NR 452 Capstone Course - Week 4 Study Guide 2026 |Chamberlain
College
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a central line
B. Evaluating a client’s response to pain medication
C. Assisting a stable client with ambulation and hygiene
D. Providing discharge education to a client post-surgery
Answer: C
Rationale: The scope of practice for AP includes ADLs and tasks for stable clients. Sterile
dressing changes, evaluation, and education require the judgment of a licensed nurse.
2. A nurse is managing care for a group of clients. Which client should the nurse
assess first?
A. A client who is 1 day post-op and reports pain of 6 on a 1-10 scale
B. A client with asthma who has a new onset of wheezing and restlessness
C. A client with a history of heart failure who has 2+ pitting edema
D. A client who is scheduled for physical therapy in 30 minutes
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, a client with asthma
and new onset wheezing/restlessness is the priority due to potential airway compromise.
,3. In the process of conflict resolution, which strategy involves both parties
giving up something to reach a solution?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where both parties sacrifice
something to reach a common goal.
4. A nurse manager is discussing the principle of veracity with the staff. Which
of the following is an example of veracity?
A. Allowing a client to make their own decisions about treatment
B. Providing the same level of care to all clients regardless of status
C. Telling the truth to a client about a medication error
D. Keeping a promise to return to a client’s room at a specific time
Answer: C
Rationale: Veracity refers to the duty to tell the truth. Disclosing a medication error is a
direct application of this principle.
5. A nurse is caring for a client who is refusing a blood transfusion for religious
reasons. Which ethical principle is the nurse supporting?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the right of the client to make their own decisions about their
healthcare, even if the nurse disagrees.
, 6. Which of the following is a primary goal of a Quality Improvement (QI)
program in a hospital setting?
A. To identify specific staff members who make errors
B. To reduce the hospital’s budget for nursing staff
C. To improve client outcomes and safety through system changes
D. To eliminate the need for incident reports
Answer: C
Rationale: QI focuses on improving processes and systems to enhance client safety and
outcomes, rather than blaming individuals.
7. A nurse is caring for a client who is in restraints. How often should the nurse
document the client’s status and safety?
A. Every 4 hours
B. Every 2 hours
C. Every 15 to 30 minutes
D. Once per shift
Answer: C
Rationale: Safety protocols for restraints require frequent monitoring (usually every 15-
30 mins) for circulation, skin integrity, and the need for continued restraint.
8. Which leadership style is characterized by the leader making decisions
without input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leaders make decisions independently and maintain high control
over the group.
College
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a central line
B. Evaluating a client’s response to pain medication
C. Assisting a stable client with ambulation and hygiene
D. Providing discharge education to a client post-surgery
Answer: C
Rationale: The scope of practice for AP includes ADLs and tasks for stable clients. Sterile
dressing changes, evaluation, and education require the judgment of a licensed nurse.
2. A nurse is managing care for a group of clients. Which client should the nurse
assess first?
A. A client who is 1 day post-op and reports pain of 6 on a 1-10 scale
B. A client with asthma who has a new onset of wheezing and restlessness
C. A client with a history of heart failure who has 2+ pitting edema
D. A client who is scheduled for physical therapy in 30 minutes
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, a client with asthma
and new onset wheezing/restlessness is the priority due to potential airway compromise.
,3. In the process of conflict resolution, which strategy involves both parties
giving up something to reach a solution?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where both parties sacrifice
something to reach a common goal.
4. A nurse manager is discussing the principle of veracity with the staff. Which
of the following is an example of veracity?
A. Allowing a client to make their own decisions about treatment
B. Providing the same level of care to all clients regardless of status
C. Telling the truth to a client about a medication error
D. Keeping a promise to return to a client’s room at a specific time
Answer: C
Rationale: Veracity refers to the duty to tell the truth. Disclosing a medication error is a
direct application of this principle.
5. A nurse is caring for a client who is refusing a blood transfusion for religious
reasons. Which ethical principle is the nurse supporting?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the right of the client to make their own decisions about their
healthcare, even if the nurse disagrees.
, 6. Which of the following is a primary goal of a Quality Improvement (QI)
program in a hospital setting?
A. To identify specific staff members who make errors
B. To reduce the hospital’s budget for nursing staff
C. To improve client outcomes and safety through system changes
D. To eliminate the need for incident reports
Answer: C
Rationale: QI focuses on improving processes and systems to enhance client safety and
outcomes, rather than blaming individuals.
7. A nurse is caring for a client who is in restraints. How often should the nurse
document the client’s status and safety?
A. Every 4 hours
B. Every 2 hours
C. Every 15 to 30 minutes
D. Once per shift
Answer: C
Rationale: Safety protocols for restraints require frequent monitoring (usually every 15-
30 mins) for circulation, skin integrity, and the need for continued restraint.
8. Which leadership style is characterized by the leader making decisions
without input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leaders make decisions independently and maintain high control
over the group.
