ATI Nursing Education: RN Content
Mastery Series - Capstone B
Comprehensive Exam Guide
2025/2026 Edition – Master
Management of Care to Pass on Your
First Attempt
| Step | Action | Why It Works |
| :--- | :--- | :--- |
| **1** | Take 20-30 questions timed per session | Simulates exam conditions, builds mental stamina |
| **2** | Review every rationale carefully | Understanding *why* builds clinical judgment |
,| **3** | Track topics you miss | Identifies weak areas for focused review |
| **4** | Use the ATI Focused Review after practice | Reinforces weak areas with official content |
| **5** | Practice NGN formats (case studies, SATA, bow-tie) | Familiarizes you with new question types
on the 2025/2026 exam |
---
## 📊 Management of Care: Key Concepts for Capstone B
### Client Rights & Advance Directives
| Concept | Key Points |
| :--- | :--- |
| **Patient Self-Determination Act (PSDA)** | On admission, all clients must be informed of their right
to accept or refuse care. Competent adults have the right to refuse treatment, including the right to
leave a healthcare facility without a prescription for discharge |
| **Advance Directives** | Legal documents (living will, durable power of attorney for healthcare) that
specify client's wishes for end-of-life care. Must be documented during admission |
| **Informed Consent** | Provider explains risks/benefits/alternatives. Nurse witnesses signature and
verifies client appears to understand. Client can withdraw consent at any time |
### Delegation & Staff Management
| Principle | Application |
| :--- | :--- |
| **Five Rights of Delegation** | Right task, right circumstance, right person, right
direction/communication, right supervision |
,| **RN → LPN Delegation** | LPNs can care for stable clients with predictable outcomes: medication
administration, wound care, tube feeding, suctioning |
| **RN → AP Delegation** | APs can perform routine care: vital signs, I&O, ambulation, feeding,
bathing, hygiene |
| **Cannot Delegate** | Initial assessment, care planning, evaluation, client teaching, medication
teaching |
### Prioritization Frameworks
| Framework | Description |
| :--- | :--- |
| **ABC (Airway, Breathing, Circulation)** | Physiologic priority – airway always first |
| **Maslow's Hierarchy** | Physiologic needs before safety, love, esteem |
| **Acute vs. Chronic** | Unstable, acute conditions before stable, chronic conditions |
| **Nursing Process** | Assessment → Analysis → Planning → Implementation → Evaluation |
### Infection Control Precautions
| Precautions | Diseases | PPE Required |
| :--- | :--- | :--- |
| **Airborne** | TB, measles, varicella (chickenpox), disseminated zoster | N95 respirator, negative
pressure room |
| **Droplet** | Influenza, pertussis, meningitis, rubella | Surgical mask, gloves, gown |
| **Contact** | MRSA, VRE, C. difficile, RSV | Gloves, gown, dedicated equipment |
| **C. difficile-specific** | C. diff | Contact + soap and water hand hygiene (alcohol not effective) |
---
, ## SECTION 1: CLIENT RIGHTS & ADVANCE DIRECTIVES
### Questions 1-15
**Q1. A nurse is admitting a client to a medical-surgical unit. Which of the following actions is required
by the Patient Self-Determination Act (PSDA)?**
- A) Ask the client if they have a living will or durable power of attorney for healthcare
- B) Obtain the client's signature on a consent for treatment form
- C) Provide the client with a written copy of their advance directives
- D) Notify the client's family of their right to make healthcare decisions
**Correct Answer: A**
**Rationale:** The **Patient Self-Determination Act (PSDA)** requires that on admission to a
healthcare facility, all clients must be informed of their right to accept or refuse care and to complete
advance directives. The nurse must ask about the existence of advance directives (living will, durable
power of attorney for healthcare).
