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ATI Capstone Comprehensive Practice Exam (100 Questions)
Section 1: Fundamentals & Safety (Questions 1–20)
1. A nurse is caring for a client who is at risk for falls. Which intervention is most
appropriate?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Encourage the client to walk without assistance
D. Keep the room dark at night
Answer: B
2. A nurse is preparing to administer medication. Which action best verifies the client's
identity?
A. Ask the client's room number
B. Check the client's diagnosis
C. Use two approved identifiers
D. Ask another nurse to identify the client
Answer: C
3. Which action is most effective for preventing transmission of infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene at appropriate times
C. Restricting all visitors
D. Wearing a mask during every procedure
Answer: B
4. A client has a pressure injury risk due to immobility. Which intervention is appropriate?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Keep the client in one position
D. Restrict protein intake
Answer: B
5. Which finding requires the nurse's immediate attention?
A. Oxygen saturation 88% in a client with respiratory distress
B. Temperature 37.1°C (98.8°F)
C. Heart rate 78/min
D. Blood pressure 118/72 mm Hg
Answer: A
6. A client reports pain of 8/10. Which nursing action is appropriate first?
A. Tell the client pain is expected
B. Assess the pain characteristics
, 2
C. Delay intervention until the physician rounds
D. Document the pain without further action
Answer: B
7. A nurse is preparing to administer a tuberculin skin test. Which action is correct?
A. Insert the needle at a 45-degree angle with the bevel up
B. Insert the needle at a 5- to 15-degree angle with the bevel up
C. Insert the needle at a 90-degree angle with the bevel down
D. Insert the needle at a 60-degree angle using a 25-gauge needle
Answer: B
8. A client is placed in restraints. Which action by the nurse is INCORRECT?
A. Tie the restraints to the movable bed frame
B. Remove the restraints every 2 hours for range of motion
C. Document the client's behavior leading to restraint use
D. Obtain a provider's order within 15–30 minutes of application
Answer: A
9. A nurse is caring for a client with tuberculosis. Which type of precautions should the
nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions alone
Answer: C
10. A nurse is reviewing information about advance directives with a newly admitted
client. Which statement by the client indicates an understanding of the teaching?
A. "I have a living will that outlines my wishes when I am unable to make a decision."
B. "Advance directives are only for older adults."
C. "My family can make all my healthcare decisions without a document."
D. "A living will is the same as a power of attorney."
Answer: A
11. A nurse is admitting a client who has meningococcal meningitis. Which action should
the nurse take first?
A. Place the client in a private room with negative pressure
B. Initiate droplet precautions
C. Wear an N95 respirator
D. Administer prophylactic antibiotics to all staff
Answer: B
12. A nurse is preparing to perform a sterile dressing change for a client with a surgical
wound. Which action should the nurse take to prevent contamination during the
, 3
procedure?
A. Pour sterile solution from a bottle directly onto the sterile field
B. Restart the procedure if sterile solution splashes onto the sterile field
C. Use clean gloves instead of sterile gloves
D. Keep the sterile field below waist level
Answer: B
13. A nurse is caring for a client who expresses anxiety about an upcoming surgery. Which
of the following responses should the nurse make?
A. "Don't worry, everything will be fine."
B. "Tell me more about what concerns you."
C. "You should trust your surgeon."
D. "Many people have this surgery and do well."
Answer: B
14. A nurse is assisting a client who signed an informed consent form for surgery but has
since expressed doubts about the need for the surgery. Which statement should the nurse
make?
A. "You already signed the consent form."
B. "I will cancel the surgery for you."
C. "The surgeon will answer your questions before surgery."
D. "You should discuss this with your family."
Answer: C
15. A nurse is caring for several prescribed heat/cold therapies. Which of the following
clients are at risk of injury from these therapies? Select all that apply.
A. An older adult client prescribed heat therapy for hip pain
B. A middle-aged adult client prescribed cold therapy for muscle spasms
C. A client with diabetes prescribed cold therapy for a fractured toe
D. A fair-skinned, school-age client prescribed heat therapy after a soccer injury
E. A cognitively impaired older adult prescribed alternating heat and cold therapy
Answer: A, C, D, and E
16. A nurse is preparing to administer total parenteral nutrition (TPN) to a client. Which of
the following findings indicates a need to obtain a new bag of TPN before administering?
A. The TPN solution has an oily appearance and a layer of fat on top of the solution
B. The TPN solution contains added electrolytes, vitamins, and trace elements
C. The bag of TPN was prepared by the pharmacy 12 hours prior
D. The bag of TPN is labeled with the client's name, medical record number, and prescription
Answer: A
17. A nurse manager is providing staff education on the correct use of restraints. Which of
the following should be included in this education? Select all that apply.
