ATI RN CAPSTONE COMPREHENSIVE PREDICTOR 2023
FORM A AND B CAPSTONE ATI COMPREHENSIVE
PREDICTOR 2023 FORM A AND B EACH FORM WITH 180
QUESTIONS AND
CORRECT ANSWERS
1. A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an assistive personnel?
“A client who had a cerebrovascular accident 2 days ago and needs help toileting.”
2. A nurse is evaluating outcome for a client who had an aminoinfusion for oligohydramnios. Which of the following
findings indicate and adverse response this treatment?
Meconium aspiration
3. A nurse is caring for a client who has been diagnosed with influenza. To prevent transmitting the virus, which of the
following personal protective equipment should the nurse plan to use?
A surgical mask
4. A nurse assesses an older adult client with decreased caloric intake and weight loss. Which of the following findings
should the nurse report to the provider immediately?
5. The nurse is caring for a client who is 12 hr postoperative following a transurethral resection of the prostate. Which of
the following findings should the nurse report to the provider?
Burgundy-color urine
6. A nurse is caring for a school-age child who is 2-hr post cardiac catheterization. The nurse observes blood on the child’s
dressing. Which of the following is appropriate?
Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site
7. A case manager is planning care for an older adult client who is 2 days postoperative following a hip pinning. The client
wants to participate in therapy but is easily fatigued. Which of the following should the case manager integrate in the
client’s plan of care?
Offer rest periods between therapy sessions.
8. A nurse has just received change-of-shift report. Based on the information provided, which of the following client
should the nurse assess first?
A client who was just given a glass of orange juice for a low blood glucose level.
9. A nurse is caring for a client who is receiving mechanical ventilation for respiratory failure. The low-pressure alarm on
the ventilator sounds. Which of the following actions should the nurse take?
Check the tubing for disconnection
10. A nurse is performing hand hygiene before client care. Which of the following actions should the nurse take?
Rinse hands under warm running water.
11. A client who is at 40 weeks of gestation arrives for an elective induction of labor by amniotomy. The membranes are
ruptures and reveal clear odourless fluid. As the nurse continues to monitor the client, which of the followings requires
intervention?
Fetal heart rate of 100/min
12. The nurse is providing teaching about the use of crutches who has fracture tibia and must not bear weight on the right
leg. Which of the following crutch gait should the nurse plan to teach this client?
, 3-point gait
13. A nurse is caring for a male client who has spinal injury. Which of the following technique should the nurse use when
perineal care?
, "Discard the washcloth after cleansing the urethral meatus."
14. A nurse caring for a client who has Graves’ disease and is experiencing thyroid storm. Which of the following nursing
intervention is a highest priority?
Monitor cardiac rhythm/
? Administer 0.9% sodium chloride IV
15. A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the
teaching has been effective when the client states.
“The stoma will drain liquid fluid continuously.”
16. A nurse is teaching a parent of a toddler about appropriate food choices. Choosing which of the following snacks
indicate an understanding of the teaching?
Graham crackers
17. A nurse is creating a discharge plan for a client who requires initial education regarding safe use of oxygen at home. The
nurse should recognize that which of the following team members assigned to the client should provide the teaching?
The registered nurse
18. When evaluating the use of various types of client restraints, a nurse should determine that which of the following is an
appropriate selection?
Elbow restraints on an infant recovering from clef t lip surgery.
19. A client is to receive a pudendal block when giving birth. The nurse should expect that a pudendal block will
, Diminish pain in the perineum
20. A nurse is caring for a postoperative client who report incisional pain of 8 on a scale from 0 to 10. The client has a
prescription of morphine sulfate 2 mg IV bolus Q4H PRN for incisional pain. The client was given 2 mg 3 hr ago. Which
of the following is an appropriate action for the nurse to take?
Report the findings to the provider and request and adjustment to the medication order.
21. A nurse is caring for several clients on a medical-surgical unit. For which of the following nursing activities is it required
that the nurse use sterile gloves?
Performing tracheostomy care
22. A nurse is monitoring a client who is prescribed heparin IV at 1,000 units/hr. Available is heparin 50 units/mL. The
nurse should maintain the IV infusion at how many mL/hr? (Round the answer to the nearest whole number.)
20 mL/ hr
23. A nurse is assessing a client with post-traumatic stress disorder. Which of the following should the nurse expect to find?
Loss of interest in usual activities
24. A nurse enters the client’s room to administer the medication and finds the client sitting on the floor next to the bed.
The client states that he fell out of the bed. Which of the following actions should the nurse take first?
Check the client to determine if any injuries were sustained.
25. A nurse is observing bonding between a client and her newborn. Which of the following actions by the client would
require a nurse to intervene?
