RN ATI capstone proctored comprehensive
assessment 2026 B
1 .A nurse is assessing a client who received 2 units of packed RBCs 48
hours ago. Which of the following findings should indicate to the nurse that the
therapy has been effective? Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is assessing
the range of motion of the legs. Which of the following images indicates the
adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Tremors
, Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity This is a manifestation of
bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart
rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of
the rapid rate and the transmission of respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following findings as a potential indication of
child sexual abuse?
The child exhibits discomfort while walking. The nurse should identify this finding as
a potential indication of child sexual abuse.
11. A nurse is preparing to teach about dietary management to a client who has
Crohn’s disease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
12. A nurse is caring for a client who has a prescription for a continuous passive
motion (CPM) machine following a total knee arthroplasty. Which of the
following actions should the nurse take?
Turn off the CPM machine during mealtime.
This promotes client comfort and dietary intake.
, 13. A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for the client?
Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
14. A nurse is developing a client education program a bout osteoporosis for older
adult clients. The nurse should include which of the following variables as a risk
factor for osteoporosis?
Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult clients to
engage in weight-bearing exercises because they will promote bone health by increasing
calcium and phosphorus levels.
15. A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on
the trunk and extremities. Which of the following interventions should the nurse
identify as the priority?
Initiate transmission-based precautions
When using the urgent versus nonurgent approach to client care, the nurse should
determine that the priority action is to initiate transmission-based precautions for the child. The
child most likely has varicella. Therefore, the nurse should isolate the child to prevent the spread
of the infection.
16. A nurse is caring for a client who has a clogged percutaneous gastrostomy
feeding tube. Which of the following actions should the nurse take first?
Change the position of the client.
When providing client care, the nurse should use the least restrictive intervention first.
Therefore, the nurse should reposition the client to remove any kinks in the tube, which
can lead to clogging. If this method is unsuccessful, the nurse should attempt to flush or
aspirate the client’s tube to remove the clog.
17. A home health care nurse is developing a teaching plan for a client who has a
new ileostomy.
Which of the following instructions should the nurse include?
Empty the appliance when it is one-third to one-half full.
The ileostomy pouch should be emptied when it is one-third to one-half full to prevent
stool leakage and skin irritation.
18. A nurse is reviewing the laboratory report of a client who has end-stage kidney
disease and received hemodialysis 24 yr ago. Which of the following lab values
should the nurse report to the provider?
Sodium 148 mEq/L
assessment 2026 B
1 .A nurse is assessing a client who received 2 units of packed RBCs 48
hours ago. Which of the following findings should indicate to the nurse that the
therapy has been effective? Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is assessing
the range of motion of the legs. Which of the following images indicates the
adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Tremors
, Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity This is a manifestation of
bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart
rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of
the rapid rate and the transmission of respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following findings as a potential indication of
child sexual abuse?
The child exhibits discomfort while walking. The nurse should identify this finding as
a potential indication of child sexual abuse.
11. A nurse is preparing to teach about dietary management to a client who has
Crohn’s disease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
12. A nurse is caring for a client who has a prescription for a continuous passive
motion (CPM) machine following a total knee arthroplasty. Which of the
following actions should the nurse take?
Turn off the CPM machine during mealtime.
This promotes client comfort and dietary intake.
, 13. A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for the client?
Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
14. A nurse is developing a client education program a bout osteoporosis for older
adult clients. The nurse should include which of the following variables as a risk
factor for osteoporosis?
Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult clients to
engage in weight-bearing exercises because they will promote bone health by increasing
calcium and phosphorus levels.
15. A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on
the trunk and extremities. Which of the following interventions should the nurse
identify as the priority?
Initiate transmission-based precautions
When using the urgent versus nonurgent approach to client care, the nurse should
determine that the priority action is to initiate transmission-based precautions for the child. The
child most likely has varicella. Therefore, the nurse should isolate the child to prevent the spread
of the infection.
16. A nurse is caring for a client who has a clogged percutaneous gastrostomy
feeding tube. Which of the following actions should the nurse take first?
Change the position of the client.
When providing client care, the nurse should use the least restrictive intervention first.
Therefore, the nurse should reposition the client to remove any kinks in the tube, which
can lead to clogging. If this method is unsuccessful, the nurse should attempt to flush or
aspirate the client’s tube to remove the clog.
17. A home health care nurse is developing a teaching plan for a client who has a
new ileostomy.
Which of the following instructions should the nurse include?
Empty the appliance when it is one-third to one-half full.
The ileostomy pouch should be emptied when it is one-third to one-half full to prevent
stool leakage and skin irritation.
18. A nurse is reviewing the laboratory report of a client who has end-stage kidney
disease and received hemodialysis 24 yr ago. Which of the following lab values
should the nurse report to the provider?
Sodium 148 mEq/L
