1
RN ATI Capstone Proctored Comprehensive
Assessment -| 200+ NGN-Aligned Questions with Verified
Answers & Detailed Rationales | Comprehensive Review for NCLEX-RN
& Nursing Exit Exams | Graded A+
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION,
AND LEGAL/ETHICAL ISSUES (Questions 1–30)
1. A charge nurse is assigning tasks to an LPN. Which task should the
charge nurse delegate to the LPN?
A. Administer a dose of metoprolol to a stable client with hypertension
B. Perform an initial admission assessment on a new client
C. Administer IV push morphine to a client in severe pain
D. Develop a plan of care for a client with diabetes
Valid answer: A
Rationale: LPNs can administer oral medications to stable clients. RNs
retain responsibility for initial assessments, unstable clients, and IV
push medications. Task delegation must match the individual's scope of
practice and competency.
2. A client with a valid DNR order is pulseless and not breathing. The
family demands that the nurse “do everything.” What should the
nurse do first?
A. Initiate CPR immediately per family request
B. Gently remind the family of the DNR order and continue supportive
, 2
care without CPR
C. Page the provider for clarification of the DNR order
D. Call the hospital ethics committee for consultation
Valid answer: B
Rationale: A valid DNR order must be respected; the nurse should
support the family while following the legal directive. The nurse should
explain the DNR order compassionately and continue comfort
measures.
3. A nurse on a medical-surgical unit is overwhelmed with admissions.
Which task can be delegated to an assistive personnel (AP)?
A. Obtain a clean-catch urine specimen from a client
B. Teach a client about their new diabetes medication
C. Assess a client's wound for signs of infection
D. Administer a PRN pain medication
Valid answer: A
Rationale: APs can collect non-sterile specimens such as clean-catch
urine. RNs must teach, assess, interpret results, and administer
medications. Delegation must consider task complexity and potential
for harm.
4. A nurse suspects a colleague is impaired due to alcohol odor on
their breath. What is the priority action?
, 3
A. Confront the colleague privately
B. Notify the nursing supervisor immediately
C. Ignore the situation to avoid conflict
D. Ask the colleague to go home for the day
Valid answer: B
Rationale: Patient safety is paramount; reporting to the nursing
supervisor follows the chain of command and fulfills legal and ethical
duties. Impaired practice must be addressed through proper channels.
5. A client refuses a blood transfusion for religious reasons. What is
the nurse's best response?
A. Document the refusal and notify the provider
B. Explain the consequences of refusing the transfusion
C. Ask the family to convince the client to accept the transfusion
D. Administer the transfusion and document the client's objection
Valid answer: A
Rationale: Respect client autonomy; do not coerce. The provider can
discuss alternatives. The nurse must document the refusal and continue
to provide safe care within the client's wishes.
6. Which situation requires completion of an incident report?
A. A client falls when getting out of bed unassisted despite the bed
alarm being on
B. A client requests a change in their meal order
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C. A client's family member visits outside of visiting hours
D. A client complains about the room temperature
Valid answer: A
Rationale: Incident reports are for unexpected events such as falls and
medication errors. They are not placed in the client's chart. The purpose
is to identify system improvements and prevent recurrence.
7. A nurse is teaching about advance directives. Which statement by
the client indicates understanding?
A. "I can change my living will at any time"
B. "Once I sign a living will, I cannot change it"
C. "Advance directives are only for elderly clients"
D. "My family can override my advance directive"
Valid answer: A
Rationale: Advance directives can be updated or revoked by a
competent adult at any time. They reflect the client's current wishes
and should be reviewed periodically.
8. A nurse manager is discussing “just culture” with the staff. Which
statement reflects this concept?
A. “We analyze system failures, not just individual mistakes”
B. “All errors should result in disciplinary action”
C. “Staff should be blamed for all adverse events”
D. “Just culture means no one is ever held accountable”
RN ATI Capstone Proctored Comprehensive
Assessment -| 200+ NGN-Aligned Questions with Verified
Answers & Detailed Rationales | Comprehensive Review for NCLEX-RN
& Nursing Exit Exams | Graded A+
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION,
AND LEGAL/ETHICAL ISSUES (Questions 1–30)
1. A charge nurse is assigning tasks to an LPN. Which task should the
charge nurse delegate to the LPN?
A. Administer a dose of metoprolol to a stable client with hypertension
B. Perform an initial admission assessment on a new client
C. Administer IV push morphine to a client in severe pain
D. Develop a plan of care for a client with diabetes
Valid answer: A
Rationale: LPNs can administer oral medications to stable clients. RNs
retain responsibility for initial assessments, unstable clients, and IV
push medications. Task delegation must match the individual's scope of
practice and competency.
2. A client with a valid DNR order is pulseless and not breathing. The
family demands that the nurse “do everything.” What should the
nurse do first?
A. Initiate CPR immediately per family request
B. Gently remind the family of the DNR order and continue supportive
, 2
care without CPR
C. Page the provider for clarification of the DNR order
D. Call the hospital ethics committee for consultation
Valid answer: B
Rationale: A valid DNR order must be respected; the nurse should
support the family while following the legal directive. The nurse should
explain the DNR order compassionately and continue comfort
measures.
3. A nurse on a medical-surgical unit is overwhelmed with admissions.
Which task can be delegated to an assistive personnel (AP)?
A. Obtain a clean-catch urine specimen from a client
B. Teach a client about their new diabetes medication
C. Assess a client's wound for signs of infection
D. Administer a PRN pain medication
Valid answer: A
Rationale: APs can collect non-sterile specimens such as clean-catch
urine. RNs must teach, assess, interpret results, and administer
medications. Delegation must consider task complexity and potential
for harm.
4. A nurse suspects a colleague is impaired due to alcohol odor on
their breath. What is the priority action?
, 3
A. Confront the colleague privately
B. Notify the nursing supervisor immediately
C. Ignore the situation to avoid conflict
D. Ask the colleague to go home for the day
Valid answer: B
Rationale: Patient safety is paramount; reporting to the nursing
supervisor follows the chain of command and fulfills legal and ethical
duties. Impaired practice must be addressed through proper channels.
5. A client refuses a blood transfusion for religious reasons. What is
the nurse's best response?
A. Document the refusal and notify the provider
B. Explain the consequences of refusing the transfusion
C. Ask the family to convince the client to accept the transfusion
D. Administer the transfusion and document the client's objection
Valid answer: A
Rationale: Respect client autonomy; do not coerce. The provider can
discuss alternatives. The nurse must document the refusal and continue
to provide safe care within the client's wishes.
6. Which situation requires completion of an incident report?
A. A client falls when getting out of bed unassisted despite the bed
alarm being on
B. A client requests a change in their meal order
, 4
C. A client's family member visits outside of visiting hours
D. A client complains about the room temperature
Valid answer: A
Rationale: Incident reports are for unexpected events such as falls and
medication errors. They are not placed in the client's chart. The purpose
is to identify system improvements and prevent recurrence.
7. A nurse is teaching about advance directives. Which statement by
the client indicates understanding?
A. "I can change my living will at any time"
B. "Once I sign a living will, I cannot change it"
C. "Advance directives are only for elderly clients"
D. "My family can override my advance directive"
Valid answer: A
Rationale: Advance directives can be updated or revoked by a
competent adult at any time. They reflect the client's current wishes
and should be reviewed periodically.
8. A nurse manager is discussing “just culture” with the staff. Which
statement reflects this concept?
A. “We analyze system failures, not just individual mistakes”
B. “All errors should result in disciplinary action”
C. “Staff should be blamed for all adverse events”
D. “Just culture means no one is ever held accountable”
