RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT
2025 FORM A AND B ACTUAL EXAM NEWEST VERSION 2025-2026
WITH NGN FORMAT QUESTION AND CORRECT DETAILED
ANSWERS RATED GRADE A
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
Inform 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
Clear 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
Profuse 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
This technique decreases the risk of subcutaneous infiltration
5. 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
Dry the newborn
6. 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
Clients who have a history of viral hepatitis are unable to donate blood
7. A nurse in a residential mental health facility is planning care for a new client
who has 7. 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
Work with the client to create a flexible daily schedule
8. 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
Malnutrition
9. 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
Check the FHR
10. A nurse is assessing a client prior to performing a blood draw. The nurse
should identify that an allergy to which of the following food can indicate that the
client has an allergy to latex?
A. Peanuts
B. Shellfish
C. Avocados
D. Eggs
Avocados
A nurse is planning discharge teaching for a client who is scheduled to receive
intravenous infusions at home. Which of the following instructions should the
nurse plan to include?
A. Plug the infusion pump in an outlet next to the bathroom
B. Pull the cord when unplugging the infusion pump
C. Clean the infusion pump when it is turned on
D. Place the infusion pump cord against the baseboards
Place the infusion pump cord against the baseboards
, A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which of the following client statements indicates the nurse
should contact the surgeon?
A. I wonder if the metal in my knee will show up in airport screenings
B. The physical therapy has not been working, so I will need to have the surgery
C. I look forward to being able to bend my knee again when I sit in a chair
D. I am thankful there are no serious complications from this type of surgery
I am thankful there are no serious complications from this type of surgery
A nurse plans to ambulate a client on the third day after cardiac surgery. Which of
the following interventions should the nurse take so that the client will best tolerate
ambulation?
A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing
Premedicate the client with the prescribed analgesic
A nurse is planning the discharge of an infant who has tetralogy of Fallot. The
nurse anticipates the need for which of the following equipment?
A. Portable suction
B. Cervical collar
C. Hemodialyzer
D. Pulse oximeter
Pulse oximeter
A nurse is admitting a client who has antisocial personality disorder. Which of the
following client behaviors 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
D. Socially awkward in group situations
Uses others for personal gain
2025 FORM A AND B ACTUAL EXAM NEWEST VERSION 2025-2026
WITH NGN FORMAT QUESTION AND CORRECT DETAILED
ANSWERS RATED GRADE A
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
Inform 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
Clear 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
Profuse 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
This technique decreases the risk of subcutaneous infiltration
5. 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
Dry the newborn
6. 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
Clients who have a history of viral hepatitis are unable to donate blood
7. A nurse in a residential mental health facility is planning care for a new client
who has 7. 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
Work with the client to create a flexible daily schedule
8. 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
Malnutrition
9. 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
Check the FHR
10. A nurse is assessing a client prior to performing a blood draw. The nurse
should identify that an allergy to which of the following food can indicate that the
client has an allergy to latex?
A. Peanuts
B. Shellfish
C. Avocados
D. Eggs
Avocados
A nurse is planning discharge teaching for a client who is scheduled to receive
intravenous infusions at home. Which of the following instructions should the
nurse plan to include?
A. Plug the infusion pump in an outlet next to the bathroom
B. Pull the cord when unplugging the infusion pump
C. Clean the infusion pump when it is turned on
D. Place the infusion pump cord against the baseboards
Place the infusion pump cord against the baseboards
, A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which of the following client statements indicates the nurse
should contact the surgeon?
A. I wonder if the metal in my knee will show up in airport screenings
B. The physical therapy has not been working, so I will need to have the surgery
C. I look forward to being able to bend my knee again when I sit in a chair
D. I am thankful there are no serious complications from this type of surgery
I am thankful there are no serious complications from this type of surgery
A nurse plans to ambulate a client on the third day after cardiac surgery. Which of
the following interventions should the nurse take so that the client will best tolerate
ambulation?
A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing
Premedicate the client with the prescribed analgesic
A nurse is planning the discharge of an infant who has tetralogy of Fallot. The
nurse anticipates the need for which of the following equipment?
A. Portable suction
B. Cervical collar
C. Hemodialyzer
D. Pulse oximeter
Pulse oximeter
A nurse is admitting a client who has antisocial personality disorder. Which of the
following client behaviors 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
D. Socially awkward in group situations
Uses others for personal gain
