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ATI CAPSTONE EXAM 2 – CERTIFICATION
EVALUATION EXAM (2026-2027) LATEST
VERSION WITH 300 QUESTIONS AND CORRECT
RATIONALIZED SOLUTIONS JUST RELEASED
THIS YEAR
ATI CAPSTONE EXAM 2 – CERTIFICATION EVALUATION PRACTICE BANK (QUESTIONS 1-300)
QUESTIONS 1-100
Question 1: A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository to a
client who reports constipation. The nurse should insert the suppository at which angle?
A) Pointed end first, toward the umbilicus
B) Pointed end first, toward the sacrum
C) Blunt end first, toward the umbilicus
D) Blunt end first, toward the sacrum
Answer: A
Bisacodyl suppositories should be inserted with the pointed end first toward the client's
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umbilicus to follow the natural contour of the rectum and promote retention. The nurse should
lubricate the suppository and insert it beyond the internal sphincter for proper medication
absorption.
Question 2: A client in the critical care unit who has been oriented suddenly becomes
disoriented and fearful. Which action should the nurse take first?
A) Administer a PRN sedative medication
B) Apply soft wrist restraints
C) Assess the client's oxygen saturation and vital signs
D) Call the provider for a psychiatric consult
Answer: C
Sudden onset confusion in a previously oriented client may indicate acute hypoxia, hypotension,
hypoglycemia, or another physiological cause. The priority is to assess oxygen saturation and
vital signs to rule out life-threatening causes before considering behavioral interventions or
restraints.
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Question 3: A nurse is caring for a client who started taking furosemide 2 days ago and has a
potassium level of 3.1 mEq/L. Which finding should the nurse expect?
A) Hyperactive bowel sounds
B) Muscle weakness and fatigue
C) Bradycardia and hypertension
D) Increased urine specific gravity
Answer: B
Hypokalemia (potassium <3.5 mEq/L) commonly presents with muscle weakness, fatigue, leg
cramps, and paresthesias due to potassium's role in neuromuscular function. Furosemide is a
loop diuretic that causes potassium wasting. The nurse should monitor for cardiac dysrhythmias
and report the lab value.
Question 4: A nurse is teaching assistive personnel about caring for clients who have
Alzheimer's disease. Which information should the nurse include?
A) Use reality orientation to correct the client's confusion
B) Maintain a consistent daily routine for the client
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C) Encourage the client to make all decisions independently
D) Avoid using touch when communicating with the client
Answer: B
Clients with Alzheimer's disease benefit from a consistent daily routine, which reduces confusion
and anxiety. Reality orientation is not effective in advanced stages and may increase agitation.
Therapeutic touch and redirection are appropriate communication strategies.
Question 5: A nurse is assessing a client who is taking bupropion for depression. Which finding
should the nurse report to the provider immediately?
A) Dry mouth
B) Insomnia
C) Seizure activity
D) Weight loss
Answer: C
Bupropion lowers the seizure threshold and can cause seizures, especially at higher doses or in
clients with predisposing factors. Seizure activity is a medical emergency requiring immediate
reporting. Dry mouth, insomnia, and weight loss are common but not emergent adverse effects.
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SUCCESS!
ATI CAPSTONE EXAM 2 – CERTIFICATION
EVALUATION EXAM (2026-2027) LATEST
VERSION WITH 300 QUESTIONS AND CORRECT
RATIONALIZED SOLUTIONS JUST RELEASED
THIS YEAR
ATI CAPSTONE EXAM 2 – CERTIFICATION EVALUATION PRACTICE BANK (QUESTIONS 1-300)
QUESTIONS 1-100
Question 1: A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository to a
client who reports constipation. The nurse should insert the suppository at which angle?
A) Pointed end first, toward the umbilicus
B) Pointed end first, toward the sacrum
C) Blunt end first, toward the umbilicus
D) Blunt end first, toward the sacrum
Answer: A
Bisacodyl suppositories should be inserted with the pointed end first toward the client's
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umbilicus to follow the natural contour of the rectum and promote retention. The nurse should
lubricate the suppository and insert it beyond the internal sphincter for proper medication
absorption.
Question 2: A client in the critical care unit who has been oriented suddenly becomes
disoriented and fearful. Which action should the nurse take first?
A) Administer a PRN sedative medication
B) Apply soft wrist restraints
C) Assess the client's oxygen saturation and vital signs
D) Call the provider for a psychiatric consult
Answer: C
Sudden onset confusion in a previously oriented client may indicate acute hypoxia, hypotension,
hypoglycemia, or another physiological cause. The priority is to assess oxygen saturation and
vital signs to rule out life-threatening causes before considering behavioral interventions or
restraints.
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Question 3: A nurse is caring for a client who started taking furosemide 2 days ago and has a
potassium level of 3.1 mEq/L. Which finding should the nurse expect?
A) Hyperactive bowel sounds
B) Muscle weakness and fatigue
C) Bradycardia and hypertension
D) Increased urine specific gravity
Answer: B
Hypokalemia (potassium <3.5 mEq/L) commonly presents with muscle weakness, fatigue, leg
cramps, and paresthesias due to potassium's role in neuromuscular function. Furosemide is a
loop diuretic that causes potassium wasting. The nurse should monitor for cardiac dysrhythmias
and report the lab value.
Question 4: A nurse is teaching assistive personnel about caring for clients who have
Alzheimer's disease. Which information should the nurse include?
A) Use reality orientation to correct the client's confusion
B) Maintain a consistent daily routine for the client
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C) Encourage the client to make all decisions independently
D) Avoid using touch when communicating with the client
Answer: B
Clients with Alzheimer's disease benefit from a consistent daily routine, which reduces confusion
and anxiety. Reality orientation is not effective in advanced stages and may increase agitation.
Therapeutic touch and redirection are appropriate communication strategies.
Question 5: A nurse is assessing a client who is taking bupropion for depression. Which finding
should the nurse report to the provider immediately?
A) Dry mouth
B) Insomnia
C) Seizure activity
D) Weight loss
Answer: C
Bupropion lowers the seizure threshold and can cause seizures, especially at higher doses or in
clients with predisposing factors. Seizure activity is a medical emergency requiring immediate
reporting. Dry mouth, insomnia, and weight loss are common but not emergent adverse effects.
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