RN ATI Capstone Proctored Comprehensive Assessment
Test | 2025 Updated Questions and Answers | Complete
Nursing Exam Review
Question 1
A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following
actions should the nurse take?
A. Place the client in a room with negative-pressure airflow
B. Wear a surgical mask when providing client care
C. Limit each visitor to 2-hour increments
D. Use antimicrobial sanitizer for hand hygiene instead of soap and water
Correct Answer: A
Rationale: Tuberculosis requires airborne precautions, which include placement in a
negative-pressure room with at least 6 air exchanges per hour. A surgical mask does not provide
adequate protection; an N95 respirator is required. Visitors should wear N95 respirators, not
just be limited in time. Hand hygiene with soap and water or sanitizer is appropriate, but the
priority is the airborne isolation room.
Question 2
A nurse is planning care for a client who is at risk for falls. Which of the following interventions
should the nurse include? (Select all that apply.)
A. Keep the bed in the lowest position
B. Apply physical restraints as a first-line intervention
C. Ensure the call light is within reach
D. Keep personal items on the overbed table
E. Round on the client every 2 hours
Correct Answers: A, C
Rationale: Keeping the bed in the lowest position reduces fall risk. Ensuring the call light is
within reach allows the client to request assistance. Physical restraints are a last resort and
require a provider's order. Personal items should be within reach, not necessarily on the
,overbed table (which may require reaching). Rounding should be more frequent than every 2
hours for fall-risk clients.
Question 3
A nurse is preparing to administer a blood transfusion. Which of the following actions should
the nurse take first?
A. Obtain the client's vital signs
B. Verify the client's identity using two identifiers
C. Prime the blood tubing with normal saline
D. Check the blood product expiration date
Correct Answer: B
Rationale: Verifying the client's identity using two identifiers (e.g., name and date of birth)
is the priority action before any procedure to ensure the correct client receives the correct
blood product. The other actions are important but should follow identity verification.
Question 4
A nurse is assessing a client's pain. The client reports pain at a level of 8 on a scale of 0 to 10.
Which of the following actions should the nurse take first?
A. Administer the prescribed analgesic
B. Document the pain assessment findings
C. Reposition the client for comfort
D. Assess the characteristics of the pain
Correct Answer: D
Rationale: The nurse should first assess the characteristics of the pain (location, quality,
duration, aggravating/relieving factors) to obtain a complete picture before implementing
interventions. While administering the prescribed analgesic is important, assessment should
precede intervention.
Question 5
,A nurse is caring for a client who has dementia and frequently becomes agitated. Which of the
following actions should the nurse take to promote communication?
A. Speak in a loud voice to command attention
B. Face the client at eye level and use simple, clear statements
C. Approach the client from behind to avoid startling others
D. Use complex medical terminology and detailed explanations
Correct Answer: B
Rationale: Facing the client at eye level reduces intimidation and helps the client focus on
nonverbal cues. A loud voice and complex sentences can increase confusion and agitation.
Approaching from behind can startle the client.
Question 6
A nurse is preparing to collect a stool specimen for ova and parasites. Which of the following
actions should the nurse take?
A. Collect the specimen from the toilet bowl
B. Refrigerate the specimen immediately after collection
C. Instruct the client to defecate into a clean, dry container
D. Collect three separate specimens over 5 days
Correct Answer: C
Rationale: Specimens for ova and parasite testing should be collected in a clean, dry
container and delivered to the laboratory while still warm. Refrigeration is not indicated, and
toilet water can contaminate the specimen.
Question 7
A nurse is conducting a physical examination for an adolescent and is assessing the range of
motion of the legs. Which of the following actions 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
, Correct Answer: B
Rationale: Abduction of the hip joint involves moving the leg away from the midline of the
body. Adduction involves moving the leg toward the midline. Flexion involves moving the leg
forward, and extension involves moving the leg backward.
Question 8
A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which
assessment finding should the nurse report to the provider immediately?
A. Pain level of 4 on a scale of 0-10
B. Serosanguineous drainage on the dressing
C. Temperature of 101.5°F (38.6°C)
D. Heart rate of 88 bpm
Correct Answer: C
Rationale: A temperature of 101.5°F (38.6°C) in the postoperative period may indicate
infection and should be reported. Serosanguineous drainage is expected, and mild pain and
elevated heart rate are common postoperative findings.
Question 9
A nurse is preparing to administer a continuous IV infusion. Which of the following is the
priority action before hanging the new IV bag?
A. Check the expiration date on the IV solution
B. Verify the client's identity using two identifiers
C. Prime the IV tubing with the new solution
D. Assess the IV site for signs of infiltration
Correct Answer: B
Rationale: Client identification using two identifiers is the priority action before any
medication or fluid administration. The other actions are important but should follow identity
verification.
