RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2026 B ATI COMPREHENSIVE
PRACTICE TEST B (BEST STUDY GUIDE VERSION
WITH COMPLETE SOLUTION)
1
,1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the therapy
has been effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a
test dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Tremors
, 2
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart
rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of
the rapid rate and the transmission of respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following findings as a potential indication of
child sexual abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
11. A nurse is caring for a client who has active TB. Which of the following
actions should the nurse plan to take to prevent the transmission of the disease?
Have the client wear a surgical mask while being transported outside the room. This
will prevent the transmission of the disease.
12. A nurse is caring for a group of clients. Which of the following clients should
the nurse attend to first?
An older adult client who is anxious and attempting to pull out an IV line. This
client is at greater risk of injury.
13. An RN is observing an LPN and a CNA move a client up in bed. For which of
the following situations should the nurse intervene?
The LPN and the CNA grasp the client under his arms to lift him up in bed. They should
not grasp the client under the arms when lifting, as this can result in shoulder
dislocation or other injuries to the client. The RN should intervene and instruct the
nurses to use a draw sheet or friction-reducing device to lift the client.
ASSESSMENT 2026 B ATI COMPREHENSIVE
PRACTICE TEST B (BEST STUDY GUIDE VERSION
WITH COMPLETE SOLUTION)
1
,1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the therapy
has been effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a
test dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Tremors
, 2
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart
rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of
the rapid rate and the transmission of respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following findings as a potential indication of
child sexual abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
11. A nurse is caring for a client who has active TB. Which of the following
actions should the nurse plan to take to prevent the transmission of the disease?
Have the client wear a surgical mask while being transported outside the room. This
will prevent the transmission of the disease.
12. A nurse is caring for a group of clients. Which of the following clients should
the nurse attend to first?
An older adult client who is anxious and attempting to pull out an IV line. This
client is at greater risk of injury.
13. An RN is observing an LPN and a CNA move a client up in bed. For which of
the following situations should the nurse intervene?
The LPN and the CNA grasp the client under his arms to lift him up in bed. They should
not grasp the client under the arms when lifting, as this can result in shoulder
dislocation or other injuries to the client. The RN should intervene and instruct the
nurses to use a draw sheet or friction-reducing device to lift the client.
