RN ATI Capstone Proctored Comprehensive
Assessment B 2026 Question and Answer |
Complete Revision Pack | Grade A+
• A nurse is teaching a newly licensed nurse about advance directives.
Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
A. "A health care surrogate must be a family member."
B. "The client can resume control of health care after a temporary loss of
competency."
C. "The provider will choose a client's health care surrogate."
D. "The provider can go against the client's wishes regarding advance
directives." -✓✓B. "The client can resume control of health care after a
temporary loss of competency."
This statement demonstrates an understanding of advance directives.
Advance directives allow individuals to maintain control over their
health care decisions by specifying their preferences for treatment or
appointing a surrogate decision-maker. If a client experiences a
temporary loss of competency, they can regain control of their health
care decisions once competency is restored.
A. A health care surrogate, also known as a health care proxy or agent,
does not necessarily have to be a family member. It can be any
individual chosen by the client to make health care decisions on their
behalf if they become unable to do so.
C. It is the responsibility of the client to choose their health care
surrogate. While healthcare providers may provide guidance and
information about advance directives, they do not choose the surrogate
for the client.
D. Advance directives are legally binding documents that express a
client's wishes regarding medical treatment. Healthcare providers are
generally obligated to follow the directives outlined in these documents,
and they cannot go against the client's wishes unless certain legal
,exceptions apply, such as emergency situations where immediate action
is required to preserve life.
• A community health nurse is developing a plan of care for an older
adult client who has type 2 diabetes mellitus and lives independently in a
rural area. Which of the following interventions should the nurse
include?
A. Suggest that the client attend adult day care three times per week.
B. Review assisted living accommodations with the client.
C. Discuss a long-term care referral for the client with the provider.
D. Instruct the client about the use of telehealth services. -✓✓D.
Instruct the client about the use of telehealth services.
This is the most appropriate intervention for the client in a rural area
who may have limited access to healthcare resources. Telehealth
services can provide remote monitoring, education, and support for
managing diabetes while allowing the client to remain in their home
environment. This intervention promotes independence and supports the
client's ability to manage their condition effectively while living in a
rural area.
A. While adult day care can provide socialization opportunities and
supervision for older adults, it may not be suitable for all clients,
especially those who are still independent and prefer to live in their own
homes.
Additionally, attending adult day care may not directly address the
client's diabetes management needs.
B. Assisted living
accommodations are typically considered for individuals who require
assistance with activities of daily living (ADLs) or who can no longer
live independently. Since the client in this scenario lives independently,
reviewing assisted living accommodations may not be appropriate at this
time.
C. Long-term care referrals are generally reserved for individuals who
require ongoing assistance with ADLs and medical care
,that cannot be adequately provided in a home setting. Since the client is
currently living independently and managing their diabetes, a long-term
care referral may not be necessary.
• A nurse is providing dietary teaching to the guardian of a preschooler
who has celiac disease. Which of the following foods should the nurse
recommend including in the preschooler's diet?
A. A bologna sandwich on rye bread
B. Corn tortilla with black beans
C. Whole wheat pasta with shrimp
D. Low sodium vegetable soup with barley -✓✓B. Corn tortilla with
black beans.
Corn tortillas and black beans are both gluten-free options and suitable
for individuals with celiac disease. Corn tortillas are made from
cornmeal, which does not contain gluten, making them a safe choice for
individuals with celiac disease. Black beans are also naturally gluten-
free and can provide essential nutrients like protein and fiber to the
preschooler's diet.
A. Rye bread contains gluten, which is harmful to individuals with celiac
disease. Therefore, foods containing gluten, such as rye bread, should be
avoided in the diet of a preschooler with celiac disease.
C. Whole wheat pasta contains gluten, which is not suitable for
individuals with celiac disease.
Therefore, whole wheat pasta should be avoided in the diet of a
preschooler with celiac disease
D. Barley contains gluten and is not suitable for individuals with celiac
disease. Therefore, foods containing barley, such as vegetable soup with
barley, should be avoided in the diet of a preschooler with celiac disease.
• A nurse is assessing a client who has schizophrenia prior to
administering the client's next dose of clozapine.
Which of the following findings should the nurse report to the provider?
A. Diaphoresis
B. Fever
, C. Polyuria
D. Diarrhea -✓✓B. Fever.
Fever can be a sign of infection, which is a serious concern in clients
taking clozapine due to the risk of agranulocytosis, a potentially life-
threatening side effect characterized by a severe decrease in white blood
cell count.
Any signs of infection, including fever, should be reported promptly to
the provider for further evaluation and
management.
A. Diaphoresis, or excessive sweating, is a common side effect of
clozapine and may not necessarily indicate a need for immediate
intervention. However, it should be documented and monitored for any
changes.
C. Polyuria, or excessive urination, is not typically associated with
clozapine use and may be indicative of other underlying issues such as
diabetes mellitus or diabetes insipidus. While it should be assessed and
managed appropriately, it is not specifically related to clozapine
administration and may not require immediate reporting to the provider.
D. Diarrhea is a common gastrointestinal side effect of clozapine and
may occur due to its effects on the gastrointestinal system. While
persistent or severe diarrhea should be monitored and managed, it is not
typically considered a serious adverse reaction that requires immediate
reporting to the provider unless it is accompanied by other concerning
symptoms.
• A nurse is caring for a client who is taking antihypertensive medication
and is moving from a supine to a sitting position. Which of the following
findings should indicate to the nurse that the client is experiencing
orthostatic hypotension?
