RN ATI Capstone Proctored Comprehensive
Assessment 2024 B/ ATI Comprehensive 2024 B
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Feeding a client who has new-onset dysphagia
B. Performing a dressing change on a new surgical incision
C. Collecting a stool specimen from a client
D. Assessing a client's pain level after receiving morphine
Correct Answer: C
Rationale: APs can perform non-invasive tasks with predictable outcomes, such as
specimen collection and ADLs. Assessment (dysphagia, pain) and sterile procedures (new
surgical dressings) must be performed by an RN.
2. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
The client states, "I will need to limit how much spinach I eat." Which of the following
responses should the nurse make?
A. "You should avoid all green leafy vegetables while taking this medication."
B. "You should maintain a consistent intake of vitamin K-rich foods."
C. "You can eat spinach freely as long as you take the medication at the same time daily."
D. "Spinach will increase your risk for bleeding."
Correct Answer: B
Rationale: Clients taking warfarin should maintain consistent vitamin K intake rather than
eliminating it entirely. Consistency is key to maintaining therapeutic INR levels.
3. A newly licensed nurse tells another nurse that their password has expired and asks for
assistance with inputting data into a client's electronic medical record. Which of the following
statements should the nurse make?
A. "You won't be able to input any data until you reset your password."
B. "You can use my password on another terminal, but just this one time."
,C. "If you'd like to give me the data, I can enter it for you."
D. "The charge nurse can log on for you and watch you input the data."
Correct Answer: A
Rationale: The nurse should not share passwords or enter data for another nurse under
their credentials. The newly licensed nurse must reset their own password to maintain
security and accountability.
4. A nurse is planning care for a client who is 1 day postoperative following abdominal
surgery. Which of the following tasks should the nurse delegate to an assistive personnel?
A. Showing the client how to use an incentive spirometer
B. Transferring the client from the bed to a chair
C. Checking the client's surgical dressing for bleeding
D. Determining whether the client has incisional pain
Correct Answer: B
Rationale: Transferring a stable client is within the scope of an AP. Teaching, assessment,
and evaluating drainage require the skill of an RN.
5. A nurse in a provider's office is reinforcing teaching with a client about performing
testicular self-examination. Which of the following instructions should the nurse include?
A. "Palpate both testicles firmly with your fingertips."
B. "Apply a cool compress to the scrotum prior to examination."
C. "Perform the self-examination every 3 months."
D. "Examine your testicles after a warm shower."
Correct Answer: D
Rationale: Warm water relaxes the scrotal sac, making palpation of the testicles easier.
TSE should be performed monthly.
6. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following snack choices is most appropriate?
,A. A bowl of chicken noodle soup
B. A turkey and cheese wrap
C. A side salad with dressing
D. A milkshake
Correct Answer: B
Rationale: Clients in a manic phase have high energy expenditure and difficulty sitting still.
Finger foods that are high in protein and calories allow the client to eat while moving.
7. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral medication
B. Documenting communication with a provider in the progress notes
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
Correct Answer: C
Rationale: Administering potassium via IV bolus is outside the scope of nursing practice
and can cause cardiac arrest. This is a clear example of malpractice.
8. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of
the following actions should the nurse take?
A. Explain to the client that signing the facility's consent form means they cannot refuse care.
B. Confirm with the client's family that the consent form has been signed.
C. Delay the admission while the client fills out the facility's advance directives form.
D. Determine if the client has prepared their advance directives.
Correct Answer: D
Rationale: The Patient Self-Determination Act requires healthcare facilities to ask clients
about the presence of advance directives and document this information.
9. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the
following actions is the nurse's priority?
, A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection
Correct Answer: C
Rationale: Using the airway, breathing, circulation (ABC) approach, assisting with deep
breathing and coughing is the priority to reduce the risk for postoperative pneumonia.
10. A nurse is receiving report on four clients. Which of the following clients should the nurse
assess first?
A. A client who has benign prostatic hyperplasia and is unable to urinate
B. A client who has heart failure and reports shortness of breath while ambulating
C. A client who is postoperative open cholecystectomy and has green drainage from the T-
tube
D. A client who has abdominal pain and is vomiting coffee-ground emesis
Correct Answer: D
Rationale: Coffee-ground emesis indicates upper GI bleeding, which is a life-threatening
emergency. This client requires immediate assessment and intervention.
11. A nurse manager is planning to promote client advocacy among staff in a medical unit.
Which of the following actions should the nurse take?
A. Encourage staff to implement the principle of paternalism when a client is having difficulty
making a choice.
B. Tell staff to explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.
D. Develop a system for staff members to report safety concerns in the client care
environment.
Correct Answer: D
Rationale: Client advocacy includes ensuring a safe care environment. Developing a
system for reporting safety concerns promotes advocacy and quality care.
