NR 452 Capstone Course Week 3 Practice Quiz 2026 |Chamberlain
College
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a post-operative wound
B. Assisting a stable patient with a bed bath and oral hygiene
C. Evaluating the effectiveness of a patient’s pain medication
D. Teaching a patient how to use an incentive spirometer
Answer: B
Rationale: UAPs are trained to perform non-invasive tasks such as activities of daily living
(ADLs) and basic hygiene for stable patients. Tasks involving assessment, evaluation, and
teaching require the judgment of a licensed nurse.
2. The nurse is caring for four patients on a medical-surgical unit. Which patient
should the nurse assess first?
A. A patient with a new onset of shortness of breath and an apical pulse of 110 bpm
B. A patient who is 1 day post-operative and reporting pain as 6 out of 10
C. A patient with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of 91%
D. A patient with a history of heart failure who has 2+ pitting edema in the lower extremities
Answer: A
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework, a
patient with new-onset respiratory distress and tachycardia is the most unstable and
requires immediate assessment.
,3. Which of the following is an example of the ethical principle of ‘Autonomy’?
A. Providing equal care to all patients regardless of their socio-economic status
B. Ensuring that the nurse does no harm to the patient during a procedure
C. Supporting a patient’s decision to refuse a life-saving blood transfusion
D. Following through on a promise to return to a patient’s room with water
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, even if those decisions conflict with the healthcare team’s
recommendations.
4. A nurse is witnessing a patient sign an informed consent form for surgery.
What is the nurse’s primary responsibility in this process?
A. Verifying that the signature on the form is indeed the patient’s
B. Explaining the risks and benefits of the surgical procedure
C. Describing alternative treatments available to the patient
D. Ensuring the patient understands the details of the anesthesia
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature, ensure the
patient is competent to sign, and verify that the signature is authentic. The surgeon is
responsible for explaining the procedure, risks, and benefits.
5. A nurse is preparing to administer an intramuscular injection to a patient.
Which action by the nurse demonstrates the principle of ‘Nonmaleficence’?
A. Telling the patient the truth about potential side effects
B. Checking the patient’s identity using two identifiers to prevent a medication error
C. Allowing the patient to choose which arm to receive the injection in
D. Ensuring the patient’s privacy is maintained during the injection
Answer: B
, Rationale: Nonmaleficence is the duty to ‘do no harm.’ Preventing a medication error
through safety checks directly avoids harm to the patient.
6. In the ‘SBAR’ communication tool, what does the ‘B’ stand for?
A. Background
B. Behavior
C. Beliefs
D. Barrier
Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘Background’ section provides relevant clinical history related to the current situation.
7. Which leadership style is characterized by a leader who makes all the
decisions and dictates tasks to subordinates?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritarian) leaders maintain total control, make decisions
independently, and give orders to the team, which is often necessary in emergency
situations.
8. A nurse manager is using Lewin’s Change Theory to implement a new
electronic charting system. Which action represents the ‘Unfreezing’ stage?
A. Providing training sessions for all staff on the new system
B. Evaluating the effectiveness of the system after one month of use
C. Establishing a help desk to support staff during the transition
D. Identifying the need for change and creating awareness among staff
Answer: D
College
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a post-operative wound
B. Assisting a stable patient with a bed bath and oral hygiene
C. Evaluating the effectiveness of a patient’s pain medication
D. Teaching a patient how to use an incentive spirometer
Answer: B
Rationale: UAPs are trained to perform non-invasive tasks such as activities of daily living
(ADLs) and basic hygiene for stable patients. Tasks involving assessment, evaluation, and
teaching require the judgment of a licensed nurse.
2. The nurse is caring for four patients on a medical-surgical unit. Which patient
should the nurse assess first?
A. A patient with a new onset of shortness of breath and an apical pulse of 110 bpm
B. A patient who is 1 day post-operative and reporting pain as 6 out of 10
C. A patient with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of 91%
D. A patient with a history of heart failure who has 2+ pitting edema in the lower extremities
Answer: A
Rationale: According to the ABC (Airway, Breathing, Circulation) priority framework, a
patient with new-onset respiratory distress and tachycardia is the most unstable and
requires immediate assessment.
,3. Which of the following is an example of the ethical principle of ‘Autonomy’?
A. Providing equal care to all patients regardless of their socio-economic status
B. Ensuring that the nurse does no harm to the patient during a procedure
C. Supporting a patient’s decision to refuse a life-saving blood transfusion
D. Following through on a promise to return to a patient’s room with water
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, even if those decisions conflict with the healthcare team’s
recommendations.
4. A nurse is witnessing a patient sign an informed consent form for surgery.
What is the nurse’s primary responsibility in this process?
A. Verifying that the signature on the form is indeed the patient’s
B. Explaining the risks and benefits of the surgical procedure
C. Describing alternative treatments available to the patient
D. Ensuring the patient understands the details of the anesthesia
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature, ensure the
patient is competent to sign, and verify that the signature is authentic. The surgeon is
responsible for explaining the procedure, risks, and benefits.
5. A nurse is preparing to administer an intramuscular injection to a patient.
Which action by the nurse demonstrates the principle of ‘Nonmaleficence’?
A. Telling the patient the truth about potential side effects
B. Checking the patient’s identity using two identifiers to prevent a medication error
C. Allowing the patient to choose which arm to receive the injection in
D. Ensuring the patient’s privacy is maintained during the injection
Answer: B
, Rationale: Nonmaleficence is the duty to ‘do no harm.’ Preventing a medication error
through safety checks directly avoids harm to the patient.
6. In the ‘SBAR’ communication tool, what does the ‘B’ stand for?
A. Background
B. Behavior
C. Beliefs
D. Barrier
Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘Background’ section provides relevant clinical history related to the current situation.
7. Which leadership style is characterized by a leader who makes all the
decisions and dictates tasks to subordinates?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritarian) leaders maintain total control, make decisions
independently, and give orders to the team, which is often necessary in emergency
situations.
8. A nurse manager is using Lewin’s Change Theory to implement a new
electronic charting system. Which action represents the ‘Unfreezing’ stage?
A. Providing training sessions for all staff on the new system
B. Evaluating the effectiveness of the system after one month of use
C. Establishing a help desk to support staff during the transition
D. Identifying the need for change and creating awareness among staff
Answer: D