A. The client's heart rate increases by 10/min.
B. The client's systolic blood pressure decreases by 25 mm Hg.
C. The client's diastolic blood pressure increases by 10 mm Hg.
Assessment B 2026 Question and Answer |
Complete Revision Pack | Grade A+
• A nurse is teaching a newly licensed nurse about advance directives.
Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
A. "A health care surrogate must be a family member."
B. "The client can resume control of health care after a temporary loss of
competency."
C. "The provider will choose a client's health care surrogate."
D. "The provider can go against the client's wishes regarding advance
directives." -✓✓B. "The client can resume control of health care after a
temporary loss of competency."
This statement demonstrates an understanding of advance directives.
Advance directives allow individuals to maintain control over their
health care decisions by specifying their preferences for treatment or
appointing a surrogate decision-maker. If a client experiences a
temporary loss of competency, they can regain control of their health
care decisions once competency is restored.
A. A health care surrogate, also known as a health care proxy or agent,
does not necessarily have to be a family member. It can be any
individual chosen by the client to make health care decisions on their
behalf if they become unable to do so.
C. It is the responsibility of the client to choose their health care
surrogate. While healthcare providers may provide guidance and
information about advance directives, they do not choose the surrogate
for the client.
D. Advance directives are legally binding documents that express a
client's wishes regarding medical treatment. Healthcare providers are
generally obligated to follow the directives outlined in these documents,
and they cannot go against the client's wishes unless certain legal
,exceptions apply, such as emergency situations where immediate action
is required to preserve life.
• A community health nurse is developing a plan of care for an older
adult client who has type 2 diabetes mellitus and lives independently in a
rural area. Which of the following interventions should the nurse
include?
A. Suggest that the client attend adult day care three times per week.
B. Review assisted living accommodations with the client.
C. Discuss a long-term care referral for the client with the provider.
D. Instruct the client about the use of telehealth services. -✓✓D.
Instruct the client about the use of telehealth services.
This is the most appropriate intervention for the client in a rural area
who may have limited access to healthcare resources. Telehealth
services can provide remote monitoring, education, and support for
managing diabetes while allowing the client to remain in their home
environment. This intervention promotes independence and supports the
client's ability to manage their condition effectively while living in a
rural area.
A. While adult day care can provide socialization opportunities and
supervision for older adults, it may not be suitable for all clients,
especially those who are still independent and prefer to live in their own
homes.
Additionally, attending adult day care may not directly address the
client's diabetes management needs.
B. Assisted living
accommodations are typically considered for individuals who require
assistance with activities of daily living (ADLs) or who can no longer
live independently. Since the client in this scenario lives independently,
reviewing assisted living accommodations may not be appropriate at this
time.
C. Long-term care referrals are generally reserved for individuals who
require ongoing assistance with ADLs and medical care
,that cannot be adequately provided in a home setting. Since the client is
currently living independently and managing their diabetes, a long-term
care referral may not be necessary.
• A nurse is providing dietary teaching to the guardian of a preschooler
who has celiac disease. Which of the following foods should the nurse
recommend including in the preschooler's diet?
A. A bologna sandwich on rye bread
B. Corn tortilla with black beans
C. Whole wheat pasta with shrimp
D. Low sodium vegetable soup with barley -✓✓B. Corn tortilla with
black beans.
Corn tortillas and black beans are both gluten-free options and suitable
for individuals with celiac disease. Corn tortillas are made from
cornmeal, which does not contain gluten, making them a safe choice for
individuals with celiac disease. Black beans are also naturally gluten-
free and can provide essential nutrients like protein and fiber to the
preschooler's diet.
A. Rye bread contains gluten, which is harmful to individuals with celiac
disease. Therefore, foods containing gluten, such as rye bread, should be
avoided in the diet of a preschooler with celiac disease.
C. Whole wheat pasta contains gluten, which is not suitable for
individuals with celiac disease.
Therefore, whole wheat pasta should be avoided in the diet of a
preschooler with celiac disease
D. Barley contains gluten and is not suitable for individuals with celiac
disease. Therefore, foods containing barley, such as vegetable soup with
barley, should be avoided in the diet of a preschooler with celiac disease.
• A nurse is assessing a client who has schizophrenia prior to
administering the client's next dose of clozapine.
Which of the following findings should the nurse report to the provider?
A. Diaphoresis
B. Fever
, C. Polyuria
D. Diarrhea -✓✓B. Fever.
Fever can be a sign of infection, which is a serious concern in clients
taking clozapine due to the risk of agranulocytosis, a potentially life-
threatening side effect characterized by a severe decrease in white blood
cell count.
Any signs of infection, including fever, should be reported promptly to
the provider for further evaluation and
management.
A. Diaphoresis, or excessive sweating, is a common side effect of
clozapine and may not necessarily indicate a need for immediate
intervention. However, it should be documented and monitored for any
changes.
C. Polyuria, or excessive urination, is not typically associated with
clozapine use and may be indicative of other underlying issues such as
diabetes mellitus or diabetes insipidus. While it should be assessed and
managed appropriately, it is not specifically related to clozapine
administration and may not require immediate reporting to the provider.
D. Diarrhea is a common gastrointestinal side effect of clozapine and
may occur due to its effects on the gastrointestinal system. While
persistent or severe diarrhea should be monitored and managed, it is not
typically considered a serious adverse reaction that requires immediate
reporting to the provider unless it is accompanied by other concerning
symptoms.
• A nurse is caring for a client who is taking antihypertensive medication
and is moving from a supine to a sitting position. Which of the following
findings should indicate to the nurse that the client is experiencing
orthostatic hypotension?
A. The client's heart rate increases by 10/min.
B. The client's systolic blood pressure decreases by 25 mm Hg.
C. The client's diastolic blood pressure increases by 10 mm Hg.
