RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2025
FORM A AND B ACTUAL EXAM NEWEST VERSION 2025-2026 WITH
NGN FORMAT QUESTION AND CORRECT DETAILEDANSWERS WITH
RATIONALES RATED AGRADE
1. A home health nurse is conducting an initial home visit for a client who has terminal breast
cancer. The client has two school-age children and a limited support system. Which of the
following is the priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis - correct answerInform the client of
available community resources
2. A nurse in an emergency department is assessing a client who has a nasal fracture. Which of
the following findings should cause the nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - correct answerClear fluid drainage from the nares
3. A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the
following clinical findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - correct answerProfuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the purpose
of the technique?
A. This technique prevents injury to the sciatic nerve
,B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug - correct answerThis technique
decreases the risk of subcutaneous infiltration
10. A nurse is caring for a full-term newborn immediately following birth. Which of the
following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn - correct answerDry the newborn
11. A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood - correct
answerClients who have a history of viral hepatitis are unable to donate blood
12. A nurse in a residential mental health facility is planning care for a new client who has
obsessive compulsive disorder. Which of the following is appropriate for the nurse to include in
the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts - correct answerWork with the client
to create a flexible daily schedule
13. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify that the
client's BMI falls within which of the following categories?
A. Healthy weight
B. Malnutrition
C. Overweight
,D. Obesity - correct answerMalnutrition
14. A nurse is caring for a client who is nulliparous and in the first stage of labor. The last
internal assessment revealed 100% cervical effacement with 5 cm of dilation. At the end of the
last contraction, the nurse observes a large gush of fluid coming out of the client's perineal
area. Which of the following is a priority action by the nurse?
A. Perform another internal exam
B. Notify the client's provider
C. Check the FHR
D. Obtain a pH test of the fluid - correct answerCheck the FHR
15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose meal times - correct answerI think its D
16. A nurse is performing a skin assessment on a client who has risk factors for development of
skin cancer. The nurse should understand that a suspicious lesion is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery - correct answerAsymmetric, with variegated coloring
17. A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the
following actions should the nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's forehead - correct answerDim the
lights in the room prior to the examination
, 18. A nurse is observing a newly licensed nurse irrigate a client's wound. Which of the following
actions should the nurse identify as an indication that the newly licensed nurse understands
wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to application
D. Irrigates the wound from the top to the bottom - correct answerAdministers PO analgesia 20
minutes prior to irrigation
19. A nurse is planning care for a child who has increased intracranial pressure with a decrease
in level of consciousness. Which of the following interventions should the nurse include in the
plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - correct answerMaintain the head at a midline
position
20. A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket.
After moving the client to safety, which of the followings is the priority action?
A. Notify the facility operator
B. Close the fire doors on the unit
C. Turn off oxygen sources
D. Put out the fire with the appropriate extinguisher - correct answerClose the fire door on the
unit
21. A nurse is talking with an adult child of a client who was involuntarily admitted to an
inpatient mental health facility. Which of the following statements should the nurse make?
A. The provider will notify your patient's employer about admission to the facility
B. Your parent will have to take the medication that the doctor prescribes
C. Your parent might have electroconvulsive therapy without providing consent
D. The provider can prescribe restraints if your parent tries to harm others - correct answerThe
provider can prescribe restraints if your parent tries to harm others
FORM A AND B ACTUAL EXAM NEWEST VERSION 2025-2026 WITH
NGN FORMAT QUESTION AND CORRECT DETAILEDANSWERS WITH
RATIONALES RATED AGRADE
1. A home health nurse is conducting an initial home visit for a client who has terminal breast
cancer. The client has two school-age children and a limited support system. Which of the
following is the priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis - correct answerInform the client of
available community resources
2. A nurse in an emergency department is assessing a client who has a nasal fracture. Which of
the following findings should cause the nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - correct answerClear fluid drainage from the nares
3. A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the
following clinical findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - correct answerProfuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the purpose
of the technique?
A. This technique prevents injury to the sciatic nerve
,B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug - correct answerThis technique
decreases the risk of subcutaneous infiltration
10. A nurse is caring for a full-term newborn immediately following birth. Which of the
following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn - correct answerDry the newborn
11. A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood - correct
answerClients who have a history of viral hepatitis are unable to donate blood
12. A nurse in a residential mental health facility is planning care for a new client who has
obsessive compulsive disorder. Which of the following is appropriate for the nurse to include in
the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts - correct answerWork with the client
to create a flexible daily schedule
13. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify that the
client's BMI falls within which of the following categories?
A. Healthy weight
B. Malnutrition
C. Overweight
,D. Obesity - correct answerMalnutrition
14. A nurse is caring for a client who is nulliparous and in the first stage of labor. The last
internal assessment revealed 100% cervical effacement with 5 cm of dilation. At the end of the
last contraction, the nurse observes a large gush of fluid coming out of the client's perineal
area. Which of the following is a priority action by the nurse?
A. Perform another internal exam
B. Notify the client's provider
C. Check the FHR
D. Obtain a pH test of the fluid - correct answerCheck the FHR
15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose meal times - correct answerI think its D
16. A nurse is performing a skin assessment on a client who has risk factors for development of
skin cancer. The nurse should understand that a suspicious lesion is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery - correct answerAsymmetric, with variegated coloring
17. A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of the
following actions should the nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's forehead - correct answerDim the
lights in the room prior to the examination
, 18. A nurse is observing a newly licensed nurse irrigate a client's wound. Which of the following
actions should the nurse identify as an indication that the newly licensed nurse understands
wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to application
D. Irrigates the wound from the top to the bottom - correct answerAdministers PO analgesia 20
minutes prior to irrigation
19. A nurse is planning care for a child who has increased intracranial pressure with a decrease
in level of consciousness. Which of the following interventions should the nurse include in the
plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - correct answerMaintain the head at a midline
position
20. A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket.
After moving the client to safety, which of the followings is the priority action?
A. Notify the facility operator
B. Close the fire doors on the unit
C. Turn off oxygen sources
D. Put out the fire with the appropriate extinguisher - correct answerClose the fire door on the
unit
21. A nurse is talking with an adult child of a client who was involuntarily admitted to an
inpatient mental health facility. Which of the following statements should the nurse make?
A. The provider will notify your patient's employer about admission to the facility
B. Your parent will have to take the medication that the doctor prescribes
C. Your parent might have electroconvulsive therapy without providing consent
D. The provider can prescribe restraints if your parent tries to harm others - correct answerThe
provider can prescribe restraints if your parent tries to harm others
