NUR 450/ NUR450 Capstone Comprehensive Study Guide
for Final Exam| Actual Questions and Answers Latest
Updated (Graded A+)
1. A charge nurse at a long-term care facility ensures that the workload is distributed equally among
staff when making assignments. Which of the following ethical principles is the nurse upholding?
a. Justice
2. A charge nurse is observing a newly licensed nurse administer an enteral feeding to a client who
has an established gastrostomy tube. Which of the following actions by the newly licensed nurse indicates
that the charge nurse should intervene?
a. Nurse adds food coloring to the tube feeding
3. A newly-licensed nurse tells another nurse that their password has expired and asks for assistance
with inputting data into a client's electronic medical record. Which of the following statements should the
nurse make?
a. You won’t be able to input any data until you reset your password
4. A nurse at a long-term care facility is caring for a client who has AIDS. The client accidentally spills
the contents of their urinal on the floor. After cleaning up the spill with soap and water, the nurse should
apply a solution of water and which of the following disinfectants to the floor?
a. Bleach
5. A nurse at a pediatric clinic is checking the vital signs of a 2 week old infant. Which of the following
findings is outside of the expected reference range?
a. RR 68
6. A nurse in a provider's office is reinforcing teaching with a client about performing testicular
self-examination. Which of the following instructions should the nurse include?
a. Examine your testicles after a warm shower
7. A nurse is administering the inactivated influenza vaccine to a group of clients at a health clinic.
The nurse should recognize that which of the following conditions is a contraindication for this vaccine?
a. Allergy to gelatin
8. A nurse is assisting with the admission of a client to an acute-care unit following a suicide attempt.
Which of the following actions should the nurse take first?
a. Search clients personal belongings
9. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of the
following actions should the nurse take?
a. Determine if the client has prepared their advanced directive
10. A nurse is assisting with the care of a client who is in labor with ruptured membranes and has
herpes simplex virus with active lesion. The following actions should the nurse take?
a. Prepare client for cesarean birth
11. A nurse is assisting with the care of a client who is receiving 1 unit of packed RBCs. The client is
coughing and reports a headache and difficulty breathing. The client's vital signs indicate tachycardia and
, hypertension. The nurse should identify that the client is experiencing which of the following types of
transfusion reactions?
a. Circulatory overload
12. A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for bipolar
disorder. Which of the following findings should indicate to the nurse that the client is experiencing lithium
toxicity?
a. Dysrythmia
13. A nurse is caring for a client who has a compound fracture of the femur. Which of the following
findings should the nurse report to the provider as a manifestation of a fat embolism?
a. Petechiae over the client’s chest
14. A nurse is caring for a client who has dementia and is at risk for falls. Which of the following
preventive measures should the nurse take?
a. Bed in the lowest position
15. A nurse is caring for a client who has HF and is taking furosemide. Which of the following
statements by the client indicates a need for the nurse to intervene?
a. I have to sleep sitting up
16. A nurse is caring for a client who has vegetative signs of major depression. which of the following
actions should the nurse take?
a. Provide high-protein fluids frequently
17. A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory
findings should the nurse report to the provider?
a. Blood glucose 130
18. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and vomiting on
most days. Which of the following recommendations should the nurse make?
a. Keep your environment well ventilated
19. A nurse is caring for a client who is postoperative following a mastectomy. Which of the following
actions should the nurse take to help the client cope with the body image change resulting from the
surgery?
a. Encourage client to help care for their surgical incision
20. A nurse is caring for a client who is postpartum and asks the nurse why her newborn received a
vitamin K injection. The nurse should explain that the injection is administered in order to prevent which of
the following complications in the newborn?
a. Bleeding
21. A nurse is caring for a client who is pregnant and Rh-negative. The nurse should plan to monitor
which of the following maternal laboratory test results to determine maternal- fetal blood incompatibility?
a. Indirect coombs
22. A nurse is caring for a client who is receiving oxygen via nasal cannula at 4 L/min. Which of the
following actions should the nurse take?
a. Keep oxygen tubing off floor or clean cannula prongs daily
23. A nurse is caring for a preschooler immediately following a tonsillectomy and notices the child
swallowing frequently. Which of the following actions should the nurse take?
a. Check back of the throat with a pen light
24. A nurse is caring for a client who has dementia. Which of the following actions should the nurse
take to promote communication?
