NR 452 Capstone Course Final Exam Version 3 Practice 2026
|Chamberlain College
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the nurse to delegate?
A. Assisting a client with a new tracheostomy to eat
B. Performing a sterile dressing change on a surgical wound
C. Providing discharge instructions to a client
D. Measuring and recording a client’s urinary output
Answer: D
Rationale: UAPs can perform routine tasks such as measuring and recording output.
Sterile procedures, assessment of unstable patients, and teaching are responsibilities of the
licensed nurse.
2. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who is 1 day postoperative and reporting a pain level of 7 on a scale of 0 to 10
B. A client who is receiving physical therapy and is feeling fatigued
C. A client who has diabetes mellitus and a fasting blood glucose of 150 mg/dL
D. A client who has a chest tube and reports sudden shortness of breath
Answer: D
Rationale: The client with sudden shortness of breath and a chest tube is the highest
priority due to potential respiratory compromise (ABC framework).
,3. Which ethical principle is the nurse demonstrating when they uphold a
client’s right to refuse a prescribed medication?
A. Justice
B. Beneficence
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the client to make their own decisions
regarding their healthcare, including refusing treatment.
4. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I
am not sure if I want to go through with this.’ Which of the following actions
should the nurse take?
A. Tell the client that the surgery is necessary for their recovery
B. Ask the client to sign the consent form quickly
C. Notify the surgeon that the client has questions about the procedure
D. Ask the client’s family to convince the client to have the surgery
Answer: C
Rationale: It is the surgeon’s responsibility to provide informed consent. The nurse should
advocate for the client by ensuring their questions are answered by the provider.
5. In a mass casualty disaster triage, which color tag is assigned to a client who
has a sucking chest wound and requires immediate intervention?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
, Rationale: Red tags are for immediate life-threatening injuries that have a high probability
of survival if treated immediately, such as a sucking chest wound.
6. A nurse is leading a team on a medical-surgical unit. Which leadership style is
characterized by the nurse leader making decisions without consulting the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership involves the leader making all decisions with little or no
input from others.
7. A nurse is caring for a client who has a prescription for wrist restraints. Which
of the following actions should the nurse include in the plan of care?
A. Secure the restraints to the side rails of the bed
B. Check the client’s circulation every 2 hours
C. Remove the restraints every 4 hours for range of motion
D. Renew the restraint prescription every 48 hours
Answer: B
Rationale: Restraint monitoring requires checking circulation and skin integrity frequently
(typically every 15-30 mins for safety and documenting every 2 hours).
|Chamberlain College
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the nurse to delegate?
A. Assisting a client with a new tracheostomy to eat
B. Performing a sterile dressing change on a surgical wound
C. Providing discharge instructions to a client
D. Measuring and recording a client’s urinary output
Answer: D
Rationale: UAPs can perform routine tasks such as measuring and recording output.
Sterile procedures, assessment of unstable patients, and teaching are responsibilities of the
licensed nurse.
2. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who is 1 day postoperative and reporting a pain level of 7 on a scale of 0 to 10
B. A client who is receiving physical therapy and is feeling fatigued
C. A client who has diabetes mellitus and a fasting blood glucose of 150 mg/dL
D. A client who has a chest tube and reports sudden shortness of breath
Answer: D
Rationale: The client with sudden shortness of breath and a chest tube is the highest
priority due to potential respiratory compromise (ABC framework).
,3. Which ethical principle is the nurse demonstrating when they uphold a
client’s right to refuse a prescribed medication?
A. Justice
B. Beneficence
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the client to make their own decisions
regarding their healthcare, including refusing treatment.
4. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I
am not sure if I want to go through with this.’ Which of the following actions
should the nurse take?
A. Tell the client that the surgery is necessary for their recovery
B. Ask the client to sign the consent form quickly
C. Notify the surgeon that the client has questions about the procedure
D. Ask the client’s family to convince the client to have the surgery
Answer: C
Rationale: It is the surgeon’s responsibility to provide informed consent. The nurse should
advocate for the client by ensuring their questions are answered by the provider.
5. In a mass casualty disaster triage, which color tag is assigned to a client who
has a sucking chest wound and requires immediate intervention?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
, Rationale: Red tags are for immediate life-threatening injuries that have a high probability
of survival if treated immediately, such as a sucking chest wound.
6. A nurse is leading a team on a medical-surgical unit. Which leadership style is
characterized by the nurse leader making decisions without consulting the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership involves the leader making all decisions with little or no
input from others.
7. A nurse is caring for a client who has a prescription for wrist restraints. Which
of the following actions should the nurse include in the plan of care?
A. Secure the restraints to the side rails of the bed
B. Check the client’s circulation every 2 hours
C. Remove the restraints every 4 hours for range of motion
D. Renew the restraint prescription every 48 hours
Answer: B
Rationale: Restraint monitoring requires checking circulation and skin integrity frequently
(typically every 15-30 mins for safety and documenting every 2 hours).
