NR 452 Capstone Course Week 4 Practice Quiz 2026 |Chamberlain
College
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client who is 24 hours post-abdominal surgery and reports a pain level of 6 on a scale of 0 to 10.
D. A client who has a scheduled dose of an oral antibiotic due in 15 minutes.
Answer: B
Rationale: New onset of confusion and restlessness in a client with pneumonia are early
signs of hypoxia (Airway/Breathing), which takes priority over stable edema, expected
post-op pain, or routine medication administration.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
of the following tasks is appropriate to delegate?
A. Evaluating the effectiveness of a client’s pain medication.
B. Assisting a stable client with ambulation for the first time after surgery.
C. Performing a sterile dressing change on a central venous catheter.
D. Recording the intake and output for a client with a history of renal failure.
Answer: D
Rationale: UAPs can perform routine tasks such as measuring intake and output.
Evaluation, initial post-op ambulation, and sterile procedures require the judgment and
skills of a licensed nurse.
,3. A nurse manager is discussing the concept of ‘justice’ during a staff meeting.
Which example best illustrates this ethical principle?
A. Ensuring that all clients on the unit receive the same level of care regardless of their insurance status.
B. Allowing a client to refuse a life-saving blood transfusion based on religious beliefs.
C. Telling the truth to a client about a medication error that occurred.
D. Keeping a promise to return to a client’s room with water within 10 minutes.
Answer: A
Rationale: Justice refers to fairness in care delivery and the equitable distribution of
resources. Refusing transfusion relates to autonomy; telling the truth relates to veracity;
keeping promises relates to fidelity.
4. A nurse is preparing to administer a medication and realizes the dosage is
higher than the recommended range. What is the nurse’s first action?
A. Administer the medication as prescribed since the provider ordered it.
B. Contact the prescribing healthcare provider to clarify the order.
C. Call the pharmacist to see if the dosage is safe.
D. Ask another nurse if they have ever given that dose before.
Answer: B
Rationale: The nurse is responsible for medication safety. If an order is questioned, the
nurse must contact the prescriber directly for clarification before administration.
5. A nurse is caring for a client who is scheduled for surgery. The client states,
‘I’m not really sure why I need this operation.’ Which action should the nurse
take?
A. Explain the risks and benefits of the surgery to the client.
B. Ask the client to sign the consent form and then call the doctor.
C. Notify the surgeon that the client needs further explanation about the procedure.
D. Reassure the client that the surgeon is highly skilled and they are in good hands.
Answer: C
, Rationale: It is the surgeon’s responsibility to provide informed consent, including risks,
benefits, and alternatives. The nurse’s role is to witness the signature and advocate for the
client if they do not understand the procedure.
6. Which of the following is an example of an objective finding in a nursing
assessment?
A. The nurse observes the client’s skin is cool and clammy.
B. The client states their pain is a 4 out of 10.
C. The client reports feeling nauseated.
D. The client complains of a headache.
Answer: A
Rationale: Objective data is observable and measurable by the nurse (signs). Subjective
data (symptoms) are what the client tells the nurse, such as pain, nausea, or a headache.
7. A nurse is caring for a client with a C. difficile infection. Which infection
control measure is most critical?
A. Washing hands with soap and water after leaving the room.
B. Using an alcohol-based hand rub after providing care.
C. Wearing a mask when entering the client’s room.
D. Placing the client in a room with positive airflow.
Answer: A
Rationale: C. difficile spores are resistant to alcohol-based sanitizers. Handwashing with
soap and water is required to physically remove the spores from the hands.
College
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client who is 24 hours post-abdominal surgery and reports a pain level of 6 on a scale of 0 to 10.
D. A client who has a scheduled dose of an oral antibiotic due in 15 minutes.
Answer: B
Rationale: New onset of confusion and restlessness in a client with pneumonia are early
signs of hypoxia (Airway/Breathing), which takes priority over stable edema, expected
post-op pain, or routine medication administration.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
of the following tasks is appropriate to delegate?
A. Evaluating the effectiveness of a client’s pain medication.
B. Assisting a stable client with ambulation for the first time after surgery.
C. Performing a sterile dressing change on a central venous catheter.
D. Recording the intake and output for a client with a history of renal failure.
Answer: D
Rationale: UAPs can perform routine tasks such as measuring intake and output.
Evaluation, initial post-op ambulation, and sterile procedures require the judgment and
skills of a licensed nurse.
,3. A nurse manager is discussing the concept of ‘justice’ during a staff meeting.
Which example best illustrates this ethical principle?
A. Ensuring that all clients on the unit receive the same level of care regardless of their insurance status.
B. Allowing a client to refuse a life-saving blood transfusion based on religious beliefs.
C. Telling the truth to a client about a medication error that occurred.
D. Keeping a promise to return to a client’s room with water within 10 minutes.
Answer: A
Rationale: Justice refers to fairness in care delivery and the equitable distribution of
resources. Refusing transfusion relates to autonomy; telling the truth relates to veracity;
keeping promises relates to fidelity.
4. A nurse is preparing to administer a medication and realizes the dosage is
higher than the recommended range. What is the nurse’s first action?
A. Administer the medication as prescribed since the provider ordered it.
B. Contact the prescribing healthcare provider to clarify the order.
C. Call the pharmacist to see if the dosage is safe.
D. Ask another nurse if they have ever given that dose before.
Answer: B
Rationale: The nurse is responsible for medication safety. If an order is questioned, the
nurse must contact the prescriber directly for clarification before administration.
5. A nurse is caring for a client who is scheduled for surgery. The client states,
‘I’m not really sure why I need this operation.’ Which action should the nurse
take?
A. Explain the risks and benefits of the surgery to the client.
B. Ask the client to sign the consent form and then call the doctor.
C. Notify the surgeon that the client needs further explanation about the procedure.
D. Reassure the client that the surgeon is highly skilled and they are in good hands.
Answer: C
, Rationale: It is the surgeon’s responsibility to provide informed consent, including risks,
benefits, and alternatives. The nurse’s role is to witness the signature and advocate for the
client if they do not understand the procedure.
6. Which of the following is an example of an objective finding in a nursing
assessment?
A. The nurse observes the client’s skin is cool and clammy.
B. The client states their pain is a 4 out of 10.
C. The client reports feeling nauseated.
D. The client complains of a headache.
Answer: A
Rationale: Objective data is observable and measurable by the nurse (signs). Subjective
data (symptoms) are what the client tells the nurse, such as pain, nausea, or a headache.
7. A nurse is caring for a client with a C. difficile infection. Which infection
control measure is most critical?
A. Washing hands with soap and water after leaving the room.
B. Using an alcohol-based hand rub after providing care.
C. Wearing a mask when entering the client’s room.
D. Placing the client in a room with positive airflow.
Answer: A
Rationale: C. difficile spores are resistant to alcohol-based sanitizers. Handwashing with
soap and water is required to physically remove the spores from the hands.
