NR 452 Capstone Course Practice Exam 2026 |Chamberlain College
1. A nurse manager is discussing the care of a client who has a prescription for
restraints. Which of the following statements should the nurse manager
include?
A. Assess the client’s skin integrity every 2 hours.
B. A provider’s prescription for restraints is valid for 48 hours.
C. Restraints should be tied to the side rails of the bed.
D. The nurse can apply restraints without a prescription in an emergency.
Answer: A
Rationale: Standard safety protocols require assessing skin integrity, neurovascular status,
and range of motion at least every 2 hours for a client in restraints.
2. A nurse is delegating 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. Teaching a client how to use a walker.
C. Providing post-mortem care to a client.
D. Assessing a client’s surgical incision.
Answer: C
Rationale: Post-mortem care is within the scope of practice for an AP; evaluation, teaching,
and assessment require the skills of a licensed nurse.
,3. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I
am not sure I want to go through with this.’ Which of the following responses
should the nurse make?
A. ‘I will call the surgeon to come and speak with you.’
B. ‘Why do you feel this way about the surgery?’
C. ‘You should talk to your family about your concerns.’
D. ‘Don’t worry, your doctor is the best in the city.’
Answer: A
Rationale: The nurse’s role is to facilitate communication between the client and the
surgeon if the client expresses doubt about a procedure for which they have not yet given
full informed consent.
4. A charge nurse is managing a conflict between two staff nurses. The charge
nurse asks both nurses to identify goals they can agree on. Which of the
following conflict resolution strategies is the nurse using?
A. Avoiding
B. Compromising
C. Collaborating
D. Smoothing
Answer: C
Rationale: Collaboration involves a win-win situation where both parties work together to
find a common goal.
, 5. A nurse is preparing to discharge a client who has a new prescription for
warfarin. Which of the following instructions should the nurse include?
A. ‘Increase your intake of dark green leafy vegetables.’
B. ‘Take aspirin if you develop a headache.’
C. ‘Use an electric razor for shaving.’
D. ‘Stop taking the medication if you notice bruising.’
Answer: C
Rationale: Warfarin increases the risk of bleeding; using an electric razor minimizes the
risk of cuts and subsequent hemorrhage.
6. Which of the following leadership styles is characterized by a leader who
makes decisions for the group without consulting others?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making with little input
from staff.
7. A nurse is caring for a client who has a DNR order. The client’s partner asks
the nurse to perform CPR if the client stops breathing. Which of the following
actions should the nurse take?
A. Perform CPR as requested by the partner.
B. Respect the client’s DNR order.
C. Call the ethics committee.
D. Ask the provider to talk to the partner.
Answer: B
1. A nurse manager is discussing the care of a client who has a prescription for
restraints. Which of the following statements should the nurse manager
include?
A. Assess the client’s skin integrity every 2 hours.
B. A provider’s prescription for restraints is valid for 48 hours.
C. Restraints should be tied to the side rails of the bed.
D. The nurse can apply restraints without a prescription in an emergency.
Answer: A
Rationale: Standard safety protocols require assessing skin integrity, neurovascular status,
and range of motion at least every 2 hours for a client in restraints.
2. A nurse is delegating 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. Teaching a client how to use a walker.
C. Providing post-mortem care to a client.
D. Assessing a client’s surgical incision.
Answer: C
Rationale: Post-mortem care is within the scope of practice for an AP; evaluation, teaching,
and assessment require the skills of a licensed nurse.
,3. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I
am not sure I want to go through with this.’ Which of the following responses
should the nurse make?
A. ‘I will call the surgeon to come and speak with you.’
B. ‘Why do you feel this way about the surgery?’
C. ‘You should talk to your family about your concerns.’
D. ‘Don’t worry, your doctor is the best in the city.’
Answer: A
Rationale: The nurse’s role is to facilitate communication between the client and the
surgeon if the client expresses doubt about a procedure for which they have not yet given
full informed consent.
4. A charge nurse is managing a conflict between two staff nurses. The charge
nurse asks both nurses to identify goals they can agree on. Which of the
following conflict resolution strategies is the nurse using?
A. Avoiding
B. Compromising
C. Collaborating
D. Smoothing
Answer: C
Rationale: Collaboration involves a win-win situation where both parties work together to
find a common goal.
, 5. A nurse is preparing to discharge a client who has a new prescription for
warfarin. Which of the following instructions should the nurse include?
A. ‘Increase your intake of dark green leafy vegetables.’
B. ‘Take aspirin if you develop a headache.’
C. ‘Use an electric razor for shaving.’
D. ‘Stop taking the medication if you notice bruising.’
Answer: C
Rationale: Warfarin increases the risk of bleeding; using an electric razor minimizes the
risk of cuts and subsequent hemorrhage.
6. Which of the following leadership styles is characterized by a leader who
makes decisions for the group without consulting others?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Rationale: Autocratic leadership involves centralized decision-making with little input
from staff.
7. A nurse is caring for a client who has a DNR order. The client’s partner asks
the nurse to perform CPR if the client stops breathing. Which of the following
actions should the nurse take?
A. Perform CPR as requested by the partner.
B. Respect the client’s DNR order.
C. Call the ethics committee.
D. Ask the provider to talk to the partner.
Answer: B
