2026 RN ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT 2026 B QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
This comprehensive examination is designed to assess the entry-level competency
of registered nursing candidates preparing for the NCLEX-RN. It evaluates the
knowledge, skills, and clinical judgment required to provide safe, effective, and
holistic care across the lifespan. The test employs multiple-choice and scenario-
based questions that mirror the NCLEX-RN test plan structure. Emphasis is placed
on prioritization, delegation, clinical judgment, and the application of the nursing
process in real-world clinical decision-making.
SECTION ONE: QUESTIONS 1–200
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the
therapy has been effective?
,A. Heart rate of 110/min
B. Hemoglobin of 14.9 g/dL
C. Respiratory rate of 24/min
D. Blood pressure of 90/60 mm Hg
B. Hemoglobin of 14.9 g/dL
RATIONALE: The goal of packed RBC transfusion is to increase the client's
hemoglobin and hematocrit levels. A hemoglobin level of 14.9 g/dL is within the
normal range and indicates that the transfusion has effectively corrected the
anemia. Tachycardia, tachypnea, and hypotension may indicate continued
hypovolemia or a transfusion reaction.
2. A nurse working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
A. A young adult client with a simple fracture of the radius
B. A middle adult client who has unstable vital signs
C. An older adult client requesting a medication refill
D. An adolescent client with a sore throat and fever
B. A middle adult client who has unstable vital signs
RATIONALE: In emergency triage, clients with unstable vital signs or
immediate threats to life (Emergent/Priority 1) must be treated first. The client
with unstable vital signs is at highest risk for deterioration compared to the others
who are stable or non-urgent.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to an assistive personnel (AP)?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Evaluate the client's edema
D. Teach the client about fluid restrictions
B. Measure the client's daily weight
, RATIONALE: Measuring daily weight is a non-invasive, routine task that does
not require specialized nursing knowledge or skills. This task can be safely
delegated to assistive personnel. Assessment, evaluation, and teaching require the
skill and judgment of a licensed nurse.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a
test dose to a client who has severe oliguria. The client weighs 198 lb. What is
the amount in grams the nurse should administer?
A. 9 g
B. 18 g
C. 36 g
D. 90 g
B. 18 g
RATIONALE: First, convert the client's weight from pounds to kilograms: 198 lb
÷ 2.2 = 90 kg. Then multiply the prescribed dose by the client's weight: 0.2 g/kg ×
90 kg = 18 g.
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Moving the leg forward
D. Moving the leg backward
B. Moving the leg away from the midline of the body
RATIONALE: Abduction of the hip joint involves moving the leg away from the
midline of the body in a lateral direction. Moving the leg toward the midline is
adduction. Moving the leg forward is flexion. Moving the leg backward is
extension.
, 6. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
of the following findings should the nurse report to the provider immediately?
A. Incisional pain of 4 on a scale of 0 to 10
B. Temperature of 100.4°F
C. Heart rate of 110/min
D. Blood pressure of 110/70 mm Hg
C. Heart rate of 110/min
RATIONALE: Tachycardia 24 hours postoperatively may indicate hemorrhage,
infection, or pain. The nurse should assess the client further and report this
finding. A low-grade temperature and moderate incisional pain are expected
findings postoperatively.
7. A nurse is teaching a client who is postpartum about caring for their
newborn's umbilical cord. Which of the following instructions should the nurse
include?
A. Cover the cord with the upper edge of the diaper.
B. Apply petroleum jelly around the cord with every diaper change.
C. Report minor bleeding when the cord's stump falls off.
D. Wash the area around the base of the cord with water.
D. Wash the area around the base of the cord with water.
RATIONALE: Cleaning the area around the base of the cord with water helps
prevent infection and promotes healing. The diaper should be folded below the
cord stump to allow air circulation. Petroleum jelly is not recommended. Minor
bleeding when the stump falls off is normal.
8. A nurse is teaching a newly licensed nurse about advance directives. Which of
the following statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "A health care surrogate must be a family member."
