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ATI Capstone Comprehensive Predictor Practice Questions (100 Questions)
Section 1: Management of Care (Questions 1–20)
1. A PN is caring for four clients. Which client should the nurse assess first?
A. Client with COPD awaiting discharge teaching
B. Client with new-onset chest pain and diaphoresis
C. Client with chronic arthritis requesting pain medication
D. Client with diabetes requesting a before-meal glucose check
Answer: B
2. A charge nurse is assigning client care. Which client assignment is most appropriate for a
licensed practical nurse (LPN)?
A. A client admitted 2 hours ago with acute chest pain awaiting cardiac catheterization
results
B. A client with stable heart failure requiring routine furosemide and daily weights
C. A client with newly diagnosed type 1 diabetes requiring insulin dose titration and
carbohydrate counting education
D. A client with a new colostomy requiring complex wound care and psychosocial support
Answer: B
3. A nurse manager is reviewing incident reports. Which situation requires filing a formal
incident report?
A. A client refuses prescribed physical therapy
B. A client falls while ambulating to the bathroom without assistance after the nurse
instructed the client to call for help
C. A client requests a different meal selection than what was ordered
D. A family member arrives 30 minutes after visiting hours end
Answer: B
4. A nurse is caring for a client who is Jehovah's Witness and requires emergency surgery.
The client refuses blood transfusions based on religious beliefs. The client's spouse
demands the transfusion be given. What is the nurse's priority action?
A. Administer the blood transfusion as the spouse is the next of kin
B. Honor the client's refusal and notify the surgeon and risk management
C. Obtain a court order to override the client's refusal
D. Ask the hospital chaplain to convince the client to accept the transfusion
Answer: B
5. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Assessing a postoperative client's surgical incision for signs of infection
B. Measuring and recording intake and output for a client with a Foley catheter
C. Teaching a client how to use an incentive spirometer
, 2
D. Evaluating a client's response to pain medication
Answer: B
6. A client with end-stage renal disease has an advance directive stating "do not
resuscitate" (DNR). The client's adult child, who is the healthcare proxy, demands full
resuscitation measures. Which action should the nurse take?
A. Initiate resuscitation as requested by the healthcare proxy
B. Review the advance directive with the healthcare proxy and contact the ethics committee
if conflict persists
C. Ignore the advance directive and follow the child's wishes
D. Call the attending physician to override the advance directive
Answer: B
7. A nurse is using the ABC priority framework for a client who presents with shortness of
breath, chest pain, and anxiety. Which intervention is the priority?
A. Administering anxiolytic medication for anxiety
B. Assessing airway patency and oxygen saturation
C. Obtaining a 12-lead ECG
D. Administering prescribed nitroglycerin
Answer: B
8. A nurse is caring for a patient receiving continuous tube feeding via a nasogastric tube.
The nurse notes that the residual volume is 400 mL after 4 hours of feeding. Which action
should the nurse take first?
A. Discard the residual and continue the feeding
B. Hold the feeding and reassess abdominal assessment
C. Increase the infusion rate to compensate
D. Flush the tube with 30 mL of warm water
Answer: B
9. A nurse is reviewing laboratory results for a patient receiving spironolactone. Which
finding indicates a therapeutic response?
A. Serum potassium decreases from 6.1 to 4.8 mEq/L
B. Serum sodium increases from 135 to 140 mEq/L
C. Blood pressure decreases from 150/90 to 130/80 mm Hg
D. Urine output increases from 20 to 60 mL/hour
Answer: C
10. A nurse is caring for a client with antisocial personality disorder. Which behavior
should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
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D. Socially awkward in group situations
Answer: C
11. A charge nurse is making assignments for a float nurse from the medical unit to the
pediatric unit. Which client is appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
12. A nurse is caring for a patient whose condition is worsening despite the current plan of
care. What should the nurse do first?
A. Reassess the client and gather updated data before revising the plan
B. Discontinue all interventions immediately
C. Continue the current plan for the full shift
D. Wait for the provider's next scheduled visit
Answer: A
13. Which of the following is an example of a nursing diagnosis rather than a medical
diagnosis?
A. Impaired gas exchange related to alveolar-capillary membrane changes
B. Congestive heart failure
C. Pneumonia
D. Diabetes mellitus
Answer: A
14. A nurse is using the Clinical Judgment Measurement Model to analyze cues for a client
who is short of breath. Which action reflects the "analyze cues" step?
A. Raising the head of the client's bed
B. Documenting the client's response to a diuretic
C. Auscultating the client's lung sounds
D. Determining that the client's low oxygen saturation and crackles indicate fluid overload
Answer: D
15. During the assessment phase of the nursing process, which finding requires the nurse
to prioritize further data collection?
