RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT : 200 Practice Questions with Answers &
Rationales
Exam: RN ATI Capstone Proctored Comprehensive Assessment
Target Audience: Nursing Students/New Graduates
Difficulty Level: Mixed (Application & Analysis)
Content Areas: Management of Care, Safety & Infection Control, Health
Promotion, Psychosocial Integrity, Basic Care & Comfort, Pharmacology,
Physiological Adaptation
SECTION 1: MANAGEMENT OF CARE (Questions 1–30)
Question 1
A nurse is caring for a client who has a new prescription for a
continuous enteral feeding. Which of the following actions should the
nurse take?
A) Check gastric residual volume every 8 hours
B) Flush the tube with 30 mL of water every 4 hours
C) Elevate the head of the bed to 30° during feedings
D) Change the feeding bag and tubing every 48 hours
Valid answer:C) Elevate the head of the bed to 30° during feedings
Rationale: The head of the bed should be elevated to at least 30°
during continuous enteral feedings to reduce the risk of aspiration
pneumonia. Gastric residual volumes should be checked every 4–6
[Date] 1
,hours, not 8 hours; the tube should be flushed with 30 mL of water
every 4 hours; and tubing should be changed every 24 hours, not 48
hours.
Question 2
A charge nurse is assigning client care assignments for a medical-
surgical unit. Which client should be assigned to a licensed practical
nurse (LPN)?
A) A client who is 1 day postoperative following a total knee
replacement
B) A client who has a new tracheostomy and requires frequent
suctioning
C) A client who has an epidural catheter for pain management
D) A client who has a chest tube and is on continuous pulse oximetry
Valid answer:A) A client who is 1 day postoperative following a total
knee replacement
Rationale: The LPN can care for stable clients with predictable
outcomes, such as a client who is postoperative following a total knee
replacement. Clients with new tracheostomies, epidural catheters, or
chest tubes require the assessment and critical thinking skills of an RN.
Question 3
A nurse is preparing to discharge a client who has a new colostomy.
Which of the following actions should the nurse take?
A) Provide written instructions for ostomy care
[Date] 2
,B) Schedule a follow-up appointment with the provider
C) Ensure the client can demonstrate proper ostomy care
D) All of the above
Valid answer:D) All of the above
Rationale: Discharge teaching for a client with a new colostomy
should include providing written instructions, scheduling follow-up
appointments, and ensuring the client can demonstrate proper ostomy
care before discharge to promote independence and prevent
complications.
Question 4
A nurse on a medical-surgical unit is delegating tasks to an assistive
personnel (AP). Which of the following tasks should the nurse delegate?
A) Measuring a client's intake and output
B) Assessing a client's wound drainage
C) Administering a client's oral medications
D) Teaching a client about deep breathing exercises
Valid answer:A) Measuring a client's intake and output
Rationale: Measuring intake and output is within the scope of practice
for assistive personnel (AP). Assessment, medication administration,
and client teaching require the knowledge and skills of a licensed nurse.
Question 5
A nurse is caring for a client who has a prescription for a 24-hour urine
[Date] 3
, collection. Which of the following actions should the nurse take?
A) Discard the first voiding and begin the collection after that
B) Begin the collection with the first voiding of the day
C) Keep the urine specimen at room temperature
D) Collect urine in a clean container without preservatives
Valid answer:A) Discard the first voiding and begin the collection
after that
Rationale: For a 24-hour urine collection, the first voiding is discarded,
and the collection begins with the next voiding. The collection ends
with the first voiding of the next day. The specimen should be
refrigerated or kept on ice.
Question 6
A nurse is caring for a client who is scheduled for a surgical procedure.
Which of the following actions should the nurse take to verify informed
consent?