Question 10
Test | 2025 Updated Questions and Answers | Complete
Nursing Exam Review
Question 1
A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following
actions should the nurse take?
A. Place the client in a room with negative-pressure airflow
B. Wear a surgical mask when providing client care
C. Limit each visitor to 2-hour increments
D. Use antimicrobial sanitizer for hand hygiene instead of soap and water
Correct Answer: A
Rationale: Tuberculosis requires airborne precautions, which include placement in a
negative-pressure room with at least 6 air exchanges per hour. A surgical mask does not provide
adequate protection; an N95 respirator is required. Visitors should wear N95 respirators, not
just be limited in time. Hand hygiene with soap and water or sanitizer is appropriate, but the
priority is the airborne isolation room.
Question 2
A nurse is planning care for a client who is at risk for falls. Which of the following interventions
should the nurse include? (Select all that apply.)
A. Keep the bed in the lowest position
B. Apply physical restraints as a first-line intervention
C. Ensure the call light is within reach
D. Keep personal items on the overbed table
E. Round on the client every 2 hours
Correct Answers: A, C
Rationale: Keeping the bed in the lowest position reduces fall risk. Ensuring the call light is
within reach allows the client to request assistance. Physical restraints are a last resort and
require a provider's order. Personal items should be within reach, not necessarily on the
,overbed table (which may require reaching). Rounding should be more frequent than every 2
hours for fall-risk clients.
Question 3
A nurse is preparing to administer a blood transfusion. Which of the following actions should
the nurse take first?
A. Obtain the client's vital signs
B. Verify the client's identity using two identifiers
C. Prime the blood tubing with normal saline
D. Check the blood product expiration date
Correct Answer: B
Rationale: Verifying the client's identity using two identifiers (e.g., name and date of birth)
is the priority action before any procedure to ensure the correct client receives the correct
blood product. The other actions are important but should follow identity verification.
Question 4
A nurse is assessing a client's pain. The client reports pain at a level of 8 on a scale of 0 to 10.
Which of the following actions should the nurse take first?
A. Administer the prescribed analgesic
B. Document the pain assessment findings
C. Reposition the client for comfort
D. Assess the characteristics of the pain
Correct Answer: D
Rationale: The nurse should first assess the characteristics of the pain (location, quality,
duration, aggravating/relieving factors) to obtain a complete picture before implementing
interventions. While administering the prescribed analgesic is important, assessment should
precede intervention.
Question 5
,A nurse is caring for a client who has dementia and frequently becomes agitated. Which of the
following actions should the nurse take to promote communication?
A. Speak in a loud voice to command attention
B. Face the client at eye level and use simple, clear statements
C. Approach the client from behind to avoid startling others
D. Use complex medical terminology and detailed explanations
Correct Answer: B
Rationale: Facing the client at eye level reduces intimidation and helps the client focus on
nonverbal cues. A loud voice and complex sentences can increase confusion and agitation.
Approaching from behind can startle the client.
Question 6
A nurse is preparing to collect a stool specimen for ova and parasites. Which of the following
actions should the nurse take?
A. Collect the specimen from the toilet bowl
B. Refrigerate the specimen immediately after collection
C. Instruct the client to defecate into a clean, dry container
D. Collect three separate specimens over 5 days
Correct Answer: C
Rationale: Specimens for ova and parasite testing should be collected in a clean, dry
container and delivered to the laboratory while still warm. Refrigeration is not indicated, and
toilet water can contaminate the specimen.
Question 7
A nurse is conducting a physical examination for an adolescent and is assessing the range of
motion of the legs. Which of the following actions 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
, Correct Answer: B
Rationale: Abduction of the hip joint involves moving the leg away from the midline of the
body. Adduction involves moving the leg toward the midline. Flexion involves moving the leg
forward, and extension involves moving the leg backward.
Question 8
A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which
assessment finding should the nurse report to the provider immediately?
A. Pain level of 4 on a scale of 0-10
B. Serosanguineous drainage on the dressing
C. Temperature of 101.5°F (38.6°C)
D. Heart rate of 88 bpm
Correct Answer: C
Rationale: A temperature of 101.5°F (38.6°C) in the postoperative period may indicate
infection and should be reported. Serosanguineous drainage is expected, and mild pain and
elevated heart rate are common postoperative findings.
Question 9
A nurse is preparing to administer a continuous IV infusion. Which of the following is the
priority action before hanging the new IV bag?
A. Check the expiration date on the IV solution
B. Verify the client's identity using two identifiers
C. Prime the IV tubing with the new solution
D. Assess the IV site for signs of infiltration
Correct Answer: B
Rationale: Client identification using two identifiers is the priority action before any
medication or fluid administration. The other actions are important but should follow identity
verification.
Question 10
