ATI RN Capstone–Exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026]
1. A 68-year-old patient is admitted with pneumonia. Which finding indicates hypoxemia?
Answer: SpO₂ 85%
Rationale: Oxygen saturation below 90% indicates hypoxemia, requiring immediate
intervention.
2. Before giving IV morphine, the nurse’s priority action is:
Answer: Check vital signs
Rationale: IV opioids can cause respiratory depression and hypotension; vital signs must be
assessed first.
3. A patient on furosemide complains of muscle cramps. Which lab should be checked?
Answer: Potassium
Rationale: Loop diuretics can cause hypokalemia, leading to muscle cramps and cardiac issues.
4. Patient with CHF presents with 2+ pitting edema. Priority intervention:
Answer: Administer diuretic as ordered
Rationale: Diuretics reduce fluid overload and prevent complications; other measures are
supportive.
5. Diabetic foot care instruction that is correct:
Answer: Inspect feet daily
Rationale: Daily inspection prevents injury and infection. Hot water, tight shoes, or lotion
between toes can cause harm.
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2026 Graded A+ EXAM
, 6. COPD patient with PaCO₂ 60 mmHg requires:
Answer: Notify the provider
Rationale: Hypercapnia indicates respiratory compromise; provider intervention is required.
7. Pregnant patient 28 weeks, BP 150/96. Priority assessment:
Answer: Urine protein
Rationale: Hypertension with proteinuria indicates possible preeclampsia.
8. Acute asthma attack intervention priority:
Answer: Administer albuterol via nebulizer
Rationale: Rapid-acting bronchodilator treats acute bronchospasm; other measures are
secondary.
9. ST elevation in leads II, III, aVF indicates:
Answer: Prepare for reperfusion therapy
Rationale: STEMI requires timely intervention to reduce myocardial damage.
10. Vancomycin IV infusion with rash and flushing indicates:
Answer: Red man syndrome
Rationale: Infusion reaction requires slowing or stopping infusion and notifying the provider.
11. Nurse dataset for inpatient standard data:
Answer: UHDDS
Rationale: Standardizes data for reporting, including principal diagnosis.
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2026 Graded A+ EXAM
, 12. Dataset used for outpatient visits:
Answer: UACDS
Rationale: Standardizes outpatient clinical data collection.
13. Facility using Minimum Data Set (MDS):
Answer: Long-term care
Rationale: MDS is required for care planning and quality reporting in LTC.
14. Dataset used in home health agencies:
Answer: OASIS
Rationale: Collects data for outcome measurement and reimbursement in home health.
15. Terminology providing granular clinical concepts:
Answer: SNOMED CT
Rationale: Supports detailed documentation and interoperability.
16. Standard for lab tests and clinical measurements:
Answer: LOINC
Rationale: Provides universal codes for labs and observations.
17. Standardized medication names:
Answer: RxNorm
Rationale: Ensures consistent medication identification across systems.
18. Standard for electronic health data exchange:
Answer: HL7
Rationale: Supports interoperability and messaging between systems.
3
Page
2026 Graded A+ EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026]
1. A 68-year-old patient is admitted with pneumonia. Which finding indicates hypoxemia?
Answer: SpO₂ 85%
Rationale: Oxygen saturation below 90% indicates hypoxemia, requiring immediate
intervention.
2. Before giving IV morphine, the nurse’s priority action is:
Answer: Check vital signs
Rationale: IV opioids can cause respiratory depression and hypotension; vital signs must be
assessed first.
3. A patient on furosemide complains of muscle cramps. Which lab should be checked?
Answer: Potassium
Rationale: Loop diuretics can cause hypokalemia, leading to muscle cramps and cardiac issues.
4. Patient with CHF presents with 2+ pitting edema. Priority intervention:
Answer: Administer diuretic as ordered
Rationale: Diuretics reduce fluid overload and prevent complications; other measures are
supportive.
5. Diabetic foot care instruction that is correct:
Answer: Inspect feet daily
Rationale: Daily inspection prevents injury and infection. Hot water, tight shoes, or lotion
between toes can cause harm.
1
Page
2026 Graded A+ EXAM
, 6. COPD patient with PaCO₂ 60 mmHg requires:
Answer: Notify the provider
Rationale: Hypercapnia indicates respiratory compromise; provider intervention is required.
7. Pregnant patient 28 weeks, BP 150/96. Priority assessment:
Answer: Urine protein
Rationale: Hypertension with proteinuria indicates possible preeclampsia.
8. Acute asthma attack intervention priority:
Answer: Administer albuterol via nebulizer
Rationale: Rapid-acting bronchodilator treats acute bronchospasm; other measures are
secondary.
9. ST elevation in leads II, III, aVF indicates:
Answer: Prepare for reperfusion therapy
Rationale: STEMI requires timely intervention to reduce myocardial damage.
10. Vancomycin IV infusion with rash and flushing indicates:
Answer: Red man syndrome
Rationale: Infusion reaction requires slowing or stopping infusion and notifying the provider.
11. Nurse dataset for inpatient standard data:
Answer: UHDDS
Rationale: Standardizes data for reporting, including principal diagnosis.
2
Page
2026 Graded A+ EXAM
, 12. Dataset used for outpatient visits:
Answer: UACDS
Rationale: Standardizes outpatient clinical data collection.
13. Facility using Minimum Data Set (MDS):
Answer: Long-term care
Rationale: MDS is required for care planning and quality reporting in LTC.
14. Dataset used in home health agencies:
Answer: OASIS
Rationale: Collects data for outcome measurement and reimbursement in home health.
15. Terminology providing granular clinical concepts:
Answer: SNOMED CT
Rationale: Supports detailed documentation and interoperability.
16. Standard for lab tests and clinical measurements:
Answer: LOINC
Rationale: Provides universal codes for labs and observations.
17. Standardized medication names:
Answer: RxNorm
Rationale: Ensures consistent medication identification across systems.
18. Standard for electronic health data exchange:
Answer: HL7
Rationale: Supports interoperability and messaging between systems.
3
Page
2026 Graded A+ EXAM
