NUR 2811 Nursing Capstone — Module 2 Exam QUESTIONS
AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS
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NUR 2811 Nursing Capstone — Module 2 Exam Prep
10-Line Exam Coverage in Points Form
1. Health Assessment & Data Collection — Subjective data is what the client reports (e.g.,
"I have a rash"), objective data is what the nurse observes (e.g., vital signs, wounds)
2. Database Types — Complete database = full health history + physical exam; Episodic =
focused on one problem; Follow-up = tracks identified problems; Emergency = rapid
collection during lifesaving measures
3. Infection Control & Prioritization — Clients with full-thickness burns and multiple
invasive devices (NG tube, Foley) are at highest risk for nosocomial infections
4. ABC Priority Framework — Shortness of breath after bronchodilator use indicates
worsening bronchospasm (airway priority); multiple trauma clients are most unstable
5. Patient Prioritization — Stable clients (e.g., ischemic stroke with mild confusion) transfer
to step-down first; acute head injury, CSF leak, GCS 7 are unstable
6. Complications Recognition — Compartment syndrome signs: severe burning pain,
paresthesia, pallor, cool extremity; occurs with casts/splints
7. Pharmacology — Alprazolam toxicity reversed with flumazenil; opioids require stool
softeners for constipation; nonselective beta-blockers can cause bronchospasm
8. Ethical Principles — Nonmaleficence = doing no harm (balancing risks/benefits);
beneficence = taking action to help others (e.g., immunization despite discomfort)
9. Legal Issues — Telling a client they cannot leave constitutes false imprisonment;
performing a procedure without consent is battery
10. Delegation & Scope — LPNs collect data but do not perform initial assessments or
patient teaching; UAP can assist with hygiene
MCQs with Rationales
1. A nurse performing a physical assessment gathers both subjective and objective data.
Which finding would the nurse document as subjective data?
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A) The client appears anxious
B) The client has diminished reflexes in the legs
C) The client states that he has a rash
D) Blood pressure is 170/80 mm Hg
Correct Answer: C
Rationale: Subjective data is what the client reports about themselves. The statement "I have a
rash" is subjective. Objective data (anxiety observed, reflexes tested, BP measured) is obtained
through observation and physical examination .
2. A nurse is reviewing findings of a physical examination documented in a client's record.
Which piece of information does the nurse recognize as objective data?
A) The client takes acetaminophen for headaches
B) The last menstrual period was 30 days ago
C) The client is allergic to strawberries
D) A 1 × 2-inch scar is present on the lower right portion of the abdomen
Correct Answer: D
Rationale: A scar is objective data obtained by inspection. Medication use, LMP, and allergies
are subjective data reported by the client .
3. A nurse is making an initial home visit to a client with COPD who was recently discharged.
Which type of database does the nurse use?
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A) Complete
B) Follow-up
C) Episodic
D) Emergency
Correct Answer: A
Rationale: A complete database includes a full health history and physical exam, establishing a
baseline for all future changes. An "initial" home visit requires comprehensive data collection .
4. A nurse is examining a 25-year-old client seen 2 weeks ago for a cold and now complaining
of chest congestion and cough. The nurse should proceed with which data collection?
A) Data related to the respiratory system
B) Data related to treatment for the cold
C) A complete (total health) database
D) Data related to follow-up care
Correct Answer: A
Rationale: An episodic database is focused on one problem or body system. The new complaint
of chest congestion and cough directs the assessment to the respiratory system .
5. A nurse is caring for multiple clients on a medical-surgical unit. Which client is at highest
risk for developing a nosocomial infection?
A) Client with alcohol use disorder admitted for detoxification
B) Client with Type 1 diabetes mellitus and peripheral neuropathy
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C) Client recovering from a laparoscopic cholecystectomy
D) Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D
Rationale: Extensive burns compromise the skin barrier, and NG and Foley catheters provide
entry points for microorganisms. This combination creates the highest infection risk .
6. Which client should the nurse prioritize for transfer from ICU to a step-down neurological
unit?
A) Client with acute head injury and seizures
B) Client with ischemic stroke 4 days ago and mild confusion
C) Client 1-day post-transsphenoidal craniotomy with CSF leak
D) Client with bacterial meningitis and GCS of 7
Correct Answer: B
Rationale: The stroke client is most stable (days post-event, only mildly confused). The other
clients have active neurological compromise (CSF leak, seizures, GCS 7) .
7. After shift report, which client should the nurse assess first?
A) Ventilated client requiring sputum culture collection
B) COPD client with oxygen saturation of 90% from previous shift
C) Pneumonia client awaiting IV antibiotics
D) Asthma client reporting shortness of breath after bronchodilator use