CAPSTONE EXAM #ONE~~~ UPDATED ACTUAL
QUESTIONS WITH CORRECT ANSWERS
Question 1.
1. A client who had a cast applied to their right lower arm two days ago presents to the Emergency
Department with burning pain, paresthesia of the casted extremity, and cool and pale skin to the
extremity. Which condition should the nurse suspect?
ANSWER
Compartment syndrome
Question 2.
2. The nurse evaluates a client's voiding pat tern to detect potential issues. Which questions should
the nurse ask? Select all that apply. One, some, or all may be correct
ANSWER
-
-Do you frequently need to get up to urinate at night?"
-"Does your bladder feel empty after voiding?"
- "Do you void at least every 8 hours?"
- "Has the appearance of your urine changed?"
Question 3.
3. A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination.
Which menu option should the nurse recommend?
ANSWER
Grape and walnut chicken salad sandwich on whole wheat bread
Question 4.
4. When using ice massage for pain relief, which of the following is correct? Drag and drop the
correct answers.
ANSWER
-Apply ice using firm pressure over the skin.
-Apply ice for 5 minutes or until numbness occurs.
-Use a slow, circular steady massage
, Question 5.
5. The nurse prepares to bathe a bedridden client. Which guideline is correct regarding this
procedure?
ANSWER
Close the client's door and windows to prevent drafts.
Question 6.
6. The nurse cares for a group of clients. Which clients have an increased risk of falls? Drag and drop
the correct answers.
ANSWER
-67-year old client with a shuffling gait
-72-year old client who is oriented X 1
-48-year old client who receives frequent
Question 7.
7. The nurse is monitoring a client who is taking propranolol. Their vitals before administration are:
BP 214/110, HR 130, RR 16, 02 sat 95% on 2 L per nasal cannula. Which assessment finding indicates
a potential adverse complication associated with this medication?
ANSWER
Development of expiratory wheezes
Question 8.
8. The nurse cares for a client with acute abdominal pain rated 10/10. The client has been advised to
incorporate various non-pharmacological pain interventions such as applying heat or cold to the
abdomen, med itating, and imagery. Which finding is the best indicator of a successful outcome of
those interventions?
ANSWER
Client states they are "more comfortable"
-
Question 9.
9. The nurse cares for a group of clients. Which client has the highest risk of skin breakdown?
ANSWER
The 34-year old wheelchair-bound client
QUESTIONS WITH CORRECT ANSWERS
Question 1.
1. A client who had a cast applied to their right lower arm two days ago presents to the Emergency
Department with burning pain, paresthesia of the casted extremity, and cool and pale skin to the
extremity. Which condition should the nurse suspect?
ANSWER
Compartment syndrome
Question 2.
2. The nurse evaluates a client's voiding pat tern to detect potential issues. Which questions should
the nurse ask? Select all that apply. One, some, or all may be correct
ANSWER
-
-Do you frequently need to get up to urinate at night?"
-"Does your bladder feel empty after voiding?"
- "Do you void at least every 8 hours?"
- "Has the appearance of your urine changed?"
Question 3.
3. A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination.
Which menu option should the nurse recommend?
ANSWER
Grape and walnut chicken salad sandwich on whole wheat bread
Question 4.
4. When using ice massage for pain relief, which of the following is correct? Drag and drop the
correct answers.
ANSWER
-Apply ice using firm pressure over the skin.
-Apply ice for 5 minutes or until numbness occurs.
-Use a slow, circular steady massage
, Question 5.
5. The nurse prepares to bathe a bedridden client. Which guideline is correct regarding this
procedure?
ANSWER
Close the client's door and windows to prevent drafts.
Question 6.
6. The nurse cares for a group of clients. Which clients have an increased risk of falls? Drag and drop
the correct answers.
ANSWER
-67-year old client with a shuffling gait
-72-year old client who is oriented X 1
-48-year old client who receives frequent
Question 7.
7. The nurse is monitoring a client who is taking propranolol. Their vitals before administration are:
BP 214/110, HR 130, RR 16, 02 sat 95% on 2 L per nasal cannula. Which assessment finding indicates
a potential adverse complication associated with this medication?
ANSWER
Development of expiratory wheezes
Question 8.
8. The nurse cares for a client with acute abdominal pain rated 10/10. The client has been advised to
incorporate various non-pharmacological pain interventions such as applying heat or cold to the
abdomen, med itating, and imagery. Which finding is the best indicator of a successful outcome of
those interventions?
ANSWER
Client states they are "more comfortable"
-
Question 9.
9. The nurse cares for a group of clients. Which client has the highest risk of skin breakdown?
ANSWER
The 34-year old wheelchair-bound client
