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Exam (elaborations)

CAPSTONE FUNDAMENTALS ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS | 2025/2026 EDITION

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◉ identify the client's needs. Answer: A nurse is admitting a client who has recently developed fever, confusion, and a decreased level of consciousness. which of the following actions should the nurse take first after obtaining the client's history and assessment? ◉ dissolve crushed tablet meds in sterile water (in 15-30 mL sterile water). Answer: A nurse is planning to administer several meds to a client through a ng tube, which actions should the nurse take? ◉ Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray. Answer: A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. which of the following actions should the nurse take to prevent contamination during the dressing change? ◉ initiate droplet precaution. Answer: a nurse is admitting a client who has meningococcal meningitis, what should the nurse do first? ◉ urinary incontinence. Answer: A nurse is reviewing the health history of an OA who has a hip fracturethe nurse should identify what is a risk of developing pressure injuries? ◉ pulse deficit. Answer: a nurse is performing a focused assessment for a client who has dysrhythmias, what indicates ineffective cardiac contractions? ◉ A stand-assist lift. Answer: A nurse is preparing to transfer a client from a chair to the bed. the client can bear partial weight and has upper body strength. which of the following devices should the nurse use to transfer the patient? ◉ a client who has dehydration and IBD (inflammatory bowel disease). Answer: a charge nurse is making assignments for the upcoming shift, what assignments should the charge nurse assign to an LPN? ◉ discards the medication with another nurse as a witness. Answer: a nurse is caring for a client who has a prescription for a narcotic med, after admin the nurse is left with an unused portion, what should the nurse do? ◉ evacuate the room. Answer: a nurse enters a client's room and sees smoke coming from the trash can. which of the following actions should the nurse take first? ◉ Macule (nonpalpable smaller than 1cm, ex: freckle). Answer: a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in diameter. which of the following terms should the nurse use to document this finding? ◉ Bladder distention. Answer: a nurse is caring for a client who has an indwelling urinary catheter, what should the nurse identify as a catheter occlusion? ◉ I should wear my slippers whenever i am out of bed. Answer: A nurse is teaching about foot care to a client who has DM, what statement indicates understanding? ◉ Share with me more about the thought that are concerning you. Answer: A nurse is caring for a patient who is scheduled for a cataract surgery, the client states "is see just fine and have decided to cancel my surgery". which of the following responses should the nurse make?

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Capstone Fundamentals
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Capstone Fundamentals

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Uploaded on
May 4, 2025
Number of pages
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Written in
2024/2025
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Exam (elaborations)
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Capstone Fundamentals aCtual exam Questions
& VeriFied answers / expert study resourCe For
a+ perFormanCe | 2025/2026 edition.

◉ Wear cotton socks when oxygen is in use. Answer: a nurse is providing
discharge teaching to a client who has a prescription for home oxygen therapy
(O2), which info should the nurse teach?


◉ Place the client on their sided with their head forward. Answer: A nurse
finds a client on the floor of their room experiencing a seizure, which of the
following actions is the nurse's priority


◉ Edem. Answer: A nurse is caring for a client who reports burning around
the peripheral IV site, which finding should the nurse identify as a
manifestation of infiltration?


◉ urge suppression
b. history of chronic stimulant laxative use
c. inadequate fluid intake. Answer: a nurse is in an acute care facility is caring
for a client who is postop following abdominal surgery. which of the following
behaviors should the nurse identify as increasing the client's risk for
constipation? (SATA)


◉ Use written materials to assist with communication. Answer: a nurse is
completing an admission assessment for a client who has hearing loss, what
action should the nurse take?

, ◉ I should apply clean dressings over the top of blood saturated dressings
and hold pressure. Answer: a community health nurse is teaching a group of
clients about first aid for different types of wounds. which of the following
client statements indicates an understanding of the teaching?


◉ Response to pain medication
b. Review of ongoing discharge plan
c. Recent physical changes. Answer: a nurse is preparing a client for transfer
to another unit? which finding does the nurse include in the transfer report?
(SATA)


◉ turn on the bed alarm
b. maintain the bed in the lowest position
c. encourage the family to stay with the patient. Answer: A nurse is caring for
a client who has dementia and frequently tries to get out of bed, which of the
following actions should the nurse take? (SATA)
◉ ask the client to describe feelings. Answer: a nurse is caring for a client who
expresses anxiety about an upcoming surgery, what should the nurse do?


◉ I have a living will that outlines my wishes when I am unable to make a
decision. Answer: a nurse is reviewing info about advance directives with a newly
admitted client. which of the following statements by the client indicates an
understanding of the teaching?


◉ Smoking
b. alcohol consumption
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