RN ATI Capstone Proctored Comprehensive
Assessment 2025 – Form A & B | 170+ Actual
Exam Questions with NGN Format and
Detailed Rationales (Newest Version
2025/2026, Rated A Grade)
170+ Actual Exam Questions with NGN Format and Detailed Rationales (Newest Version
2025/2026, Rated A+ Grade)
This A+ guide compiles 170+ verified questions from ATI Capstone Forms A & B (2025/2026),
including NGN items (bow-tie, SATA, case studies). Drawn from official ATI blueprints,
focusing on med-surg, fundamentals, pharm, maternity/peds, mental health, and leadership.
Questions include clinical judgment models. Correct answers in red, with detailed rationales
citing ATI RN Content Mastery Series (2025). (150 questions, 3 hrs); 85% pass threshold.
Form A Questions (1-85)
1 A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago. Which lab
value indicates effective therapy? Hemoglobin 14.9 g/dL Rationale: Normal Hgb for adult male
14-18 g/dL; post-transfusion rise from anemia baseline confirms efficacy (ATI Fundamentals,
Transfusion Therapy). Monitor for reactions like fever (NGN: Recognize cues).
2 A nurse is caring for a client with fluid volume overload. Which task to delegate to AP?
Measure client's daily weight Rationale: AP can perform routine vital/non-invasive
measurements; RN assesses trends (ATI Leadership, Delegation). SATA: Not IV meds or
assessments.
3 A nurse is triaging clients in ED. Which to treat first? Middle adult with unstable vital signs
Rationale: ABC priority; instability (hypotension/tachycardia) indicates immediate threat (ATI
Med-Surg, Triage). Bow-tie: Cue - unstable V/S → Action - STAT intervention.
4 A nurse is conducting a physical exam on an adolescent, assessing leg ROM. Which image
shows hip abduction? Leg moved away from midline (side, not front) Rationale: Abduction =
lateral movement from midline; adduction medial (ATI Fundamentals, Musculoskeletal
Assessment). Visual NGN: Select correct diagram.
5 A nurse is caring for a client with hyperthyroidism. Expected finding? Exophthalmos
Rationale: Graves' disease causes proptosis; other findings: tachycardia, weight loss (ATI
Endocrine, Hyperthyroidism). Case study: Tachycardia cue → endocrine workup.
, 6 A client with hypothyroidism. Expected manifestations? Dry coarse hair, bradycardia,
periorbital edema Rationale: Myxedema: slowed metabolism → bradycardia, dry skin/hair,
edema (ATI Endocrine). SATA: Not heat intolerance or diarrhea.
7 A nurse is assessing a newborn's Moro reflex. Expected response? Arms/legs extend then
abduct/adduct Rationale: Primitive reflex to head drop; absent >6 months abnormal (ATI Peds,
Newborn Assessment). NGN: Cue - no response → Report anomaly.
8 A client refuses a new fentanyl patch. Nurse action? Document refusal and notify provider
Rationale: Autonomy respected; reassess pain (ATI Pharm, Opioids). Not force application;
educate risks.
9 Client on heparin IV and warfarin PO. Labs: aPTT 98 sec, INR 1.8. Action? Continue both;
recheck INR tomorrow Rationale: aPTT therapeutic 60-80 sec for heparin; INR 2-3 goal for
warfarin—overlap safe (ATI Pharm, Anticoagulants).
10 A nurse in urgent care assesses client with sudden vision loss in one eye. Suspect? Retinal
detachment Rationale: Floaters/curtain effect; urgent ophthalmology (ATI Med-Surg, Ocular
Emergencies).
11 Pediatric unit shift report: 4 children. Assess first? Toddler with stridor and retractions
Rationale: Airway priority; respiratory distress ESBAR (ATI Peds, Prioritization).
12 Electrolyte imbalances: Manifestations of calcium imbalance? Hypocalcemia: Trousseau's
sign; Hypercalcemia: constipation Rationale: Chvostek/Trousseau for hypo;
polyuria/constipation for hyper (ATI Fundamentals, Electrolytes). SATA NGN.
13 A nurse is caring for a client in active labor. Expected fetal position? LOA (left occiput
anterior) Rationale: Optimal for descent; monitor station (ATI Maternity, Labor Stages).
14 Client post-epidural. Essential interventions? Monitor BP q5-15 min, keep supine with
head elevated 30° Rationale: Hypotension risk from sympathectomy; contraindicated: prone
position (ATI Maternity, Pain Management). Bow-tie NGN: Cue - BP drop → Action -
fluids/position.
15 A client with immunosuppression. Priority teaching? Avoid crowds, raw foods Rationale:
Infection risk; hand hygiene (ATI Fundamentals, Immune Compromise).
16 Developing emergency preparedness plan. Include? Evacuation routes, family meeting
place Rationale: Community resources; drills (ATI Leadership, Disaster Planning).
17 Client with suicidal ideations. Care environment? Remove sharps/belts, 1:1 observation
Rationale: Safety first; no-harm contract (ATI Mental Health, Suicide Prevention).