ATI Capstone Comprehensive Practice Exam (100 Questions)
Section 1: Fundamentals & Safety (Questions 1–20)
1. A nurse is caring for a client who is at risk for falls. Which intervention is most
appropriate?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Encourage the client to walk without assistance
D. Keep the room dark at night
Answer: B
2. A nurse is preparing to administer medication. Which action best verifies the client's
identity?
A. Ask the client's room number
B. Check the client's diagnosis
C. Use two approved identifiers
D. Ask another nurse to identify the client
Answer: C
3. Which action is most effective for preventing transmission of infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene at appropriate times
C. Restricting all visitors
D. Wearing a mask during every procedure
Answer: B
4. A client has a pressure injury risk due to immobility. Which intervention is appropriate?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Keep the client in one position
D. Restrict protein intake
Answer: B
5. Which finding requires the nurse's immediate attention?
A. Oxygen saturation 88% in a client with respiratory distress
B. Temperature 37.1°C (98.8°F)
C. Heart rate 78/min
D. Blood pressure 118/72 mm Hg
Answer: A
6. A client reports pain of 8/10. Which nursing action is appropriate first?
A. Tell the client pain is expected
B. Assess the pain characteristics
, 2
C. Delay intervention until the physician rounds
D. Document the pain without further action
Answer: B
7. A nurse is preparing to administer a tuberculin skin test. Which action is correct?
A. Insert the needle at a 45-degree angle with the bevel up
B. Insert the needle at a 5- to 15-degree angle with the bevel up
C. Insert the needle at a 90-degree angle with the bevel down
D. Insert the needle at a 60-degree angle using a 25-gauge needle
Answer: B
8. A client is placed in restraints. Which action by the nurse is INCORRECT?
A. Tie the restraints to the movable bed frame
B. Remove the restraints every 2 hours for range of motion
C. Document the client's behavior leading to restraint use
D. Obtain a provider's order within 15–30 minutes of application
Answer: A
9. A nurse is caring for a client with tuberculosis. Which type of precautions should the
nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions alone
Answer: C
10. A nurse is reviewing information about advance directives with a newly admitted
client. Which statement by the client indicates an understanding of the teaching?
A. "I have a living will that outlines my wishes when I am unable to make a decision."
B. "Advance directives are only for older adults."
C. "My family can make all my healthcare decisions without a document."
D. "A living will is the same as a power of attorney."
Answer: A
11. A nurse is admitting a client who has meningococcal meningitis. Which action should
the nurse take first?
A. Place the client in a private room with negative pressure
B. Initiate droplet precautions
C. Wear an N95 respirator
D. Administer prophylactic antibiotics to all staff
Answer: B
12. A nurse is preparing to perform a sterile dressing change for a client with a surgical
wound. Which action should the nurse take to prevent contamination during the
, 3
procedure?
A. Pour sterile solution from a bottle directly onto the sterile field
B. Restart the procedure if sterile solution splashes onto the sterile field
C. Use clean gloves instead of sterile gloves
D. Keep the sterile field below waist level
Answer: B
13. A nurse is caring for a client who expresses anxiety about an upcoming surgery. Which
of the following responses should the nurse make?
A. "Don't worry, everything will be fine."
B. "Tell me more about what concerns you."
C. "You should trust your surgeon."
D. "Many people have this surgery and do well."
Answer: B
14. A nurse is assisting a client who signed an informed consent form for surgery but has
since expressed doubts about the need for the surgery. Which statement should the nurse
make?
A. "You already signed the consent form."
B. "I will cancel the surgery for you."
C. "The surgeon will answer your questions before surgery."
D. "You should discuss this with your family."
Answer: C
15. A nurse is caring for several prescribed heat/cold therapies. Which of the following
clients are at risk of injury from these therapies? Select all that apply.
A. An older adult client prescribed heat therapy for hip pain
B. A middle-aged adult client prescribed cold therapy for muscle spasms
C. A client with diabetes prescribed cold therapy for a fractured toe
D. A fair-skinned, school-age client prescribed heat therapy after a soccer injury
E. A cognitively impaired older adult prescribed alternating heat and cold therapy
Answer: A, C, D, and E
16. A nurse is preparing to administer total parenteral nutrition (TPN) to a client. Which of
the following findings indicates a need to obtain a new bag of TPN before administering?
A. The TPN solution has an oily appearance and a layer of fat on top of the solution
B. The TPN solution contains added electrolytes, vitamins, and trace elements
C. The bag of TPN was prepared by the pharmacy 12 hours prior
D. The bag of TPN is labeled with the client's name, medical record number, and prescription
Answer: A
17. A nurse manager is providing staff education on the correct use of restraints. Which of
the following should be included in this education? Select all that apply.
