Module 6 Exam NUR2811 Nursing Capstone
Actual Exam Questions and Correct Answers
with Rationales Review/ NUR2811 Module 6 Real
Exam Review 2026-2027/ NUR 2811 Module 6
1: Which event would require a nurse to complete and file an incident report?
A. The nurse determines that a client would benefit from the use of a walker to
ambulate.
B. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
C. The nurse, preparing an intravenous infusion, notes that the battery of an
intravenous infusion pump is not working.
D. A client experiences a seizure without injury.
-ANSWER- B
Rationale: An incident is any event that is not consistent with the routine operation
of a healthcare unit or routine care of a client. Examples of incidents include client
falls, needlestick injuries, a visitor having signs/symptoms of illness, medication
administration errors, accidental omission of prescribed therapies, and
circumstances leading to injury or a risk for injury. An incident report does not
need to be filed if a client has a seizure unless the client sustains injury as a result
of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If
the nurse notes that the battery of an intravenous infusion pump is not working,
he/she should obtain a functioning pump and send the nonfunctioning pump to the
appropriate department for repair.
2: A nurse, charting the administration of medications to an assigned client at 9
pm, notes that atenolol was prescribed to be administered at 9 am instead of 9 pm.
The nurse checks the client's vital signs, completes an incident report, and calls the
primary health care provider to report the error. The primary health care provider
tells the nurse that an incident report is not needed but instructs her to monitor the
client during the night for hypotension. What action should the nurse take?
,A. Tear up and discard the incident report
B. Notify the nursing supervisor
C. Document the error in the client's record
D. Continue to monitor the client without filing the report
-ANSWER- B
Rationale: Incident reports are an important part of a healthcare agency's quality
improvement program. An incident is any event that is not consistent with the
routine operation of a healthcare unit or routine care of a client. An example of an
incident is administering a medication at a time at which it is not prescribed to be
given. Whenever an incident occurs, an incident report is completed and filed in
accordance with agency guidelines. The nursing supervisor would be notified of
the incident; however, on the basis of the data in the question, the nurse should tell
the primary health care provider that the error warrants completion and follow-
through with an incident report. Therefore, the other options are incorrect.
3: Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. What does the nurse, providing
instructions to a nursing assistant about caring for the client, tell the assistant?
A. To wear gloves and a gown when changing the client's bed linen
B. To wear a mask when entering the client's room
C. To remove the protective gear after leaving the client's room
D. To wear gloves only when providing direct care
-ANSWER- A
Rationale: Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated. Goggles are worn to protect the mucous
membranes of the eye during interventions that may produce splashes of blood or
body fluids, secretions, or excretions. The client should be placed in a private room
or, if a private room is not available, in a semiprivate room with another client who
has active infection with the same microorganism but no other infection. The
nursing assistant would remove the protective gear before leaving the client's
room.
4: The mother of a 3-year-old calls a neighbor who is a nurse and reports that her
child just drank some window cleaner that had been stored in a cabinet. What
should the nurse instruct the mother to do immediately?
A. Administer an excessive amount of fluids to induce vomiting
B. Call a poison control center
C. Call an ambulance to bring the child to the emergency department
,D. Leave a message on the primary health care provider's answering service about
the incident
-ANSWER- B
Rationale: When a poisoning occurs, a poison center should be called immediately.
Vomiting should not be induced if the victim is unconscious or if the substance
ingested was a strong corrosive or petroleum product. Also, vomiting should not be
induced unless a primary healthcare provider has given specific instructions to
induce vomiting. Neither calling an ambulance nor calling the primary health care
provider's answering service is the immediate action because either would delay
treatment. Additionally, the primary health care provider would immediately make
a referral to the poison control center. The poison control center may advise the
mother to bring the child to the emergency department; if this is the case, the
mother should then call an ambulance.
5: A hurricane is forecast to make landfall in 48 hours, and the staff of the
emergency department of an area hospital is advised to prepare for casualties.
Which action should the nurse manager who receives the telephone call regarding
this warning take first?
A. Supply the triage rooms with additional equipment
B. Activate the agency disaster plan
C. Increase the number of nursing staff for the day on which the hurricane is
expected
D. Call the hospital maintenance department to secure the building against the
storm
-ANSWER- B
Rationale: In an external disaster, many people may be brought to the emergency
department for treatment. Although increasing the nursing staff and supplying the
triage rooms with additional equipment may be steps in preparing for casualties,
the initial action by the nurse manager must be activation of the disaster plan.