---
**Q2. A client who is competent and oriented tells the nurse, "I'm leaving this hospital right now. I don't
care what the doctor says." After notifying the provider, which action should the nurse take?**
- A) Restrain the client to prevent leaving
- B) Call security to block the exit
Mastery Series - Capstone B
Comprehensive Exam Guide
2025/2026 Edition – Master
Management of Care to Pass on Your
First Attempt
| Step | Action | Why It Works |
| :--- | :--- | :--- |
| **1** | Take 20-30 questions timed per session | Simulates exam conditions, builds mental stamina |
| **2** | Review every rationale carefully | Understanding *why* builds clinical judgment |
,| **3** | Track topics you miss | Identifies weak areas for focused review |
| **4** | Use the ATI Focused Review after practice | Reinforces weak areas with official content |
| **5** | Practice NGN formats (case studies, SATA, bow-tie) | Familiarizes you with new question types
on the 2025/2026 exam |
---
## 📊 Management of Care: Key Concepts for Capstone B
### Client Rights & Advance Directives
| Concept | Key Points |
| :--- | :--- |
| **Patient Self-Determination Act (PSDA)** | On admission, all clients must be informed of their right
to accept or refuse care. Competent adults have the right to refuse treatment, including the right to
leave a healthcare facility without a prescription for discharge |
| **Advance Directives** | Legal documents (living will, durable power of attorney for healthcare) that
specify client's wishes for end-of-life care. Must be documented during admission |
| **Informed Consent** | Provider explains risks/benefits/alternatives. Nurse witnesses signature and
verifies client appears to understand. Client can withdraw consent at any time |
### Delegation & Staff Management
| Principle | Application |
| :--- | :--- |
| **Five Rights of Delegation** | Right task, right circumstance, right person, right
direction/communication, right supervision |
,| **RN → LPN Delegation** | LPNs can care for stable clients with predictable outcomes: medication
administration, wound care, tube feeding, suctioning |
| **RN → AP Delegation** | APs can perform routine care: vital signs, I&O, ambulation, feeding,
bathing, hygiene |
| **Cannot Delegate** | Initial assessment, care planning, evaluation, client teaching, medication
teaching |
### Prioritization Frameworks
| Framework | Description |
| :--- | :--- |
| **ABC (Airway, Breathing, Circulation)** | Physiologic priority – airway always first |
| **Maslow's Hierarchy** | Physiologic needs before safety, love, esteem |
| **Acute vs. Chronic** | Unstable, acute conditions before stable, chronic conditions |
| **Nursing Process** | Assessment → Analysis → Planning → Implementation → Evaluation |
### Infection Control Precautions
| Precautions | Diseases | PPE Required |
| :--- | :--- | :--- |
| **Airborne** | TB, measles, varicella (chickenpox), disseminated zoster | N95 respirator, negative
pressure room |
| **Droplet** | Influenza, pertussis, meningitis, rubella | Surgical mask, gloves, gown |
| **Contact** | MRSA, VRE, C. difficile, RSV | Gloves, gown, dedicated equipment |
| **C. difficile-specific** | C. diff | Contact + soap and water hand hygiene (alcohol not effective) |
---
, ## SECTION 1: CLIENT RIGHTS & ADVANCE DIRECTIVES
### Questions 1-15
**Q1. A nurse is admitting a client to a medical-surgical unit. Which of the following actions is required
by the Patient Self-Determination Act (PSDA)?**
- A) Ask the client if they have a living will or durable power of attorney for healthcare
- B) Obtain the client's signature on a consent for treatment form
- C) Provide the client with a written copy of their advance directives
- D) Notify the client's family of their right to make healthcare decisions
**Correct Answer: A**
**Rationale:** The **Patient Self-Determination Act (PSDA)** requires that on admission to a
healthcare facility, all clients must be informed of their right to accept or refuse care and to complete
advance directives. The nurse must ask about the existence of advance directives (living will, durable
power of attorney for healthcare).
---
**Q2. A client who is competent and oriented tells the nurse, "I'm leaving this hospital right now. I don't
care what the doctor says." After notifying the provider, which action should the nurse take?**
- A) Restrain the client to prevent leaving
- B) Call security to block the exit
