capstone Proctored Comprehensive Assessment with a
comprehensive study resource designed to reinforce core practical nursing
knowledge and clinical judgment. It supports review across the eight NCLEX-PN client
need categories, including Fundamentals of Nursing, Pharmacology, Medical-Surgical
Nursing, Maternal-Newborn Care, Pediatric Nursing, Mental Health, Leadership &
Management, and Next Generation NCLEX (NGN) style items. This resource is best
suited for practical nursing students preparing for the ATI PN Capstone Proctored
Comprehensive Assessment and evaluating their NCLEX-PN readiness.
MULTIPLE CHOICE.
SECTION 1: FUNDAMENTALS OF NURSING & PATIENT SAFETY (Questions
1-15)
1. A nurse is caring for a client who has dementia and frequently becomes
agitated. Which of the following actions should the nurse take to promote
communication and reduce agitation?
a) Speak in a loud voice to command attention
b) Face the client at eye level when communicating and use simple, clear
statements
c) Approach the client from behind to avoid startling others
d) Use complex medical terminology and detailed explanations
Answer: b) Face the client at eye level when communicating and use
simple, clear statements
Rationale: Facing the client at eye level reduces intimidation and helps the
client focus on nonverbal cues. A loud voice and complex sentences can
increase confusion and agitation, while approaching from behind can startle
the client.
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2. A nurse is planning to collect a stool specimen for ova and parasites
from a client who has diarrhea. Which of the following actions should the
nurse take?
a) Collect the specimen from the toilet bowl
b) Refrigerate the specimen immediately after collection
c) Instruct the client to defecate into a clean, dry container
d) Collect three separate specimens over 5 days
Answer: c) Instruct the client to defecate into a clean, dry container
Rationale: Specimens for ova and parasite testing should be collected in a
clean, dry container and delivered to the laboratory while still warm.
Refrigeration is not indicated, and toilet water can contaminate the specimen.
3. A nurse is preparing to administer a blood transfusion. Which of the
following actions should the nurse take first?
a) Obtain the client's vital signs
b) Verify the client's identity using two identifiers
c) Prime the blood tubing with normal saline
d) Check the blood product expiration date
Answer: b) Verify the client's identity using two identifiers
Rationale: Verifying the client's identity using two identifiers (e.g., name and
date of birth) is the priority action before any procedure to ensure the correct
client receives the correct blood product.
4. A nurse is preparing to administer a continuous IV infusion. Which of
the following is the priority action before hanging the new IV bag?
a) Check the expiration date on the IV solution
b) Verify the client's identity using two identifiers
c) Prime the IV tubing with the new solution
d) Assess the IV site for signs of infiltration
Answer: b) Verify the client's identity using two identifiers
Rationale: Client identification using two identifiers is the priority action
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before any medication or fluid administration. The other actions are important
but should follow identity verification.
5. A nurse is caring for a client who is 1 day postoperative following
abdominal surgery. Which assessment finding should the nurse report to
the provider immediately?
a) Pain level of 4 on a scale of 0-10
b) Serosanguineous drainage on the dressing
c) Temperature of 101.5°F (38.6°C)
d) Heart rate of 88 bpm
Answer: c) Temperature of 101.5°F (38.6°C)
Rationale: A temperature of 101.5°F (38.6°C) in the postoperative period may
indicate infection and should be reported immediately. Serosanguineous
drainage is expected, and mild pain and elevated heart rate are common
postoperative findings.
6. A nurse is caring for a client who is on fall precautions. Which of the
following interventions should the nurse implement?
a) Keep the bed in the highest position for easy access
b) Place all personal items out of reach to encourage movement
c) Keep the call light within reach and respond promptly
d) Leave the client's room door closed for privacy
Answer: c) Keep the call light within reach and respond promptly
Rationale: Keeping the call light within reach and responding promptly is an
essential fall prevention intervention. The bed should be in the lowest
position, personal items should be within reach, and the room door should
remain open for visibility and quick response.
7. A nurse is preparing to perform a sterile dressing change. Which action
indicates the nurse is maintaining sterile technique?
a) Opening the sterile package toward the body
b) Keeping the sterile field at waist level
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c) Reaching over the sterile field
d) Placing sterile items outside the 1-inch border
Answer: b) Keeping the sterile field at waist level
Rationale: A sterile field should be kept at or above waist level to prevent
contamination. Sterile packages should be opened away from the body, and
reaching over the sterile field contaminates it. The 1-inch border of the sterile
field is considered contaminated.
8. A nurse is caring for a client who has a new prescription for a restraint.
Which of the following statements by the nurse indicates an
understanding of restraint use?
a) "Restraints should be used as a first-line intervention for agitation."
b) "Restraints should only be used when less restrictive measures have
failed."
c) "Restraints can be used for the convenience of the healthcare team."
d) "Restraints can be used as punishment for non-compliant behavior."
Answer: b) "Restraints should only be used when less restrictive
measures have failed."
Rationale: Restraints should only be used as a last resort when less
restrictive interventions have failed or are contraindicated. They should never
be used for punishment, convenience, or as a first-line intervention.
9. A nurse is caring for a client who has a urinary catheter. Which action is
correct for preventing catheter-associated urinary tract infection (CAUTI)?
a) Secure the catheter tubing to the client's thigh
b) Keep the drainage bag above the level of the bladder
c) Irrigate the catheter daily with sterile saline
d) Empty the drainage bag when it is full
Answer: a) Secure the catheter tubing to the client's thigh
Rationale: Securing the catheter tubing to the client's thigh prevents traction
and movement, reducing the risk of infection. The drainage bag should be
below the level of the bladder. Irrigating the catheter increases the risk of
infection and is not recommended routinely.
