ATI Capstone Comprehensive Assessment Form A Exam – 200
Complete Questions and Answers with Rationales 2026/2027 Latest
Update
This exam is designed for comprehensive RN review across major nursing
domains. Questions emphasize clinical judgment, patient safety, prioritization,
delegation, pharmacology, medical-surgical care, maternal-newborn nursing,
pediatrics, mental health, community health, and leadership.
Covering areas such as:
Adult Medical-Surgical Nursing
Pharmacology
Fundamentals
Mental Health
Maternal-Newborn
Pediatrics
Leadership and Management
Community Health
Safety and Infection Control
Prioritization and Delegation
Clinical Judgment
NGN-style case studies and item types
Questions 1–25: Fundamentals, Safety & Infection Control
1. A nurse enters the room of a client who has Clostridioides difficile
infection. Which action is most appropriate?
A. Wear an N95 respirator
B. Use alcohol-based hand sanitizer after removing gloves
C. Wear gown and gloves and wash hands with soap and water
D. Place the client in a negative-pressure room
,Answer: C
Rationale: C. difficile spores are not reliably eliminated by alcohol-
based hand sanitizer. Contact precautions and handwashing with soap
and water are required.
2. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with COPD whose oxygen saturation is 91% and baseline is
90%
C. Client with diabetes who is requesting a snack
D. Client who is 1 day postoperative and reports incisional discomfort
Answer: B
Rationale: The COPD client has an airway/breathing concern. Although
the saturation is near baseline, respiratory status takes priority over pain
and routine needs.
3. A client begins having a generalized tonic-clonic seizure. What
should the nurse do first?
A. Insert an oral airway
B. Restrain the client's extremities
C. Protect the client's head and remove nearby hazards
D. Give oral medication
Answer: C
Rationale: During a seizure, the priority is preventing injury and
maintaining safety. Nothing should be placed in the client's mouth.
,4. Which intervention is appropriate for preventing falls in an older
adult?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room dark at night
D. Encourage the client to ambulate without assistance
Answer: B
Rationale: Keeping needed items within reach reduces unnecessary
attempts to get out of bed.
5. A nurse is preparing to administer medication. Which identification
method is safest?
A. Ask the client's room number
B. Verify the client's name against the medication record
C. Ask another client to identify the patient
D. Use the client's diagnosis as identification
Answer: B
Rationale: The nurse should use approved identifiers, such as the
client's name and another identifier, rather than room number or
diagnosis.
6. Which finding requires immediate intervention in a client receiving
oxygen?
A. Dry nasal mucosa
B. Oxygen saturation of 95%
, C. Client smoking near the oxygen source
D. Mild headache
Answer: C
Rationale: Oxygen supports combustion. Smoking around oxygen
creates an immediate fire hazard.
7. A client has dysphagia following a stroke. Which action reduces
aspiration risk?
A. Offer thin liquids
B. Place the client supine during meals
C. Keep the client upright while eating
D. Encourage use of a straw
Answer: C
Rationale: Upright positioning during and after meals helps reduce
aspiration.
8. Which finding indicates a stage 1 pressure injury?
A. Full-thickness tissue loss
B. Nonblanchable erythema over intact skin
C. Exposed bone
D. Visible adipose tissue
Answer: B
Rationale: Stage 1 pressure injury involves intact skin with persistent
nonblanchable redness.
Complete Questions and Answers with Rationales 2026/2027 Latest
Update
This exam is designed for comprehensive RN review across major nursing
domains. Questions emphasize clinical judgment, patient safety, prioritization,
delegation, pharmacology, medical-surgical care, maternal-newborn nursing,
pediatrics, mental health, community health, and leadership.
Covering areas such as:
Adult Medical-Surgical Nursing
Pharmacology
Fundamentals
Mental Health
Maternal-Newborn
Pediatrics
Leadership and Management
Community Health
Safety and Infection Control
Prioritization and Delegation
Clinical Judgment
NGN-style case studies and item types
Questions 1–25: Fundamentals, Safety & Infection Control
1. A nurse enters the room of a client who has Clostridioides difficile
infection. Which action is most appropriate?
A. Wear an N95 respirator
B. Use alcohol-based hand sanitizer after removing gloves
C. Wear gown and gloves and wash hands with soap and water
D. Place the client in a negative-pressure room
,Answer: C
Rationale: C. difficile spores are not reliably eliminated by alcohol-
based hand sanitizer. Contact precautions and handwashing with soap
and water are required.
2. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with COPD whose oxygen saturation is 91% and baseline is
90%
C. Client with diabetes who is requesting a snack
D. Client who is 1 day postoperative and reports incisional discomfort
Answer: B
Rationale: The COPD client has an airway/breathing concern. Although
the saturation is near baseline, respiratory status takes priority over pain
and routine needs.
3. A client begins having a generalized tonic-clonic seizure. What
should the nurse do first?
A. Insert an oral airway
B. Restrain the client's extremities
C. Protect the client's head and remove nearby hazards
D. Give oral medication
Answer: C
Rationale: During a seizure, the priority is preventing injury and
maintaining safety. Nothing should be placed in the client's mouth.
,4. Which intervention is appropriate for preventing falls in an older
adult?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room dark at night
D. Encourage the client to ambulate without assistance
Answer: B
Rationale: Keeping needed items within reach reduces unnecessary
attempts to get out of bed.
5. A nurse is preparing to administer medication. Which identification
method is safest?
A. Ask the client's room number
B. Verify the client's name against the medication record
C. Ask another client to identify the patient
D. Use the client's diagnosis as identification
Answer: B
Rationale: The nurse should use approved identifiers, such as the
client's name and another identifier, rather than room number or
diagnosis.
6. Which finding requires immediate intervention in a client receiving
oxygen?
A. Dry nasal mucosa
B. Oxygen saturation of 95%
, C. Client smoking near the oxygen source
D. Mild headache
Answer: C
Rationale: Oxygen supports combustion. Smoking around oxygen
creates an immediate fire hazard.
7. A client has dysphagia following a stroke. Which action reduces
aspiration risk?
A. Offer thin liquids
B. Place the client supine during meals
C. Keep the client upright while eating
D. Encourage use of a straw
Answer: C
Rationale: Upright positioning during and after meals helps reduce
aspiration.
8. Which finding indicates a stage 1 pressure injury?
A. Full-thickness tissue loss
B. Nonblanchable erythema over intact skin
C. Exposed bone
D. Visible adipose tissue
Answer: B
Rationale: Stage 1 pressure injury involves intact skin with persistent
nonblanchable redness.
