, RN ATI CAPSTONE COMPREHENSIVE ASSESSMENT
Proctored Examination · 2019 B Version · Questions with Answers & Rationales
TABLE OF CONTENTS
Exam Overview
Management of Care
➢ Delegation & Assignment
➢ Legal & Ethical
Issues
➢ Incident Reporting
➢ Patient Self-
Determination
➢ Act Disaster Triage
Safety & Infection Control
Medication Interactions
Neutropenic Precautions
Radiation Safety
Latex Allergy
Restraints
Health Promotion & Maintenance
Immunizations
Car Seat Safety
Pharmacological & Parenteral
Therapies Reduction of Risk Potential
Basic Care & Comfort
Psychosocial Integrity
Physiological Adaptation
Additional Questions (44–75)
Conclusion
EXAM OVERVIEW
The ATI Comprehensive Predictor is a three-hour, 180-item, proctored test designed to
assess your readiness to sit for the NCLEX exam. The exam spans all NCLEX content
categories and provides a prediction of your likelihood of passing the NCLEX.
Format: 180 multiple-choice questions with some alternate-format items (select all that apply,
ordered response, etc.)
Time Limit: 180 minutes (3 hours)
Scoring: Individual score report with predicted NCLEX success probability
MANAGEMENT OF CARE
Delegation & Assignment
, 1. A charge nurse is assigning tasks to an LPN. Which task should the charge nurse delegate to
the LPN?
A. Administer a dose of metoprolol to a stable client with hypertension
B. Perform an admission assessment on a new client
C. Administer IV push morphine to a client in pain
D. Develop a care plan for a client with diabetes
Correct Answer: A
Rationale: LPNs can administer oral medications to stable clients. RNs retain responsibility for initial
assessments, unstable clients, and IV push medications.
2. A nurse on a medical-surgical unit is overwhelmed with admissions. Which task can be
delegated to an AP (CNA)?
A. Obtain a clean-catch urine specimen from a client
B. Administer a tube feeding
C. Assess a client's lung sounds
D. Perform a sterile dressing change
Correct Answer: A
Rationale: APs can collect non-sterile specimens. The RN must teach, assess, and interpret results.
Tube feedings, assessments, and sterile procedures require RN or LPN skill.
3. A nurse is caring for a client who has fluid volume overload. Which task should the nurse
delegate to the CNA?
A. Measure the client's daily weight
B. Administer IV furosemide
C. Assess jugular venous distention
D. Adjust the client's fluid restriction
Correct Answer: A
Rationale: Measuring daily weight is within the CNA's range of function. IV medications,
assessments, and fluid adjustments are nursing responsibilities.
Legal & Ethical Issues
4. 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?
A. Gently remind the family of the DNR order and continue supportive care without CPR
B. Begin CPR until the physician arrives
C. Notify risk management
D. Page the physician for an update to the DNR order
Correct Answer: A
Rationale: A valid DNR order must be respected; the nurse should support the family while following
the legal directive. A physician cannot "update" a DNR in an emergency without discussion.
Proctored Examination · 2019 B Version · Questions with Answers & Rationales
TABLE OF CONTENTS
Exam Overview
Management of Care
➢ Delegation & Assignment
➢ Legal & Ethical
Issues
➢ Incident Reporting
➢ Patient Self-
Determination
➢ Act Disaster Triage
Safety & Infection Control
Medication Interactions
Neutropenic Precautions
Radiation Safety
Latex Allergy
Restraints
Health Promotion & Maintenance
Immunizations
Car Seat Safety
Pharmacological & Parenteral
Therapies Reduction of Risk Potential
Basic Care & Comfort
Psychosocial Integrity
Physiological Adaptation
Additional Questions (44–75)
Conclusion
EXAM OVERVIEW
The ATI Comprehensive Predictor is a three-hour, 180-item, proctored test designed to
assess your readiness to sit for the NCLEX exam. The exam spans all NCLEX content
categories and provides a prediction of your likelihood of passing the NCLEX.
Format: 180 multiple-choice questions with some alternate-format items (select all that apply,
ordered response, etc.)
Time Limit: 180 minutes (3 hours)
Scoring: Individual score report with predicted NCLEX success probability
MANAGEMENT OF CARE
Delegation & Assignment
, 1. A charge nurse is assigning tasks to an LPN. Which task should the charge nurse delegate to
the LPN?
A. Administer a dose of metoprolol to a stable client with hypertension
B. Perform an admission assessment on a new client
C. Administer IV push morphine to a client in pain
D. Develop a care plan for a client with diabetes
Correct Answer: A
Rationale: LPNs can administer oral medications to stable clients. RNs retain responsibility for initial
assessments, unstable clients, and IV push medications.
2. A nurse on a medical-surgical unit is overwhelmed with admissions. Which task can be
delegated to an AP (CNA)?
A. Obtain a clean-catch urine specimen from a client
B. Administer a tube feeding
C. Assess a client's lung sounds
D. Perform a sterile dressing change
Correct Answer: A
Rationale: APs can collect non-sterile specimens. The RN must teach, assess, and interpret results.
Tube feedings, assessments, and sterile procedures require RN or LPN skill.
3. A nurse is caring for a client who has fluid volume overload. Which task should the nurse
delegate to the CNA?
A. Measure the client's daily weight
B. Administer IV furosemide
C. Assess jugular venous distention
D. Adjust the client's fluid restriction
Correct Answer: A
Rationale: Measuring daily weight is within the CNA's range of function. IV medications,
assessments, and fluid adjustments are nursing responsibilities.
Legal & Ethical Issues
4. 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?
A. Gently remind the family of the DNR order and continue supportive care without CPR
B. Begin CPR until the physician arrives
C. Notify risk management
D. Page the physician for an update to the DNR order
Correct Answer: A
Rationale: A valid DNR order must be respected; the nurse should support the family while following
the legal directive. A physician cannot "update" a DNR in an emergency without discussion.