Viewing the newborn’s actions to be uncooperative.
A client’s view of her infant as being uncooperative is a sign of impaired maternal-infant bonding
26. An older adult client is admitted with a ruptured L3 intervertebral disk. The client reports anaphylactic-like allergic
reaction to aspirin. Which of the following medication should the nurse clarify?
Ketorolac (Toradol)
27. A nurse is observing a newly licensed nurse prepare a client for an ECG. Which of the following statements by the newly
licensed nurse indicates an understanding of proper lead placement?
"One of the chest leads serves as the ground electrode."
28. A nurse is teaching a client who undergoing radiation therapy about skin cancer. Which of the following statements
made by the client indicates an understanding of the teaching?
"I should wash the irradiated skin gently with mild soap and water"
29. A client is having suicidal thoughts tells the nurse “It just does not seem worth it anymore. Why not end my misery?”
Which of the following response by the nurse is appropriate?
“Do you have a plan to end your life?
30. A home health nurse is performing initial assessment of client’s home. Which of the following poses the greatest risk
for injury?
A frayed extension cord
31. A nurse is providing client teaching about sumatriptan (Imitrex). Which of the following client statements indicates that
the client understands the expected effects and appropriate uses of this medication?
“I will take this medication at the onset of a migraine.”
32. A nurse is caring for a client who is immunocompromised. Which of the following antiseptic solutions should the nurse
use to perform hand hygiene?
Chlorohexidine
33. A nurse is caring for a client who gave birth 4 weeks ago and has returned to the clinic for a well-baby check. Which of
the following finding should the nurse recognize as a symptom of postpartum depression?
Cries easily/ extreme fatigue/ loss of appetite
34. A nurse on a medical-surgical unit is assigned to provide care for four clients. Which of the following actions should the
nurse take first?
Suction a client who has tracheostomy and has adventitious breath sounds.
35. A nurse is performing to perform sterile wound irrigation and dressing change for a client? Which of the following
actions by the nurse indicates a break in surgical aseptic technique?
Balancing the bottle on sterile basin while pouring the liquid
36. A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse
expect?
Poor problem-solving ability
37. A client requires the inserting of peripherally inserted central catheter (PICC) for chemotherapy. Which of the following
client statements indicates to the nurse that the client understands the care of PICC line? (Select all that apply.)
“I will avoid having my blood pressure from the arm that my PICC line is in.”
FORM A AND B CAPSTONE ATI COMPREHENSIVE
PREDICTOR 2023 FORM A AND B EACH FORM WITH 180
QUESTIONS AND
CORRECT ANSWERS
1. A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an assistive personnel?
“A client who had a cerebrovascular accident 2 days ago and needs help toileting.”
2. A nurse is evaluating outcome for a client who had an aminoinfusion for oligohydramnios. Which of the following
findings indicate and adverse response this treatment?
Meconium aspiration
3. A nurse is caring for a client who has been diagnosed with influenza. To prevent transmitting the virus, which of the
following personal protective equipment should the nurse plan to use?
A surgical mask
4. A nurse assesses an older adult client with decreased caloric intake and weight loss. Which of the following findings
should the nurse report to the provider immediately?
5. The nurse is caring for a client who is 12 hr postoperative following a transurethral resection of the prostate. Which of
the following findings should the nurse report to the provider?
Burgundy-color urine
6. A nurse is caring for a school-age child who is 2-hr post cardiac catheterization. The nurse observes blood on the child’s
dressing. Which of the following is appropriate?
Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site
7. A case manager is planning care for an older adult client who is 2 days postoperative following a hip pinning. The client
wants to participate in therapy but is easily fatigued. Which of the following should the case manager integrate in the
client’s plan of care?
Offer rest periods between therapy sessions.
8. A nurse has just received change-of-shift report. Based on the information provided, which of the following client
should the nurse assess first?
A client who was just given a glass of orange juice for a low blood glucose level.
9. A nurse is caring for a client who is receiving mechanical ventilation for respiratory failure. The low-pressure alarm on
the ventilator sounds. Which of the following actions should the nurse take?
Check the tubing for disconnection
10. A nurse is performing hand hygiene before client care. Which of the following actions should the nurse take?
Rinse hands under warm running water.
11. A client who is at 40 weeks of gestation arrives for an elective induction of labor by amniotomy. The membranes are
ruptures and reveal clear odourless fluid. As the nurse continues to monitor the client, which of the followings requires
intervention?
Fetal heart rate of 100/min
12. The nurse is providing teaching about the use of crutches who has fracture tibia and must not bear weight on the right
leg. Which of the following crutch gait should the nurse plan to teach this client?
, 3-point gait
13. A nurse is caring for a male client who has spinal injury. Which of the following technique should the nurse use when
perineal care?
