ATI CAPSTONE PRE-ASSESSMENT EXAM ACTUAL QUESTIONS AND ANSWERS ALREADY
GRADED A+| 100% VERIFIED SOLUTIONS………...
CORE DOMAINS
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Chronic Illness
Pharmacology and Medication Administration
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Community Health and Population Care
Leadership, Management, and Delegation
Ethical and Legal Practice
Critical Thinking and Clinical Judgment
INTRODUCTION
This comprehensive assessment evaluates the foundational and applied nursing knowledge
required for entry-level professional practice. It measures competency in patient safety, medication
administration, clinical judgment, and evidence-based care across the lifespan. The multiple-choice
and scenario-based structure emphasizes real-world application, regulatory compliance, and
ethical decision-making. Candidates must demonstrate critical thinking, prioritize patient needs,
and apply professional nursing standards to complex clinical scenarios encountered in
contemporary healthcare environments.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who has impaired mobility. Which of the following actions should
the nurse take to prevent pressure injury formation?
A. Massage reddened bony prominences
B. Reposition the client every 4 hours
C. Use a draw sheet to move the client up in bed
D. Keep the head of the bed elevated at 60 degrees
🟢 C. Use a draw sheet to move the client up in bed
🔴 RATIONALE: Using a draw sheet reduces friction and shear forces on the skin, which are
significant contributing factors to pressure injury development. Repositioning should occur every
2 hours, and reddened areas should not be massaged.
2. A nurse is preparing to administer heparin subcutaneously. Which of the following sites should
the nurse select?
A. Deltoid muscle
B. Abdomen
C. Ventrogluteal muscle
D. Vastus lateralis muscle
🟢 B. Abdomen
🔴 RATIONALE: The abdomen is the preferred site for subcutaneous heparin injections due to its
,consistent absorption rate and adequate subcutaneous tissue. The deltoid, ventrogluteal, and
vastus lateralis are intramuscular sites.
3. A nurse is caring for a client who has a new prescription for digoxin. Which of the following
findings should the nurse report to the provider before administering the medication?
A. Heart rate of 58/min
B. Potassium level of 4.0 mEq/L
C. Blood pressure of 118/76 mm Hg
D. Heart rate of 72/min
🟢 A. Heart rate of 58/min
🔴 RATIONALE: Digoxin should be withheld and the provider notified if the adult client's heart
rate is below 60/min, as this may indicate digoxin toxicity.
4. A nurse is teaching a client about the use of a metered-dose inhaler. Which of the following
instructions should the nurse include?
A. Inhale quickly while pressing the canister
B. Hold breath for 10 seconds after inhaling
C. Wait 5 minutes between puffs of the same medication
D. Rinse mouth after using a bronchodilator
🟢 B. Hold breath for 10 seconds after inhaling
🔴 RATIONALE: Holding the breath for 10 seconds allows the medication to deposit in the
, airways. The client should inhale slowly and deeply, wait 1 minute between puffs, and rinse after
corticosteroid inhalers.
5. A nurse is assessing a client who has fluid volume deficit. Which of the following findings
should the nurse expect?
A. Bounding pulse
B. Decreased urine specific gravity
C. Dry mucous membranes
D. Peripheral edema
🟢 C. Dry mucous membranes
🔴 RATIONALE: Fluid volume deficit results in dry mucous membranes, decreased skin turgor,
thirst, and concentrated urine with elevated specific gravity.
6. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the
following findings requires immediate intervention?
A. Serosanguineous wound drainage
B. Absent bowel sounds
C. Dehiscence of the wound
D. Pain at the incision site
🟢 C. Dehiscence of the wound
🔴 RATIONALE: Wound dehiscence is a surgical emergency that requires immediate intervention
to prevent evisceration and infection.
GRADED A+| 100% VERIFIED SOLUTIONS………...
CORE DOMAINS
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Chronic Illness
Pharmacology and Medication Administration
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Community Health and Population Care
Leadership, Management, and Delegation
Ethical and Legal Practice
Critical Thinking and Clinical Judgment
INTRODUCTION
This comprehensive assessment evaluates the foundational and applied nursing knowledge
required for entry-level professional practice. It measures competency in patient safety, medication
administration, clinical judgment, and evidence-based care across the lifespan. The multiple-choice
and scenario-based structure emphasizes real-world application, regulatory compliance, and
ethical decision-making. Candidates must demonstrate critical thinking, prioritize patient needs,
and apply professional nursing standards to complex clinical scenarios encountered in
contemporary healthcare environments.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who has impaired mobility. Which of the following actions should
the nurse take to prevent pressure injury formation?
A. Massage reddened bony prominences
B. Reposition the client every 4 hours
C. Use a draw sheet to move the client up in bed
D. Keep the head of the bed elevated at 60 degrees
🟢 C. Use a draw sheet to move the client up in bed
🔴 RATIONALE: Using a draw sheet reduces friction and shear forces on the skin, which are
significant contributing factors to pressure injury development. Repositioning should occur every
2 hours, and reddened areas should not be massaged.
2. A nurse is preparing to administer heparin subcutaneously. Which of the following sites should
the nurse select?
A. Deltoid muscle
B. Abdomen
C. Ventrogluteal muscle
D. Vastus lateralis muscle
🟢 B. Abdomen
🔴 RATIONALE: The abdomen is the preferred site for subcutaneous heparin injections due to its
,consistent absorption rate and adequate subcutaneous tissue. The deltoid, ventrogluteal, and
vastus lateralis are intramuscular sites.
3. A nurse is caring for a client who has a new prescription for digoxin. Which of the following
findings should the nurse report to the provider before administering the medication?
A. Heart rate of 58/min
B. Potassium level of 4.0 mEq/L
C. Blood pressure of 118/76 mm Hg
D. Heart rate of 72/min
🟢 A. Heart rate of 58/min
🔴 RATIONALE: Digoxin should be withheld and the provider notified if the adult client's heart
rate is below 60/min, as this may indicate digoxin toxicity.
4. A nurse is teaching a client about the use of a metered-dose inhaler. Which of the following
instructions should the nurse include?
A. Inhale quickly while pressing the canister
B. Hold breath for 10 seconds after inhaling
C. Wait 5 minutes between puffs of the same medication
D. Rinse mouth after using a bronchodilator
🟢 B. Hold breath for 10 seconds after inhaling
🔴 RATIONALE: Holding the breath for 10 seconds allows the medication to deposit in the
, airways. The client should inhale slowly and deeply, wait 1 minute between puffs, and rinse after
corticosteroid inhalers.
5. A nurse is assessing a client who has fluid volume deficit. Which of the following findings
should the nurse expect?
A. Bounding pulse
B. Decreased urine specific gravity
C. Dry mucous membranes
D. Peripheral edema
🟢 C. Dry mucous membranes
🔴 RATIONALE: Fluid volume deficit results in dry mucous membranes, decreased skin turgor,
thirst, and concentrated urine with elevated specific gravity.
6. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the
following findings requires immediate intervention?
A. Serosanguineous wound drainage
B. Absent bowel sounds
C. Dehiscence of the wound
D. Pain at the incision site
🟢 C. Dehiscence of the wound
🔴 RATIONALE: Wound dehiscence is a surgical emergency that requires immediate intervention
to prevent evisceration and infection.
