ATI RN CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT B
LATEST ACTUAL EXAM WITH
COMPLETE REAL QUESTIONS AND
CORRECT ANSWERS (100 CORRECT
VERIFIED SOLUTIONS) ALREADY
GRADED A+.
IMPORTANT DISCLAIMER: This study guide contains original practice
questions created to simulate the format and difficulty of the ATI RN
Capstone Proctored Comprehensive Assessment B. These are not actual exam
questions from Assessment Technologies Institute. The correct answers and
rationales are based on the NCLEX-RN Test Plan client need categories and
standard nursing principles. This material is intended for study and review
purposes only. No guarantee of exam performance is implied.
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
, • Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive examination is designed to assess the entry-level
competency of registered nursing candidates preparing for the NCLEX-RN. It
evaluates the knowledge, skills, and clinical judgment required to provide safe,
effective, and holistic care across the lifespan. The test employs multiple-choice
and scenario-based questions that mirror the NCLEX-RN test plan structure.
Emphasis is placed on prioritization, delegation, clinical judgment, and the
application of the nursing process in real-world clinical decision-making.
SECTION ONE: QUESTIONS 1–100
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?
A. Heart rate of 110/min
B. Hemoglobin of 14.9 g/dL
C. Respiratory rate of 24/min
D. Blood pressure of 90/60 mm Hg
B. Hemoglobin of 14.9 g/dL
RATIONALE: The goal of packed RBC transfusion is to increase the
client's hemoglobin and hematocrit levels. A hemoglobin level of 14.9 g/dL is
within the normal range and indicates that the transfusion has effectively
corrected the anemia. Tachycardia, tachypnea, and hypotension may indicate
continued hypovolemia or a transfusion reaction.
2. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for
treatment first?
,A. A young adult client with a simple fracture of the radius
B. A middle adult client who has unstable vital signs
C. An older adult client requesting a medication refill
D. An adolescent client with a sore throat and fever
B. A middle adult client who has unstable vital signs
RATIONALE: In emergency triage, clients with unstable vital signs or
immediate threats to life must be treated first. The client with unstable vital
signs is at highest risk for deterioration compared to the others who are stable
or non-urgent.
3. A nurse is caring for a client who has fluid volume overload. Which of
the following tasks should the nurse delegate to an assistive personnel
(AP)?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Evaluate the client's edema
D. Teach the client about fluid restrictions
B. Measure the client's daily weight
RATIONALE: Measuring daily weight is a non-invasive, routine task that
does not require specialized nursing knowledge or skills. This task can be
safely delegated to assistive personnel. Assessment, evaluation, and teaching
require the skill and judgment of a licensed nurse.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5
min as a test dose to a client who has severe oliguria. The client weighs
198 lb. What is the amount in grams the nurse should administer?
A. 9 g
B. 18 g
C. 36 g
D. 90 g
, B. 18 g
RATIONALE: First, convert the client's weight from pounds to kilograms:
198 lb ÷ 2.2 = 90 kg. Then multiply the prescribed dose by the client's weight:
0.2 g/kg × 90 kg = 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
indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Moving the leg forward
D. Moving the leg backward
B. Moving the leg away from the midline of the body
RATIONALE: Abduction of the hip joint involves moving the leg away
from the midline of the body in a lateral direction. Moving the leg toward the
midline is adduction. Moving the leg forward is flexion. Moving the leg
backward is extension.
6. A nurse is caring for a client who had abdominal surgery 24 hours
ago. Which of the following findings should the nurse report to the
provider immediately?
A. Incisional pain of 4 on a scale of 0 to 10
B. Temperature of 100.4°F
C. Heart rate of 110/min
D. Blood pressure of 110/70 mm Hg
C. Heart rate of 110/min
RATIONALE: Tachycardia 24 hours postoperatively may indicate
hemorrhage, infection, or pain. The nurse should assess the client further and
report this finding. A low-grade temperature and moderate incisional pain are
expected findings postoperatively.
