RN ATI Capstone Proctored Comprehensive
Assessment 2024 B/ ATI Comprehensive 2024 B
Q1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative hip arthroplasty reporting pain 4/10
B. A client with COPD whose oxygen saturation is 86% on 2 L nasal cannula
C. A client with diabetes requesting a snack before lunch
D. A client scheduled for discharge who needs teaching
Correct: B
The client with COPD and an SpO₂ of 86% is below the expected 88–92% range for COPD
and shows signs of inadequate oxygenation — an airway/breathing priority using ABCs. Pain
4/10 is important but not life-threatening; requests and teaching can wait.
Q2. A nurse is delegating tasks to an LPN and a UAP. Which task is appropriate to delegate to the
UAP?
A. Administering a scheduled oral analgesic
B. Performing a sterile dressing change
C. Measuring and recording intake and output
D. Teaching a client about a new medication
Correct: C
UAPs may perform routine, non-invasive tasks such as I&O. Medication administration and
sterile dressing changes require an LPN or RN, and teaching is an RN responsibility (assessment,
evaluation, and education cannot be delegated).
Q3. A nurse is preparing to discharge a client who speaks limited English. Which action best
ensures informed consent?
A. Have the client's adult child interpret
B. Use a certified medical interpreter
C. Provide written instructions in English
D. Ask a bilingual UAP to explain
Correct: B
Federal law and best practice require a certified medical interpreter for informed consent
,and education. Family members, especially minors, and untrained staff may misinterpret and
are not acceptable substitutes.
Q4. A nurse manager is reviewing an incident report. Which statement indicates the nurse
understands risk management?
A. "I documented the fall in the client's chart and filed the report."
B. "I made a copy of the incident report for the client's record."
C. "I told the client's family the report proves the staff was not at fault."
D. "I waited until the end of shift to complete the report."
Correct: A
Incident reports are completed promptly, factually, and are not placed in the medical
record; they go to risk management. Admitting fault and sharing reports with family are
inappropriate.
Q5. A nurse is assigning clients to rooms. Which client should be placed closest to the nurses'
station?
A. A client with a fractured femur in traction
B. A client who is confused and at risk for falls
C. A client awaiting discharge
D. A client with a urinary tract infection
Correct: B
Clients at high risk for falls or with acute confusion require frequent observation, so they are
placed near the nurses' station. This is a safety/management-of-care priority.
Q6. A nurse receives a verbal order for a new medication. Which action is most appropriate?
A. Accept the order and administer immediately
B. Ask the provider to repeat and then read back the order for verification
C. Have another nurse administer the medication
D. Wait until the provider writes the order in the chart
Correct: B
Verbal/telephone orders must be read back to the prescriber for verification, then
documented and countersigned per policy.
,Q7. A nurse is caring for a client who is terminally ill and requests information about hospice.
Which statement by the nurse is correct?
A. "Hospice is only for clients expected to live less than 24 hours."
B. "Hospice focuses on comfort and quality of life, not curative treatment."
C. "Hospice requires you to stop all medications."
D. "Hospice can only be provided in a hospital."
Correct: B
Hospice provides palliative/comfort-focused care, typically for clients with a prognosis of 6
months or less, and can be provided at home, in facilities, or inpatient settings.
Q8. A nurse is reviewing advance directives with a client. Which statement indicates
understanding?
A. "My living will only applies after I die."
B. "A durable power of attorney for health care names someone to make decisions if I cannot."
C. "Advance directives are only for older adults."
D. "My family can override my written advance directive at any time."
Correct: B
A durable power of attorney for health care (health care proxy) designates a surrogate
decision-maker. Living wills apply while alive but incapacitated; family cannot override valid
directives.
Q9. A nurse is triaging clients after a mass casualty event using color tags. Which client receives
a red (immediate) tag?
A. Client with a minor laceration
B. Client with an open fracture and stable vital signs
C. Client with tension pneumothorax and severe respiratory distress
D. Client with no signs of life after prolonged extrication
Correct: C
Red/immediate = life-threatening but salvageable with rapid intervention (e.g., tension
pneumothorax). Black = deceased/expectant; yellow = delayed; green = minor.
, Q10. A nurse is preparing to witness informed consent. Which action is correct?
A. Explain the procedure to the client
B. Verify the client understands the procedure and signs voluntarily
C. Sign the consent as the client's proxy
D. Obtain consent if the client is sedated
Correct: B
The nurse's role is to witness that the client signed voluntarily and appears to understand;
the provider obtains consent and explains the procedure. A sedated client cannot give consent.
Q11. A nurse is prioritizing care. Which client should the nurse see first?
A. Client reporting chest pain radiating to the left arm
B. Client requesting pain medication for a headache
C. Client who needs discharge instructions
D. Client with a blood glucose of 150 mg/dL
Correct: A
Chest pain radiating to the arm suggests myocardial infarction — a life-threatening
emergency requiring immediate assessment. This is an ABC/priority-setting question.
Q12. A nurse is teaching a newly licensed nurse about HIPAA. Which action violates HIPAA?
A. Discussing client care in a private conference room
B. Sharing client information in an elevator with visitors present
C. Using a password-protected EHR
D. Giving report at the bedside with the client's permission
Correct: B
Discussing PHI in public areas (elevators, hallways) where others can overhear violates
HIPAA.
Q13. A nurse is caring for a client who is homeless and refusing discharge. Which action is the
priority?
