RN CAPSTONE COMPREHENSIVE
B ENOTSPAC
RN
ORIGINAL PRACTICE BANK
2026 Preparation Resource • No proprietary ATI items
CURRENT-RESEARCHED • INSTITUTION-NEUTRAL • EDUCATIONAL USE
RN ATI Capstone Proctored Comprehensive Assessment B
Original 2026 Practice Bank — based on public ATI information, the 2026 NCLEX-RN Test Plan, and authoritative nursing guidance
PROGRAM TYPE ACADEMIC YEAR
Registered Nursing (RN) 2026–2027
ASSESSMENT PRACTICE ITEMS
Capstone Proctored Comprehensive Assessment B 85 original items
FORMAT OFFICIAL ATI ITEM COUNT
NCLEX-style practice formats Not publicly verified for 2026
OFFICIAL ATI TIME LIMIT PURPOSE
Not publicly verified for 2026 Comprehensive content review and clinical-judgment preparation
Instructions
All questions are original educational items and are not actual ATI questions.
For single-answer items, select the one best answer. For multiple-response items, select every supported option.
Use the rationales for remediation: recognize cues, analyze meaning, prioritize risk, act safely, and evaluate the response.
Always follow current facility policy, scope of practice, and authoritative clinical guidance for real patient care.
1. VERIFIED 2026 EXAM INFORMATION
Current official designation: ATI currently lists RN ATI Capstone Proctored Comprehensive Assessment B as a separate product within the
RN ATI Capstone package. Older ATI documentation uses “pre” and “post” assessment terminology; this bank does not treat that historical
wording as the current formal product name.
Item Current finding
Purpose ATI describes RN ATI Capstone Content Review as a pre-graduation comprehensive content-review program supporting
graduation readiness and predictor/NCLEX preparation.
Current product RN ATI Capstone Proctored Comprehensive Assessment B.
designation
2026 item count Not publicly verified for 2026. The current ATI product page confirms the product but does not publish a current item
count.
Scored vs. unscored Not publicly verified for 2026. An older ATI FAQ lists 85 total/75 scored, but that historical document is not treated as a
2026 specification.
Time limit Not publicly verified for 2026. The older FAQ lists 75 minutes, but current public ATI material reviewed did not verify that
for 2026.
, Publicly listed RN Fundamentals; Pharmacology 1 and 2; Adult Medical-Surgical 1 and 2; Maternal Newborn and Women’s Health; Nursing
Capstone content Care of Children; Mental Health; Leadership and Community Health.
Clinical judgment ATI does not publicly disclose a current Capstone-B clinical-judgment percentage. This bank uses substantial clinical
judgment based on the 2026 NCSBN framework without claiming an ATI percentage.
2. CONFIRMED VS. UNCONFIRMED INFORMATION
CONFIRMED NOT PUBLICLY VERIFIED FOR
Assessment B is a current RN ATI Capstone Proctored 2026
Comprehensive Assessment.
Assessment B is part of the RN ATI Capstone package. Exact Assessment B item count.
ATI publicly lists the RN Capstone specialty content areas used in Exact Assessment B time limit.
this bank. Exact scored/pretest count.
The 2026 NCLEX-RN Test Plan is effective April 1, 2026 through Exact ATI specialty or Client Needs distribution.
March 31, 2029. Exact ATI Capstone-B item-format distribution.
NCSBN documents clinical judgment, case studies, and stand-alone
clinical-judgment items for NCLEX-RN.
3. PRACTICE BLUEPRINT — NOT AN OFFICIAL ATI BLUEPRINT
This is an educational distribution for this practice form, not an ATI percentage blueprint.
Practice domain Items
Fundamentals / Safety & Infection Control 14
Adult Medical-Surgical 14
Pharmacology 13
Mental Health 9
Maternal-Newborn / Women’s Health 10
Pediatrics 10
Leadership / Management / Community Health 7
Health Promotion / Community 7
Integrated Clinical Judgment / Prioritization 1
Clinical-judgment emphasis: Items require cue recognition, analysis, prioritization, intervention
selection, and evaluation.
