ATI RN Capstone Proctored Comprehensive Assessment B
Study Guide UP-TO-DATE 2026 EXAM QUESTIONS AND
100% ACCURATE SOLUTIONS | Question And VERIFIED
ANSWERS - INSTANT PDF DOWNLOAD Latest PDF
Update)
📋 Key Domains Covered
The comprehensive assessment covers the following nursing content areas :
Medical-Surgical Nursing
Pharmacology
Maternal-Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Nursing Leadership & Management (Delegation, Priority Setting, Client Rights)
📊 Section 1: Management of Care & Ethical Principles
Concept: Client Rights & The Patient Self-Determination Act
A key legal requirement is the Patient Self-Determination Act (PSDA) , which
mandates that on admission, all clients must be informed of their right to accept or
refuse care and to complete advance directives (living will, durable power of attorney for
healthcare) .
Q1. A nurse is admitting a client to a medical-surgical unit. Which of the following
actions is required by the Patient Self-Determination Act (PSDA)?
, A) Ask the client if they have a living will or durable power of attorney for healthcare
B) Obtain the client's signature on a consent for treatment form
C) Provide the client with a written copy of their advance directives
D) Notify the client's family of their right to make healthcare decisions
Correct Answer: A
Rationale: The PSDA requires the nurse to ask about the existence of advance
directives upon admission .
Q2. A client who is competent and oriented tells the nurse, "I'm leaving this
hospital right now. I don't care what the doctor says." Which action should the
nurse take?
A) Restrain the client to prevent leaving
B) Call security to block the exit
C) Have the client sign a form indicating they are leaving against medical advice (AMA)
D) Notify the client's family of the intent to leave
Correct Answer: C
Rationale: Competent adults have the right to refuse treatment, including the right to
leave AMA. The client should be asked to sign a form acknowledging they understand
the risks of leaving .
📊 Section 2: Delegation & Staff Management
Concept: The Five Rights of Delegation
When assigning tasks, nurses must apply the "Five Rights": Right task, right
circumstance, right person, right direction/communication, and right supervision .
Assessing and evaluating are nursing responsibilities that cannot be delegated to
assistive personnel (AP).
Q3. A nurse is caring for a client who has fluid volume overload. Which task should
the nurse delegate to an assistive personnel (AP)?
A) Assess the client's lung sounds
B) Evaluate the client's response to diuretics
, C) Measure the client's daily weight
D) Titrate the client's oxygen therapy
Correct Answer: C
Rationale: Measuring daily weight is a routine task within the AP's scope of practice
that does not require clinical judgment .
Q4. A nurse is caring for a client who has left-sided weakness following a stroke.
Which of the following interventions should the nurse include in the plan?
A) Support the client's left arm on a pillow while sitting
B) Place the client in the prone position for 15 minutes at a time
C) Restrict the client's fluid intake to 1,500 mL per day
D) Instruct the client to sit in a wheelchair for 2 hours at a time
Correct Answer: A
Rationale: Supporting the affected arm on a pillow prevents subluxation and shoulder
pain, maintaining proper alignment .
📊 Section 3: Medical-Surgical Nursing
Q5. A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago.
Which finding indicates the therapy has been effective?
A) Heart rate 110/min
B) Hemoglobin 14.9 g/dL
C) Blood pressure 90/50 mm Hg
D) Respiratory rate 28/min
Correct Answer: B
Rationale: Packed RBCs are administered to increase oxygen-carrying capacity. A
hemoglobin level returning to normal range indicates effective therapy .
Q6. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
action is the 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 infection
Correct Answer: C
Rationale: Using the ABC (airway, breathing, circulation) approach, deep breathing and
coughing are the priority to prevent postoperative pneumonia and atelectasis .
Q7. A nurse is assessing a client who has hypokalemia. Which finding should the
nurse expect?
A) Hypertension
B) Increased appetite
C) Diarrhea
D) Muscle weakness
Correct Answer: D
Rationale: Hypokalemia causes bilateral muscle weakness, hyporeflexia, muscle
stiffness, and cramping .
Q8. A nurse is caring for a client who has a new prescription for clonidine. The
nurse should inform the client that which of the following findings is an adverse
effect of this medication?
A) Dry mouth
B) Hypertension
C) Insomnia
D) Tachycardia
Correct Answer: A
Rationale: Dry mouth is a common anticholinergic adverse effect of clonidine .
Q9. A nurse is assessing a client who has COPD. Which ABG finding should the
nurse expect?
