RN CAPSTONE COMPREHENSIVE
A ENOTSPAC
RN
ORIGINAL PRACTICE BANK
2026 Preparation Resource • No proprietary ATI items
CURRENT-RESEARCHED • INSTITUTION-NEUTRAL • EDUCATIONAL USE
RN ATI Capstone Proctored Comprehensive Assessment A
Original 2026 Practice Bank — designed from 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 A 129 original items
FORMAT OFFICIAL ATI ITEM COUNT
Mixed 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
These are completely original practice items and are not actual ATI questions.
For single-answer items, select the one best answer. For multiple-response items, select every option that is supported.
Use the rationales for remediation: identify the cue, connect it to the underlying concept, prioritize the risk, then select the safest nursing
action.
Clinical decisions should always be checked against the current facility policy, scope of practice, and current authoritative guidance.
1. VERIFIED 2026 EXAM INFORMATION
Current official designation: ATI's current public product catalog lists RN ATI Capstone Proctored Comprehensive Assessment A and a
separate Assessment B. Older ATI Capstone documentation uses the term “Pre Assessment” for the pre-review assessment. Therefore, this
practice bank uses the current product designation and treats “pre-assessment” as an older/alternate descriptor rather than asserting it is the
current formal name.
Item Current finding
Purpose ATI describes Capstone Content Review as a pre-graduation comprehensive nursing-content review designed to identify
content deficits and support readiness for the ATI Comprehensive Predictor/NCLEX preparation.
Current ATI product RN ATI Capstone Proctored Comprehensive Assessment A, with a separate Assessment B listed by ATI.
designation
Most recently Not publicly verified for 2026. ATI's current public product pages reviewed for this project do not state an official item
documented item count count.
Scored vs. unscored Not publicly verified for 2026. No current official ATI source reviewed disclosed a scored/pretest-item count for Capstone A.
items
, Time limit Not publicly verified for 2026. Public institutional schedules and unofficial listings vary; they were not treated as
authoritative ATI specifications.
Current Capstone ATI's current Capstone catalog publicly lists Fundamentals; Pharmacology 1 and 2; Adult Medical-Surgical 1 and 2; Mental
content components Health; Maternal Newborn and Women's Health; Leadership and Community Health; and Nursing Care of Children.
Clinical judgment ATI does not publicly disclose a Capstone-specific clinical-judgment percentage on the pages reviewed. This bank therefore
uses substantial clinical-judgment practice based on the current NCSBN NCLEX-RN framework, without claiming an ATI
percentage.
2. CONFIRMED VS. UNCONFIRMED INFORMATION
CONFIRMED NOT PUBLICLY VERIFIED FOR
ATI currently lists Capstone Comprehensive Assessment A and B. 2026
ATI describes Capstone as a comprehensive pre-graduation review.
ATI publicly lists the RN Capstone content components used in this Exact ATI Capstone A item count.
blueprint. Exact ATI Capstone A time limit.
The 2026 NCSBN NCLEX-RN Test Plan is effective April 2026 through Exact ATI Capstone A scored/unscored ratio.
March 2029. Exact ATI Capstone A percentage distribution by specialty or Client
NCSBN states that the majority of NCLEX-RN items are written at Needs category.
the application or higher cognitive level. Exact ATI Capstone A percentage of NGN-style item formats.
NCSBN explicitly measures clinical judgment through case studies
and selected stand-alone items on the NCLEX-RN.
3. PRACTICE BLUEPRINT — THIS IS NOT AN OFFICIAL ATI BLUEPRINT
This bank uses an educational distribution based on the eight 2026 NCLEX-RN Client Needs categories
and the nursing specialties publicly represented in ATI Capstone. It is deliberately balanced and is not
presented as ATI's percentage distribution.
Practice domain Items Primary emphasis
Management of Care 15 + integrated items Prioritization, delegation, ethics, legal, handoff, care planning
Safety & Infection Prevention/Control 15 + integrated items Isolation, asepsis, falls, equipment, transfusion safety
Health Promotion & Maintenance 15 + integrated items Maternal-newborn, pediatrics, screening, prevention, development
Psychosocial Integrity 15 Therapeutic communication, suicide risk, psychopharmacology, coping
Basic Care & Comfort 15 Nutrition, mobility, pain, elimination, aspiration, skin integrity
Pharmacological & Parenteral Therapies 15 + integrated items High-alert drugs, adverse effects, IV therapy, medication teaching
Reduction of Risk Potential 15 + integrated items Labs, diagnostics, complications, electrolytes, monitoring
Physiological Adaptation 15 + integrated items Emergencies, respiratory/cardiac instability, shock, neurologic deterioration
Item-format note: The bank contains conventional multiple-choice items plus a small number of
multiple-response, ordered-response, matrix, and bow-tie practice items. NCSBN publicly documents
,these NCLEX-style formats, but ATI has not publicly verified that this exact mix or these exact
formats appear on Capstone Assessment A.
