Capstone Exam 3 2025|Actual Exam Test(MULTIPLE
CHOICES) and (RATIONALES) questions and verified
answers |GET IT 100% ACCURATE!!
The nurse is preparing to receive an 18-month-old client from surgery who had
repair of a congenital hip deformity. What type of traction does the nurse
anticipate setting up for the client? - (ANSWER)Bryant's Traction
The nurse is caring for a client whose lab results show triglycerides of 380 and
cholesterol level of 240. Which foods would the nurse educate the client about
including in his diet when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
C. an egg-white omelet with vegetables
D. natural honey from a local farmer's market
E. plain grilled steak prepared with pepper only - (ANSWER)b. grilled salmon
seasoned with herbs
c. an egg-white omelet with vegetables
The nurse is discharging a client who was prescribed prednisone. The nurse tells
the client that one of the side effects may be impaired sleep. The client says, "I
already have a hard time sleeping. What can I do to help with that?" Which
recommendations should the nurse make? Select all that apply.
A. avoid alcohol late in the evening
,B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F. do a vigorous exercise routine after work to help him become tired -
(ANSWER)a. avoid alcohol late in the evening
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is preparing to discharge a client who was treated for tuberculosis.
Which guidelines for home management should the nurse include in his discharge
teaching? Select all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible side
effects and their management. - (ANSWER)b. the family should maintain
respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
d. the client may return to work when three sputum cultures are negative
,The nurse is caring for a client who has a nasogastric tube for medication
administration and tube feedings. How should the nurse care for the tube during
her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300 mL
E. check under the adhesive tape on the nose daily to assess for skin breakdown
F. assess the bowel sounds before feeding, and feed at half the rate if bowel
sounds are absent - (ANSWER)c. maintain the head of bed in a high-Fowler's
position during feedings
e. check under the adhesive tape on the nose daily to assess for skin breakdown
The nurse is teaching a group of nursing students about proper client positioning.
Which statement by a student nurse indicates an understanding of proper
positioning?
A. A client receiving an enema should be placed on the right side in the Sims'
position.
B. A client with a below-the-knee amputation should be positioned with the
affected limb elevated at a 45-degree angle. C. Clients with pulmonary edema
should be positioned upright with the legs dangling over the side of the bed.
, D. Clients with a craniotomy should be positioned with the head of bed at a 20-
degree angle with the head in a neutral, midline position. - (ANSWER)c. clients
with pulmonary edema should be positioned upright with the legs dangling over
the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which should be
included in the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D. sitting up in
the chair for all meals and during visitation time - (ANSWER)a. bed rest with the
affected extremity elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse strokes
from the heel of the foot upward toward the ball, the infant exhibits no
movement. Which action is the priority for the nurse?
A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D. ask how much formula the infant consumes daily - (ANSWER)b. order a
neurology consult
CHOICES) and (RATIONALES) questions and verified
answers |GET IT 100% ACCURATE!!
The nurse is preparing to receive an 18-month-old client from surgery who had
repair of a congenital hip deformity. What type of traction does the nurse
anticipate setting up for the client? - (ANSWER)Bryant's Traction
The nurse is caring for a client whose lab results show triglycerides of 380 and
cholesterol level of 240. Which foods would the nurse educate the client about
including in his diet when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
C. an egg-white omelet with vegetables
D. natural honey from a local farmer's market
E. plain grilled steak prepared with pepper only - (ANSWER)b. grilled salmon
seasoned with herbs
c. an egg-white omelet with vegetables
The nurse is discharging a client who was prescribed prednisone. The nurse tells
the client that one of the side effects may be impaired sleep. The client says, "I
already have a hard time sleeping. What can I do to help with that?" Which
recommendations should the nurse make? Select all that apply.
A. avoid alcohol late in the evening
,B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F. do a vigorous exercise routine after work to help him become tired -
(ANSWER)a. avoid alcohol late in the evening
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is preparing to discharge a client who was treated for tuberculosis.
Which guidelines for home management should the nurse include in his discharge
teaching? Select all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible side
effects and their management. - (ANSWER)b. the family should maintain
respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
d. the client may return to work when three sputum cultures are negative
,The nurse is caring for a client who has a nasogastric tube for medication
administration and tube feedings. How should the nurse care for the tube during
her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300 mL
E. check under the adhesive tape on the nose daily to assess for skin breakdown
F. assess the bowel sounds before feeding, and feed at half the rate if bowel
sounds are absent - (ANSWER)c. maintain the head of bed in a high-Fowler's
position during feedings
e. check under the adhesive tape on the nose daily to assess for skin breakdown
The nurse is teaching a group of nursing students about proper client positioning.
Which statement by a student nurse indicates an understanding of proper
positioning?
A. A client receiving an enema should be placed on the right side in the Sims'
position.
B. A client with a below-the-knee amputation should be positioned with the
affected limb elevated at a 45-degree angle. C. Clients with pulmonary edema
should be positioned upright with the legs dangling over the side of the bed.
, D. Clients with a craniotomy should be positioned with the head of bed at a 20-
degree angle with the head in a neutral, midline position. - (ANSWER)c. clients
with pulmonary edema should be positioned upright with the legs dangling over
the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which should be
included in the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D. sitting up in
the chair for all meals and during visitation time - (ANSWER)a. bed rest with the
affected extremity elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse strokes
from the heel of the foot upward toward the ball, the infant exhibits no
movement. Which action is the priority for the nurse?
A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D. ask how much formula the infant consumes daily - (ANSWER)b. order a
neurology consult