A. Call security to escort the client out
B. Assess the client's concerns and involve social work/case management
C. Discharge the client immediately
D. Notify the provider that the client is noncompliant
Assessment 2024 B/ ATI Comprehensive 2024 B
Q1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative hip arthroplasty reporting pain 4/10
B. A client with COPD whose oxygen saturation is 86% on 2 L nasal cannula
C. A client with diabetes requesting a snack before lunch
D. A client scheduled for discharge who needs teaching
Correct: B
The client with COPD and an SpO₂ of 86% is below the expected 88–92% range for COPD
and shows signs of inadequate oxygenation — an airway/breathing priority using ABCs. Pain
4/10 is important but not life-threatening; requests and teaching can wait.
Q2. A nurse is delegating tasks to an LPN and a UAP. Which task is appropriate to delegate to the
UAP?
A. Administering a scheduled oral analgesic
B. Performing a sterile dressing change
C. Measuring and recording intake and output
D. Teaching a client about a new medication
Correct: C
UAPs may perform routine, non-invasive tasks such as I&O. Medication administration and
sterile dressing changes require an LPN or RN, and teaching is an RN responsibility (assessment,
evaluation, and education cannot be delegated).
Q3. A nurse is preparing to discharge a client who speaks limited English. Which action best
ensures informed consent?
A. Have the client's adult child interpret
B. Use a certified medical interpreter
C. Provide written instructions in English
D. Ask a bilingual UAP to explain
Correct: B
Federal law and best practice require a certified medical interpreter for informed consent
,and education. Family members, especially minors, and untrained staff may misinterpret and
are not acceptable substitutes.
Q4. A nurse manager is reviewing an incident report. Which statement indicates the nurse
understands risk management?
A. "I documented the fall in the client's chart and filed the report."
B. "I made a copy of the incident report for the client's record."
C. "I told the client's family the report proves the staff was not at fault."
D. "I waited until the end of shift to complete the report."
Correct: A
Incident reports are completed promptly, factually, and are not placed in the medical
record; they go to risk management. Admitting fault and sharing reports with family are
inappropriate.
Q5. A nurse is assigning clients to rooms. Which client should be placed closest to the nurses'
station?
A. A client with a fractured femur in traction
B. A client who is confused and at risk for falls
C. A client awaiting discharge
D. A client with a urinary tract infection
Correct: B
Clients at high risk for falls or with acute confusion require frequent observation, so they are
placed near the nurses' station. This is a safety/management-of-care priority.
Q6. A nurse receives a verbal order for a new medication. Which action is most appropriate?
A. Accept the order and administer immediately
B. Ask the provider to repeat and then read back the order for verification
C. Have another nurse administer the medication
D. Wait until the provider writes the order in the chart
Correct: B
Verbal/telephone orders must be read back to the prescriber for verification, then
documented and countersigned per policy.
,Q7. A nurse is caring for a client who is terminally ill and requests information about hospice.
Which statement by the nurse is correct?
A. "Hospice is only for clients expected to live less than 24 hours."
B. "Hospice focuses on comfort and quality of life, not curative treatment."
C. "Hospice requires you to stop all medications."
D. "Hospice can only be provided in a hospital."
Correct: B
Hospice provides palliative/comfort-focused care, typically for clients with a prognosis of 6
months or less, and can be provided at home, in facilities, or inpatient settings.
Q8. A nurse is reviewing advance directives with a client. Which statement indicates
understanding?
A. "My living will only applies after I die."
B. "A durable power of attorney for health care names someone to make decisions if I cannot."
C. "Advance directives are only for older adults."
D. "My family can override my written advance directive at any time."
Correct: B
A durable power of attorney for health care (health care proxy) designates a surrogate
decision-maker. Living wills apply while alive but incapacitated; family cannot override valid
directives.
Q9. A nurse is triaging clients after a mass casualty event using color tags. Which client receives
a red (immediate) tag?
A. Client with a minor laceration
B. Client with an open fracture and stable vital signs
C. Client with tension pneumothorax and severe respiratory distress
D. Client with no signs of life after prolonged extrication
Correct: C
Red/immediate = life-threatening but salvageable with rapid intervention (e.g., tension
pneumothorax). Black = deceased/expectant; yellow = delayed; green = minor.
, Q10. A nurse is preparing to witness informed consent. Which action is correct?
A. Explain the procedure to the client
B. Verify the client understands the procedure and signs voluntarily
C. Sign the consent as the client's proxy
D. Obtain consent if the client is sedated
Correct: B
The nurse's role is to witness that the client signed voluntarily and appears to understand;
the provider obtains consent and explains the procedure. A sedated client cannot give consent.
Q11. A nurse is prioritizing care. Which client should the nurse see first?
A. Client reporting chest pain radiating to the left arm
B. Client requesting pain medication for a headache
C. Client who needs discharge instructions
D. Client with a blood glucose of 150 mg/dL
Correct: A
Chest pain radiating to the arm suggests myocardial infarction — a life-threatening
emergency requiring immediate assessment. This is an ABC/priority-setting question.
Q12. A nurse is teaching a newly licensed nurse about HIPAA. Which action violates HIPAA?
A. Discussing client care in a private conference room
B. Sharing client information in an elevator with visitors present
C. Using a password-protected EHR
D. Giving report at the bedside with the client's permission
Correct: B
Discussing PHI in public areas (elevators, hallways) where others can overhear violates
HIPAA.
Q13. A nurse is caring for a client who is homeless and refusing discharge. Which action is the
priority?
A. Call security to escort the client out
B. Assess the client's concerns and involve social work/case management
C. Discharge the client immediately
D. Notify the provider that the client is noncompliant
