NR 452 Capstone Course Midterm Study Guide 2026 |Chamberlain
College
1. A nurse is planning to delegate tasks to an assistive personnel (AP). Which of
the following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Assisting a stable client with post-operative ambulation
C. Performing a sterile dressing change on a central line
D. Providing initial discharge education to a client
Answer: B
Rationale: Assisting a stable client with ambulation is within the scope of practice for an
AP. Evaluation, sterile procedures, and education require the judgment and skill of a
licensed nurse.
2. A nurse is caring for a group of clients. Which client should the nurse see
first?
A. A client who has a hip fracture and reports pain as 7 on a scale of 0 to 10
B. A client who had a total knee arthroplasty 2 days ago and has not had a bowel movement
C. A client with heart failure who has gained 1 lb in the last 24 hours
D. A client with pneumonia who has a new onset of confusion and restlessness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) and neurological priority
framework, new-onset confusion and restlessness can indicate hypoxia, making this client
the highest priority.
,3. A nurse manager is discussing the different styles of leadership. Which style is
characterized by the leader making decisions without consulting the staff?
A. Democratic
B. Transactional
C. Laissez-faire
D. Autocratic
Answer: D
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
4. A nurse is preparing to obtain informed consent from a client scheduled for
surgery. What is the nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure
B. Describing alternative treatments available
C. Ensuring the surgeon has provided the correct diagnosis
D. Witnessing the client’s signature on the consent form
Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature and ensure the
client is competent and signed voluntarily. Explaining risks/benefits is the surgeon’s
responsibility.
5. Which ethical principle is the nurse practicing when they keep a promise to
return to a client’s room in 10 minutes to reassess pain?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Answer: B
, Rationale: Fidelity refers to the obligation to be faithful to agreements and promises made
to clients.
6. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) portion?
A. The client’s current vital signs
B. The client’s admitting diagnosis and relevant history
C. A recommendation for a change in treatment
D. A statement of the immediate problem
Answer: B
Rationale: Background (B) includes the clinical context such as the admitting diagnosis,
medical history, and summary of treatment to date.
7. A nurse is caring for a client who is terminally ill and requests to stop all life-
sustaining treatments. Which ethical principle supports the client’s right to
make this decision?
A. Nonmaleficence
B. Veracity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the client to make their own decisions regarding their
health care.
College
1. A nurse is planning to delegate tasks to an assistive personnel (AP). Which of
the following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Assisting a stable client with post-operative ambulation
C. Performing a sterile dressing change on a central line
D. Providing initial discharge education to a client
Answer: B
Rationale: Assisting a stable client with ambulation is within the scope of practice for an
AP. Evaluation, sterile procedures, and education require the judgment and skill of a
licensed nurse.
2. A nurse is caring for a group of clients. Which client should the nurse see
first?
A. A client who has a hip fracture and reports pain as 7 on a scale of 0 to 10
B. A client who had a total knee arthroplasty 2 days ago and has not had a bowel movement
C. A client with heart failure who has gained 1 lb in the last 24 hours
D. A client with pneumonia who has a new onset of confusion and restlessness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) and neurological priority
framework, new-onset confusion and restlessness can indicate hypoxia, making this client
the highest priority.
,3. A nurse manager is discussing the different styles of leadership. Which style is
characterized by the leader making decisions without consulting the staff?
A. Democratic
B. Transactional
C. Laissez-faire
D. Autocratic
Answer: D
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members.
4. A nurse is preparing to obtain informed consent from a client scheduled for
surgery. What is the nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure
B. Describing alternative treatments available
C. Ensuring the surgeon has provided the correct diagnosis
D. Witnessing the client’s signature on the consent form
Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature and ensure the
client is competent and signed voluntarily. Explaining risks/benefits is the surgeon’s
responsibility.
5. Which ethical principle is the nurse practicing when they keep a promise to
return to a client’s room in 10 minutes to reassess pain?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Answer: B
, Rationale: Fidelity refers to the obligation to be faithful to agreements and promises made
to clients.
6. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) portion?
A. The client’s current vital signs
B. The client’s admitting diagnosis and relevant history
C. A recommendation for a change in treatment
D. A statement of the immediate problem
Answer: B
Rationale: Background (B) includes the clinical context such as the admitting diagnosis,
medical history, and summary of treatment to date.
7. A nurse is caring for a client who is terminally ill and requests to stop all life-
sustaining treatments. Which ethical principle supports the client’s right to
make this decision?
A. Nonmaleficence
B. Veracity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the client to make their own decisions regarding their
health care.
