CAPSTONE COURSE STUDY MODULE 2026
PRACTICE INSTRUCTION COMPLETE
PROBLEMS AND RESPONSES MANUAL
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?
PRACTICE INSTRUCTION COMPLETE
PROBLEMS AND RESPONSES MANUAL
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?
