ATI RN Capstone Comprehensive Predictor B
Exam Questions & Answers| Latest Update
,1. The charge nurse is making assignments for the shift. Which client
should be assigned to the LPN/LVN?
A. A client who is 2 days post-op and requires teaching about a new
colostomy
B. A client receiving a first-time blood transfusion
C. A client with a stable tracheostomy who requires routine suctioning
D. A client newly admitted with unstable angina
Correct Answer: C. A client with a stable tracheostomy who requires
routine suctioning
Rationale: LPN/LVN scope of practice includes care of stable clients with
predictable outcomes, such as routine tracheostomy suctioning. New
teaching, first-time transfusions, and unstable clients require RN assessment
and judgment.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Assessing a new client's pain level
B. Ambulating a client who is 1 day post-hip replacement
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: B. Ambulating a client who is 1 day post-hip replacement
Rationale: UAPs can perform tasks that do not require nursing judgment, such
as ambulating a stable client. Assessment, teaching, and evaluation require
licensed nurse judgment and cannot be delegated.
,3. Using SBAR communication, which statement represents the
'Assessment' component when calling a provider about a client with
new-onset chest pain?
A. 'Mr. Jones is a 68-year-old admitted for pneumonia.'
B. 'I think he may be having a cardiac event.'
C. 'His vital signs are BP 90/58, HR 118, RR 26, O2 sat 89%.'
D. 'I need you to come see him now and order an ECG.'
Correct Answer: B. 'I think he may be having a cardiac event.'
Rationale: Assessment is the nurse's clinical judgment/interpretation of the
situation. Background is the history, objective data is the situation/vitals, and
the request is the recommendation.
4. A nurse manager is prioritizing which of four clients to see first after
receiving report. Which client requires immediate attention?
A. A client 3 days post-op with a temperature of 100.2°F (37.9°C)
B. A client with a new tracheostomy who is anxious and gesturing to their
throat
C. A client requesting pain medication that is due in 30 minutes
D. A client awaiting discharge teaching
Correct Answer: B. A client with a new tracheostomy who is anxious and
gesturing to their throat
Rationale: Airway takes priority using the ABC framework. A client with a new
tracheostomy showing distress may have an obstructed airway, which is an
emergency.
, 5. Which situation is an appropriate reason for a nurse to invoke the chain
of command?
A. A colleague disagrees with the nurse's care plan
B. A physician does not respond to a call about a client with a critical lab
value
C. A client requests a different nurse
D. A family member is upset about visiting hours
Correct Answer: B. A physician does not respond to a call about a client
with a critical lab value
Rationale: The chain of command is used when patient safety is at risk and
the responsible provider is unresponsive or a concern is not addressed
appropriately.
6. A nurse is planning care using Maslow's hierarchy of needs. Which
client need should be addressed first?
A. A client's request for spiritual counseling
B. A client's hypoxia with an oxygen saturation of 88%
C. A client's concern about body image after surgery
D. A client's desire to call family
Correct Answer: B. A client's hypoxia with an oxygen saturation of 88%
Rationale: Physiological needs, including oxygenation, are the priority per
Maslow's hierarchy before safety, love/belonging, esteem, or self-actualization
needs.
7. A nurse discovers that a colleague documented medication
administration prior to actually giving the medication. What is the nurse's
priority action?
A. Ignore it since it is a one-time occurrence
B. Report the incident to the nurse manager
C. Confront the colleague in front of other staff
D. Document the incident in the client's chart
Correct Answer: B. Report the incident to the nurse manager
Rationale: Falsifying documentation is a patient safety and legal issue that
must be reported through proper channels to the nurse manager for follow-up.
Exam Questions & Answers| Latest Update
,1. The charge nurse is making assignments for the shift. Which client
should be assigned to the LPN/LVN?
A. A client who is 2 days post-op and requires teaching about a new
colostomy
B. A client receiving a first-time blood transfusion
C. A client with a stable tracheostomy who requires routine suctioning
D. A client newly admitted with unstable angina
Correct Answer: C. A client with a stable tracheostomy who requires
routine suctioning
Rationale: LPN/LVN scope of practice includes care of stable clients with
predictable outcomes, such as routine tracheostomy suctioning. New
teaching, first-time transfusions, and unstable clients require RN assessment
and judgment.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Assessing a new client's pain level
B. Ambulating a client who is 1 day post-hip replacement
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: B. Ambulating a client who is 1 day post-hip replacement
Rationale: UAPs can perform tasks that do not require nursing judgment, such
as ambulating a stable client. Assessment, teaching, and evaluation require
licensed nurse judgment and cannot be delegated.
,3. Using SBAR communication, which statement represents the
'Assessment' component when calling a provider about a client with
new-onset chest pain?
A. 'Mr. Jones is a 68-year-old admitted for pneumonia.'
B. 'I think he may be having a cardiac event.'
C. 'His vital signs are BP 90/58, HR 118, RR 26, O2 sat 89%.'
D. 'I need you to come see him now and order an ECG.'
Correct Answer: B. 'I think he may be having a cardiac event.'
Rationale: Assessment is the nurse's clinical judgment/interpretation of the
situation. Background is the history, objective data is the situation/vitals, and
the request is the recommendation.
4. A nurse manager is prioritizing which of four clients to see first after
receiving report. Which client requires immediate attention?
A. A client 3 days post-op with a temperature of 100.2°F (37.9°C)
B. A client with a new tracheostomy who is anxious and gesturing to their
throat
C. A client requesting pain medication that is due in 30 minutes
D. A client awaiting discharge teaching
Correct Answer: B. A client with a new tracheostomy who is anxious and
gesturing to their throat
Rationale: Airway takes priority using the ABC framework. A client with a new
tracheostomy showing distress may have an obstructed airway, which is an
emergency.
, 5. Which situation is an appropriate reason for a nurse to invoke the chain
of command?
A. A colleague disagrees with the nurse's care plan
B. A physician does not respond to a call about a client with a critical lab
value
C. A client requests a different nurse
D. A family member is upset about visiting hours
Correct Answer: B. A physician does not respond to a call about a client
with a critical lab value
Rationale: The chain of command is used when patient safety is at risk and
the responsible provider is unresponsive or a concern is not addressed
appropriately.
6. A nurse is planning care using Maslow's hierarchy of needs. Which
client need should be addressed first?
A. A client's request for spiritual counseling
B. A client's hypoxia with an oxygen saturation of 88%
C. A client's concern about body image after surgery
D. A client's desire to call family
Correct Answer: B. A client's hypoxia with an oxygen saturation of 88%
Rationale: Physiological needs, including oxygenation, are the priority per
Maslow's hierarchy before safety, love/belonging, esteem, or self-actualization
needs.
7. A nurse discovers that a colleague documented medication
administration prior to actually giving the medication. What is the nurse's
priority action?
A. Ignore it since it is a one-time occurrence
B. Report the incident to the nurse manager
C. Confront the colleague in front of other staff
D. Document the incident in the client's chart
Correct Answer: B. Report the incident to the nurse manager
Rationale: Falsifying documentation is a patient safety and legal issue that
must be reported through proper channels to the nurse manager for follow-up.