Assessment 2024 B/ ATI Comprehensive 2024 B
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Feeding a client who has new-onset dysphagia
B. Performing a dressing change on a new surgical incision
C. Collecting a stool specimen from a client
D. Assessing a client's pain level after receiving morphine
Correct Answer: C
Rationale: APs can perform non-invasive tasks with predictable outcomes, such as
specimen collection and ADLs. Assessment (dysphagia, pain) and sterile procedures (new
surgical dressings) must be performed by an RN.
2. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
The client states, "I will need to limit how much spinach I eat." Which of the following
responses should the nurse make?
A. "You should avoid all green leafy vegetables while taking this medication."
B. "You should maintain a consistent intake of vitamin K-rich foods."
C. "You can eat spinach freely as long as you take the medication at the same time daily."
D. "Spinach will increase your risk for bleeding."
Correct Answer: B
Rationale: Clients taking warfarin should maintain consistent vitamin K intake rather than
eliminating it entirely. Consistency is key to maintaining therapeutic INR levels.
3. A newly licensed nurse tells another nurse that their password has expired and asks for
assistance with inputting data into a client's electronic medical record. Which of the following
statements should the nurse make?
A. "You won't be able to input any data until you reset your password."
B. "You can use my password on another terminal, but just this one time."
,C. "If you'd like to give me the data, I can enter it for you."
D. "The charge nurse can log on for you and watch you input the data."
Correct Answer: A
Rationale: The nurse should not share passwords or enter data for another nurse under
their credentials. The newly licensed nurse must reset their own password to maintain
security and accountability.
4. A nurse is planning care for a client who is 1 day postoperative following abdominal
surgery. Which of the following tasks should the nurse delegate to an assistive personnel?
A. Showing the client how to use an incentive spirometer
B. Transferring the client from the bed to a chair
C. Checking the client's surgical dressing for bleeding
D. Determining whether the client has incisional pain
Correct Answer: B
Rationale: Transferring a stable client is within the scope of an AP. Teaching, assessment,
and evaluating drainage require the skill of an RN.
5. A nurse in a provider's office is reinforcing teaching with a client about performing
testicular self-examination. Which of the following instructions should the nurse include?
A. "Palpate both testicles firmly with your fingertips."
B. "Apply a cool compress to the scrotum prior to examination."
C. "Perform the self-examination every 3 months."
D. "Examine your testicles after a warm shower."
Correct Answer: D
Rationale: Warm water relaxes the scrotal sac, making palpation of the testicles easier.
TSE should be performed monthly.
6. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following snack choices is most appropriate?
,A. A bowl of chicken noodle soup
B. A turkey and cheese wrap
C. A side salad with dressing
D. A milkshake
Correct Answer: B
Rationale: Clients in a manic phase have high energy expenditure and difficulty sitting still.
Finger foods that are high in protein and calories allow the client to eat while moving.
7. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral medication
B. Documenting communication with a provider in the progress notes
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
Correct Answer: C
Rationale: Administering potassium via IV bolus is outside the scope of nursing practice
and can cause cardiac arrest. This is a clear example of malpractice.
8. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of
the following actions should the nurse take?
A. Explain to the client that signing the facility's consent form means they cannot refuse care.
B. Confirm with the client's family that the consent form has been signed.
C. Delay the admission while the client fills out the facility's advance directives form.
D. Determine if the client has prepared their advance directives.
Correct Answer: D
Rationale: The Patient Self-Determination Act requires healthcare facilities to ask clients
about the presence of advance directives and document this information.
9. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the
following actions is the nurse's priority?
, A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection
Correct Answer: C
Rationale: Using the airway, breathing, circulation (ABC) approach, assisting with deep
breathing and coughing is the priority to reduce the risk for postoperative pneumonia.
10. A nurse is receiving report on four clients. Which of the following clients should the nurse
assess first?
A. A client who has benign prostatic hyperplasia and is unable to urinate
B. A client who has heart failure and reports shortness of breath while ambulating
C. A client who is postoperative open cholecystectomy and has green drainage from the T-
tube
D. A client who has abdominal pain and is vomiting coffee-ground emesis
Correct Answer: D
Rationale: Coffee-ground emesis indicates upper GI bleeding, which is a life-threatening
emergency. This client requires immediate assessment and intervention.
11. A nurse manager is planning to promote client advocacy among staff in a medical unit.
Which of the following actions should the nurse take?
A. Encourage staff to implement the principle of paternalism when a client is having difficulty
making a choice.
B. Tell staff to explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.
D. Develop a system for staff members to report safety concerns in the client care
environment.
Correct Answer: D
Rationale: Client advocacy includes ensuring a safe care environment. Developing a
system for reporting safety concerns promotes advocacy and quality care.