4. ORIGINAL PRACTICE QUESTIONS 129 items
1 MULTIPLE CHOICE DIFFICULT
A client 2 hr after abdominal surgery is restless, RR 30/min, and SpO₂ 88% on room air. What should the nurse do first?
A. Administer the prescribed opioid.
B. Apply oxygen and assess airway and breathing.
C. Call the family for more history.
D. Reassess in 30 min.
CORRECT ANSWER: B
RATIONALE: Restlessness, tachypnea, and hypoxemia indicate impaired oxygenation. Airway and breathing take priority.
WHY THE OTHER OPTIONS ARE WRONG:
A — An opioid can worsen respiratory depression.
B — Correct; support oxygenation and assess the airway/breathing problem.
C — History is secondary to stabilization.
D — Delaying intervention risks deterioration.
TESTED CONCEPT CLINICAL JUDGMENT
Airway/oxygenation prioritization Recognize hypoxemia → prioritize breathing → intervene immediately.
CONTENT AREA: Management of Care
, 2 MULTIPLE CHOICE MODERATE
Which task is appropriate for the nurse to delegate to UAP for a stable client?
A. Assess a new pressure injury.
B. Teach incentive-spirometer use.
C. Obtain routine vital signs.
D. Evaluate response to an antihypertensive.
CORRECT ANSWER: C
RATIONALE: Routine data collection for a stable client is generally delegable when permitted by policy.
WHY THE OTHER OPTIONS ARE WRONG:
A — Assessment requires nursing judgment.
B — Teaching is an RN responsibility.
C — Correct; routine vital-sign collection is predictable.
D — Evaluation requires nursing judgment.
TESTED CONCEPT CLINICAL JUDGMENT
Delegation Separate data collection from assessment, teaching, and evaluation.
CONTENT AREA: Management of Care
3 MULTIPLE CHOICE MODERATE
A competent adult refuses a recommended blood transfusion for religious reasons. What is the nurse's best action?
A. Ask family members to persuade the client.
B. Respect the refusal and notify the provider.
C. Obtain a court order before accepting the refusal.
D. Administer the transfusion because it is indicated.
CORRECT ANSWER: B
RATIONALE: A competent adult has the right to refuse treatment after receiving appropriate information.
WHY THE OTHER OPTIONS ARE WRONG:
A — Family cannot override a competent client's decision.
B — Correct; respect autonomy and communicate the decision.
C — A court order is not routinely required for competent refusal.
D — Medical benefit does not eliminate the right to refuse.
TESTED CONCEPT CLINICAL JUDGMENT
Autonomy and informed refusal Assess understanding → respect the decision → communicate and
document.
CONTENT AREA: Management of Care
A ENOTSPAC
RN
ORIGINAL PRACTICE BANK
2026 Preparation Resource • No proprietary ATI items
CURRENT-RESEARCHED • INSTITUTION-NEUTRAL • EDUCATIONAL USE
RN ATI Capstone Proctored Comprehensive Assessment A
Original 2026 Practice Bank — designed from 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 A 129 original items
FORMAT OFFICIAL ATI ITEM COUNT
Mixed 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
These are completely original practice items and are not actual ATI questions.
For single-answer items, select the one best answer. For multiple-response items, select every option that is supported.
Use the rationales for remediation: identify the cue, connect it to the underlying concept, prioritize the risk, then select the safest nursing
action.
Clinical decisions should always be checked against the current facility policy, scope of practice, and current authoritative guidance.
1. VERIFIED 2026 EXAM INFORMATION
Current official designation: ATI's current public product catalog lists RN ATI Capstone Proctored Comprehensive Assessment A and a
separate Assessment B. Older ATI Capstone documentation uses the term “Pre Assessment” for the pre-review assessment. Therefore, this
practice bank uses the current product designation and treats “pre-assessment” as an older/alternate descriptor rather than asserting it is the
current formal name.
Item Current finding
Purpose ATI describes Capstone Content Review as a pre-graduation comprehensive nursing-content review designed to identify
content deficits and support readiness for the ATI Comprehensive Predictor/NCLEX preparation.
Current ATI product RN ATI Capstone Proctored Comprehensive Assessment A, with a separate Assessment B listed by ATI.
designation
Most recently Not publicly verified for 2026. ATI's current public product pages reviewed for this project do not state an official item
documented item count count.
Scored vs. unscored Not publicly verified for 2026. No current official ATI source reviewed disclosed a scored/pretest-item count for Capstone A.
items
, Time limit Not publicly verified for 2026. Public institutional schedules and unofficial listings vary; they were not treated as
authoritative ATI specifications.
Current Capstone ATI's current Capstone catalog publicly lists Fundamentals; Pharmacology 1 and 2; Adult Medical-Surgical 1 and 2; Mental
content components Health; Maternal Newborn and Women's Health; Leadership and Community Health; and Nursing Care of Children.
Clinical judgment ATI does not publicly disclose a Capstone-specific clinical-judgment percentage on the pages reviewed. This bank therefore
uses substantial clinical-judgment practice based on the current NCSBN NCLEX-RN framework, without claiming an ATI
percentage.
