CAPSTONE EXAM 1 WITH
CORRECT ANSWERS
2025
A Nurse is caring for a clients on the med-surg unit. Which client is
most at risk
develop a nosocomial
to
infection?
A- clinet with alcohol abuse admitted for
B- Client with Type I diabetes and peripheral
detox
C- Client recovering from a
neuropathy
D- Client with full thickness burns, an NG tube and a Foley
choleystectomy ( correct
answers
Full thickness
) D- burn, NG tube and
*Think immunosupression and avenues for
Foley
infection
A nurse is caring for clients in the ICU. Which client may be transferred
to the neuro
down step-
unit?
A- Client with head injury and
B- Client with an ischemic stroke 4 days ago with
seizure
confusion
C- Client who is 1-day post op after a transshpenoidal craniotomy with a
cerebrospinal
fluid
leak
D-Client with bacterial meningitis and a Glasgow coma sale of 7 ( correct
answers
B- client )with an ischemic stroke 4 days ago with
confusion.
*Think what is normal and what is abnormal- who is
most stable
After a change of shift, you are assinged to care for the following clients,
Which client
should you assess
first?
A- 60 year old client on a ventilator for whom a sterile sputum specimen
must
to thebe sent
B- 55 year old with COPD and a pulse oximetry reading from the previous
lab
shift
C- 70ofyear
90%old with pneumonia who needs to be started on IV
D- 50 year old with asthma who complains of shortness of breath
antibiotics
after using a ( correct answers ) D- 50 year old with asthma who
bronchodilator
complains of
shortness of breath after using a
*Think ABCs, also not the desired effect of the brochodilator
brochodilator
treatment; should be
improve
d.
The nurse just received report on the surgical ward. Which client should
be assessed
first
?
A- Peptic ulcer disease scheduled for a laparosopic choleycystectomy
in 4 hours
GRADED
A+
, B- Multiple injuries after a motor vehicle
C- Graves disease scheduled for a
crash
D- Post-appendectomy waiting for discharge
thyroidectomy ( correct answers )
B- multiple
injuries following a motor vehicle
*think who is most unstable
crash
A hospital will receive a large number of clients because of a magor
disaster in the city. Which client can be discharged first?
A- 49 year old female 24 hours postop after hysterectomy
B- 66 year old male 5 days post op after total hip
C- 79 year old female admitted 12 hours ago with
replacement
D- 82 year old female admitted 5 days ago with a stage 3 pressure
pyrlonephritis
ulcer
answers ) B- 66 year old male 5 days post op after total hip
( correct
*think
replacement
who is most stable and would be safest to
go home
A nurse just received report on her client's at the first of the shift. Which
client should be assessed first?
A- 45 year old woman with a BP of 90/60 and hot, dry skin
B- 37 year old man with BP 130/70, sleeping quietly
in his
C- bed old woman with fruity breath, excessive thrist and
25 year
polyphagia
D- 16 year old boy with irritability and tremor ( correct answers ) C-
25 year with
woman old fruity breath, excessive thirst and
polyphagia
*who is showing definite signs of a problem not just questionable
ones
The staff nurse receives on her assignment for the shift. Which client
should she assess first?
A-
B- A client reporting a headache
with frequent with a pain
watery diarrhea, score 3/10
abdominal
pain,
C- A client
nausea with respirations of 20 and O2 sat of 94%
on A
D- room
client
aitwith nausea after taking oral contrast for abdominal CT scan
answers ) B- A client with frequent watery diarrhea, abdominal pain
( correct
and nausea
*think about dehyration and electrolyte
inbalance
The client with COPD tells the CNA that he did not get his annual flu shot
this not
has yearhad
anda pneumonia vaccination. You would be sure to instruct the
CNA toofreport
which these?
A- Blood pressure of 152/84
mmHg
B- Respiratory rate of 27 breaths per
minute
C- Heart rate of 92
beats/min
D- Oral temperature of 38.4 ( correct answers ) D- Oral
temperature of 38.4
GRADED
A+
CORRECT ANSWERS
2025
A Nurse is caring for a clients on the med-surg unit. Which client is
most at risk
develop a nosocomial
to
infection?
