NR 452 Capstone Course Exam 2 Study Guide 2026 |Chamberlain
College
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Evaluating a patient’s response to pain medication
B. Performing a sterile dressing change on a central line
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for AP. Evaluation, sterile procedures, and teaching require the
skills of a licensed nurse.
2. A nurse manager is using Lewin’s Change Theory to implement a new charting
system. Which action represents the ‘Unfreezing’ stage?
A. Evaluating the effectiveness of the new system
B. Providing training sessions for all staff members
C. Making the new system the permanent standard of care
D. Stating the reasons why the current system is no longer efficient
Answer: D
Rationale: Unfreezing involves creating the motivation for change by identifying problems
with the status quo. Training is part of ‘Moving’, and making it permanent is ‘Refreezing’.
,3. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the team?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic (or authoritarian) leaders maintain control and make decisions
without group participation. Democratic leaders involve the team, and Laissez-faire leaders
provide little direction.
4. A nurse is triaging victims at the scene of a mass casualty incident. A patient
has a sucking chest wound and is having difficulty breathing. Which triage tag
should the nurse apply?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
Rationale: The red tag is for immediate threats to life, such as airway or breathing issues,
that are treatable. Green is minor, yellow is delayed, and black is for the deceased or those
not expected to survive.
, 5. Using the ABC prioritization framework, which patient should the nurse
assess first?
A. A patient with a fracture requesting pain medication
B. A patient who needs a discharge teaching on insulin
C. A patient with heart failure and new onset of shortness of breath
D. A patient with a blood glucose level of 140 mg/dL
Answer: C
Rationale: Shortness of breath (Breathing) takes priority over pain, teaching, or a slightly
elevated glucose level according to the Airway-Breathing-Circulation framework.
6. An RN is assigning care to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the LPN?
A. Administering an IV push medication
B. Developing a plan of care for a new admission
C. Administering an intramuscular injection to a stable patient
D. Performing an initial assessment on a post-operative patient
Answer: C
Rationale: LPNs can administer IM medications. IV push meds, developing plans of care,
and initial assessments are typically RN responsibilities.
7. A nurse is faced with an ethical dilemma where the patient’s family wants to
withhold a terminal diagnosis from the patient. The nurse tells the patient the
truth. Which ethical principle is the nurse upholding?
A. Beneficence
B. Justice
C. Veracity
D. Fidelity
Answer: C
College
1. A nurse is delegating tasks to an Assistive Personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Evaluating a patient’s response to pain medication
B. Performing a sterile dressing change on a central line
C. Assisting a stable patient with ambulation
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for AP. Evaluation, sterile procedures, and teaching require the
skills of a licensed nurse.
2. A nurse manager is using Lewin’s Change Theory to implement a new charting
system. Which action represents the ‘Unfreezing’ stage?
A. Evaluating the effectiveness of the new system
B. Providing training sessions for all staff members
C. Making the new system the permanent standard of care
D. Stating the reasons why the current system is no longer efficient
Answer: D
Rationale: Unfreezing involves creating the motivation for change by identifying problems
with the status quo. Training is part of ‘Moving’, and making it permanent is ‘Refreezing’.
,3. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the team?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic (or authoritarian) leaders maintain control and make decisions
without group participation. Democratic leaders involve the team, and Laissez-faire leaders
provide little direction.
4. A nurse is triaging victims at the scene of a mass casualty incident. A patient
has a sucking chest wound and is having difficulty breathing. Which triage tag
should the nurse apply?
A. Red
B. Yellow
C. Green
D. Black
Answer: A
Rationale: The red tag is for immediate threats to life, such as airway or breathing issues,
that are treatable. Green is minor, yellow is delayed, and black is for the deceased or those
not expected to survive.
, 5. Using the ABC prioritization framework, which patient should the nurse
assess first?
A. A patient with a fracture requesting pain medication
B. A patient who needs a discharge teaching on insulin
C. A patient with heart failure and new onset of shortness of breath
D. A patient with a blood glucose level of 140 mg/dL
Answer: C
Rationale: Shortness of breath (Breathing) takes priority over pain, teaching, or a slightly
elevated glucose level according to the Airway-Breathing-Circulation framework.
6. An RN is assigning care to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the LPN?
A. Administering an IV push medication
B. Developing a plan of care for a new admission
C. Administering an intramuscular injection to a stable patient
D. Performing an initial assessment on a post-operative patient
Answer: C
Rationale: LPNs can administer IM medications. IV push meds, developing plans of care,
and initial assessments are typically RN responsibilities.
7. A nurse is faced with an ethical dilemma where the patient’s family wants to
withhold a terminal diagnosis from the patient. The nurse tells the patient the
truth. Which ethical principle is the nurse upholding?
A. Beneficence
B. Justice
C. Veracity
D. Fidelity
Answer: C