Calling the hospital maintenance department to secure the building from the storm
is not a responsibility that falls within the scope of nursing management.
6: A home health nurse has instructed a client about safety measures during the use
of an oxygen concentrator in the home. Which statement by the client indicates a
need for further teaching?
A. "I have to keep the oxygen concentrator out of direct sunlight."
B. "I can use my electric razor while I'm using oxygen."
C. "I need to keep the oxygen concentrator as close to the wall as possible or put it
, in a corner."
D. "I have to tell everyone that they can't smoke or have an open flame within 10
feet (3 meters) of the oxygen concentrator."
-ANSWER- B
Rationale: The client should follow the oxygen prescription exactly. The use of
electric razors or other equipment that could emit sparks should be avoided while
oxygen is in use, because fire and injury to the client could result. The oxygen
concentrator is kept out of direct sunlight and slightly away from walls and corners
to permit adequate air flow. The client should not allow smoking or any type of
flame within 10 feet (3 meters) of the oxygen source. Other measures include
having telephone numbers for the primary health care provider, nurse, and oxygen
vendor available and teaching the client signs/symptoms requiring emergency care.
7: A nurse is providing instructions to a nursing assistant who will be caring for a
client in hand restraints. How often does the nurse instruct the nursing assistant to
release the restraints to permit muscle exercise?
A. Every 2 hours
B. Every 3 hours
C. Every 4 hours
D. Every 30 minutes
-ANSWER- A
Rationale: The nurse should instruct the nursing assistant to assess the restraints
and the client's circulatory status and skin integrity every 30 minutes. Restraints
must be released at least every 2 hours to permit muscle exercise and promote
circulation. Agency guidelines regarding the use of restraints should always be
followed.
8: A community health nurse working in a school setting is concerned because
parents are not participating in health activities designed to promote child safety.
What is the most appropriate initial action for the nurse to take?
A. Implementing a child safety program
B. Determining the appropriateness of the planned health activities
C. Notifying the parents about the health activities
D. Planning a follow-up meeting with the parents
-ANSWER- B
Rationale: In this situation, the most appropriate initial action would be to
determine the appropriateness of the planned health activities. This would be
followed by analysis, planning, and implementation.
Actual Exam Questions and Correct Answers
with Rationales Review/ NUR2811 Module 6 Real
Exam Review 2026-2027/ NUR 2811 Module 6
1: Which event would require a nurse to complete and file an incident report?
A. The nurse determines that a client would benefit from the use of a walker to
ambulate.
B. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
C. The nurse, preparing an intravenous infusion, notes that the battery of an
intravenous infusion pump is not working.
D. A client experiences a seizure without injury.
-ANSWER- B
Rationale: An incident is any event that is not consistent with the routine operation
of a healthcare unit or routine care of a client. Examples of incidents include client
falls, needlestick injuries, a visitor having signs/symptoms of illness, medication
administration errors, accidental omission of prescribed therapies, and
circumstances leading to injury or a risk for injury. An incident report does not
need to be filed if a client has a seizure unless the client sustains injury as a result
of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If
the nurse notes that the battery of an intravenous infusion pump is not working,
he/she should obtain a functioning pump and send the nonfunctioning pump to the
appropriate department for repair.
2: A nurse, charting the administration of medications to an assigned client at 9
pm, notes that atenolol was prescribed to be administered at 9 am instead of 9 pm.
The nurse checks the client's vital signs, completes an incident report, and calls the
primary health care provider to report the error. The primary health care provider
tells the nurse that an incident report is not needed but instructs her to monitor the
client during the night for hypotension. What action should the nurse take?
,A. Tear up and discard the incident report
B. Notify the nursing supervisor
C. Document the error in the client's record
D. Continue to monitor the client without filing the report
-ANSWER- B
Rationale: Incident reports are an important part of a healthcare agency's quality
improvement program. An incident is any event that is not consistent with the
routine operation of a healthcare unit or routine care of a client. An example of an
incident is administering a medication at a time at which it is not prescribed to be
given. Whenever an incident occurs, an incident report is completed and filed in
accordance with agency guidelines. The nursing supervisor would be notified of
the incident; however, on the basis of the data in the question, the nurse should tell
the primary health care provider that the error warrants completion and follow-
through with an incident report. Therefore, the other options are incorrect.
3: Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. What does the nurse, providing
instructions to a nursing assistant about caring for the client, tell the assistant?
