ATI Comprehensive Practice B2026/2027
/RN ATI Capstone Proctored
Comprehensive Assessment , Questions,
answers and Rationales All verified
DOMAIN 1: MANAGEMENT OF CARE (Questions 1-20)
Q1. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
A) An older adult client who reports abdominal pain for 3 days
B) A middle adult client who has unstable vital signs
C) A young adult client with a minor laceration on the hand
D) An adolescent client with a sore throat and low-grade fever
Correct ,,,,answer,,,: B) A middle adult client who has unstable vital signs
Rationale: Unstable vital signs indicate physiological instability and potential life-
threatening deterioration. This client requires immediate intervention. The other
clients have stable, non-urgent presentations.
Q2. A nurse is assigning tasks to an LPN/VN. Which task should the nurse
delegate to the LPN?
A) Initial admission assessment of a patient with pneumonia
B) Administration of enteral tube feeding to a stable patient
C) Evaluation of a patient's response to pain medication
D) Teaching a diabetic patient about insulin injection
,Correct ,,,,answer,,,: B) Administration of enteral tube feeding to a stable
patient
Rationale: LPNs can administer enteral feedings to stable patients. Initial
assessment, evaluation of response, and patient teaching are responsibilities of the
RN.
Q3. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A) Client with pneumonia
B) Client with active pulmonary tuberculosis
C) Client with MRSA in a wound
D) Client with Clostridium difficile
Correct ,,,,answer,,,: B) Client with active pulmonary tuberculosis
Rationale: Active TB requires airborne precautions and a negative pressure
private room. MRSA and C. diff need contact precautions but can share a room
with clients who have the same infection.
Q4. A nurse overhears two assistive personnel (AP) discussing care for a client
while in the elevator. Which of the following actions should the nurse take?
A) Contact the client's family about the incident
B) Notify the client's provider about the incident
C) File a complaint with the facility's ethics committee
D) Report the incident to the AP's charge nurse
Correct ,,,,answer,,,: D) Report the incident to the AP's charge nurse
Rationale: Discussing client information in public areas violates HIPAA. The
nurse should report the incident to the AP's charge nurse for appropriate
disciplinary action.
Q5. A nurse is planning care for a client who is receiving hemodialysis. Which
of the following actions should the nurse include in the plan of care?
A) Withhold all medications until after dialysis
B) Rehydrate with dextrose 5% in water for orthostatic hypotension
C) Check the vascular access site for bleeding after dialysis
D) Give an antibiotic 30 minutes before dialysis
,Correct ,,,,answer,,,: C) Check the vascular access site for bleeding after
dialysis
Rationale: After hemodialysis, the vascular access site (fistula, graft, or catheter)
must be monitored for bleeding. Anticoagulation used during dialysis increases
bleeding risk.
Q6. A nurse is planning to delegate client care tasks to an assistive personnel
(AP). Which of the following tasks should the nurse plan to delegate to the
AP?
A) Perform gastrostomy feedings through a client's established gastrostomy tube
B) Assess a client's skin integrity
C) Evaluate a client's response to pain medication
D) Teach a client about wound care
Correct ,,,,answer,,,: A) Perform gastrostomy feedings through a client's
established gastrostomy tube
Rationale: AP can perform gastrostomy feedings once the tube is established and
the client is stable. Assessment, evaluation, and teaching are RN responsibilities.
Q7. 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 response to diuretics
D) Teach the client about fluid restrictions
Correct ,,,,answer,,,: B) Measure the client's daily weight
Rationale: Daily weight measurement is a routine task that can be delegated to
AP. Assessment, evaluation, and teaching require licensed nursing judgment.
Q8. A nurse is reviewing the medical record of a client who is postoperative
following a total hip arthroplasty. For which of the following findings should
the nurse contact the provider?
A) Heart rate 88/min
B) Blood pressure 118/76 mmHg
C) Oxygen saturation 89% on room air
D) Temperature 37.2°C (99.0°F)
, Correct ,,,,answer,,,: C) Oxygen saturation 89% on room air
Rationale: Oxygen saturation below 90% indicates hypoxemia and requires
immediate provider notification for potential respiratory compromise.
Q9. A nurse manager is planning to use a democratic leadership style with the
nurses on the unit. Which of the following actions by the nurse manager
demonstrates a democratic leadership style?
A) Makes all decisions without input from staff
B) Seeks input from the other nurses before making decisions
C) Allows staff to make all decisions independently
D) Focuses primarily on task completion and deadlines
Correct ,,,,answer,,,: B) Seeks input from the other nurses before making
decisions
Rationale: Democratic leadership involves seeking input from team members
before making decisions, promoting collaboration and staff engagement.
Q10. A nurse is providing teaching about advance directives to a middle adult
client. Which of the following client responses indicates an understanding of
the teaching?
A) "I can only complete advance directives if I am terminally ill"
B) "My advance directives will expire after 1 year"
C) "I can designate my partner as my health care surrogate"
D) "My family can override my advance directives if they disagree"
Correct ,,,,answer,,,: C) "I can designate my partner as my health care
surrogate"
Rationale: A healthcare surrogate (or proxy) is designated by the client to make
healthcare decisions if the client becomes unable to do so. Advance directives are
not limited to terminal illness and do not expire annually.
Q11. A nurse is caring for a client who has signed an informed consent form
to receive electroconvulsive therapy (ECT). The client states, "I'm not sure
about this now. I'm afraid it's too risky." Which of the following responses
should the nurse make?
