Questions & Graded A+ Detailed Clinical Rationales [2026]
Conquer your ultimate program benchmark and secure your graduation sign-off with this
newly released ATI Capstone Final Exam NUR 2811 practice test bank. Master high-
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alterations, critical pharmacology safety, maternal-newborn emergencies,
pediatric developmental milestones, and management of care management. Every
verified question features a highly thorough, evidence-based clinical rationale aligned
with the Next Generation NCLEX (NGN) framework to guarantee Level 3 proficiency on
your final attempt.
SET 1: Management of Care (Questions 1–40)
1. A nurse is prioritizing care for four patients. Which patient should the nurse assess
first?
A. Patient requesting pain medication
B. Patient with new onset chest pain
C. Patient needing discharge teaching
D. Patient requesting assistance with ambulation
Answer: B. Patient with new onset chest pain
Rationale: New onset chest pain is a potential life-threatening emergency requiring
immediate assessment using the ABC priority framework.
,2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Vital signs on a stable patient
B. Assessment of a new admission
C. Administration of oral medications
D. Teaching a patient about a new diet
Answer: A. Vital signs on a stable patient
Rationale: Vital signs on stable patients can be delegated to UAP. Assessment, medication
administration, and teaching require a licensed nurse.
3. A nurse is using the SBAR communication tool. What does the "A" stand for?
A. Assessment
B. Action
C. Analysis
D. Authorization
Answer: A. Assessment
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
4. A nurse is preparing for a disaster. Which action should the nurse take first?
A. Assess the safety of the environment
B. Begin triage
C. Administer medications
D. Document findings
Answer: A. Assess the safety of the environment
Rationale: Safety is the priority before beginning triage or providing care in a disaster
situation.
,5. A nurse is triaging patients after a mass casualty event. Which patient should receive
care first?
A. Patient with a tension pneumothorax
B. Patient with a fractured arm
C. Patient with minor lacerations
D. Patient who is deceased
Answer: A. Patient with a tension pneumothorax
Rationale: Tension pneumothorax is a life-threatening condition requiring immediate
intervention. Using triage principles, this patient has the highest priority.
6. A nurse is caring for a patient with an advance directive. Which action should the
nurse take?
A. Follow the patient's wishes
B. Ignore the directive
C. Ask the family to decide
D. Override the directive
Answer: A. Follow the patient's wishes
Rationale: Advance directives are legally binding and must be followed. The patient's
autonomy is respected.
7. Which ethical principle refers to doing no harm?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C. Nonmaleficence
Rationale: Nonmaleficence means "do no harm." Autonomy respects patient choices.
Beneficence means doing good. Justice refers to fairness.
, 8. A nurse is involved in ethical decision-making. Which principle refers to fairness?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: D. Justice
Rationale: Justice refers to fairness and equal treatment of all patients.
9. A nurse is teaching a patient about informed consent. Which element is required?
A. Disclosure
B. Comprehension
C. Voluntariness
D. All of the above
Answer: D. All of the above
Rationale: Informed consent requires disclosure of information, comprehension by the
patient, and voluntariness of the decision.
10. A nurse witnesses a patient signing an informed consent. Which action should the
nurse take?
A. Verify the patient understands the procedure
B. Sign as a witness
C. Explain the procedure
D. Obtain consent
Answer: A. Verify the patient understands the procedure
Rationale: The nurse's role is to verify understanding and witness the signature, not to
explain the procedure or obtain consent.