CAPSTONE ATI COMPREHENSIVE
PREDICTOR TEST BANK RN ATI CAPSTONE
COMPREHENSIVE PREDICTOR TEST BANK
200+ REAL EXAM QUESTIONS AND
CORRECT ANSWERS
IMPORTANT DISCLAIMER: This study guide contains original practice
questions created to simulate the format and difficulty of the ATI RN
Comprehensive Predictor Exam. 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. Research confirms that
the ATI Comprehensive Predictor aligns closely with NCLEX-RN test plan
categories, including safe and effective care, physiological integrity,
psychosocial integrity, health promotion, and clinical judgment .
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 across all major client need
categories. 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 1–200
SECTION 1: MANAGEMENT OF CARE (QUESTIONS 1–40)
1. A nurse is caring for four clients. Which client should the nurse
assess FIRST?
A. A client with chronic heart failure reporting mild fatigue
B. A client scheduled for discharge in 2 hours
C. A client with diabetes who is diaphoretic and confused with a blood
glucose of 52 mg/dL
D. A client requesting assistance with hygiene
C. A client with diabetes who is diaphoretic and confused with a blood
glucose of 52 mg/dL
RATIONALE: Hypoglycemia is an immediate threat to neurologic
function and can rapidly progress to seizures or loss of consciousness. Using
prioritization frameworks (ABCs, acute vs. stable), this client requires
immediate intervention. The other clients are stable and can wait.
2. A nurse receives report on four clients. Which client should be
assigned to the most experienced RN?
,A. A client 24 hours postoperative with stable vital signs
B. A client admitted with suspected septic shock requiring vasopressors
C. A client preparing for discharge after pneumonia treatment
D. A client receiving routine wound care
B. A client admitted with suspected septic shock requiring vasopressors
RATIONALE: Septic shock is a high-acuity condition requiring advanced
assessment, critical thinking, hemodynamic monitoring, and complex
interventions. Stable clients can be managed by less experienced staff.
3. A nurse is preparing to transfer a client from bed to chair. Which
action demonstrates proper body mechanics?
A. Twisting at the waist while lowering the client
B. Keeping feet close together for stability
C. Positioning the chair close to the bed and pivoting
D. Lifting with back muscles while keeping knees straight
C. Positioning the chair close to the bed and pivoting
RATIONALE: Proper body mechanics involve keeping the client close to
the nurse's center of gravity, positioning equipment close, and pivoting rather
than twisting. This reduces the risk of musculoskeletal injury.
4. A nurse is reviewing an incident report. Which situation requires
immediate intervention?
A. A client refuses to take a prescribed medication
B. A nurse documents care before providing it
C. A client's IV pump alarms frequently
D. A nurse administrator is planning staffing for the next month
B. A nurse documents care before providing it
RATIONALE: Documenting care before it is provided is falsification of
medical records, which is a serious legal and ethical violation. It requires
immediate intervention and reporting.
, 5. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate for delegation?
A. Assessing a client's wound drainage
B. Administering oral medications
C. Measuring a client's intake and output
D. Teaching a client about a new medication
C. Measuring a client's intake and output
RATIONALE: Measuring intake and output is a routine, non-invasive task
that can be safely delegated to assistive personnel. Assessment, medication
administration, and teaching require the skill and judgment of a licensed
nurse.
6. A nurse is caring for a client who has a do-not-resuscitate (DNR)
order. The client's family requests that the nurse initiate CPR if the
client stops breathing. Which action should the nurse take?
A. Initiate CPR as requested by the family
B. Explain that the DNR order must be honored
C. Ask the provider to change the DNR order
D. Ignore the family's request and continue monitoring
B. Explain that the DNR order must be honored
RATIONALE: A DNR order is a legal document that must be honored.
The nurse should explain this to the family with compassion and involve the
provider and ethics committee if needed. The nurse cannot override a legal
DNR order based on family request.
7. A nurse is admitting a client who speaks a different language. Which
action should the nurse take to ensure informed consent?