A) Ensure the client has signed the consent form
B) Witness the client signing the consent form
C) Confirm the client understands the procedure and risks
D) Explain the procedure to the client
Valid answer:C) Confirm the client understands the procedure and
risks
Rationale: The nurse's role in informed consent is to witness the
client's signature and confirm that the client understands the
[Date] 4
ASSESSMENT : 200 Practice Questions with Answers &
Rationales
Exam: RN ATI Capstone Proctored Comprehensive Assessment
Target Audience: Nursing Students/New Graduates
Difficulty Level: Mixed (Application & Analysis)
Content Areas: Management of Care, Safety & Infection Control, Health
Promotion, Psychosocial Integrity, Basic Care & Comfort, Pharmacology,
Physiological Adaptation
SECTION 1: MANAGEMENT OF CARE (Questions 1–30)
Question 1
A nurse is caring for a client who has a new prescription for a
continuous enteral feeding. Which of the following actions should the
nurse take?
A) Check gastric residual volume every 8 hours
B) Flush the tube with 30 mL of water every 4 hours
C) Elevate the head of the bed to 30° during feedings
D) Change the feeding bag and tubing every 48 hours
Valid answer:C) Elevate the head of the bed to 30° during feedings
Rationale: The head of the bed should be elevated to at least 30°
during continuous enteral feedings to reduce the risk of aspiration
pneumonia. Gastric residual volumes should be checked every 4–6
[Date] 1
,hours, not 8 hours; the tube should be flushed with 30 mL of water
every 4 hours; and tubing should be changed every 24 hours, not 48
hours.
Question 2
A charge nurse is assigning client care assignments for a medical-
surgical unit. Which client should be assigned to a licensed practical
nurse (LPN)?
A) A client who is 1 day postoperative following a total knee
replacement
B) A client who has a new tracheostomy and requires frequent
suctioning
C) A client who has an epidural catheter for pain management
D) A client who has a chest tube and is on continuous pulse oximetry
Valid answer:A) A client who is 1 day postoperative following a total
knee replacement
Rationale: The LPN can care for stable clients with predictable
outcomes, such as a client who is postoperative following a total knee
replacement. Clients with new tracheostomies, epidural catheters, or
chest tubes require the assessment and critical thinking skills of an RN.
Question 3
A nurse is preparing to discharge a client who has a new colostomy.
Which of the following actions should the nurse take?
A) Provide written instructions for ostomy care
[Date] 2
,B) Schedule a follow-up appointment with the provider
C) Ensure the client can demonstrate proper ostomy care
D) All of the above
Valid answer:D) All of the above
Rationale: Discharge teaching for a client with a new colostomy
should include providing written instructions, scheduling follow-up
appointments, and ensuring the client can demonstrate proper ostomy
care before discharge to promote independence and prevent
complications.
Question 4
A nurse on a medical-surgical unit is delegating tasks to an assistive
personnel (AP). Which of the following tasks should the nurse delegate?
A) Measuring a client's intake and output
B) Assessing a client's wound drainage
C) Administering a client's oral medications
D) Teaching a client about deep breathing exercises
Valid answer:A) Measuring a client's intake and output
Rationale: Measuring intake and output is within the scope of practice
for assistive personnel (AP). Assessment, medication administration,
and client teaching require the knowledge and skills of a licensed nurse.
Question 5
A nurse is caring for a client who has a prescription for a 24-hour urine
[Date] 3
, collection. Which of the following actions should the nurse take?
A) Discard the first voiding and begin the collection after that
B) Begin the collection with the first voiding of the day
C) Keep the urine specimen at room temperature
D) Collect urine in a clean container without preservatives
Valid answer:A) Discard the first voiding and begin the collection
after that
Rationale: For a 24-hour urine collection, the first voiding is discarded,
and the collection begins with the next voiding. The collection ends
with the first voiding of the next day. The specimen should be
refrigerated or kept on ice.
Question 6
A nurse is caring for a client who is scheduled for a surgical procedure.
Which of the following actions should the nurse take to verify informed
consent?
A) Ensure the client has signed the consent form
B) Witness the client signing the consent form
C) Confirm the client understands the procedure and risks
D) Explain the procedure to the client
Valid answer:C) Confirm the client understands the procedure and
risks
Rationale: The nurse's role in informed consent is to witness the
client's signature and confirm that the client understands the
[Date] 4
