NUR2811 Module 2 Exam
Nursing Capstone Actual Exam
Review- all 99 Questions and
Correct Answers with
Rationales/ NUR2811 Module
2 Exam Review/ NUR 2811
Module 2
NUR2811 Module 2 Exam: Nursing Capstone — Actual Exam Review
Exam Description: This comprehensive Module 2 examination assesses
the nursing student's mastery of prioritization, clinical decision-making,
ethical-legal principles, delegation and supervision, safety and quality
improvement, patient-centered care, cultural competency, and
interprofessional practice. The exam reflects the National Council of
State Boards of Nursing (NCSBN) Clinical Judgment Measurement
Model and emphasizes application-level reasoning required for
capstone practice. Questions are designed in NCLEX-style format with
detailed rationales to prepare students for the Nursing Capstone
Module 2 actual exam.
,Exam Structure: 300 Multiple Choice and Select-All-That-Apply
Questions with Correct Answers and Comprehensive Rationales
Time Allowed: 4 Hours
Passing Standard: 95% (285/300 correct)
SECTION I: PRIORITIZATION AND CLINICAL DECISION-MAKING
(Questions 1-55)
1. A nurse receives report on four clients. Which client should the
nurse assess first?
A) A client with chronic arthritis reporting pain of 6/10
B) A postoperative client with oxygen saturation of 86%
C) A client awaiting discharge instructions
D) A client requesting assistance to the bathroom
Correct Answer: B
Rationale: An oxygen saturation of 86% indicates significant hypoxemia
and requires immediate assessment and intervention. Airway and
breathing take priority over pain, discharge teaching, and routine
assistance.
2. Which finding requires the nurse's immediate intervention?
A) Temperature 37.4°C (99.3°F)
B) Heart rate 88/min
C) Respiratory rate 8/min after opioid administration
D) Blood pressure 128/76 mmHg
Correct Answer: C
Rationale: Opioids can cause respiratory depression. A respiratory rate
,of 8/min is clinically concerning and requires immediate assessment of
airway, breathing, oxygenation, and level of consciousness.
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
C) Pneumonia client awaiting IV antibiotics
D) Asthma client reporting shortness of breath after bronchodilator use
Correct Answer: D
Rationale: Shortness of breath after bronchodilator use suggests
worsening bronchospasm or treatment failure. This is an airway priority
(ABCs). The other clients are either stable or receiving routine care.
4. A client with diabetes has a glucose level of 62 mg/dL and is
confused. Which action should the nurse take first?
A) Document the finding and reassess in 1 hour
B) Administer 15 g of a fast-acting carbohydrate
C) Notify the provider after the client eats
D) Check the client's most recent hemoglobin A1c
Correct Answer: B
Rationale: Symptomatic hypoglycemia (glucose <70 mg/dL with
confusion) requires immediate treatment with 15 g of fast-acting
carbohydrate. Neurological deterioration can occur rapidly if untreated.
, 5. A client with leukemia is being considered for a bone marrow
transplant. The healthcare team discusses risks and benefits with the
goal of inflicting the least possible harm. Which principle of
healthcare ethics is the team practicing?
A) Justice
B) Fidelity
C) Autonomy
D) Nonmaleficence
Correct Answer: D
Rationale: Nonmaleficence is the ethical principle of avoiding harm.
The team is balancing risks and benefits to ensure the least possible
harm to the patient.
6. Which action by the nurse represents the ethical principle of
beneficence?