ATI PN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2026/2027 COMPLETE (100) CURRENT
TESTING QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
ATI PN
Prepare for the ATI PN Capstone Proctored Comprehensive Assessment with a
comprehensive study resource designed to reinforce core practical nursing
knowledge and clinical judgment. It supports review across the eight NCLEX-PN client
need categories, including Fundamentals of Nursing, Pharmacology, Medical-Surgical
Nursing, Maternal-Newborn Care, Pediatric Nursing, Mental Health, Leadership &
Management, and Next Generation NCLEX (NGN) style items. This resource is best
suited for practical nursing students preparing for the ATI PN Capstone Proctored
Comprehensive Assessment and evaluating their NCLEX-PN readiness.
MULTIPLE CHOICE.
SECTION 1: FUNDAMENTALS OF NURSING & PATIENT SAFETY (Questions
1-15)
1. A nurse is caring for a client who has dementia and frequently becomes
agitated. Which of the following actions should the nurse take to promote
communication and reduce agitation?
a) Speak in a loud voice to command attention
b) Face the client at eye level when communicating and use simple, clear
statements
c) Approach the client from behind to avoid startling others
d) Use complex medical terminology and detailed explanations
Answer: b) Face the client at eye level when communicating and use
simple, clear statements
Rationale: Facing the client at eye level reduces intimidation and helps the
client focus on nonverbal cues. A loud voice and complex sentences can
increase confusion and agitation, while approaching from behind can startle
the client.
, Page 2 of 39
2. A nurse is planning to collect a stool specimen for ova and parasites
from a client who has diarrhea. Which of the following actions should the
nurse take?
a) Collect the specimen from the toilet bowl
b) Refrigerate the specimen immediately after collection
c) Instruct the client to defecate into a clean, dry container
d) Collect three separate specimens over 5 days
Answer: c) Instruct the client to defecate into a clean, dry container
Rationale: Specimens for ova and parasite testing should be collected in a
clean, dry container and delivered to the laboratory while still warm.
Refrigeration is not indicated, and toilet water can contaminate the specimen.
3. A nurse is preparing to administer a blood transfusion. Which of the
following actions should the nurse take first?
a) Obtain the client's vital signs
b) Verify the client's identity using two identifiers
c) Prime the blood tubing with normal saline
d) Check the blood product expiration date
Answer: b) Verify the client's identity using two identifiers
Rationale: Verifying the client's identity using two identifiers (e.g., name and
date of birth) is the priority action before any procedure to ensure the correct
client receives the correct blood product.
4. A nurse is preparing to administer a continuous IV infusion. Which of
the following is the priority action before hanging the new IV bag?
a) Check the expiration date on the IV solution
b) Verify the client's identity using two identifiers
c) Prime the IV tubing with the new solution
d) Assess the IV site for signs of infiltration
Answer: b) Verify the client's identity using two identifiers
Rationale: Client identification using two identifiers is the priority action
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before any medication or fluid administration. The other actions are important
but should follow identity verification.
5. A nurse is caring for a client who is 1 day postoperative following
abdominal surgery. Which assessment finding should the nurse report to
the provider immediately?
a) Pain level of 4 on a scale of 0-10
b) Serosanguineous drainage on the dressing
c) Temperature of 101.5°F (38.6°C)
d) Heart rate of 88 bpm
Answer: c) Temperature of 101.5°F (38.6°C)
Rationale: A temperature of 101.5°F (38.6°C) in the postoperative period may
indicate infection and should be reported immediately. Serosanguineous
drainage is expected, and mild pain and elevated heart rate are common
postoperative findings.
6. A nurse is caring for a client who is on fall precautions. Which of the
following interventions should the nurse implement?
a) Keep the bed in the highest position for easy access
b) Place all personal items out of reach to encourage movement
c) Keep the call light within reach and respond promptly
d) Leave the client's room door closed for privacy
Answer: c) Keep the call light within reach and respond promptly
Rationale: Keeping the call light within reach and responding promptly is an
essential fall prevention intervention. The bed should be in the lowest
position, personal items should be within reach, and the room door should
remain open for visibility and quick response.
7. A nurse is preparing to perform a sterile dressing change. Which action
indicates the nurse is maintaining sterile technique?
a) Opening the sterile package toward the body
b) Keeping the sterile field at waist level
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c) Reaching over the sterile field
d) Placing sterile items outside the 1-inch border
Answer: b) Keeping the sterile field at waist level
Rationale: A sterile field should be kept at or above waist level to prevent
contamination. Sterile packages should be opened away from the body, and
reaching over the sterile field contaminates it. The 1-inch border of the sterile
field is considered contaminated.
8. A nurse is caring for a client who has a new prescription for a restraint.
Which of the following statements by the nurse indicates an
understanding of restraint use?
a) "Restraints should be used as a first-line intervention for agitation."
b) "Restraints should only be used when less restrictive measures have
failed."
c) "Restraints can be used for the convenience of the healthcare team."
d) "Restraints can be used as punishment for non-compliant behavior."
Answer: b) "Restraints should only be used when less restrictive
measures have failed."
Rationale: Restraints should only be used as a last resort when less
restrictive interventions have failed or are contraindicated. They should never
be used for punishment, convenience, or as a first-line intervention.
9. A nurse is caring for a client who has a urinary catheter. Which action is
correct for preventing catheter-associated urinary tract infection (CAUTI)?
a) Secure the catheter tubing to the client's thigh
b) Keep the drainage bag above the level of the bladder
c) Irrigate the catheter daily with sterile saline
d) Empty the drainage bag when it is full
Answer: a) Secure the catheter tubing to the client's thigh
Rationale: Securing the catheter tubing to the client's thigh prevents traction
and movement, reducing the risk of infection. The drainage bag should be
below the level of the bladder. Irrigating the catheter increases the risk of
infection and is not recommended routinely.