4. ORIGINAL PRACTICE QUESTIONS 85 items
,1 MULTIPLE CHOICE MODERATE
A nurse is about to access a central venous catheter. Which action is essential immediately before handling the hub?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
2 MULTIPLE CHOICE MODERATE
A client receiving chemotherapy has a central venous catheter. Which action best reduces infection risk during a
dressing change?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
, 3 MULTIPLE CHOICE MODERATE
A client asks why the nurse disinfects the catheter hub before each medication administration. Which response is best?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
4 MULTIPLE CHOICE DIFFICULT
A postoperative client develops sudden dyspnea, chest pain, and an oxygen saturation of 86% on room air. What should
the nurse do first?
A. Support oxygenation and rapidly assess the client.
B. Document the finding and reassess in 30 minutes.
C. Assist the client to ambulate.
D. Give the scheduled oral analgesic.
CORRECT ANSWER: A
RATIONALE: Acute hypoxemia requires immediate support of breathing and focused assessment.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because breathing is threatened.
B — Delaying assessment is unsafe.
C — Ambulation can increase oxygen demand.
D — Analgesia does not correct the oxygenation problem.
TESTED CONCEPT CLINICAL JUDGMENT
Airway prioritization The cue cluster suggests a time-sensitive cardiopulmonary problem, so
airway and breathing take priority.
CONTENT AREA: Fundamentals / Safety & Infection Control
B ENOTSPAC
RN
ORIGINAL PRACTICE BANK
2026 Preparation Resource • No proprietary ATI items
CURRENT-RESEARCHED • INSTITUTION-NEUTRAL • EDUCATIONAL USE
RN ATI Capstone Proctored Comprehensive Assessment B
Original 2026 Practice Bank — based on public ATI information, the 2026 NCLEX-RN Test Plan, and authoritative nursing guidance
PROGRAM TYPE ACADEMIC YEAR
Registered Nursing (RN) 2026–2027
ASSESSMENT PRACTICE ITEMS
Capstone Proctored Comprehensive Assessment B 85 original items
FORMAT OFFICIAL ATI ITEM COUNT
NCLEX-style practice formats Not publicly verified for 2026
OFFICIAL ATI TIME LIMIT PURPOSE
Not publicly verified for 2026 Comprehensive content review and clinical-judgment preparation
Instructions
All questions are original educational items and are not actual ATI questions.
For single-answer items, select the one best answer. For multiple-response items, select every supported option.
Use the rationales for remediation: recognize cues, analyze meaning, prioritize risk, act safely, and evaluate the response.
Always follow current facility policy, scope of practice, and authoritative clinical guidance for real patient care.
1. VERIFIED 2026 EXAM INFORMATION
Current official designation: ATI currently lists RN ATI Capstone Proctored Comprehensive Assessment B as a separate product within the
RN ATI Capstone package. Older ATI documentation uses “pre” and “post” assessment terminology; this bank does not treat that historical
wording as the current formal product name.
Item Current finding
Purpose ATI describes RN ATI Capstone Content Review as a pre-graduation comprehensive content-review program supporting
graduation readiness and predictor/NCLEX preparation.
Current product RN ATI Capstone Proctored Comprehensive Assessment B.
designation
2026 item count Not publicly verified for 2026. The current ATI product page confirms the product but does not publish a current item
count.
Scored vs. unscored Not publicly verified for 2026. An older ATI FAQ lists 85 total/75 scored, but that historical document is not treated as a
2026 specification.
Time limit Not publicly verified for 2026. The older FAQ lists 75 minutes, but current public ATI material reviewed did not verify that
for 2026.
