ATI RN Capstone Pre Test

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Sample questions from ATI RN Capstone Pre Test

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the emergency department, a client with a suspected stroke has sudden facial drooping and slurred speech. Which action should the nurse take first?

   • A.Obtain a detailed medication history
   • B.Give the prescribed aspirin
   • C.Check the client's blood glucose level
   • D.Place the client in a flat supine position

   Rationale: Hypoglycemia can mimic stroke, so checking glucose promptly identifies a reversible cause while stroke evaluation proceeds. Aspirin may be contraindicated until hemorrhage is excluded, and a flat position can increase aspiration risk. A medication history is important but should not delay immediate assessment.

2. 2.Refer to the client's chart. Which actions should the nurse take now for the client with acute heart failure? Select all that apply.

   • A.Place the client supine with legs elevated
   • B.Encourage oral fluids to improve perfusion
   • C.Place the client in high-Fowler position
   • D.Notify the provider of the worsening respiratory findings
   • E.Apply oxygen as prescribed and reassess oxygenation
   • F.Prepare to administer the prescribed IV loop diuretic

   Rationale: High-Fowler position and prescribed oxygen support breathing, while worsening crackles, hypoxemia, and tachypnea warrant prompt provider notification. The prescribed IV loop diuretic treats fluid overload. Encouraging fluids can worsen congestion, and supine positioning with elevated legs may increase venous return and respiratory distress.

3. 3.A client with chronic obstructive pulmonary disease is receiving oxygen at 2 L/min by nasal cannula. Which finding requires immediate follow-up?

   • A.Productive cough with clear sputum
   • B.New drowsiness and difficulty arousing
   • C.Respiratory rate of 20/min
   • D.SpO2 of 90% with no change from baseline

   Rationale: New drowsiness can signal worsening hypercapnia or hypoxemia and requires immediate assessment. An SpO2 of 90% may be within the prescribed target for some clients with COPD, while clear sputum and a respiratory rate of 20/min are not urgent by themselves. The nurse should assess ventilation and notify the provider about a change in mental status.

4. 4.Which assessment finding in a client with a new arteriovenous fistula requires immediate intervention?

   • A.A cool hand with absent distal pulse
   • B.A bruit heard over the fistula
   • C.Mild bruising near the insertion site
   • D.A palpable thrill over the fistula

   Answer and rationale are in the full material.

5. 5.At change of shift, the nurse receives report on four clients. Which client should be assessed first?

   • A.A client awaiting discharge who needs dietary teaching
   • B.A client with a urinary infection who has a temperature of 38.1 C
   • C.A client with pancreatitis who reports pain of 7 on a 0-to-10 scale
   • D.A client with a bowel obstruction who has new rigid abdominal muscles

   Answer and rationale are in the full material.