a. Face the client at eye level when communicating
for Final Exam| Actual Questions and Answers Latest
Updated (Graded A+)
1. A charge nurse at a long-term care facility ensures that the workload is distributed equally among
staff when making assignments. Which of the following ethical principles is the nurse upholding?
a. Justice
2. A charge nurse is observing a newly licensed nurse administer an enteral feeding to a client who
has an established gastrostomy tube. Which of the following actions by the newly licensed nurse indicates
that the charge nurse should intervene?
a. Nurse adds food coloring to the tube feeding
3. A newly-licensed nurse tells another nurse that their password has expired and asks for assistance
with inputting data into a client's electronic medical record. Which of the following statements should the
nurse make?
a. You won’t be able to input any data until you reset your password
4. A nurse at a long-term care facility is caring for a client who has AIDS. The client accidentally spills
the contents of their urinal on the floor. After cleaning up the spill with soap and water, the nurse should
apply a solution of water and which of the following disinfectants to the floor?
a. Bleach
5. A nurse at a pediatric clinic is checking the vital signs of a 2 week old infant. Which of the following
findings is outside of the expected reference range?
a. RR 68
6. A nurse in a provider's office is reinforcing teaching with a client about performing testicular
self-examination. Which of the following instructions should the nurse include?
a. Examine your testicles after a warm shower
7. A nurse is administering the inactivated influenza vaccine to a group of clients at a health clinic.
The nurse should recognize that which of the following conditions is a contraindication for this vaccine?
a. Allergy to gelatin
8. A nurse is assisting with the admission of a client to an acute-care unit following a suicide attempt.
Which of the following actions should the nurse take first?
a. Search clients personal belongings
9. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of the
following actions should the nurse take?
a. Determine if the client has prepared their advanced directive
10. A nurse is assisting with the care of a client who is in labor with ruptured membranes and has
herpes simplex virus with active lesion. The following actions should the nurse take?
a. Prepare client for cesarean birth
11. A nurse is assisting with the care of a client who is receiving 1 unit of packed RBCs. The client is
coughing and reports a headache and difficulty breathing. The client's vital signs indicate tachycardia and
, hypertension. The nurse should identify that the client is experiencing which of the following types of
transfusion reactions?
a. Circulatory overload
12. A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for bipolar
disorder. Which of the following findings should indicate to the nurse that the client is experiencing lithium
toxicity?
a. Dysrythmia
13. A nurse is caring for a client who has a compound fracture of the femur. Which of the following
findings should the nurse report to the provider as a manifestation of a fat embolism?
a. Petechiae over the client’s chest
14. A nurse is caring for a client who has dementia and is at risk for falls. Which of the following
preventive measures should the nurse take?
a. Bed in the lowest position
15. A nurse is caring for a client who has HF and is taking furosemide. Which of the following
statements by the client indicates a need for the nurse to intervene?
a. I have to sleep sitting up
16. A nurse is caring for a client who has vegetative signs of major depression. which of the following
actions should the nurse take?
a. Provide high-protein fluids frequently
17. A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory
findings should the nurse report to the provider?
a. Blood glucose 130
18. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and vomiting on
most days. Which of the following recommendations should the nurse make?
a. Keep your environment well ventilated
19. A nurse is caring for a client who is postoperative following a mastectomy. Which of the following
actions should the nurse take to help the client cope with the body image change resulting from the
surgery?
a. Encourage client to help care for their surgical incision
20. A nurse is caring for a client who is postpartum and asks the nurse why her newborn received a
vitamin K injection. The nurse should explain that the injection is administered in order to prevent which of
the following complications in the newborn?
a. Bleeding
21. A nurse is caring for a client who is pregnant and Rh-negative. The nurse should plan to monitor
which of the following maternal laboratory test results to determine maternal- fetal blood incompatibility?
a. Indirect coombs
22. A nurse is caring for a client who is receiving oxygen via nasal cannula at 4 L/min. Which of the
following actions should the nurse take?
a. Keep oxygen tubing off floor or clean cannula prongs daily
23. A nurse is caring for a preschooler immediately following a tonsillectomy and notices the child
swallowing frequently. Which of the following actions should the nurse take?
a. Check back of the throat with a pen light
24. A nurse is caring for a client who has dementia. Which of the following actions should the nurse
take to promote communication?
a. Face the client at eye level when communicating
