NUR 2811 Nursing Capstone Final Exam 100
Original Practice Questions, Answers & Detailed Rationales
International College of Health Sciences | 2026/2027 Study Edition
Important: These are original practice questions designed for studying. They are not actual,
leaked, or reproduced ICHS examination questions.
QUESTIONS 1–25: MANAGEMENT OF CARE &
CLINICAL JUDGMENT
1. A nurse receives report on four clients. Which client should the nurse assess
first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with pneumonia whose oxygen saturation is 88% on room air
C. Client awaiting discharge instructions
D. Client requesting assistance with bathing
Answer: B
Rationale: An oxygen saturation of 88% indicates impaired oxygenation and requires prompt
assessment and intervention. Airway and breathing take priority over routine care.
2. Which task is most appropriate for the RN to delegate to an experienced UAP?
A. Assessing a newly admitted client
B. Teaching insulin administration
C. Obtaining vital signs on a stable client
D. Evaluating response to pain medication
Answer: C
Rationale: UAPs may perform routine, predictable tasks such as vital signs on stable clients.
Assessment, teaching, and evaluation remain nursing responsibilities.
,3. A nurse discovers that a medication was administered to the wrong client.
What is the nurse's priority action?
A. Complete the incident report
B. Notify the client's family
C. Assess the client
D. Document the error at the end of the shift
Answer: C
Rationale: The client's immediate safety comes first. The nurse should assess the client, provide
necessary interventions, notify the appropriate provider, and follow facility reporting procedures.
4. Which statement best demonstrates evidence-based nursing practice?
A. “This is how we've always done it.”
B. “My coworker prefers this intervention.”
C. “The intervention is supported by current evidence, clinical expertise, and patient
preferences.”
D. “The intervention is faster than the alternatives.”
Answer: C
Rationale: Evidence-based practice integrates the best available evidence with clinical expertise
and patient values/preferences.
5. A nurse is prioritizing care using the ABC framework. Which problem
receives priority?
A. Constipation
B. Impaired oxygenation
C. Insomnia
D. Mild nausea
Answer: B
Rationale: Airway, breathing, and circulation problems take priority because they can rapidly
become life-threatening.
,6. Which client should the nurse assign to an LPN/LVN?
A. Client requiring initial assessment after admission
B. Stable client needing routine oral medications
C. Client requiring development of a complex care plan
D. Client experiencing acute respiratory distress
Answer: B
Rationale: Stable clients with predictable care needs are generally appropriate assignments for
an LPN/LVN, depending on jurisdiction and facility policy.
7. A nurse receives an unclear prescription. What should the nurse do?
A. Interpret it independently
B. Ask another nurse to interpret it
C. Clarify the prescription with the prescribing clinician
D. Administer the medication at half dose
Answer: C
Rationale: Unclear prescriptions should be clarified before administration to prevent medication
errors.
8. Which action demonstrates appropriate informed consent practice?
A. The nurse explains all surgical risks independently
B. The nurse witnesses the client's signature after the provider explains the procedure
C. The nurse signs for a sedated client
D. The nurse obtains consent after administering a sedative
Answer: B
Rationale: The provider performing the procedure generally explains the procedure, risks,
benefits, and alternatives. The nurse may witness the signature according to policy.
9. A nurse is caring for a client who refuses a prescribed treatment. Which action
is appropriate?
, A. Force the treatment
B. Threaten discharge
C. Assess understanding and provide information
D. Ask the family to consent instead
Answer: C
Rationale: A competent adult has the right to refuse treatment. The nurse should assess
understanding, provide education, and communicate the refusal to the appropriate provider.
10. Which finding requires immediate intervention?
A. Temperature 37.2°C
B. Respiratory rate 8/min after opioid administration
C. Heart rate 82/min
D. Blood pressure 124/76 mm Hg
Answer: B
Rationale: Respiratory depression following opioid administration is potentially life-threatening
and requires immediate assessment and intervention.
11. A client is experiencing a sudden change in mental status. Which assessment
is the priority?
A. Favorite foods
B. Airway, breathing, and circulation
C. Sleep schedule
D. Educational level
Answer: B
Rationale: Physiologic instability must be addressed before less urgent information.
