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ATI NUR2811 Capstone Final Practice Test
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
ATI NUR2811 Capstone Final Practice Test
Questions with Detailed Rationales
Section 1: Management of Care & Leadership
1. A registered nurse is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the
following tasks is most appropriate for the RN to delegate?
A. Performing the initial assessment on a newly admitted patient with chest pain.
B. Administering oral pain medication to a stable post-operative patient.
C. Evaluating the effectiveness of a newly implemented care plan for a client.
D. Providing discharge teaching to a patient with newly diagnosed diabetes.
The correct answer is B. Administering oral medication to a stable patient falls within the LPN's scope of
practice because it is a routine task with a predictable outcome. The RN cannot delegate tasks that
require clinical judgment, such as initial assessments (A), evaluation of care (C), or primary patient
teaching (D). The RN must remember that the "5 Rights of Delegation" include Right Task, Right
Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. The RN is
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ultimately accountable for the delegated task and must ensure the LPN has the competence to perform it
safely.
2. A nurse manager is educating staff on the "5 Rights of Delegation." Which of the following is NOT
one of these rights?
A. Right Task
B. Right Circumstance
C. Right Diagnosis
D. Right Person
The correct answer is C. The "5 Rights of Delegation" are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation. "Right Diagnosis" is not part of this
framework and is a task that cannot be delegated under any circumstances. The RN must always
remember that clinical judgment, initial assessments, evaluation of care, and primary patient teaching
cannot be delegated to LPNs or UAP. Understanding these rights helps the RN make safe delegation
decisions that protect both the patient and the nurse's license.
3. An RN is working on a medical-surgical unit and must prioritize client care. Which patient should
the nurse assess first?
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A. A client who is scheduled for discharge in one hour and needs paperwork signed.
B. A client who is requesting pain medication for a chronic backache.
C. A client who suddenly becomes restless and has a drop in oxygen saturation.
D. A client who is due for their routine morning dose of antihypertensive medication.
The correct answer is C. Using the ABCs (Airway, Breathing, Circulation) and the principle of acute vs.
chronic, the nurse must prioritize the unstable patient with a sudden change in status. A drop in oxygen
saturation and sudden restlessness indicate a potential airway or breathing compromise that requires
immediate assessment. The other clients are stable and have predictable needs. Remember that
unstable patients with sudden status changes always take priority over stable, predictable patients.
Maslow's Hierarchy of Needs also supports prioritizing physiological needs first.
4. A client with terminal cancer tells the nurse, "I want to stop all treatments and go home to die."
Which ethical principle is the nurse upholding by supporting this decision?
A. Nonmaleficence
B. Autonomy
C. Veracity
D. Beneficence
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The correct answer is B. Autonomy is the ethical principle that respects a patient's right to self-
determination and to make their own healthcare decisions, including the right to refuse treatment or
leave Against Medical Advice (AMA). Nonmaleficence is the commitment to "do no harm," such as
double-checking high-alert medications. Veracity is the obligation to tell the absolute truth without
withholding information. Beneficence is the duty to act in the patient's best interest. Supporting a
patient's autonomous decision, even if the nurse personally disagrees, is a fundamental ethical
obligation.
5. A nurse is preparing to administer a blood transfusion. Which action is a critical safety requirement
before starting the transfusion?
A. Obtaining the patient's consent for the transfusion.
B. Verifying the blood product with a second RN at the bedside.
C. Premedicating the patient with an antihistamine.
D. Checking the patient's vital signs every 30 minutes during the transfusion.
The correct answer is B. A critical safety protocol for blood transfusions requires two RNs to verify the
patient's identification, blood type, and expiration date at the bedside to prevent a hemolytic reaction.
