ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 FORM B | COMPLETE
PRACTICE EXAM WITH VERIFIED QUESTIONS AND DETAILED RATIONALES
Core Domains
Management of Care: Advanced directives, advocacy, client rights, confidentiality, delegation,
ethics, informed consent, legal responsibilities, referrals, supervision, case management,
continuity of care, establishing priorities, performance improvement, utilization review
Safety and Infection Control: Accident prevention, error prevention, handling hazardous
materials, surgical asepsis, standard precautions, transmission-based precautions, restraints,
safety devices, emergency response plans
Health Promotion and Maintenance: Aging process, ante/intra/postpartum care,
developmental stages, disease prevention, health promotion, health screening, lifestyle
choices, self-care, newborn care, high-risk behaviors
Psychosocial Integrity: Abuse/neglect, behavioral interventions, chemical dependency, coping
mechanisms, crisis intervention, cultural awareness, end-of-life care, grief and loss, mental
health concepts, religious/spiritual influences, sensory/perceptual alterations, stress
management, support systems, therapeutic communication, therapeutic milieu, unexpected
body image changes
Basic Care and Comfort: Assistive devices, elimination, mobility/immobility, non-
pharmacological comfort interventions, nutrition and oral hydration, personal hygiene, rest
and sleep, comfort interventions
, Pharmacological and Parenteral Therapies: Adverse effects/contraindications, blood/blood
products, central venous access devices, dosage calculation, expected effects, intravenous
therapy, medication administration, pharmacological pain management, parenteral/enteral
nutrition, side effects, total parenteral nutrition, medication reconciliation
Reduction of Risk Potential: Diagnostic tests, laboratory values, potential for alterations in
body systems, potential for complications of diagnostic tests/treatments/procedures, potential
for complications from surgical procedures and health alterations, system-specific
assessments, therapeutic procedures, vital signs
Physiological Adaptation: Alterations in body systems, fluid and electrolyte imbalances,
hemodynamics, illness management, medical emergencies, pathophysiology, unexpected
response to therapies
Introduction
This comprehensive practice exam is designed to mirror the content, format, and difficulty of the
ATI RN Capstone Proctored Comprehensive Assessment 2019 Form B. The exam includes a mix
of traditional multiple-choice and Next Generation NCLEX (NGN) style questions to assess clinical
judgment, prioritization, and safety. Each question is accompanied by a correct answer and a
detailed rationale to reinforce understanding and improve test-taking skills.
SECTION 1: MANAGEMENT OF CARE
, Question 1
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
🟢 C. Assist with deep breathing and coughing
🔴 RATIONALE: Using the airway, breathing, circulation (ABC) approach to client care, the nurse
should prioritize assisting the client with deep breathing and coughing. This intervention reduces
the risk for postoperative pneumonia and atelectasis, which are critical respiratory complications
following abdominal surgery. While ambulation and monitoring for infection are important, they
do not take precedence over maintaining a patent airway and adequate oxygenation.
Question 2
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism?
A. "I have experienced physical discomfort when intimate with my partner since my diagnosis."
B. "I wish other women would stop socializing with my partner."
C. "I told my doctor that I would like to start a support group for other women who are sick in
my community."
PRACTICE EXAM WITH VERIFIED QUESTIONS AND DETAILED RATIONALES
Core Domains
Management of Care: Advanced directives, advocacy, client rights, confidentiality, delegation,
ethics, informed consent, legal responsibilities, referrals, supervision, case management,
continuity of care, establishing priorities, performance improvement, utilization review
Safety and Infection Control: Accident prevention, error prevention, handling hazardous
materials, surgical asepsis, standard precautions, transmission-based precautions, restraints,
safety devices, emergency response plans
Health Promotion and Maintenance: Aging process, ante/intra/postpartum care,
developmental stages, disease prevention, health promotion, health screening, lifestyle
choices, self-care, newborn care, high-risk behaviors
Psychosocial Integrity: Abuse/neglect, behavioral interventions, chemical dependency, coping
mechanisms, crisis intervention, cultural awareness, end-of-life care, grief and loss, mental
health concepts, religious/spiritual influences, sensory/perceptual alterations, stress
management, support systems, therapeutic communication, therapeutic milieu, unexpected
body image changes
Basic Care and Comfort: Assistive devices, elimination, mobility/immobility, non-
pharmacological comfort interventions, nutrition and oral hydration, personal hygiene, rest
and sleep, comfort interventions
, Pharmacological and Parenteral Therapies: Adverse effects/contraindications, blood/blood
products, central venous access devices, dosage calculation, expected effects, intravenous
therapy, medication administration, pharmacological pain management, parenteral/enteral
nutrition, side effects, total parenteral nutrition, medication reconciliation
Reduction of Risk Potential: Diagnostic tests, laboratory values, potential for alterations in
body systems, potential for complications of diagnostic tests/treatments/procedures, potential
for complications from surgical procedures and health alterations, system-specific
assessments, therapeutic procedures, vital signs
Physiological Adaptation: Alterations in body systems, fluid and electrolyte imbalances,
hemodynamics, illness management, medical emergencies, pathophysiology, unexpected
response to therapies
Introduction
This comprehensive practice exam is designed to mirror the content, format, and difficulty of the
ATI RN Capstone Proctored Comprehensive Assessment 2019 Form B. The exam includes a mix
of traditional multiple-choice and Next Generation NCLEX (NGN) style questions to assess clinical
judgment, prioritization, and safety. Each question is accompanied by a correct answer and a
detailed rationale to reinforce understanding and improve test-taking skills.
SECTION 1: MANAGEMENT OF CARE
, Question 1
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
🟢 C. Assist with deep breathing and coughing
🔴 RATIONALE: Using the airway, breathing, circulation (ABC) approach to client care, the nurse
should prioritize assisting the client with deep breathing and coughing. This intervention reduces
the risk for postoperative pneumonia and atelectasis, which are critical respiratory complications
following abdominal surgery. While ambulation and monitoring for infection are important, they
do not take precedence over maintaining a patent airway and adequate oxygenation.
Question 2
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism?
A. "I have experienced physical discomfort when intimate with my partner since my diagnosis."
B. "I wish other women would stop socializing with my partner."
C. "I told my doctor that I would like to start a support group for other women who are sick in
my community."