A. Have a family member interpret the consent form
B. Use a hospital-approved interpreter
PREDICTOR TEST BANK RN ATI CAPSTONE
COMPREHENSIVE PREDICTOR TEST BANK
200+ REAL EXAM QUESTIONS AND
CORRECT ANSWERS
IMPORTANT DISCLAIMER: This study guide contains original practice
questions created to simulate the format and difficulty of the ATI RN
Comprehensive Predictor Exam. 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. Research confirms that
the ATI Comprehensive Predictor aligns closely with NCLEX-RN test plan
categories, including safe and effective care, physiological integrity,
psychosocial integrity, health promotion, and clinical judgment .
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 across all major client need
categories. 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 1–200
SECTION 1: MANAGEMENT OF CARE (QUESTIONS 1–40)
1. A nurse is caring for four clients. Which client should the nurse
assess FIRST?
A. A client with chronic heart failure reporting mild fatigue
B. A client scheduled for discharge in 2 hours
C. A client with diabetes who is diaphoretic and confused with a blood
glucose of 52 mg/dL
D. A client requesting assistance with hygiene
C. A client with diabetes who is diaphoretic and confused with a blood
glucose of 52 mg/dL
RATIONALE: Hypoglycemia is an immediate threat to neurologic
function and can rapidly progress to seizures or loss of consciousness. Using
prioritization frameworks (ABCs, acute vs. stable), this client requires
immediate intervention. The other clients are stable and can wait.
2. A nurse receives report on four clients. Which client should be
assigned to the most experienced RN?
,A. A client 24 hours postoperative with stable vital signs
B. A client admitted with suspected septic shock requiring vasopressors
C. A client preparing for discharge after pneumonia treatment
D. A client receiving routine wound care
B. A client admitted with suspected septic shock requiring vasopressors
RATIONALE: Septic shock is a high-acuity condition requiring advanced
assessment, critical thinking, hemodynamic monitoring, and complex
interventions. Stable clients can be managed by less experienced staff.
3. A nurse is preparing to transfer a client from bed to chair. Which
action demonstrates proper body mechanics?
A. Twisting at the waist while lowering the client
B. Keeping feet close together for stability
C. Positioning the chair close to the bed and pivoting
D. Lifting with back muscles while keeping knees straight
C. Positioning the chair close to the bed and pivoting
RATIONALE: Proper body mechanics involve keeping the client close to
the nurse's center of gravity, positioning equipment close, and pivoting rather
than twisting. This reduces the risk of musculoskeletal injury.
4. A nurse is reviewing an incident report. Which situation requires
immediate intervention?
A. A client refuses to take a prescribed medication
B. A nurse documents care before providing it
C. A client's IV pump alarms frequently
D. A nurse administrator is planning staffing for the next month
B. A nurse documents care before providing it
RATIONALE: Documenting care before it is provided is falsification of
medical records, which is a serious legal and ethical violation. It requires
immediate intervention and reporting.
, 5. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate for delegation?
A. Assessing a client's wound drainage
B. Administering oral medications
C. Measuring a client's intake and output
D. Teaching a client about a new medication
C. Measuring a client's intake and output
RATIONALE: Measuring intake and output is a routine, non-invasive task
that can be safely delegated to assistive personnel. Assessment, medication
administration, and teaching require the skill and judgment of a licensed
nurse.
6. A nurse is caring for a client who has a do-not-resuscitate (DNR)
order. The client's family requests that the nurse initiate CPR if the
client stops breathing. Which action should the nurse take?
A. Initiate CPR as requested by the family
B. Explain that the DNR order must be honored
C. Ask the provider to change the DNR order
D. Ignore the family's request and continue monitoring
B. Explain that the DNR order must be honored
RATIONALE: A DNR order is a legal document that must be honored.
The nurse should explain this to the family with compassion and involve the
provider and ethics committee if needed. The nurse cannot override a legal
DNR order based on family request.
7. A nurse is admitting a client who speaks a different language. Which
action should the nurse take to ensure informed consent?
A. Have a family member interpret the consent form
B. Use a hospital-approved interpreter