A) Upholding a client's decision to refuse chemotherapy
B) Following a plan of care designed to relieve pain in a client with
cancer
C) Administering an immunization to a child even though it may cause
discomfort
D) Providing equal amounts of care to all assigned clients based on
illness acuity
Correct Answer: C
Rationale: Beneficence is the ethical principle of actively doing good for
others. Although the immunization causes temporary discomfort, the
benefit of disease protection outweighs the harm. Upholding a client's
decision to refuse treatment is respecting autonomy. Following a pain
Nursing Capstone Actual Exam
Review- all 99 Questions and
Correct Answers with
Rationales/ NUR2811 Module
2 Exam Review/ NUR 2811
Module 2
NUR2811 Module 2 Exam: Nursing Capstone — Actual Exam Review
Exam Description: This comprehensive Module 2 examination assesses
the nursing student's mastery of prioritization, clinical decision-making,
ethical-legal principles, delegation and supervision, safety and quality
improvement, patient-centered care, cultural competency, and
interprofessional practice. The exam reflects the National Council of
State Boards of Nursing (NCSBN) Clinical Judgment Measurement
Model and emphasizes application-level reasoning required for
capstone practice. Questions are designed in NCLEX-style format with
detailed rationales to prepare students for the Nursing Capstone
Module 2 actual exam.
,Exam Structure: 300 Multiple Choice and Select-All-That-Apply
Questions with Correct Answers and Comprehensive Rationales
Time Allowed: 4 Hours
Passing Standard: 95% (285/300 correct)
SECTION I: PRIORITIZATION AND CLINICAL DECISION-MAKING
(Questions 1-55)
1. A nurse receives report on four clients. Which client should the
nurse assess first?
A) A client with chronic arthritis reporting pain of 6/10
B) A postoperative client with oxygen saturation of 86%
C) A client awaiting discharge instructions
D) A client requesting assistance to the bathroom
Correct Answer: B
Rationale: An oxygen saturation of 86% indicates significant hypoxemia
and requires immediate assessment and intervention. Airway and
breathing take priority over pain, discharge teaching, and routine
assistance.
2. Which finding requires the nurse's immediate intervention?
A) Temperature 37.4°C (99.3°F)
B) Heart rate 88/min
C) Respiratory rate 8/min after opioid administration
D) Blood pressure 128/76 mmHg
Correct Answer: C
Rationale: Opioids can cause respiratory depression. A respiratory rate
,of 8/min is clinically concerning and requires immediate assessment of
airway, breathing, oxygenation, and level of consciousness.
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
C) Pneumonia client awaiting IV antibiotics
D) Asthma client reporting shortness of breath after bronchodilator use
Correct Answer: D
Rationale: Shortness of breath after bronchodilator use suggests
worsening bronchospasm or treatment failure. This is an airway priority
(ABCs). The other clients are either stable or receiving routine care.
4. A client with diabetes has a glucose level of 62 mg/dL and is
confused. Which action should the nurse take first?
A) Document the finding and reassess in 1 hour
B) Administer 15 g of a fast-acting carbohydrate
C) Notify the provider after the client eats
D) Check the client's most recent hemoglobin A1c
Correct Answer: B
Rationale: Symptomatic hypoglycemia (glucose <70 mg/dL with
confusion) requires immediate treatment with 15 g of fast-acting
carbohydrate. Neurological deterioration can occur rapidly if untreated.
, 5. A client with leukemia is being considered for a bone marrow
transplant. The healthcare team discusses risks and benefits with the
goal of inflicting the least possible harm. Which principle of
healthcare ethics is the team practicing?
A) Justice
B) Fidelity
C) Autonomy
D) Nonmaleficence
Correct Answer: D
Rationale: Nonmaleficence is the ethical principle of avoiding harm.
The team is balancing risks and benefits to ensure the least possible
harm to the patient.
6. Which action by the nurse represents the ethical principle of
beneficence?
A) Upholding a client's decision to refuse chemotherapy
B) Following a plan of care designed to relieve pain in a client with
cancer
C) Administering an immunization to a child even though it may cause
discomfort
D) Providing equal amounts of care to all assigned clients based on
illness acuity
Correct Answer: C
Rationale: Beneficence is the ethical principle of actively doing good for
others. Although the immunization causes temporary discomfort, the
benefit of disease protection outweighs the harm. Upholding a client's
decision to refuse treatment is respecting autonomy. Following a pain
