ATI CAPSTONE COMBO ASSESSMENT A
& B (UPDATED & COMPLETE
QUESTIONS AND ANSWERS) GRADED
A+ 2025
Key Topics Covered
1. Fundamentals: Client safety, infection control, and basic nursing skills.
2. Pharmacology: Medication administration, adverse effects, and calculations.
3. Medical-Surgical: Management of acute and chronic conditions.
4. Mental Health: Therapeutic communication and psychiatric disorders.
5. Maternal Newborn: Prenatal, labor, and postpartum care.
6. Pediatrics: Growth, development, and pediatric-specific conditions.
7. Community Health: Health promotion and disease prevention.
8. Leadership: Prioritization, delegation, and client advocacy.
Questions and Answers
1. Question: A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which finding indicates the therapy was effective?
Answer: Hemoglobin 14.9 g/dL
Rationale: A hemoglobin level within the normal range (13.5–17.5 g/dL for males, 12–
15.5 g/dL for females) indicates successful correction of anemia post-transfusion.
2. Question: A nurse is triaging four clients in the emergency department. Which client
should be treated first?
Answer: A middle adult with unstable vital signs
Rationale: Unstable vital signs indicate a life-threatening condition requiring immediate
intervention per triage protocols.
3. Question: A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 minutes
for a client with severe oliguria who weighs 198 lb. What is the dose in grams?
Answer: 18 g
, Rationale: Convert 198 lb to kg (198 ÷ 2.2 = 90 kg). Then, calculate dose: 0.2 g/kg × 90
kg = 18 g.
4. Question: A nurse is assessing a school-age child with bacterial meningitis. Which
finding should the nurse expect?
Answer: Nuchal rigidity
Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningeal irritation in
bacterial meningitis.
5. Question: A nurse is caring for a client with hyperthyroidism. Which finding is
expected?
Answer: Tachycardia
Rationale: Hyperthyroidism increases metabolic rate, causing symptoms like
tachycardia, diaphoresis, and weight loss.
6. Question: What is montelukast (Singulair) used for?
Answer: Leukotriene modifier for asthma, taken once daily
Rationale: Montelukast is a maintenance medication for asthma, not for acute or
exercise-induced symptoms.
7. Question: What should a nurse do if a client feels lightheaded and begins to fall?
Answer: Spread feet apart and slide the client down one leg to the floor
Rationale: This technique ensures client safety while preventing nurse injury during a
fall.
8. Question: What does an advance directive contain?
Answer: Written instructions for end-of-life care
Rationale: Advance directives specify a client’s wishes for medical decisions when they
cannot communicate.
9. Question: What is the greatest risk for a client receiving hemodialysis?
Answer: Disequilibrium syndrome
Rationale: Rapid fluid and electrolyte shifts during hemodialysis can cause neurological
symptoms like restlessness.
& B (UPDATED & COMPLETE
QUESTIONS AND ANSWERS) GRADED
A+ 2025
Key Topics Covered
1. Fundamentals: Client safety, infection control, and basic nursing skills.
2. Pharmacology: Medication administration, adverse effects, and calculations.
3. Medical-Surgical: Management of acute and chronic conditions.
4. Mental Health: Therapeutic communication and psychiatric disorders.
5. Maternal Newborn: Prenatal, labor, and postpartum care.
6. Pediatrics: Growth, development, and pediatric-specific conditions.
7. Community Health: Health promotion and disease prevention.
8. Leadership: Prioritization, delegation, and client advocacy.
Questions and Answers
1. Question: A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which finding indicates the therapy was effective?
Answer: Hemoglobin 14.9 g/dL
Rationale: A hemoglobin level within the normal range (13.5–17.5 g/dL for males, 12–
15.5 g/dL for females) indicates successful correction of anemia post-transfusion.
2. Question: A nurse is triaging four clients in the emergency department. Which client
should be treated first?
Answer: A middle adult with unstable vital signs
Rationale: Unstable vital signs indicate a life-threatening condition requiring immediate
intervention per triage protocols.
3. Question: A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 minutes
for a client with severe oliguria who weighs 198 lb. What is the dose in grams?
Answer: 18 g
, Rationale: Convert 198 lb to kg (198 ÷ 2.2 = 90 kg). Then, calculate dose: 0.2 g/kg × 90
kg = 18 g.
4. Question: A nurse is assessing a school-age child with bacterial meningitis. Which
finding should the nurse expect?
Answer: Nuchal rigidity
Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningeal irritation in
bacterial meningitis.
5. Question: A nurse is caring for a client with hyperthyroidism. Which finding is
expected?
Answer: Tachycardia
Rationale: Hyperthyroidism increases metabolic rate, causing symptoms like
tachycardia, diaphoresis, and weight loss.
6. Question: What is montelukast (Singulair) used for?
Answer: Leukotriene modifier for asthma, taken once daily
Rationale: Montelukast is a maintenance medication for asthma, not for acute or
exercise-induced symptoms.
7. Question: What should a nurse do if a client feels lightheaded and begins to fall?
Answer: Spread feet apart and slide the client down one leg to the floor
Rationale: This technique ensures client safety while preventing nurse injury during a
fall.
8. Question: What does an advance directive contain?
Answer: Written instructions for end-of-life care
Rationale: Advance directives specify a client’s wishes for medical decisions when they
cannot communicate.
9. Question: What is the greatest risk for a client receiving hemodialysis?
Answer: Disequilibrium syndrome
Rationale: Rapid fluid and electrolyte shifts during hemodialysis can cause neurological
symptoms like restlessness.