A) "You have the right to change your mind about this procedure at any time"
B) "You already signed the consent form, so you must go through with it"
/RN ATI Capstone Proctored
Comprehensive Assessment , Questions,
answers and Rationales All verified
DOMAIN 1: MANAGEMENT OF CARE (Questions 1-20)
Q1. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
A) An older adult client who reports abdominal pain for 3 days
B) A middle adult client who has unstable vital signs
C) A young adult client with a minor laceration on the hand
D) An adolescent client with a sore throat and low-grade fever
Correct ,,,,answer,,,: B) A middle adult client who has unstable vital signs
Rationale: Unstable vital signs indicate physiological instability and potential life-
threatening deterioration. This client requires immediate intervention. The other
clients have stable, non-urgent presentations.
Q2. A nurse is assigning tasks to an LPN/VN. Which task should the nurse
delegate to the LPN?
A) Initial admission assessment of a patient with pneumonia
B) Administration of enteral tube feeding to a stable patient
C) Evaluation of a patient's response to pain medication
D) Teaching a diabetic patient about insulin injection
,Correct ,,,,answer,,,: B) Administration of enteral tube feeding to a stable
patient
Rationale: LPNs can administer enteral feedings to stable patients. Initial
assessment, evaluation of response, and patient teaching are responsibilities of the
RN.
Q3. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A) Client with pneumonia
B) Client with active pulmonary tuberculosis
C) Client with MRSA in a wound
D) Client with Clostridium difficile
Correct ,,,,answer,,,: B) Client with active pulmonary tuberculosis
Rationale: Active TB requires airborne precautions and a negative pressure
private room. MRSA and C. diff need contact precautions but can share a room
with clients who have the same infection.
Q4. A nurse overhears two assistive personnel (AP) discussing care for a client
while in the elevator. Which of the following actions should the nurse take?
A) Contact the client's family about the incident
B) Notify the client's provider about the incident
C) File a complaint with the facility's ethics committee
D) Report the incident to the AP's charge nurse
Correct ,,,,answer,,,: D) Report the incident to the AP's charge nurse
Rationale: Discussing client information in public areas violates HIPAA. The
nurse should report the incident to the AP's charge nurse for appropriate
disciplinary action.
Q5. A nurse is planning care for a client who is receiving hemodialysis. Which
of the following actions should the nurse include in the plan of care?
A) Withhold all medications until after dialysis
B) Rehydrate with dextrose 5% in water for orthostatic hypotension
C) Check the vascular access site for bleeding after dialysis
D) Give an antibiotic 30 minutes before dialysis
,Correct ,,,,answer,,,: C) Check the vascular access site for bleeding after
dialysis
Rationale: After hemodialysis, the vascular access site (fistula, graft, or catheter)
must be monitored for bleeding. Anticoagulation used during dialysis increases
bleeding risk.
Q6. A nurse is planning to delegate client care tasks to an assistive personnel
(AP). Which of the following tasks should the nurse plan to delegate to the
AP?
A) Perform gastrostomy feedings through a client's established gastrostomy tube
B) Assess a client's skin integrity
C) Evaluate a client's response to pain medication
D) Teach a client about wound care
Correct ,,,,answer,,,: A) Perform gastrostomy feedings through a client's
established gastrostomy tube
Rationale: AP can perform gastrostomy feedings once the tube is established and
the client is stable. Assessment, evaluation, and teaching are RN responsibilities.
Q7. 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 response to diuretics
D) Teach the client about fluid restrictions
Correct ,,,,answer,,,: B) Measure the client's daily weight
Rationale: Daily weight measurement is a routine task that can be delegated to
AP. Assessment, evaluation, and teaching require licensed nursing judgment.
Q8. A nurse is reviewing the medical record of a client who is postoperative
following a total hip arthroplasty. For which of the following findings should
the nurse contact the provider?
A) Heart rate 88/min
B) Blood pressure 118/76 mmHg
C) Oxygen saturation 89% on room air
D) Temperature 37.2°C (99.0°F)
, Correct ,,,,answer,,,: C) Oxygen saturation 89% on room air
Rationale: Oxygen saturation below 90% indicates hypoxemia and requires
immediate provider notification for potential respiratory compromise.
Q9. A nurse manager is planning to use a democratic leadership style with the
nurses on the unit. Which of the following actions by the nurse manager
demonstrates a democratic leadership style?
A) Makes all decisions without input from staff
B) Seeks input from the other nurses before making decisions
C) Allows staff to make all decisions independently
D) Focuses primarily on task completion and deadlines
Correct ,,,,answer,,,: B) Seeks input from the other nurses before making
decisions
Rationale: Democratic leadership involves seeking input from team members
before making decisions, promoting collaboration and staff engagement.
Q10. A nurse is providing teaching about advance directives to a middle adult
client. Which of the following client responses indicates an understanding of
the teaching?
A) "I can only complete advance directives if I am terminally ill"
B) "My advance directives will expire after 1 year"
C) "I can designate my partner as my health care surrogate"
D) "My family can override my advance directives if they disagree"
Correct ,,,,answer,,,: C) "I can designate my partner as my health care
surrogate"
Rationale: A healthcare surrogate (or proxy) is designated by the client to make
healthcare decisions if the client becomes unable to do so. Advance directives are
not limited to terminal illness and do not expire annually.
Q11. A nurse is caring for a client who has signed an informed consent form
to receive electroconvulsive therapy (ECT). The client states, "I'm not sure
about this now. I'm afraid it's too risky." Which of the following responses
should the nurse make?
A) "You have the right to change your mind about this procedure at any time"
B) "You already signed the consent form, so you must go through with it"