2. CONFIRMED VS. UNCONFIRMED INFORMATION
CONFIRMED NOT PUBLICLY VERIFIED FOR
ATI currently lists Capstone Comprehensive Assessment A and B. 2026
ATI describes Capstone as a comprehensive pre-graduation review.
ATI publicly lists the RN Capstone content components used in this Exact ATI Capstone A item count.
blueprint. Exact ATI Capstone A time limit.
The 2026 NCSBN NCLEX-RN Test Plan is effective April 2026 through Exact ATI Capstone A scored/unscored ratio.
March 2029. Exact ATI Capstone A percentage distribution by specialty or Client
NCSBN states that the majority of NCLEX-RN items are written at Needs category.
the application or higher cognitive level. Exact ATI Capstone A percentage of NGN-style item formats.
NCSBN explicitly measures clinical judgment through case studies
and selected stand-alone items on the NCLEX-RN.
3. PRACTICE BLUEPRINT — THIS IS NOT AN OFFICIAL ATI BLUEPRINT
This bank uses an educational distribution based on the eight 2026 NCLEX-RN Client Needs categories
and the nursing specialties publicly represented in ATI Capstone. It is deliberately balanced and is not
presented as ATI's percentage distribution.
Practice domain Items Primary emphasis
Management of Care 15 + integrated items Prioritization, delegation, ethics, legal, handoff, care planning
Safety & Infection Prevention/Control 15 + integrated items Isolation, asepsis, falls, equipment, transfusion safety
Health Promotion & Maintenance 15 + integrated items Maternal-newborn, pediatrics, screening, prevention, development
Psychosocial Integrity 15 Therapeutic communication, suicide risk, psychopharmacology, coping
Basic Care & Comfort 15 Nutrition, mobility, pain, elimination, aspiration, skin integrity
Pharmacological & Parenteral Therapies 15 + integrated items High-alert drugs, adverse effects, IV therapy, medication teaching
Reduction of Risk Potential 15 + integrated items Labs, diagnostics, complications, electrolytes, monitoring
Physiological Adaptation 15 + integrated items Emergencies, respiratory/cardiac instability, shock, neurologic deterioration
Item-format note: The bank contains conventional multiple-choice items plus a small number of
multiple-response, ordered-response, matrix, and bow-tie practice items. NCSBN publicly documents
,these NCLEX-style formats, but ATI has not publicly verified that this exact mix or these exact
formats appear on Capstone Assessment A.
4. ORIGINAL PRACTICE QUESTIONS 129 items
1 MULTIPLE CHOICE DIFFICULT
A client 2 hr after abdominal surgery is restless, RR 30/min, and SpO₂ 88% on room air. What should the nurse do first?
A. Administer the prescribed opioid.
B. Apply oxygen and assess airway and breathing.
C. Call the family for more history.
D. Reassess in 30 min.
CORRECT ANSWER: B
RATIONALE: Restlessness, tachypnea, and hypoxemia indicate impaired oxygenation. Airway and breathing take priority.
WHY THE OTHER OPTIONS ARE WRONG:
A — An opioid can worsen respiratory depression.
B — Correct; support oxygenation and assess the airway/breathing problem.
C — History is secondary to stabilization.
D — Delaying intervention risks deterioration.
TESTED CONCEPT CLINICAL JUDGMENT
Airway/oxygenation prioritization Recognize hypoxemia → prioritize breathing → intervene immediately.
CONTENT AREA: Management of Care
, 2 MULTIPLE CHOICE MODERATE
Which task is appropriate for the nurse to delegate to UAP for a stable client?
A. Assess a new pressure injury.
B. Teach incentive-spirometer use.
C. Obtain routine vital signs.
D. Evaluate response to an antihypertensive.
CORRECT ANSWER: C
RATIONALE: Routine data collection for a stable client is generally delegable when permitted by policy.
WHY THE OTHER OPTIONS ARE WRONG:
A — Assessment requires nursing judgment.
B — Teaching is an RN responsibility.
C — Correct; routine vital-sign collection is predictable.
D — Evaluation requires nursing judgment.
TESTED CONCEPT CLINICAL JUDGMENT
Delegation Separate data collection from assessment, teaching, and evaluation.
CONTENT AREA: Management of Care
3 MULTIPLE CHOICE MODERATE
A competent adult refuses a recommended blood transfusion for religious reasons. What is the nurse's best action?
A. Ask family members to persuade the client.
B. Respect the refusal and notify the provider.
C. Obtain a court order before accepting the refusal.
D. Administer the transfusion because it is indicated.
CORRECT ANSWER: B
RATIONALE: A competent adult has the right to refuse treatment after receiving appropriate information.
WHY THE OTHER OPTIONS ARE WRONG:
A — Family cannot override a competent client's decision.
B — Correct; respect autonomy and communicate the decision.
C — A court order is not routinely required for competent refusal.
D — Medical benefit does not eliminate the right to refuse.
TESTED CONCEPT CLINICAL JUDGMENT
Autonomy and informed refusal Assess understanding → respect the decision → communicate and
document.
CONTENT AREA: Management of Care