B. "The client can resume control of health care after a temporary loss of
COMPREHENSIVE ASSESSMENT 2026 B QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
This comprehensive examination is designed to assess the entry-level competency
of registered nursing candidates preparing for the NCLEX-RN. It evaluates the
knowledge, skills, and clinical judgment required to provide safe, effective, and
holistic care across the lifespan. The test employs multiple-choice and scenario-
based questions that mirror the NCLEX-RN test plan structure. Emphasis is placed
on prioritization, delegation, clinical judgment, and the application of the nursing
process in real-world clinical decision-making.
SECTION ONE: QUESTIONS 1–200
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the
therapy has been effective?
,A. Heart rate of 110/min
B. Hemoglobin of 14.9 g/dL
C. Respiratory rate of 24/min
D. Blood pressure of 90/60 mm Hg
B. Hemoglobin of 14.9 g/dL
RATIONALE: The goal of packed RBC transfusion is to increase the client's
hemoglobin and hematocrit levels. A hemoglobin level of 14.9 g/dL is within the
normal range and indicates that the transfusion has effectively corrected the
anemia. Tachycardia, tachypnea, and hypotension may indicate continued
hypovolemia or a transfusion reaction.
2. A nurse working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
A. A young adult client with a simple fracture of the radius
B. A middle adult client who has unstable vital signs
C. An older adult client requesting a medication refill
D. An adolescent client with a sore throat and fever
B. A middle adult client who has unstable vital signs
RATIONALE: In emergency triage, clients with unstable vital signs or
immediate threats to life (Emergent/Priority 1) must be treated first. The client
with unstable vital signs is at highest risk for deterioration compared to the others
who are stable or non-urgent.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to an assistive personnel (AP)?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Evaluate the client's edema
D. Teach the client about fluid restrictions
B. Measure the client's daily weight
, RATIONALE: Measuring daily weight is a non-invasive, routine task that does
not require specialized nursing knowledge or skills. This task can be safely
delegated to assistive personnel. Assessment, evaluation, and teaching require the
skill and judgment of a licensed nurse.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a
test dose to a client who has severe oliguria. The client weighs 198 lb. What is
the amount in grams the nurse should administer?
A. 9 g
B. 18 g
C. 36 g
D. 90 g
B. 18 g
RATIONALE: First, convert the client's weight from pounds to kilograms: 198 lb
÷ 2.2 = 90 kg. Then multiply the prescribed dose by the client's weight: 0.2 g/kg ×
90 kg = 18 g.
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Moving the leg forward
D. Moving the leg backward
B. Moving the leg away from the midline of the body
RATIONALE: Abduction of the hip joint involves moving the leg away from the
midline of the body in a lateral direction. Moving the leg toward the midline is
adduction. Moving the leg forward is flexion. Moving the leg backward is
extension.
, 6. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
of the following findings should the nurse report to the provider immediately?
A. Incisional pain of 4 on a scale of 0 to 10
B. Temperature of 100.4°F
C. Heart rate of 110/min
D. Blood pressure of 110/70 mm Hg
C. Heart rate of 110/min
RATIONALE: Tachycardia 24 hours postoperatively may indicate hemorrhage,
infection, or pain. The nurse should assess the client further and report this
finding. A low-grade temperature and moderate incisional pain are expected
findings postoperatively.
7. A nurse is teaching a client who is postpartum about caring for their
newborn's umbilical cord. Which of the following instructions should the nurse
include?
A. Cover the cord with the upper edge of the diaper.
B. Apply petroleum jelly around the cord with every diaper change.
C. Report minor bleeding when the cord's stump falls off.
D. Wash the area around the base of the cord with water.
D. Wash the area around the base of the cord with water.
RATIONALE: Cleaning the area around the base of the cord with water helps
prevent infection and promotes healing. The diaper should be folded below the
cord stump to allow air circulation. Petroleum jelly is not recommended. Minor
bleeding when the stump falls off is normal.
8. A nurse is teaching a newly licensed nurse about advance directives. Which of
the following statements by the newly licensed nurse indicates an
understanding of the teaching?
A. "A health care surrogate must be a family member."
B. "The client can resume control of health care after a temporary loss of
