Page 1 of 32
NUR 2811 Capstone Module 1 Exam International
College of Health Sciences ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
NUR 2811 Capstone Module 1 Exam | International College of Health Sciences
1. A nurse is beginning a shift with several assigned clients, and which action should receive the
highest priority when determining the initial plan of care?
A. Reviewing each client's routine dietary preferences
B. Identifying the client with an immediate threat to airway, breathing, or circulation
C. Completing discharge teaching for a stable client
D. Updating the electronic health record before assessment
Answer: B
Rationale: B is correct because life-threatening airway, breathing, and circulation problems require
immediate attention. A is incorrect because dietary preferences are important but not urgent. C is
incorrect because discharge teaching can wait when another client is unstable. D is incorrect because
documentation should not delay emergency assessment and intervention.
2. When applying the nursing process to a newly admitted client, which activity should the nurse
complete before developing individualized nursing interventions?
, Page 2 of 32
A. Evaluate whether previously prescribed interventions were successful
B. Select appropriate nursing interventions based on identified priorities
C. Collect and analyze relevant subjective and objective assessment information
D. Document the client's response to treatment after implementation
Answer: C
Rationale: C is correct because assessment provides the information needed to identify problems and
establish priorities. A is incorrect because evaluation follows implementation. B is incorrect because
interventions are selected after assessment and diagnosis. D is incorrect because documentation of
responses occurs after care is provided.
3. A client reports severe abdominal pain that began suddenly, and which nursing action
demonstrates appropriate clinical judgment during the initial assessment?
A. Assess vital signs, pain characteristics, abdominal findings, and associated symptoms
B. Provide a prescribed analgesic immediately without further assessment
C. Ask the client to wait until the healthcare provider arrives
D. Document the pain as expected because hospitalization commonly causes discomfort
Answer: A
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Rationale: A is correct because sudden severe pain requires focused assessment before determining
appropriate interventions. B is incorrect because medication should not replace necessary assessment. C
is incorrect because delaying assessment can place the client at risk. D is incorrect because severe acute
pain should never be dismissed as an expected hospitalization symptom.
4. Which statement best describes the primary purpose of establishing measurable nursing
outcomes when developing an individualized plan of care?
A. To ensure that every client receives identical nursing interventions
B. To replace ongoing assessment after the initial nursing history
C. To allow healthcare providers to determine the client's insurance eligibility
D. To provide specific criteria for determining whether nursing care has achieved its intended results
Answer: D
Rationale: D is correct because measurable outcomes provide standards against which the client's
progress can be evaluated. A is incorrect because care should be individualized. B is incorrect because
ongoing assessment remains necessary. C is incorrect because nursing outcomes are clinical rather than
insurance criteria.
5. A registered nurse is delegating care to a licensed practical nurse, and which assignment is
generally appropriate when considering scope of practice and client stability?
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A. Performing the initial comprehensive assessment of an unstable client
B. Administering medications and providing care for a stable client according to applicable scope
C. Developing the nursing diagnosis for a newly admitted client
D. Determining whether a newly implemented nursing plan has been effective
Answer: B
Rationale: B is correct because stable, predictable care may commonly be assigned to an LPN/LVN when
permitted by state law and facility policy. A is incorrect because comprehensive assessment of an
unstable client requires RN judgment. C is an RN responsibility. D is incorrect because evaluation
requires nursing judgment and remains the RN's responsibility.
6. Before delegating a task to an unlicensed assistive personnel, what should the registered nurse
determine first to promote safe and appropriate client care?
A. Whether the task is within the person's competency and permitted by policy
B. Whether the assistant prefers performing the task independently
C. Whether the client has already been discharged from nursing care
D. Whether the assistant has worked the longest shift on the unit
Answer: A
NUR 2811 Capstone Module 1 Exam International
College of Health Sciences ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
NUR 2811 Capstone Module 1 Exam | International College of Health Sciences
1. A nurse is beginning a shift with several assigned clients, and which action should receive the
highest priority when determining the initial plan of care?
A. Reviewing each client's routine dietary preferences
B. Identifying the client with an immediate threat to airway, breathing, or circulation
C. Completing discharge teaching for a stable client
D. Updating the electronic health record before assessment
Answer: B
Rationale: B is correct because life-threatening airway, breathing, and circulation problems require
immediate attention. A is incorrect because dietary preferences are important but not urgent. C is
incorrect because discharge teaching can wait when another client is unstable. D is incorrect because
documentation should not delay emergency assessment and intervention.
2. When applying the nursing process to a newly admitted client, which activity should the nurse
complete before developing individualized nursing interventions?
, Page 2 of 32
A. Evaluate whether previously prescribed interventions were successful
B. Select appropriate nursing interventions based on identified priorities
C. Collect and analyze relevant subjective and objective assessment information
D. Document the client's response to treatment after implementation
Answer: C
Rationale: C is correct because assessment provides the information needed to identify problems and
establish priorities. A is incorrect because evaluation follows implementation. B is incorrect because
interventions are selected after assessment and diagnosis. D is incorrect because documentation of
responses occurs after care is provided.
3. A client reports severe abdominal pain that began suddenly, and which nursing action
demonstrates appropriate clinical judgment during the initial assessment?
A. Assess vital signs, pain characteristics, abdominal findings, and associated symptoms
B. Provide a prescribed analgesic immediately without further assessment
C. Ask the client to wait until the healthcare provider arrives
D. Document the pain as expected because hospitalization commonly causes discomfort
Answer: A
, Page 3 of 32
Rationale: A is correct because sudden severe pain requires focused assessment before determining
appropriate interventions. B is incorrect because medication should not replace necessary assessment. C
is incorrect because delaying assessment can place the client at risk. D is incorrect because severe acute
pain should never be dismissed as an expected hospitalization symptom.
4. Which statement best describes the primary purpose of establishing measurable nursing
outcomes when developing an individualized plan of care?
A. To ensure that every client receives identical nursing interventions
B. To replace ongoing assessment after the initial nursing history
C. To allow healthcare providers to determine the client's insurance eligibility
D. To provide specific criteria for determining whether nursing care has achieved its intended results
Answer: D
Rationale: D is correct because measurable outcomes provide standards against which the client's
progress can be evaluated. A is incorrect because care should be individualized. B is incorrect because
ongoing assessment remains necessary. C is incorrect because nursing outcomes are clinical rather than
insurance criteria.
5. A registered nurse is delegating care to a licensed practical nurse, and which assignment is
generally appropriate when considering scope of practice and client stability?
, Page 4 of 32
A. Performing the initial comprehensive assessment of an unstable client
B. Administering medications and providing care for a stable client according to applicable scope
C. Developing the nursing diagnosis for a newly admitted client
D. Determining whether a newly implemented nursing plan has been effective
Answer: B
Rationale: B is correct because stable, predictable care may commonly be assigned to an LPN/LVN when
permitted by state law and facility policy. A is incorrect because comprehensive assessment of an
unstable client requires RN judgment. C is an RN responsibility. D is incorrect because evaluation
requires nursing judgment and remains the RN's responsibility.
6. Before delegating a task to an unlicensed assistive personnel, what should the registered nurse
determine first to promote safe and appropriate client care?
A. Whether the task is within the person's competency and permitted by policy
B. Whether the assistant prefers performing the task independently
C. Whether the client has already been discharged from nursing care
D. Whether the assistant has worked the longest shift on the unit
Answer: A
