ATI RN Capstone Proctored – Practice Exam
(NEWEST STYLE Questions And Answers
With Solutions
1. A nurse is triaging patients in the ED. Which patient should be seen
FIRST?
A. Client with migraine headache 8/10
B. Client with productive cough and fever
C. Client with chest pain radiating to left arm
D. Client requesting discharge paperwork
✅ Answer: C
Rationale: Chest pain radiating = possible MI → life-threatening (ABC priority).
2. Which action indicates correct understanding of infection control?
A. Wear gloves when entering room
B. Hand hygiene before and after patient contact
C. Use sterile gloves for vitals
D. Mask required for all patients
✅ Answer: B
3. A client on heparin has which finding that requires immediate action?
,A. Bruising at injection site
B. Dark tarry stools
C. Mild headache
D. Increased appetite
✅ Answer: B
Rationale: GI bleeding = heparin toxicity.
4. Priority nursing action for suspected stroke?
A. Give oral fluids
B. Check blood glucose
C. Raise head of bed 30°
D. Start antibiotics
✅ Answer: B
5. Which electrolyte imbalance is life-threatening?
A. K⁺ 3.4
B. Na⁺ 140
C. K⁺ 6.8
D. Ca²⁺ 9.0
✅ Answer: C (hyperkalemia → cardiac arrest risk)
6. First action for hypoglycemia (BG 50 mg/dL)?
A. Insulin
B. Orange juice
C. IV potassium
D. Diuretic
✅ Answer: B
7. Which patient requires immediate intervention?
,A. Post-op stable vitals
B. COPD O₂ sat 90% baseline
C. Asthma with wheezing + difficulty speaking
D. UTI on antibiotics
✅ Answer: C
8. Priority assessment for morphine administration?
A. Temperature
B. Respiratory rate
C. Skin color
D. Bowel sounds
✅ Answer: B
9. Therapeutic range monitoring is MOST important for:
A. Amoxicillin
B. Digoxin
C. Acetaminophen
D. Ibuprofen
✅ Answer: B
10. Digoxin toxicity sign?
A. Bradycardia
B. Hypertension
C. Increased appetite
D. Hyperactivity
✅ Answer: A
11. Priority intervention for anaphylaxis?
A. Oral antihistamine
B. Epinephrine IM
, C. Oxygen at 2 L
D. IV fluids later
✅ Answer: B
12. Which lab indicates kidney failure?
A. Creatinine 3.5
B. Glucose 90
C. WBC 6,000
D. Hemoglobin 14
✅ Answer: A
13. A nurse hears crackles in lungs. This indicates:
A. Fluid overload
B. Dehydration
C. Infection only
D. Liver failure
✅ Answer: A
14. Best position for respiratory distress?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
✅ Answer: C
15. Which medication requires INR monitoring?
A. Aspirin
B. Warfarin
C. Ibuprofen
D. Acetaminophen