RN ATI Capstone Proctored
Comprehensive Assessment 2019 B:
The Ultimate 200-Q&A Review with
Rationales
A charge nurse is assigning tasks to an LPN. Which task should the
charge nurse delegate to the LPN?
Answer: Administer a dose of metoprolol to a stable client with
hypertension.
Rationale: LPNs can administer oral medications to stable clients. RNs retain
responsibility for initial assessments, unstable clients, and IV push
medications.
A client with a DNR order is pulseless and not breathing. The family
demands that the nurse “do everything.” What should the nurse do
first?
Answer: Gently remind the family of the DNR order and continue supportive
care without CPR.
Rationale: A valid DNR order must be respected. The nurse should support
the family while following the legal directive.
,A nurse on a medical-surgical unit is overwhelmed with admissions.
Which task can be delegated to an AP?
Answer: Obtain a clean-catch urine specimen from a client.
Rationale: APs can collect non-sterile specimens. The RN must teach, assess,
and interpret results.
A nurse suspects a colleague is impaired due to alcohol odor. What is
the priority action?
Answer: Notify the nursing supervisor immediately.
Rationale: Patient safety is paramount; reporting to the supervisor follows
the chain of command and legal/ethical duties.
A client refuses a blood transfusion for religious reasons. The nurse's
best response is to:
Answer: Document the refusal and notify the provider.
Rationale: Respect autonomy; do not coerce. The provider can discuss
alternatives.
,Which situation requires an incident report?
Answer: A client falls when getting out of bed unassisted despite the bed
alarm being on.
Rationale: Incident reports are for unexpected events (falls, medication
errors). They are not placed in the chart.
A nurse is teaching about advance directives. Which statement
indicates understanding?
Answer: “I can change my living will at any time.”
Rationale: Advance directives can be updated or revoked by a competent
adult.
A nurse manager is discussing just culture. Which statement reflects
this concept?
Answer: “We analyze system failures, not just individual mistakes.”
Rationale: Just culture balances accountability and learning from errors
without punitive blame for honest mistakes.
A nurse is triaging after a disaster. Which client should be seen first?
Answer: A client with a sucking chest wound and stridor.
, Rationale: This is emergent (red tag) – airway/breathing compromise takes
priority over minor injuries.
A client with depression says, “Life isn’t worth living anymore.” What
is the nurse’s priority response?
Answer: “Have you thought about how you would kill yourself?”
Rationale: Directly assess suicidal ideation, plan, means, and intent.
A nurse is caring for a client with anorexia nervosa who refuses to eat.
Which intervention is appropriate?
Answer: Remain with the client for 1 hour after meals.
Rationale: Prevent purging (vomiting, exercise) and provide support.
A client with PTSD reports nightmares and hypervigilance. Which
medication is commonly used?
Answer: Prazosin.
Rationale: Prazosin reduces nightmares and sleep disruption in PTSD.
Comprehensive Assessment 2019 B:
The Ultimate 200-Q&A Review with
Rationales
A charge nurse is assigning tasks to an LPN. Which task should the
charge nurse delegate to the LPN?
Answer: Administer a dose of metoprolol to a stable client with
hypertension.
Rationale: LPNs can administer oral medications to stable clients. RNs retain
responsibility for initial assessments, unstable clients, and IV push
medications.
A client with a DNR order is pulseless and not breathing. The family
demands that the nurse “do everything.” What should the nurse do
first?
Answer: Gently remind the family of the DNR order and continue supportive
care without CPR.
Rationale: A valid DNR order must be respected. The nurse should support
the family while following the legal directive.
,A nurse on a medical-surgical unit is overwhelmed with admissions.
Which task can be delegated to an AP?
Answer: Obtain a clean-catch urine specimen from a client.
Rationale: APs can collect non-sterile specimens. The RN must teach, assess,
and interpret results.
A nurse suspects a colleague is impaired due to alcohol odor. What is
the priority action?
Answer: Notify the nursing supervisor immediately.
Rationale: Patient safety is paramount; reporting to the supervisor follows
the chain of command and legal/ethical duties.
A client refuses a blood transfusion for religious reasons. The nurse's
best response is to:
Answer: Document the refusal and notify the provider.
Rationale: Respect autonomy; do not coerce. The provider can discuss
alternatives.
,Which situation requires an incident report?
Answer: A client falls when getting out of bed unassisted despite the bed
alarm being on.
Rationale: Incident reports are for unexpected events (falls, medication
errors). They are not placed in the chart.
A nurse is teaching about advance directives. Which statement
indicates understanding?
Answer: “I can change my living will at any time.”
Rationale: Advance directives can be updated or revoked by a competent
adult.
A nurse manager is discussing just culture. Which statement reflects
this concept?
Answer: “We analyze system failures, not just individual mistakes.”
Rationale: Just culture balances accountability and learning from errors
without punitive blame for honest mistakes.
A nurse is triaging after a disaster. Which client should be seen first?
Answer: A client with a sucking chest wound and stridor.
, Rationale: This is emergent (red tag) – airway/breathing compromise takes
priority over minor injuries.
A client with depression says, “Life isn’t worth living anymore.” What
is the nurse’s priority response?
Answer: “Have you thought about how you would kill yourself?”
Rationale: Directly assess suicidal ideation, plan, means, and intent.
A nurse is caring for a client with anorexia nervosa who refuses to eat.
Which intervention is appropriate?
Answer: Remain with the client for 1 hour after meals.
Rationale: Prevent purging (vomiting, exercise) and provide support.
A client with PTSD reports nightmares and hypervigilance. Which
medication is commonly used?
Answer: Prazosin.
Rationale: Prazosin reduces nightmares and sleep disruption in PTSD.
