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ATI CAPSTONE FINAL EXAM NUR 2811
COMPLETE QUESTIONS & GRADED A+
COVERING ALL NURSING DOMAINS | MASTER
THE ULTIMATE PROGRAM BENCHMARK AND
TABLE OF CONTENTS
| **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 | 176–210 |
| **IX** | Medical-Surgical Nursing | 211–240 |
| **X** | Maternal-Newborn Nursing | 241–255 |
| **XI** | Pediatric Nursing | 256–270 |
| **XII** | Psychiatric-Mental Health Nursing | 271–280 |
| **XIII** | Community Health & Leadership | 281–290 |
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SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
### Question 1
A nurse is caring for four clients on a medical-surgical unit. Which of the following clients
should the nurse assess **FIRST**?
A. A client who is 3 days post-appendectomy with a temperature of 99.2°F
B. A client with chest pain who is experiencing diaphoresis and nausea
C. A client with diabetes mellitus who has a blood glucose of 160 mg/dL
D. A client with a fractured tibia requesting pain medication
**CorreCt Answer: B**
**Rationale:** Chest pain with diaphoresis and nausea are classic signs of myocardial
infarction, indicating an immediate life-threatening emergency requiring priority assessment. A
slightly elevated temperature (A) is expected postoperatively. Blood glucose of 160 mg/dL (C) is
mildly elevated but not immediately life-threatening. Pain from a fracture (D) is painful but not
immediately life-threatening. This question tests application of the ABC priority framework and
clinical judgment.
---
### Question 2
A charge nurse is assigning client care to a team consisting of an RN, an LPN, and a UAP. Which
client should the charge nurse assign to the **LPN**?
A. A client who is 2 hours postoperative following a total hip arthroplasty
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B. A client who has a urinary tract infection and requires a urine culture
C. A client who has experienced a stroke and requires frequent neurological assessments
D. A client who is receiving a continuous blood transfusion
**CorreCt Answer: B**
**Rationale:** LPNs are licensed to perform stable, predictable tasks including specimen
collection and urinary catheterization. The client with a UTI requiring a urine culture is stable
and within LPN scope. The postoperative hip arthroplasty client (A) is unstable and requires RN
assessment. The stroke client (C) requires frequent neurological assessments which must be
performed by an RN. The client receiving a blood transfusion (D) requires RN monitoring for
transfusion reactions. This question tests application of delegation principles and scope of
practice.
---
### Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task should the nurse
delegate?
A. Assisting a client with feeding
B. Administering oral medications
C. Performing a sterile dressing change
D. Assessing a client's wound
**CorreCt Answer: A**
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**Rationale:** Assisting with feeding is within the scope of UAP. Administering oral
medications (B) is a licensed nursing function. Performing sterile dressing changes (C) requires
licensed nursing judgment. Assessing a client's wound (D) requires nursing assessment and is not
within UAP scope. This question tests application of delegation principles.
---
### Question 4
A nurse is preparing to administer medications to a client. Which method should the nurse use to
**verify identity**?
A. Name and date of birth
B. Room number and bed number
C. Diagnosis and age
D. Physician's name and medication
**CorreCt Answer: A**
**Rationale:** The two acceptable identifiers are the client's name and date of birth (or
another approved identifier like medical record number). Room number and bed number (B) are
not acceptable identifiers because clients can be moved. Diagnosis and age (C) are not unique
identifiers. Physician's name and medication (D) do not identify the client. This question tests
application of the National Patient Safety Goals for medication administration.
---
ATI CAPSTONE FINAL EXAM NUR 2811
COMPLETE QUESTIONS & GRADED A+
COVERING ALL NURSING DOMAINS | MASTER
THE ULTIMATE PROGRAM BENCHMARK AND
TABLE OF CONTENTS
| **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 | 176–210 |
| **IX** | Medical-Surgical Nursing | 211–240 |
| **X** | Maternal-Newborn Nursing | 241–255 |
| **XI** | Pediatric Nursing | 256–270 |
| **XII** | Psychiatric-Mental Health Nursing | 271–280 |
| **XIII** | Community Health & Leadership | 281–290 |
,Page 2 of 180
SECTION I: MANAGEMENT OF CARE & ETHICAL/LEGAL PRINCIPLES
### Question 1
A nurse is caring for four clients on a medical-surgical unit. Which of the following clients
should the nurse assess **FIRST**?
A. A client who is 3 days post-appendectomy with a temperature of 99.2°F
B. A client with chest pain who is experiencing diaphoresis and nausea
C. A client with diabetes mellitus who has a blood glucose of 160 mg/dL
D. A client with a fractured tibia requesting pain medication
**CorreCt Answer: B**
**Rationale:** Chest pain with diaphoresis and nausea are classic signs of myocardial
infarction, indicating an immediate life-threatening emergency requiring priority assessment. A
slightly elevated temperature (A) is expected postoperatively. Blood glucose of 160 mg/dL (C) is
mildly elevated but not immediately life-threatening. Pain from a fracture (D) is painful but not
immediately life-threatening. This question tests application of the ABC priority framework and
clinical judgment.
---
### Question 2
A charge nurse is assigning client care to a team consisting of an RN, an LPN, and a UAP. Which
client should the charge nurse assign to the **LPN**?
A. A client who is 2 hours postoperative following a total hip arthroplasty
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B. A client who has a urinary tract infection and requires a urine culture
C. A client who has experienced a stroke and requires frequent neurological assessments
D. A client who is receiving a continuous blood transfusion
**CorreCt Answer: B**
**Rationale:** LPNs are licensed to perform stable, predictable tasks including specimen
collection and urinary catheterization. The client with a UTI requiring a urine culture is stable
and within LPN scope. The postoperative hip arthroplasty client (A) is unstable and requires RN
assessment. The stroke client (C) requires frequent neurological assessments which must be
performed by an RN. The client receiving a blood transfusion (D) requires RN monitoring for
transfusion reactions. This question tests application of delegation principles and scope of
practice.
---
### Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task should the nurse
delegate?
A. Assisting a client with feeding
B. Administering oral medications
C. Performing a sterile dressing change
D. Assessing a client's wound
**CorreCt Answer: A**
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**Rationale:** Assisting with feeding is within the scope of UAP. Administering oral
medications (B) is a licensed nursing function. Performing sterile dressing changes (C) requires
licensed nursing judgment. Assessing a client's wound (D) requires nursing assessment and is not
within UAP scope. This question tests application of delegation principles.
---
### Question 4
A nurse is preparing to administer medications to a client. Which method should the nurse use to
**verify identity**?
A. Name and date of birth
B. Room number and bed number
C. Diagnosis and age
D. Physician's name and medication
**CorreCt Answer: A**
**Rationale:** The two acceptable identifiers are the client's name and date of birth (or
another approved identifier like medical record number). Room number and bed number (B) are
not acceptable identifiers because clients can be moved. Diagnosis and age (C) are not unique
identifiers. Physician's name and medication (D) do not identify the client. This question tests
application of the National Patient Safety Goals for medication administration.
---