, Publicly listed RN Fundamentals; Pharmacology 1 and 2; Adult Medical-Surgical 1 and 2; Maternal Newborn and Women’s Health; Nursing
Capstone content Care of Children; Mental Health; Leadership and Community Health.
Clinical judgment ATI does not publicly disclose a current Capstone-B clinical-judgment percentage. This bank uses substantial clinical
judgment based on the 2026 NCSBN framework without claiming an ATI percentage.
2. CONFIRMED VS. UNCONFIRMED INFORMATION
CONFIRMED NOT PUBLICLY VERIFIED FOR
Assessment B is a current RN ATI Capstone Proctored 2026
Comprehensive Assessment.
Assessment B is part of the RN ATI Capstone package. Exact Assessment B item count.
ATI publicly lists the RN Capstone specialty content areas used in Exact Assessment B time limit.
this bank. Exact scored/pretest count.
The 2026 NCLEX-RN Test Plan is effective April 1, 2026 through Exact ATI specialty or Client Needs distribution.
March 31, 2029. Exact ATI Capstone-B item-format distribution.
NCSBN documents clinical judgment, case studies, and stand-alone
clinical-judgment items for NCLEX-RN.
3. PRACTICE BLUEPRINT — NOT AN OFFICIAL ATI BLUEPRINT
This is an educational distribution for this practice form, not an ATI percentage blueprint.
Practice domain Items
Fundamentals / Safety & Infection Control 14
Adult Medical-Surgical 14
Pharmacology 13
Mental Health 9
Maternal-Newborn / Women’s Health 10
Pediatrics 10
Leadership / Management / Community Health 7
Health Promotion / Community 7
Integrated Clinical Judgment / Prioritization 1
Clinical-judgment emphasis: Items require cue recognition, analysis, prioritization, intervention
selection, and evaluation.
4. ORIGINAL PRACTICE QUESTIONS 85 items
,1 MULTIPLE CHOICE MODERATE
A nurse is about to access a central venous catheter. Which action is essential immediately before handling the hub?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
2 MULTIPLE CHOICE MODERATE
A client receiving chemotherapy has a central venous catheter. Which action best reduces infection risk during a
dressing change?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
, 3 MULTIPLE CHOICE MODERATE
A client asks why the nurse disinfects the catheter hub before each medication administration. Which response is best?
A. Perform hand hygiene.
B. Raise all four side rails.
C. Place the client in a negative-pressure room.
D. Apply a sterile gown for every access.
CORRECT ANSWER: A
RATIONALE: Hand hygiene reduces transfer of microorganisms before the invasive device is handled.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because hand hygiene is required before catheter handling.
B — Side rails do not prevent catheter infection.
C — A central line alone does not require airborne isolation.
D — A sterile gown is not automatically required for routine hub access.
TESTED CONCEPT CLINICAL JUDGMENT
Central-line infection prevention The invasive device creates a portal for infection, so the nurse prioritizes
asepsis before manipulation.
CONTENT AREA: Fundamentals / Safety & Infection Control
4 MULTIPLE CHOICE DIFFICULT
A postoperative client develops sudden dyspnea, chest pain, and an oxygen saturation of 86% on room air. What should
the nurse do first?
A. Support oxygenation and rapidly assess the client.
B. Document the finding and reassess in 30 minutes.
C. Assist the client to ambulate.
D. Give the scheduled oral analgesic.
CORRECT ANSWER: A
RATIONALE: Acute hypoxemia requires immediate support of breathing and focused assessment.
WHY THE OTHER OPTIONS ARE WRONG:
A — Correct because breathing is threatened.
B — Delaying assessment is unsafe.
C — Ambulation can increase oxygen demand.
D — Analgesia does not correct the oxygenation problem.
TESTED CONCEPT CLINICAL JUDGMENT
Airway prioritization The cue cluster suggests a time-sensitive cardiopulmonary problem, so
airway and breathing take priority.
CONTENT AREA: Fundamentals / Safety & Infection Control
