,ATI Capstone Assessment - RN Exam Questions And Answers
2026/2027
1.** A charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A) A client with diabetes requiring routine fingerstick blood glucose checks
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral medications
D) A client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching about suctioning
**Rationale:** Client education, especially initial teaching of a complex skill
like tracheostomy suctioning, requires advanced nursing knowledge and
should be assigned to the most experienced RN. Routine tasks (A, C, D) can
be delegated to an LPN or AP.
**2.** A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
,**Rationale:** UAP can perform routine hygiene and activities of daily living
for stable clients. Assessment (A), medication administration (B), and
evaluation (D) require nursing judgment and cannot be delegated.
**3.** A nurse manager is implementing a new evidence-based practice on
the unit. According to Lewin's Change Theory, which action should the
manager take during the "refreezing" stage?
A) Establish a sense of urgency about the need for change
B) Provide training and resources for the new procedure
C) Reinforce the change and integrate it into daily practice
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Reinforce the change and integrate it into daily
practice
**Rationale:** Refreezing is the third stage of Lewin's Change Theory, where
the change is stabilized and integrated into practice. Establishing urgency
(A) is the unfreezing stage. Training (B) and evaluation (D) occur during the
moving and refreezing stages.
**4.** A nurse is caring for a client who is refusing a prescribed blood
transfusion due to religious beliefs. Which action should the nurse take?
A) Administer the transfusion without the client's consent
B) Respect the client's decision and notify the healthcare provider
C) Ask the client's family to persuade the client
D) Explain the risks of refusing the transfusion
, **Correct Answer:** B) Respect the client's decision and notify the healthcare
provider
**Rationale:** Clients have the right to refuse treatment based on their
religious beliefs. The nurse must respect autonomy and notify the provider.
Explaining risks (D) is appropriate but the decision must be respected.
Administering without consent (A) is battery. Asking the family to persuade
the client (C) violates autonomy.
**5.** A nurse manager is addressing a conflict between two staff nurses.
One staff member is openly hostile, and the other is passive. Which conflict
resolution strategy should the manager use first?
A) Avoid the conflict and let it resolve itself
B) Confront the hostile staff member publicly
C) Meet with both staff members privately to understand the issues
D) Assign the staff members to different shifts
**Correct Answer:** C) Meet with both staff members privately to understand
the issues
**Rationale:** The first step in conflict resolution is to understand the issues
from both perspectives. Private meetings allow each party to express their
concerns without feeling threatened. Confrontation (B) or avoidance (A) is
not effective. Assigning different shifts (D) may temporarily avoid the conflict
but does not resolve it.
**6.** A client is being discharged after a suicide attempt. Which instruction
should the nurse include in the discharge plan to promote safety?
A) "You can stop taking your medication when you feel better."
2026/2027
1.** A charge nurse is making assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A) A client with diabetes requiring routine fingerstick blood glucose checks
B) A client with a new tracheostomy requiring initial teaching about
suctioning
C) A client with stable heart failure receiving daily oral medications
D) A client with an indwelling urinary catheter requiring routine care
**Correct Answer:** B) A client with a new tracheostomy requiring initial
teaching about suctioning
**Rationale:** Client education, especially initial teaching of a complex skill
like tracheostomy suctioning, requires advanced nursing knowledge and
should be assigned to the most experienced RN. Routine tasks (A, C, D) can
be delegated to an LPN or AP.
**2.** A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks is appropriate to delegate?
A) Assessing a client's postoperative incision
B) Administering a PRN pain medication
C) Providing a bed bath to a stable client
D) Evaluating the effectiveness of client teaching
**Correct Answer:** C) Providing a bed bath to a stable client
,**Rationale:** UAP can perform routine hygiene and activities of daily living
for stable clients. Assessment (A), medication administration (B), and
evaluation (D) require nursing judgment and cannot be delegated.
**3.** A nurse manager is implementing a new evidence-based practice on
the unit. According to Lewin's Change Theory, which action should the
manager take during the "refreezing" stage?
A) Establish a sense of urgency about the need for change
B) Provide training and resources for the new procedure
C) Reinforce the change and integrate it into daily practice
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Reinforce the change and integrate it into daily
practice
**Rationale:** Refreezing is the third stage of Lewin's Change Theory, where
the change is stabilized and integrated into practice. Establishing urgency
(A) is the unfreezing stage. Training (B) and evaluation (D) occur during the
moving and refreezing stages.
**4.** A nurse is caring for a client who is refusing a prescribed blood
transfusion due to religious beliefs. Which action should the nurse take?
A) Administer the transfusion without the client's consent
B) Respect the client's decision and notify the healthcare provider
C) Ask the client's family to persuade the client
D) Explain the risks of refusing the transfusion
, **Correct Answer:** B) Respect the client's decision and notify the healthcare
provider
**Rationale:** Clients have the right to refuse treatment based on their
religious beliefs. The nurse must respect autonomy and notify the provider.
Explaining risks (D) is appropriate but the decision must be respected.
Administering without consent (A) is battery. Asking the family to persuade
the client (C) violates autonomy.
**5.** A nurse manager is addressing a conflict between two staff nurses.
One staff member is openly hostile, and the other is passive. Which conflict
resolution strategy should the manager use first?
A) Avoid the conflict and let it resolve itself
B) Confront the hostile staff member publicly
C) Meet with both staff members privately to understand the issues
D) Assign the staff members to different shifts
**Correct Answer:** C) Meet with both staff members privately to understand
the issues
**Rationale:** The first step in conflict resolution is to understand the issues
from both perspectives. Private meetings allow each party to express their
concerns without feeling threatened. Confrontation (B) or avoidance (A) is
not effective. Assigning different shifts (D) may temporarily avoid the conflict
but does not resolve it.
**6.** A client is being discharged after a suicide attempt. Which instruction
should the nurse include in the discharge plan to promote safety?
A) "You can stop taking your medication when you feel better."