Assessment 2025 – Form A & B | 170+ Actual
Exam Questions with NGN Format and
Detailed Rationales (Newest Version
2025/2026, Rated A Grade)
170+ Actual Exam Questions with NGN Format and Detailed Rationales (Newest Version
2025/2026, Rated A+ Grade)
This A+ guide compiles 170+ verified questions from ATI Capstone Forms A & B (2025/2026),
including NGN items (bow-tie, SATA, case studies). Drawn from official ATI blueprints,
focusing on med-surg, fundamentals, pharm, maternity/peds, mental health, and leadership.
Questions include clinical judgment models. Correct answers in red, with detailed rationales
citing ATI RN Content Mastery Series (2025). (150 questions, 3 hrs); 85% pass threshold.
Form A Questions (1-85)
1 A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago. Which lab
value indicates effective therapy? Hemoglobin 14.9 g/dL Rationale: Normal Hgb for adult male
14-18 g/dL; post-transfusion rise from anemia baseline confirms efficacy (ATI Fundamentals,
Transfusion Therapy). Monitor for reactions like fever (NGN: Recognize cues).
2 A nurse is caring for a client with fluid volume overload. Which task to delegate to AP?
Measure client's daily weight Rationale: AP can perform routine vital/non-invasive
measurements; RN assesses trends (ATI Leadership, Delegation). SATA: Not IV meds or
assessments.
3 A nurse is triaging clients in ED. Which to treat first? Middle adult with unstable vital signs
Rationale: ABC priority; instability (hypotension/tachycardia) indicates immediate threat (ATI
Med-Surg, Triage). Bow-tie: Cue - unstable V/S → Action - STAT intervention.
4 A nurse is conducting a physical exam on an adolescent, assessing leg ROM. Which image
shows hip abduction? Leg moved away from midline (side, not front) Rationale: Abduction =
lateral movement from midline; adduction medial (ATI Fundamentals, Musculoskeletal
Assessment). Visual NGN: Select correct diagram.
5 A nurse is caring for a client with hyperthyroidism. Expected finding? Exophthalmos
Rationale: Graves' disease causes proptosis; other findings: tachycardia, weight loss (ATI
Endocrine, Hyperthyroidism). Case study: Tachycardia cue → endocrine workup.
, 6 A client with hypothyroidism. Expected manifestations? Dry coarse hair, bradycardia,
periorbital edema Rationale: Myxedema: slowed metabolism → bradycardia, dry skin/hair,
edema (ATI Endocrine). SATA: Not heat intolerance or diarrhea.
7 A nurse is assessing a newborn's Moro reflex. Expected response? Arms/legs extend then
abduct/adduct Rationale: Primitive reflex to head drop; absent >6 months abnormal (ATI Peds,
Newborn Assessment). NGN: Cue - no response → Report anomaly.
8 A client refuses a new fentanyl patch. Nurse action? Document refusal and notify provider
Rationale: Autonomy respected; reassess pain (ATI Pharm, Opioids). Not force application;
educate risks.
9 Client on heparin IV and warfarin PO. Labs: aPTT 98 sec, INR 1.8. Action? Continue both;
recheck INR tomorrow Rationale: aPTT therapeutic 60-80 sec for heparin; INR 2-3 goal for
warfarin—overlap safe (ATI Pharm, Anticoagulants).
10 A nurse in urgent care assesses client with sudden vision loss in one eye. Suspect? Retinal
detachment Rationale: Floaters/curtain effect; urgent ophthalmology (ATI Med-Surg, Ocular
Emergencies).
11 Pediatric unit shift report: 4 children. Assess first? Toddler with stridor and retractions
Rationale: Airway priority; respiratory distress ESBAR (ATI Peds, Prioritization).
12 Electrolyte imbalances: Manifestations of calcium imbalance? Hypocalcemia: Trousseau's
sign; Hypercalcemia: constipation Rationale: Chvostek/Trousseau for hypo;
polyuria/constipation for hyper (ATI Fundamentals, Electrolytes). SATA NGN.
13 A nurse is caring for a client in active labor. Expected fetal position? LOA (left occiput
anterior) Rationale: Optimal for descent; monitor station (ATI Maternity, Labor Stages).
14 Client post-epidural. Essential interventions? Monitor BP q5-15 min, keep supine with
head elevated 30° Rationale: Hypotension risk from sympathectomy; contraindicated: prone
position (ATI Maternity, Pain Management). Bow-tie NGN: Cue - BP drop → Action -
fluids/position.
15 A client with immunosuppression. Priority teaching? Avoid crowds, raw foods Rationale:
Infection risk; hand hygiene (ATI Fundamentals, Immune Compromise).
16 Developing emergency preparedness plan. Include? Evacuation routes, family meeting
place Rationale: Community resources; drills (ATI Leadership, Disaster Planning).
17 Client with suicidal ideations. Care environment? Remove sharps/belts, 1:1 observation
Rationale: Safety first; no-harm contract (ATI Mental Health, Suicide Prevention).