A) pH 7.31
B) PaO2 95 mm Hg
C) PaCO2 35 mm Hg
D) HCO3 24 mEq/L
Study Guide UP-TO-DATE 2026 EXAM QUESTIONS AND
100% ACCURATE SOLUTIONS | Question And VERIFIED
ANSWERS - INSTANT PDF DOWNLOAD Latest PDF
Update)
📋 Key Domains Covered
The comprehensive assessment covers the following nursing content areas :
Medical-Surgical Nursing
Pharmacology
Maternal-Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Nursing Leadership & Management (Delegation, Priority Setting, Client Rights)
📊 Section 1: Management of Care & Ethical Principles
Concept: Client Rights & The Patient Self-Determination Act
A key legal requirement is the Patient Self-Determination Act (PSDA) , which
mandates that on admission, all clients must be informed of their right to accept or
refuse care and to complete advance directives (living will, durable power of attorney for
healthcare) .
Q1. A nurse is admitting a client to a medical-surgical unit. Which of the following
actions is required by the Patient Self-Determination Act (PSDA)?
, A) Ask the client if they have a living will or durable power of attorney for healthcare
B) Obtain the client's signature on a consent for treatment form
C) Provide the client with a written copy of their advance directives
D) Notify the client's family of their right to make healthcare decisions
Correct Answer: A
Rationale: The PSDA requires the nurse to ask about the existence of advance
directives upon admission .
Q2. A client who is competent and oriented tells the nurse, "I'm leaving this
hospital right now. I don't care what the doctor says." Which action should the
nurse take?
A) Restrain the client to prevent leaving
B) Call security to block the exit
C) Have the client sign a form indicating they are leaving against medical advice (AMA)
D) Notify the client's family of the intent to leave
Correct Answer: C
Rationale: Competent adults have the right to refuse treatment, including the right to
leave AMA. The client should be asked to sign a form acknowledging they understand
the risks of leaving .
📊 Section 2: Delegation & Staff Management
Concept: The Five Rights of Delegation
When assigning tasks, nurses must apply the "Five Rights": Right task, right
circumstance, right person, right direction/communication, and right supervision .
Assessing and evaluating are nursing responsibilities that cannot be delegated to
assistive personnel (AP).
Q3. A nurse is caring for a client who has fluid volume overload. Which task should
the nurse delegate to an assistive personnel (AP)?
A) Assess the client's lung sounds
B) Evaluate the client's response to diuretics
, C) Measure the client's daily weight
D) Titrate the client's oxygen therapy
Correct Answer: C
Rationale: Measuring daily weight is a routine task within the AP's scope of practice
that does not require clinical judgment .
Q4. A nurse is caring for a client who has left-sided weakness following a stroke.
Which of the following interventions should the nurse include in the plan?
A) Support the client's left arm on a pillow while sitting
B) Place the client in the prone position for 15 minutes at a time
C) Restrict the client's fluid intake to 1,500 mL per day
D) Instruct the client to sit in a wheelchair for 2 hours at a time
Correct Answer: A
Rationale: Supporting the affected arm on a pillow prevents subluxation and shoulder
pain, maintaining proper alignment .
📊 Section 3: Medical-Surgical Nursing
Q5. A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago.
Which finding indicates the therapy has been effective?
A) Heart rate 110/min
B) Hemoglobin 14.9 g/dL
C) Blood pressure 90/50 mm Hg
D) Respiratory rate 28/min
Correct Answer: B
Rationale: Packed RBCs are administered to increase oxygen-carrying capacity. A
hemoglobin level returning to normal range indicates effective therapy .
Q6. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
action is the 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 infection
Correct Answer: C
Rationale: Using the ABC (airway, breathing, circulation) approach, deep breathing and
coughing are the priority to prevent postoperative pneumonia and atelectasis .
Q7. A nurse is assessing a client who has hypokalemia. Which finding should the
nurse expect?
A) Hypertension
B) Increased appetite
C) Diarrhea
D) Muscle weakness
Correct Answer: D
Rationale: Hypokalemia causes bilateral muscle weakness, hyporeflexia, muscle
stiffness, and cramping .
Q8. A nurse is caring for a client who has a new prescription for clonidine. The
nurse should inform the client that which of the following findings is an adverse
effect of this medication?
A) Dry mouth
B) Hypertension
C) Insomnia
D) Tachycardia
Correct Answer: A
Rationale: Dry mouth is a common anticholinergic adverse effect of clonidine .
Q9. A nurse is assessing a client who has COPD. Which ABG finding should the
nurse expect?
A) pH 7.31
B) PaO2 95 mm Hg
C) PaCO2 35 mm Hg
D) HCO3 24 mEq/L