, "Discard the washcloth after cleansing the urethral meatus."
14. A nurse caring for a client who has Graves’ disease and is experiencing thyroid storm. Which of the following nursing
intervention is a highest priority?
Monitor cardiac rhythm/
? Administer 0.9% sodium chloride IV
15. A nurse is giving discharge instructions to a client who has a new ileostomy. The nurse should recognize that the
teaching has been effective when the client states.
“The stoma will drain liquid fluid continuously.”
16. A nurse is teaching a parent of a toddler about appropriate food choices. Choosing which of the following snacks
indicate an understanding of the teaching?
Graham crackers
17. A nurse is creating a discharge plan for a client who requires initial education regarding safe use of oxygen at home. The
nurse should recognize that which of the following team members assigned to the client should provide the teaching?
The registered nurse
18. When evaluating the use of various types of client restraints, a nurse should determine that which of the following is an
appropriate selection?
Elbow restraints on an infant recovering from clef t lip surgery.
19. A client is to receive a pudendal block when giving birth. The nurse should expect that a pudendal block will
, Diminish pain in the perineum
20. A nurse is caring for a postoperative client who report incisional pain of 8 on a scale from 0 to 10. The client has a
prescription of morphine sulfate 2 mg IV bolus Q4H PRN for incisional pain. The client was given 2 mg 3 hr ago. Which
of the following is an appropriate action for the nurse to take?
Report the findings to the provider and request and adjustment to the medication order.
21. A nurse is caring for several clients on a medical-surgical unit. For which of the following nursing activities is it required
that the nurse use sterile gloves?
Performing tracheostomy care
22. A nurse is monitoring a client who is prescribed heparin IV at 1,000 units/hr. Available is heparin 50 units/mL. The
nurse should maintain the IV infusion at how many mL/hr? (Round the answer to the nearest whole number.)
20 mL/ hr
23. A nurse is assessing a client with post-traumatic stress disorder. Which of the following should the nurse expect to find?
Loss of interest in usual activities
24. A nurse enters the client’s room to administer the medication and finds the client sitting on the floor next to the bed.
The client states that he fell out of the bed. Which of the following actions should the nurse take first?
Check the client to determine if any injuries were sustained.
25. A nurse is observing bonding between a client and her newborn. Which of the following actions by the client would
require a nurse to intervene?
Viewing the newborn’s actions to be uncooperative.
A client’s view of her infant as being uncooperative is a sign of impaired maternal-infant bonding
26. An older adult client is admitted with a ruptured L3 intervertebral disk. The client reports anaphylactic-like allergic
reaction to aspirin. Which of the following medication should the nurse clarify?
Ketorolac (Toradol)
27. A nurse is observing a newly licensed nurse prepare a client for an ECG. Which of the following statements by the newly
licensed nurse indicates an understanding of proper lead placement?
"One of the chest leads serves as the ground electrode."
28. A nurse is teaching a client who undergoing radiation therapy about skin cancer. Which of the following statements
made by the client indicates an understanding of the teaching?
"I should wash the irradiated skin gently with mild soap and water"
29. A client is having suicidal thoughts tells the nurse “It just does not seem worth it anymore. Why not end my misery?”
Which of the following response by the nurse is appropriate?
“Do you have a plan to end your life?
30. A home health nurse is performing initial assessment of client’s home. Which of the following poses the greatest risk
for injury?
A frayed extension cord
31. A nurse is providing client teaching about sumatriptan (Imitrex). Which of the following client statements indicates that
the client understands the expected effects and appropriate uses of this medication?
“I will take this medication at the onset of a migraine.”
32. A nurse is caring for a client who is immunocompromised. Which of the following antiseptic solutions should the nurse
use to perform hand hygiene?
Chlorohexidine
33. A nurse is caring for a client who gave birth 4 weeks ago and has returned to the clinic for a well-baby check. Which of
the following finding should the nurse recognize as a symptom of postpartum depression?
Cries easily/ extreme fatigue/ loss of appetite
34. A nurse on a medical-surgical unit is assigned to provide care for four clients. Which of the following actions should the
nurse take first?
Suction a client who has tracheostomy and has adventitious breath sounds.
35. A nurse is performing to perform sterile wound irrigation and dressing change for a client? Which of the following
actions by the nurse indicates a break in surgical aseptic technique?
Balancing the bottle on sterile basin while pouring the liquid
36. A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse
expect?
Poor problem-solving ability
37. A client requires the inserting of peripherally inserted central catheter (PICC) for chemotherapy. Which of the following
client statements indicates to the nurse that the client understands the care of PICC line? (Select all that apply.)
“I will avoid having my blood pressure from the arm that my PICC line is in.”