12. Which documentation entry is most appropriate?
A. “Patient seems bad.”
B. “Patient had a terrible night.”
C. “Client reports incisional pain of 7/10.”
D. “Patient is acting weird.”
Original Practice Questions, Answers & Detailed Rationales
International College of Health Sciences | 2026/2027 Study Edition
Important: These are original practice questions designed for studying. They are not actual,
leaked, or reproduced ICHS examination questions.
QUESTIONS 1–25: MANAGEMENT OF CARE &
CLINICAL JUDGMENT
1. A nurse receives report on four clients. Which client should the nurse assess
first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client with pneumonia whose oxygen saturation is 88% on room air
C. Client awaiting discharge instructions
D. Client requesting assistance with bathing
Answer: B
Rationale: An oxygen saturation of 88% indicates impaired oxygenation and requires prompt
assessment and intervention. Airway and breathing take priority over routine care.
2. Which task is most appropriate for the RN to delegate to an experienced UAP?
A. Assessing a newly admitted client
B. Teaching insulin administration
C. Obtaining vital signs on a stable client
D. Evaluating response to pain medication
Answer: C
Rationale: UAPs may perform routine, predictable tasks such as vital signs on stable clients.
Assessment, teaching, and evaluation remain nursing responsibilities.
,3. A nurse discovers that a medication was administered to the wrong client.
What is the nurse's priority action?
A. Complete the incident report
B. Notify the client's family
C. Assess the client
D. Document the error at the end of the shift
Answer: C
Rationale: The client's immediate safety comes first. The nurse should assess the client, provide
necessary interventions, notify the appropriate provider, and follow facility reporting procedures.
4. Which statement best demonstrates evidence-based nursing practice?
A. “This is how we've always done it.”
B. “My coworker prefers this intervention.”
C. “The intervention is supported by current evidence, clinical expertise, and patient
preferences.”
D. “The intervention is faster than the alternatives.”
Answer: C
Rationale: Evidence-based practice integrates the best available evidence with clinical expertise
and patient values/preferences.
5. A nurse is prioritizing care using the ABC framework. Which problem
receives priority?
A. Constipation
B. Impaired oxygenation
C. Insomnia
D. Mild nausea
Answer: B
Rationale: Airway, breathing, and circulation problems take priority because they can rapidly
become life-threatening.
,6. Which client should the nurse assign to an LPN/LVN?
A. Client requiring initial assessment after admission
B. Stable client needing routine oral medications
C. Client requiring development of a complex care plan
D. Client experiencing acute respiratory distress
Answer: B
Rationale: Stable clients with predictable care needs are generally appropriate assignments for
an LPN/LVN, depending on jurisdiction and facility policy.
7. A nurse receives an unclear prescription. What should the nurse do?
A. Interpret it independently
B. Ask another nurse to interpret it
C. Clarify the prescription with the prescribing clinician
D. Administer the medication at half dose
Answer: C
Rationale: Unclear prescriptions should be clarified before administration to prevent medication
errors.
8. Which action demonstrates appropriate informed consent practice?
A. The nurse explains all surgical risks independently
B. The nurse witnesses the client's signature after the provider explains the procedure
C. The nurse signs for a sedated client
D. The nurse obtains consent after administering a sedative
Answer: B
Rationale: The provider performing the procedure generally explains the procedure, risks,
benefits, and alternatives. The nurse may witness the signature according to policy.
9. A nurse is caring for a client who refuses a prescribed treatment. Which action
is appropriate?
, A. Force the treatment
B. Threaten discharge
C. Assess understanding and provide information
D. Ask the family to consent instead
Answer: C
Rationale: A competent adult has the right to refuse treatment. The nurse should assess
understanding, provide education, and communicate the refusal to the appropriate provider.
10. Which finding requires immediate intervention?
A. Temperature 37.2°C
B. Respiratory rate 8/min after opioid administration
C. Heart rate 82/min
D. Blood pressure 124/76 mm Hg
Answer: B
Rationale: Respiratory depression following opioid administration is potentially life-threatening
and requires immediate assessment and intervention.
11. A client is experiencing a sudden change in mental status. Which assessment
is the priority?
A. Favorite foods
B. Airway, breathing, and circulation
C. Sleep schedule
D. Educational level
Answer: B
Rationale: Physiologic instability must be addressed before less urgent information.
12. Which documentation entry is most appropriate?
A. “Patient seems bad.”
B. “Patient had a terrible night.”
C. “Client reports incisional pain of 7/10.”
D. “Patient is acting weird.”