This dual verification is a mandatory safety check. Vital signs are checked before, 15 minutes into, and
after the transfusion to catch hemolytic or febrile reactions early. Consent is obtained by the provider,
ATI NUR2811 Capstone Final Practice Test
QUESTIONS AND DETAILED SOLUTIONS JUST
RELEASED
ATI NUR2811 Capstone Final Practice Test
Questions with Detailed Rationales
Section 1: Management of Care & Leadership
1. A registered nurse is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the
following tasks is most appropriate for the RN to delegate?
A. Performing the initial assessment on a newly admitted patient with chest pain.
B. Administering oral pain medication to a stable post-operative patient.
C. Evaluating the effectiveness of a newly implemented care plan for a client.
D. Providing discharge teaching to a patient with newly diagnosed diabetes.
The correct answer is B. Administering oral medication to a stable patient falls within the LPN's scope of
practice because it is a routine task with a predictable outcome. The RN cannot delegate tasks that
require clinical judgment, such as initial assessments (A), evaluation of care (C), or primary patient
teaching (D). The RN must remember that the "5 Rights of Delegation" include Right Task, Right
Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. The RN is
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ultimately accountable for the delegated task and must ensure the LPN has the competence to perform it
safely.
2. A nurse manager is educating staff on the "5 Rights of Delegation." Which of the following is NOT
one of these rights?
A. Right Task
B. Right Circumstance
C. Right Diagnosis
D. Right Person
The correct answer is C. The "5 Rights of Delegation" are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation. "Right Diagnosis" is not part of this
framework and is a task that cannot be delegated under any circumstances. The RN must always
remember that clinical judgment, initial assessments, evaluation of care, and primary patient teaching
cannot be delegated to LPNs or UAP. Understanding these rights helps the RN make safe delegation
decisions that protect both the patient and the nurse's license.
3. An RN is working on a medical-surgical unit and must prioritize client care. Which patient should
the nurse assess first?
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A. A client who is scheduled for discharge in one hour and needs paperwork signed.
B. A client who is requesting pain medication for a chronic backache.
C. A client who suddenly becomes restless and has a drop in oxygen saturation.
D. A client who is due for their routine morning dose of antihypertensive medication.
The correct answer is C. Using the ABCs (Airway, Breathing, Circulation) and the principle of acute vs.
chronic, the nurse must prioritize the unstable patient with a sudden change in status. A drop in oxygen
saturation and sudden restlessness indicate a potential airway or breathing compromise that requires
immediate assessment. The other clients are stable and have predictable needs. Remember that
unstable patients with sudden status changes always take priority over stable, predictable patients.
Maslow's Hierarchy of Needs also supports prioritizing physiological needs first.
4. A client with terminal cancer tells the nurse, "I want to stop all treatments and go home to die."
Which ethical principle is the nurse upholding by supporting this decision?
A. Nonmaleficence
B. Autonomy
C. Veracity
D. Beneficence
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The correct answer is B. Autonomy is the ethical principle that respects a patient's right to self-
determination and to make their own healthcare decisions, including the right to refuse treatment or
leave Against Medical Advice (AMA). Nonmaleficence is the commitment to "do no harm," such as
double-checking high-alert medications. Veracity is the obligation to tell the absolute truth without
withholding information. Beneficence is the duty to act in the patient's best interest. Supporting a
patient's autonomous decision, even if the nurse personally disagrees, is a fundamental ethical
obligation.
5. A nurse is preparing to administer a blood transfusion. Which action is a critical safety requirement
before starting the transfusion?
A. Obtaining the patient's consent for the transfusion.
B. Verifying the blood product with a second RN at the bedside.
C. Premedicating the patient with an antihistamine.
D. Checking the patient's vital signs every 30 minutes during the transfusion.
The correct answer is B. A critical safety protocol for blood transfusions requires two RNs to verify the
patient's identification, blood type, and expiration date at the bedside to prevent a hemolytic reaction.
This dual verification is a mandatory safety check. Vital signs are checked before, 15 minutes into, and
after the transfusion to catch hemolytic or febrile reactions early. Consent is obtained by the provider,
