RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 1 of 50 RN ATI Capstone Leadership and Community Health
A charge nurse is making assignments for the oncoming shift. Which of the following clients
should the charge nurse assign to the most experienced nurse?
A. A client who is 1 day postoperative following a laparoscopic cholecystectomy.
B. A client who has type 2 diabetes and a blood glucose of 210 mg/dL.
✓ C. A client who is newly diagnosed with heart failure and has an oxygen saturation of 88%.
D. A client who has hypertension and is scheduled for discharge.
✓ Correct Answer: C
The most experienced nurse should be assigned to the most acutely unstable client. A client with newly diagnosed heart
failure and SpO2 of 88% is critically hypoxic — below the acceptable threshold of 90-95% — and requires immediate,
complex assessment and intervention. The other clients have more stable, predictable needs appropriate for less
experienced staff.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 2 of 50 RN ATI Capstone Leadership and Community Health
A nurse manager is conducting performance evaluations. Which of the following actions by the
nurse manager demonstrates the halo effect bias?
A. Rating all staff members as average to avoid conflict.
✓ B. Allowing one positive trait to positively influence the entire evaluation.
C. Evaluating performance based only on the most recent events.
D. Comparing one employee's performance to another employee's.
✓ Correct Answer: B
The HALO EFFECT is a cognitive bias where one positive attribute (e.g., the employee is always punctual) causes the
evaluator to rate ALL other performance areas positively — allowing one trait to color the entire evaluation. Rating
everyone average to avoid conflict is the CENTRAL TENDENCY bias. Focusing on recent events is the RECENCY bias.
Comparing employees to each other is the CONTRAST EFFECT bias.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 3 of 50 RN ATI Capstone Leadership and Community Health
A home health nurse is visiting a client who has chronic obstructive pulmonary disease (COPD).
Which of the following findings requires immediate intervention?
A. The client uses pursed-lip breathing during activity.
✓ B. The client's SpO2 is 85% on 2L nasal cannula.
C. The client uses three pillows to sleep at night.
D. The client has mild ankle edema bilaterally.
✓ Correct Answer: B
SpO2 of 85% is critically low — below the absolute minimum acceptable threshold of 90% — and indicates severe
hypoxemia requiring IMMEDIATE intervention (increase supplemental oxygen, call provider). Pursed-lip breathing is a
therapeutic COPD technique. Using multiple pillows (orthopnea) and mild bilateral ankle edema are chronic, expected
findings in COPD that require monitoring but not immediate intervention.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 4 of 50 RN ATI Capstone Leadership and Community Health
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a focused assessment on a client with chest pain.
B. Administering a scheduled oral medication to a stable client.
✓ C. Measuring and recording urine output for a client with a urinary catheter.
D. Teaching a client about a new diagnosis of hypertension.
✓ Correct Answer: C
UAPs can perform NON-CLINICAL, routine tasks that do not require nursing judgment. Measuring and recording urine
output is an observable, measurable task within the UAP scope of practice. Assessment, medication administration, and
client teaching all require nursing judgment and licensure — these CANNOT be delegated to a UAP.
2026 Exam · 50 Questions · With Rationales
Question: 1 of 50 RN ATI Capstone Leadership and Community Health
A charge nurse is making assignments for the oncoming shift. Which of the following clients
should the charge nurse assign to the most experienced nurse?
A. A client who is 1 day postoperative following a laparoscopic cholecystectomy.
B. A client who has type 2 diabetes and a blood glucose of 210 mg/dL.
✓ C. A client who is newly diagnosed with heart failure and has an oxygen saturation of 88%.
D. A client who has hypertension and is scheduled for discharge.
✓ Correct Answer: C
The most experienced nurse should be assigned to the most acutely unstable client. A client with newly diagnosed heart
failure and SpO2 of 88% is critically hypoxic — below the acceptable threshold of 90-95% — and requires immediate,
complex assessment and intervention. The other clients have more stable, predictable needs appropriate for less
experienced staff.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 2 of 50 RN ATI Capstone Leadership and Community Health
A nurse manager is conducting performance evaluations. Which of the following actions by the
nurse manager demonstrates the halo effect bias?
A. Rating all staff members as average to avoid conflict.
✓ B. Allowing one positive trait to positively influence the entire evaluation.
C. Evaluating performance based only on the most recent events.
D. Comparing one employee's performance to another employee's.
✓ Correct Answer: B
The HALO EFFECT is a cognitive bias where one positive attribute (e.g., the employee is always punctual) causes the
evaluator to rate ALL other performance areas positively — allowing one trait to color the entire evaluation. Rating
everyone average to avoid conflict is the CENTRAL TENDENCY bias. Focusing on recent events is the RECENCY bias.
Comparing employees to each other is the CONTRAST EFFECT bias.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 3 of 50 RN ATI Capstone Leadership and Community Health
A home health nurse is visiting a client who has chronic obstructive pulmonary disease (COPD).
Which of the following findings requires immediate intervention?
A. The client uses pursed-lip breathing during activity.
✓ B. The client's SpO2 is 85% on 2L nasal cannula.
C. The client uses three pillows to sleep at night.
D. The client has mild ankle edema bilaterally.
✓ Correct Answer: B
SpO2 of 85% is critically low — below the absolute minimum acceptable threshold of 90% — and indicates severe
hypoxemia requiring IMMEDIATE intervention (increase supplemental oxygen, call provider). Pursed-lip breathing is a
therapeutic COPD technique. Using multiple pillows (orthopnea) and mild bilateral ankle edema are chronic, expected
findings in COPD that require monitoring but not immediate intervention.
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 4 of 50 RN ATI Capstone Leadership and Community Health
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a focused assessment on a client with chest pain.
B. Administering a scheduled oral medication to a stable client.
✓ C. Measuring and recording urine output for a client with a urinary catheter.
D. Teaching a client about a new diagnosis of hypertension.
✓ Correct Answer: C
UAPs can perform NON-CLINICAL, routine tasks that do not require nursing judgment. Measuring and recording urine
output is an observable, measurable task within the UAP scope of practice. Assessment, medication administration, and
client teaching all require nursing judgment and licensure — these CANNOT be delegated to a UAP.