COMPREHENSIVE ASSESSMENT B
LATEST ACTUAL EXAM WITH
COMPLETE REAL QUESTIONS AND
CORRECT ANSWERS (100 CORRECT
VERIFIED SOLUTIONS) ALREADY
GRADED A+.
IMPORTANT DISCLAIMER: This study guide contains original practice
questions created to simulate the format and difficulty of the ATI RN
Capstone Proctored Comprehensive Assessment B. These are not actual exam
questions from Assessment Technologies Institute. The correct answers and
rationales are based on the NCLEX-RN Test Plan client need categories and
standard nursing principles. This material is intended for study and review
purposes only. No guarantee of exam performance is implied.
Core Domains
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
, • Reduction of Risk Potential
• Physiological Adaptation
Introduction
This comprehensive examination is designed to assess the entry-level
competency of registered nursing candidates preparing for the NCLEX-RN. It
evaluates the knowledge, skills, and clinical judgment required to provide safe,
effective, and holistic care across the lifespan. The test employs multiple-choice
and scenario-based questions that mirror the NCLEX-RN test plan structure.
Emphasis is placed on prioritization, delegation, clinical judgment, and the
application of the nursing process in real-world clinical decision-making.
SECTION ONE: QUESTIONS 1–100
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?
A. Heart rate of 110/min
B. Hemoglobin of 14.9 g/dL
C. Respiratory rate of 24/min
D. Blood pressure of 90/60 mm Hg
B. Hemoglobin of 14.9 g/dL
RATIONALE: The goal of packed RBC transfusion is to increase the
client's hemoglobin and hematocrit levels. A hemoglobin level of 14.9 g/dL is
within the normal range and indicates that the transfusion has effectively
corrected the anemia. Tachycardia, tachypnea, and hypotension may indicate
continued hypovolemia or a transfusion reaction.
2. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for
treatment first?
,A. A young adult client with a simple fracture of the radius
B. A middle adult client who has unstable vital signs
C. An older adult client requesting a medication refill
D. An adolescent client with a sore throat and fever
B. A middle adult client who has unstable vital signs
RATIONALE: In emergency triage, clients with unstable vital signs or
immediate threats to life must be treated first. The client with unstable vital
signs is at highest risk for deterioration compared to the others who are stable
or non-urgent.
3. A nurse is caring for a client who has fluid volume overload. Which of
the following tasks should the nurse delegate to an assistive personnel
(AP)?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Evaluate the client's edema
D. Teach the client about fluid restrictions
B. Measure the client's daily weight
RATIONALE: Measuring daily weight is a non-invasive, routine task that
does not require specialized nursing knowledge or skills. This task can be
safely delegated to assistive personnel. Assessment, evaluation, and teaching
require the skill and judgment of a licensed nurse.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5
min as a test dose to a client who has severe oliguria. The client weighs
198 lb. What is the amount in grams the nurse should administer?
A. 9 g
B. 18 g
C. 36 g
D. 90 g
, B. 18 g
RATIONALE: First, convert the client's weight from pounds to kilograms:
198 lb ÷ 2.2 = 90 kg. Then multiply the prescribed dose by the client's weight:
0.2 g/kg × 90 kg = 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
indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Moving the leg forward
D. Moving the leg backward
B. Moving the leg away from the midline of the body
RATIONALE: Abduction of the hip joint involves moving the leg away
from the midline of the body in a lateral direction. Moving the leg toward the
midline is adduction. Moving the leg forward is flexion. Moving the leg
backward is extension.
6. A nurse is caring for a client who had abdominal surgery 24 hours
ago. Which of the following findings should the nurse report to the
provider immediately?
A. Incisional pain of 4 on a scale of 0 to 10
B. Temperature of 100.4°F
C. Heart rate of 110/min
D. Blood pressure of 110/70 mm Hg
C. Heart rate of 110/min
RATIONALE: Tachycardia 24 hours postoperatively may indicate
hemorrhage, infection, or pain. The nurse should assess the client further and
report this finding. A low-grade temperature and moderate incisional pain are
expected findings postoperatively.
