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, NUR 2811 Capstone Module 9 Exam | Questions and
Answers with Rationales | 2026/2027 Updated | 100%
Correct - International College of Health Sciences |
| verified by experts .
Section 1: Prioritization & Clinical Judgment (Questions 1–20)
Question 1: A nurse is caring for multiple clients on a medical-surgical unit. Which client is at
the 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
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
CorreCt Answer: D. Client with full-thickness burns, NG tube, and Foley catheter
rAtionAle: Patients with extensive burns have a severely compromised skin barrier, making
them highly susceptible to infection. The presence of invasive devices such as an NG tube and
Foley catheter further increases infection risk by providing entry points for microorganisms .
Question 2: 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 Glasgow Coma Scale of 7
CorreCt Answer: B. Client with ischemic stroke 4 days ago and mild confusion
rAtionAle: The most stable client is the one with an ischemic stroke who is several days
post-event and only mildly confused. The other clients are unstable due to CSF leak, decreased
level of consciousness, or active neurological compromise .
Question 3: 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
,
, NUR 2811 Capstone Module 9 Exam | Questions and
Answers with Rationales | 2026/2027 Updated | 100%
Correct - International College of Health Sciences |
| verified by experts .
Section 1: Prioritization & Clinical Judgment (Questions 1–20)
Question 1: A nurse is caring for multiple clients on a medical-surgical unit. Which client is at
the 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
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
CorreCt Answer: D. Client with full-thickness burns, NG tube, and Foley catheter
rAtionAle: Patients with extensive burns have a severely compromised skin barrier, making
them highly susceptible to infection. The presence of invasive devices such as an NG tube and
Foley catheter further increases infection risk by providing entry points for microorganisms .
Question 2: 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 Glasgow Coma Scale of 7
CorreCt Answer: B. Client with ischemic stroke 4 days ago and mild confusion
rAtionAle: The most stable client is the one with an ischemic stroke who is several days
post-event and only mildly confused. The other clients are unstable due to CSF leak, decreased
level of consciousness, or active neurological compromise .
Question 3: 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
