ATI Capstone Exam 2 Summer 2027 High-Yield
Practice Test Bank | Original Multiple-Choice
Questions & Detailed Clinical Rationales
Ace your summer nursing benchmarks and secure your graduation sign-off with this
high-yield ATI Capstone Exam 2 Summer 2027 practice test bank. Master complex,
multi-system nursing domains including advanced maternal-newborn emergencies,
high-risk adult medical-surgical alterations, critical psychopharmacology safety
protocols, and Next Generation NCLEX (NGN) clinical judgment models. Every
original multiple-choice question features a comprehensive clinical rationale designed to
sharpen your diagnostic reasoning and guarantee a top predictor score.
1. A nurse is caring for a client who has a new prescription for adenosine. Which
finding indicates a therapeutic response?
A) Increased heart rate
B) Conversion of supraventricular tachycardia to normal sinus rhythm
C) Decreased blood pressure
D) Increased urine output
Rationale: Adenosine is used to convert supraventricular tachycardia (SVT) to normal
sinus rhythm. A brief period of asystole may occur after administration, which is expected.
2. A nurse is assessing a client who has a new prescription for atropine. Which
finding indicates a therapeutic response?
A) Decreased heart rate
B) Increased heart rate
,C) Decreased blood pressure
D) Increased urine output
Rationale: Atropine is used to treat symptomatic bradycardia. An increase in heart rate
indicates a therapeutic response.
3. A nurse is providing teaching to a client who has a new prescription for digoxin
immune Fab. Which instruction should the nurse include?
A) "This medication will increase your heart rate."
B) "This medication is used to treat digoxin toxicity."
C) "Take this medication with food."
D) "Stop this medication if you feel better."
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. It binds to digoxin and
neutralizes its effects.
4. A nurse is caring for a client who has a new prescription for norepinephrine.
Which finding indicates a therapeutic response?
A) Decreased blood pressure
B) Increased blood pressure
C) Decreased heart rate
D) Increased urine output
Rationale: Norepinephrine is a vasopressor used to treat severe hypotension. Increased
blood pressure indicates a therapeutic response.
,5. A nurse is assessing a client who has a new prescription for dopamine. Which
finding indicates a serious adverse effect?
A) Increased urine output
B) Necrosis at the infusion site
C) Decreased heart rate
D) Increased blood pressure
Rationale: Dopamine can cause tissue necrosis if extravasation occurs. Phentolamine is
the antidote. The infusion site should be monitored closely.
6. A nurse is providing teaching to a client who has a new prescription for
dobutamine. Which instruction should the nurse include?
A) "This medication will decrease your heart rate."
B) "This medication will increase the strength of your heart's contractions."
C) "Take this medication with food."
D) "Stop this medication if you feel better."
Rationale: Dobutamine is an inotropic agent that increases cardiac contractility. It is used
to treat heart failure and cardiogenic shock.
7. A nurse is caring for a client who has a new prescription for milrinone. Which
finding indicates a therapeutic response?
A) Decreased cardiac output
B) Increased cardiac output
C) Decreased urine output
D) Increased heart rate
, Rationale: Milrinone is a phosphodiesterase inhibitor that increases cardiac contractility
and causes vasodilation. Increased cardiac output indicates a therapeutic response.
8. A nurse is assessing a client who has a new prescription for nitroprusside. Which
finding indicates a serious adverse effect?
A) Headache
B) Cyanide toxicity
C) Dizziness
D) Nausea
Rationale: Nitroprusside can cause cyanide toxicity with prolonged use or high doses.
Signs include metabolic acidosis, confusion, and seizures. Immediate intervention is
required.
9. A nurse is providing teaching to a client who has a new prescription for
hydralazine. Which instruction should the nurse include?
A) "Take this medication with food."
B) "Report any joint pain or fever."
C) "Take this medication at bedtime."
D) "Stop this medication if you feel better."
Rationale: Hydralazine can cause drug-induced lupus. Clients should report joint pain,
fever, or rash to the provider.
10. A nurse is caring for a client who has a new prescription for minoxidil. Which
finding indicates a therapeutic response?