A- clinet with alcohol abuse admitted for
B- Client with Type I diabetes and peripheral
detox
C- Client recovering from a
neuropathy
D- Client with full thickness burns, an NG tube and a Foley
choleystectomy ( correct
answers
Full thickness
) D- burn, NG tube and
*Think immunosupression and avenues for
Foley
infection
A nurse is caring for clients in the ICU. Which client may be transferred
to the neuro
down step-
unit?
A- Client with head injury and
B- Client with an ischemic stroke 4 days ago with
seizure
confusion
C- Client who is 1-day post op after a transshpenoidal craniotomy with a
cerebrospinal
fluid
leak
D-Client with bacterial meningitis and a Glasgow coma sale of 7 ( correct
answers
B- client )with an ischemic stroke 4 days ago with
confusion.
*Think what is normal and what is abnormal- who is
most stable
After a change of shift, you are assinged to care for the following clients,
Which client
should you assess
first?
A- 60 year old client on a ventilator for whom a sterile sputum specimen
must
to thebe sent
B- 55 year old with COPD and a pulse oximetry reading from the previous
lab
shift
C- 70ofyear
90%old with pneumonia who needs to be started on IV
D- 50 year old with asthma who complains of shortness of breath
antibiotics
after using a ( correct answers ) D- 50 year old with asthma who
bronchodilator
complains of
shortness of breath after using a
*Think ABCs, also not the desired effect of the brochodilator
brochodilator
treatment; should be
improve
d.
The nurse just received report on the surgical ward. Which client should
be assessed
first
?
A- Peptic ulcer disease scheduled for a laparosopic choleycystectomy
in 4 hours
GRADED
A+
, B- Multiple injuries after a motor vehicle
C- Graves disease scheduled for a
crash
D- Post-appendectomy waiting for discharge
thyroidectomy ( correct answers )
B- multiple
injuries following a motor vehicle
*think who is most unstable
crash
A hospital will receive a large number of clients because of a magor
disaster in the city. Which client can be discharged first?
A- 49 year old female 24 hours postop after hysterectomy
B- 66 year old male 5 days post op after total hip
C- 79 year old female admitted 12 hours ago with
replacement
D- 82 year old female admitted 5 days ago with a stage 3 pressure
pyrlonephritis
ulcer
answers ) B- 66 year old male 5 days post op after total hip
( correct
*think
replacement
who is most stable and would be safest to
go home
A nurse just received report on her client's at the first of the shift. Which
client should be assessed first?
A- 45 year old woman with a BP of 90/60 and hot, dry skin
B- 37 year old man with BP 130/70, sleeping quietly
in his
C- bed old woman with fruity breath, excessive thrist and
25 year
polyphagia
D- 16 year old boy with irritability and tremor ( correct answers ) C-
25 year with
woman old fruity breath, excessive thirst and
polyphagia
*who is showing definite signs of a problem not just questionable
ones
The staff nurse receives on her assignment for the shift. Which client
should she assess first?
A-
B- A client reporting a headache
with frequent with a pain
watery diarrhea, score 3/10
abdominal
pain,
C- A client
nausea with respirations of 20 and O2 sat of 94%
on A
D- room
client
aitwith nausea after taking oral contrast for abdominal CT scan
answers ) B- A client with frequent watery diarrhea, abdominal pain
( correct
and nausea
*think about dehyration and electrolyte
inbalance
The client with COPD tells the CNA that he did not get his annual flu shot
this not
has yearhad
anda pneumonia vaccination. You would be sure to instruct the
CNA toofreport
which these?
A- Blood pressure of 152/84
mmHg
B- Respiratory rate of 27 breaths per
minute
C- Heart rate of 92
beats/min
D- Oral temperature of 38.4 ( correct answers ) D- Oral
temperature of 38.4
GRADED
A+