A. A client's incision is healing with approximated edges
B. A client reports new-onset chest pain radiating to the left arm
C. A client requests a snack between meals
D. A client's temperature is 37.3°C (99.1°F)
Answer: B
ATI Capstone Comprehensive Predictor Practice Questions (100 Questions)
Section 1: Management of Care (Questions 1–20)
1. A PN is caring for four clients. Which client should the nurse assess first?
A. Client with COPD awaiting discharge teaching
B. Client with new-onset chest pain and diaphoresis
C. Client with chronic arthritis requesting pain medication
D. Client with diabetes requesting a before-meal glucose check
Answer: B
2. A charge nurse is assigning client care. Which client assignment is most appropriate for a
licensed practical nurse (LPN)?
A. A client admitted 2 hours ago with acute chest pain awaiting cardiac catheterization
results
B. A client with stable heart failure requiring routine furosemide and daily weights
C. A client with newly diagnosed type 1 diabetes requiring insulin dose titration and
carbohydrate counting education
D. A client with a new colostomy requiring complex wound care and psychosocial support
Answer: B
3. A nurse manager is reviewing incident reports. Which situation requires filing a formal
incident report?
A. A client refuses prescribed physical therapy
B. A client falls while ambulating to the bathroom without assistance after the nurse
instructed the client to call for help
C. A client requests a different meal selection than what was ordered
D. A family member arrives 30 minutes after visiting hours end
Answer: B
4. A nurse is caring for a client who is Jehovah's Witness and requires emergency surgery.
The client refuses blood transfusions based on religious beliefs. The client's spouse
demands the transfusion be given. What is the nurse's priority action?
A. Administer the blood transfusion as the spouse is the next of kin
B. Honor the client's refusal and notify the surgeon and risk management
C. Obtain a court order to override the client's refusal
D. Ask the hospital chaplain to convince the client to accept the transfusion
Answer: B
5. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Assessing a postoperative client's surgical incision for signs of infection
B. Measuring and recording intake and output for a client with a Foley catheter
C. Teaching a client how to use an incentive spirometer
, 2
D. Evaluating a client's response to pain medication
Answer: B
6. A client with end-stage renal disease has an advance directive stating "do not
resuscitate" (DNR). The client's adult child, who is the healthcare proxy, demands full
resuscitation measures. Which action should the nurse take?
A. Initiate resuscitation as requested by the healthcare proxy
B. Review the advance directive with the healthcare proxy and contact the ethics committee
if conflict persists
C. Ignore the advance directive and follow the child's wishes
D. Call the attending physician to override the advance directive
Answer: B
7. A nurse is using the ABC priority framework for a client who presents with shortness of
breath, chest pain, and anxiety. Which intervention is the priority?
A. Administering anxiolytic medication for anxiety
B. Assessing airway patency and oxygen saturation
C. Obtaining a 12-lead ECG
D. Administering prescribed nitroglycerin
Answer: B
8. A nurse is caring for a patient receiving continuous tube feeding via a nasogastric tube.
The nurse notes that the residual volume is 400 mL after 4 hours of feeding. Which action
should the nurse take first?
A. Discard the residual and continue the feeding
B. Hold the feeding and reassess abdominal assessment
C. Increase the infusion rate to compensate
D. Flush the tube with 30 mL of warm water
Answer: B
9. A nurse is reviewing laboratory results for a patient receiving spironolactone. Which
finding indicates a therapeutic response?
A. Serum potassium decreases from 6.1 to 4.8 mEq/L
B. Serum sodium increases from 135 to 140 mEq/L
C. Blood pressure decreases from 150/90 to 130/80 mm Hg
D. Urine output increases from 20 to 60 mL/hour
Answer: C
10. A nurse is caring for a client with antisocial personality disorder. Which behavior
should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
, 3
D. Socially awkward in group situations
Answer: C
11. A charge nurse is making assignments for a float nurse from the medical unit to the
pediatric unit. Which client is appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
12. A nurse is caring for a patient whose condition is worsening despite the current plan of
care. What should the nurse do first?
A. Reassess the client and gather updated data before revising the plan
B. Discontinue all interventions immediately
C. Continue the current plan for the full shift
D. Wait for the provider's next scheduled visit
Answer: A
13. Which of the following is an example of a nursing diagnosis rather than a medical
diagnosis?
A. Impaired gas exchange related to alveolar-capillary membrane changes
B. Congestive heart failure
C. Pneumonia
D. Diabetes mellitus
Answer: A
14. A nurse is using the Clinical Judgment Measurement Model to analyze cues for a client
who is short of breath. Which action reflects the "analyze cues" step?
A. Raising the head of the client's bed
B. Documenting the client's response to a diuretic
C. Auscultating the client's lung sounds
D. Determining that the client's low oxygen saturation and crackles indicate fluid overload
Answer: D
15. During the assessment phase of the nursing process, which finding requires the nurse
to prioritize further data collection?
A. A client's incision is healing with approximated edges
B. A client reports new-onset chest pain radiating to the left arm
C. A client requests a snack between meals
D. A client's temperature is 37.3°C (99.1°F)
Answer: B