Practice Test Bank | Original Multiple-Choice
Questions & Detailed Clinical Rationales
Ace your summer nursing benchmarks and secure your graduation sign-off with this
high-yield ATI Capstone Exam 2 Summer 2027 practice test bank. Master complex,
multi-system nursing domains including advanced maternal-newborn emergencies,
high-risk adult medical-surgical alterations, critical psychopharmacology safety
protocols, and Next Generation NCLEX (NGN) clinical judgment models. Every
original multiple-choice question features a comprehensive clinical rationale designed to
sharpen your diagnostic reasoning and guarantee a top predictor score.
1. A nurse is caring for a client who has a new prescription for adenosine. Which
finding indicates a therapeutic response?
A) Increased heart rate
B) Conversion of supraventricular tachycardia to normal sinus rhythm
C) Decreased blood pressure
D) Increased urine output
Rationale: Adenosine is used to convert supraventricular tachycardia (SVT) to normal
sinus rhythm. A brief period of asystole may occur after administration, which is expected.
2. A nurse is assessing a client who has a new prescription for atropine. Which
finding indicates a therapeutic response?
A) Decreased heart rate
B) Increased heart rate
,C) Decreased blood pressure
D) Increased urine output
Rationale: Atropine is used to treat symptomatic bradycardia. An increase in heart rate
indicates a therapeutic response.
3. A nurse is providing teaching to a client who has a new prescription for digoxin
immune Fab. Which instruction should the nurse include?
A) "This medication will increase your heart rate."
B) "This medication is used to treat digoxin toxicity."
C) "Take this medication with food."
D) "Stop this medication if you feel better."
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. It binds to digoxin and
neutralizes its effects.
4. A nurse is caring for a client who has a new prescription for norepinephrine.
Which finding indicates a therapeutic response?
A) Decreased blood pressure
B) Increased blood pressure
C) Decreased heart rate
D) Increased urine output
Rationale: Norepinephrine is a vasopressor used to treat severe hypotension. Increased
blood pressure indicates a therapeutic response.
,5. A nurse is assessing a client who has a new prescription for dopamine. Which
finding indicates a serious adverse effect?
A) Increased urine output
B) Necrosis at the infusion site
C) Decreased heart rate
D) Increased blood pressure
Rationale: Dopamine can cause tissue necrosis if extravasation occurs. Phentolamine is
the antidote. The infusion site should be monitored closely.
6. A nurse is providing teaching to a client who has a new prescription for
dobutamine. Which instruction should the nurse include?
A) "This medication will decrease your heart rate."
B) "This medication will increase the strength of your heart's contractions."
C) "Take this medication with food."
D) "Stop this medication if you feel better."
Rationale: Dobutamine is an inotropic agent that increases cardiac contractility. It is used
to treat heart failure and cardiogenic shock.
7. A nurse is caring for a client who has a new prescription for milrinone. Which
finding indicates a therapeutic response?
A) Decreased cardiac output
B) Increased cardiac output
C) Decreased urine output
D) Increased heart rate
, Rationale: Milrinone is a phosphodiesterase inhibitor that increases cardiac contractility
and causes vasodilation. Increased cardiac output indicates a therapeutic response.
8. A nurse is assessing a client who has a new prescription for nitroprusside. Which
finding indicates a serious adverse effect?
A) Headache
B) Cyanide toxicity
C) Dizziness
D) Nausea
Rationale: Nitroprusside can cause cyanide toxicity with prolonged use or high doses.
Signs include metabolic acidosis, confusion, and seizures. Immediate intervention is
required.
9. A nurse is providing teaching to a client who has a new prescription for
hydralazine. Which instruction should the nurse include?
A) "Take this medication with food."
B) "Report any joint pain or fever."
C) "Take this medication at bedtime."
D) "Stop this medication if you feel better."
Rationale: Hydralazine can cause drug-induced lupus. Clients should report joint pain,
fever, or rash to the provider.
10. A nurse is caring for a client who has a new prescription for minoxidil. Which
finding indicates a therapeutic response?