A. To wear gloves and a gown when changing the client's bed linen
B. To wear a mask when entering the client's room
C. To remove the protective gear after leaving the client's room
D. To wear gloves only when providing direct care
-ANSWER- A
Rationale: Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated. Goggles are worn to protect the mucous
membranes of the eye during interventions that may produce splashes of blood or
body fluids, secretions, or excretions. The client should be placed in a private room
or, if a private room is not available, in a semiprivate room with another client who
has active infection with the same microorganism but no other infection. The
nursing assistant would remove the protective gear before leaving the client's
room.
4: The mother of a 3-year-old calls a neighbor who is a nurse and reports that her
child just drank some window cleaner that had been stored in a cabinet. What
should the nurse instruct the mother to do immediately?
A. Administer an excessive amount of fluids to induce vomiting
B. Call a poison control center
C. Call an ambulance to bring the child to the emergency department
,D. Leave a message on the primary health care provider's answering service about
the incident
-ANSWER- B
Rationale: When a poisoning occurs, a poison center should be called immediately.
Vomiting should not be induced if the victim is unconscious or if the substance
ingested was a strong corrosive or petroleum product. Also, vomiting should not be
induced unless a primary healthcare provider has given specific instructions to
induce vomiting. Neither calling an ambulance nor calling the primary health care
provider's answering service is the immediate action because either would delay
treatment. Additionally, the primary health care provider would immediately make
a referral to the poison control center. The poison control center may advise the
mother to bring the child to the emergency department; if this is the case, the
mother should then call an ambulance.
5: A hurricane is forecast to make landfall in 48 hours, and the staff of the
emergency department of an area hospital is advised to prepare for casualties.
Which action should the nurse manager who receives the telephone call regarding
this warning take first?
A. Supply the triage rooms with additional equipment
B. Activate the agency disaster plan
C. Increase the number of nursing staff for the day on which the hurricane is
expected
D. Call the hospital maintenance department to secure the building against the
storm
-ANSWER- B
Rationale: In an external disaster, many people may be brought to the emergency
department for treatment. Although increasing the nursing staff and supplying the
triage rooms with additional equipment may be steps in preparing for casualties,
the initial action by the nurse manager must be activation of the disaster plan.
Calling the hospital maintenance department to secure the building from the storm
is not a responsibility that falls within the scope of nursing management.
6: A home health nurse has instructed a client about safety measures during the use
of an oxygen concentrator in the home. Which statement by the client indicates a
need for further teaching?
A. "I have to keep the oxygen concentrator out of direct sunlight."
B. "I can use my electric razor while I'm using oxygen."
C. "I need to keep the oxygen concentrator as close to the wall as possible or put it
, in a corner."
D. "I have to tell everyone that they can't smoke or have an open flame within 10
feet (3 meters) of the oxygen concentrator."
-ANSWER- B
Rationale: The client should follow the oxygen prescription exactly. The use of
electric razors or other equipment that could emit sparks should be avoided while
oxygen is in use, because fire and injury to the client could result. The oxygen
concentrator is kept out of direct sunlight and slightly away from walls and corners
to permit adequate air flow. The client should not allow smoking or any type of
flame within 10 feet (3 meters) of the oxygen source. Other measures include
having telephone numbers for the primary health care provider, nurse, and oxygen
vendor available and teaching the client signs/symptoms requiring emergency care.
7: A nurse is providing instructions to a nursing assistant who will be caring for a
client in hand restraints. How often does the nurse instruct the nursing assistant to
release the restraints to permit muscle exercise?
A. Every 2 hours
B. Every 3 hours
C. Every 4 hours
D. Every 30 minutes
-ANSWER- A
Rationale: The nurse should instruct the nursing assistant to assess the restraints
and the client's circulatory status and skin integrity every 30 minutes. Restraints
must be released at least every 2 hours to permit muscle exercise and promote
circulation. Agency guidelines regarding the use of restraints should always be
followed.
8: A community health nurse working in a school setting is concerned because
parents are not participating in health activities designed to promote child safety.
What is the most appropriate initial action for the nurse to take?
A. Implementing a child safety program
B. Determining the appropriateness of the planned health activities
C. Notifying the parents about the health activities
D. Planning a follow-up meeting with the parents
-ANSWER- B
Rationale: In this situation, the most appropriate initial action would be to
determine the appropriateness of the planned health activities. This would be
followed by analysis, planning, and implementation.
