NR 452 Capstone Course Final Exam Study Guide 2026 |Chamberlain
College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Evaluating the effectiveness of a PRN pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Assisting a stable patient with ambulation in the hallway
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform tasks that are routine, non-invasive, and do not require
nursing judgment, such as ambulating a stable patient. Evaluation, sterile procedures, and
teaching require the expertise of a licensed nurse.
2. In the event of a mass casualty incident, which color tag is assigned to a
patient who has a sucking chest wound and requires immediate intervention?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: Red tags are used for ‘immediate’ victims who have life-threatening injuries but
a high chance of survival if treated immediately, such as a sucking chest wound or airway
obstruction.
,3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The nurse supports this decision, demonstrating which ethical principle?
A. Justice
B. Veracity
C. Beneficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, even if the healthcare provider disagrees.
4. When using the SBAR communication tool, which information should the
nurse include in the ‘B’ (Background) section?
A. The patient’s current vital signs and mental status
B. The nurse’s assessment of the patient’s current condition
C. The patient’s admitting diagnosis and relevant medical history
D. A specific request for a medication or intervention
Answer: C
Rationale: Background (B) includes the circumstances leading up to the situation, such as
admitting diagnosis, date of admission, and pertinent medical history.
5. A nurse manager is resolving a conflict between two staff members by asking
them to reach a middle ground where both parties give up something. Which
conflict resolution strategy is being used?
A. Compromising
B. Competing
C. Collaborating
D. Avoiding
Answer: A
, Rationale: Compromising involves both parties making concessions to reach a solution
where everyone gets a part of what they want, but no one gets everything.
6. Which of the following is a primary characteristic of a transformational
leader?
A. Focusing on day-to-day operations and task completion
B. Inspiring and motivating followers to achieve a shared vision
C. Using rewards and punishments to motivate staff
D. Maintaining the status quo and avoiding change
Answer: B
Rationale: Transformational leaders inspire others with a shared vision, promote
innovation, and empower staff to achieve higher levels of performance.
7. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient with a pulse oximetry reading of 88% on room air
C. A patient who needs a discharge teaching on insulin administration
D. A patient with a scheduled dressing change for a pressure injury
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with a low oxygen saturation level (88%) represents a breathing issue that requires
immediate attention.
College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Evaluating the effectiveness of a PRN pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Assisting a stable patient with ambulation in the hallway
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: UAPs can perform tasks that are routine, non-invasive, and do not require
nursing judgment, such as ambulating a stable patient. Evaluation, sterile procedures, and
teaching require the expertise of a licensed nurse.
2. In the event of a mass casualty incident, which color tag is assigned to a
patient who has a sucking chest wound and requires immediate intervention?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: Red tags are used for ‘immediate’ victims who have life-threatening injuries but
a high chance of survival if treated immediately, such as a sucking chest wound or airway
obstruction.
,3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The nurse supports this decision, demonstrating which ethical principle?
A. Justice
B. Veracity
C. Beneficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, even if the healthcare provider disagrees.
4. When using the SBAR communication tool, which information should the
nurse include in the ‘B’ (Background) section?
A. The patient’s current vital signs and mental status
B. The nurse’s assessment of the patient’s current condition
C. The patient’s admitting diagnosis and relevant medical history
D. A specific request for a medication or intervention
Answer: C
Rationale: Background (B) includes the circumstances leading up to the situation, such as
admitting diagnosis, date of admission, and pertinent medical history.
5. A nurse manager is resolving a conflict between two staff members by asking
them to reach a middle ground where both parties give up something. Which
conflict resolution strategy is being used?
A. Compromising
B. Competing
C. Collaborating
D. Avoiding
Answer: A
, Rationale: Compromising involves both parties making concessions to reach a solution
where everyone gets a part of what they want, but no one gets everything.
6. Which of the following is a primary characteristic of a transformational
leader?
A. Focusing on day-to-day operations and task completion
B. Inspiring and motivating followers to achieve a shared vision
C. Using rewards and punishments to motivate staff
D. Maintaining the status quo and avoiding change
Answer: B
Rationale: Transformational leaders inspire others with a shared vision, promote
innovation, and empower staff to achieve higher levels of performance.
7. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient with a pulse oximetry reading of 88% on room air
C. A patient who needs a discharge teaching on insulin administration
D. A patient with a scheduled dressing change for a pressure injury
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with a low oxygen saturation level (88%) represents a breathing issue that requires
immediate attention.
