NR 452 Capstone Course Week 5 Practice Quiz 2026 |Chamberlain
College
1. Which client should the nurse assess first after receiving the morning shift
report?
A. A client with a history of heart failure reporting 2+ pitting edema.
B. A client who had a hip replacement 24 hours ago and is complaining of pain.
C. A client with pneumonia who has an oxygen saturation of 89% on room air.
D. A client with a chest tube who has 100 mL of drainage in the last hour.
Answer: C
Rationale: Prioritization follows ABCs (Airway, Breathing, Circulation). A client with an
oxygen saturation of 89% is experiencing a breathing issue and requires immediate
intervention.
2. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is appropriate to delegate?
A. Feeding a client with a high risk of aspiration.
B. Performing an admission assessment on a new client.
C. Evaluating the effectiveness of a pain medication.
D. Measuring and recording vital signs on a stable client.
Answer: D
Rationale: UAPs can perform routine tasks on stable clients, such as vital signs.
Assessment, evaluation, and high-risk feeding require the clinical judgment of a nurse.
,3. A nurse manager is discussing the budget for the upcoming year. Which type
of budget accounts for the purchase of a new MRI machine?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash flow budget
Answer: C
Rationale: The capital budget involves large-scale, long-term investments in equipment or
infrastructure, such as medical machines or building renovations.
4. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with little to no input from subordinates.
5. A nurse is caring for a client who refuses a scheduled blood transfusion for
religious reasons. Which ethical principle is the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Veracity
Answer: A
Rationale: Autonomy refers to the client’s right to make their own healthcare decisions,
even if the nurse or provider disagrees.
, 6. During a staff meeting, two nurses disagree on the holiday schedule. The
manager suggests they each give up one preferred day to reach an agreement.
This is an example of:
A. Competing
B. Compromising
C. Avoiding
D. Accommodating
Answer: B
Rationale: Compromising involves both parties giving something up to reach a mutually
acceptable solution.
7. What is the primary purpose of a Root Cause Analysis (RCA)?
A. To assign blame to the individual who made a mistake.
B. To provide a basis for terminating an employee.
C. To identify system failures that contributed to an adverse event.
D. To satisfy legal requirements for hospital accreditation only.
Answer: C
Rationale: An RCA focuses on identifying underlying system problems rather than blaming
individuals, with the goal of preventing future occurrences.
8. Which task can be safely delegated to a Licensed Practical Nurse (LPN)?
A. Administering oral medications to a stable client.
B. Creating the initial nursing care plan for a new admission.
C. Giving an IV push medication for cardiac arrest.
D. Teaching a client how to manage a new insulin pump.
Answer: A
Rationale: LPNs can administer most medications (except usually IV push in many states)
and care for stable clients. Planning and complex teaching are RN responsibilities.
College
1. Which client should the nurse assess first after receiving the morning shift
report?
A. A client with a history of heart failure reporting 2+ pitting edema.
B. A client who had a hip replacement 24 hours ago and is complaining of pain.
C. A client with pneumonia who has an oxygen saturation of 89% on room air.
D. A client with a chest tube who has 100 mL of drainage in the last hour.
Answer: C
Rationale: Prioritization follows ABCs (Airway, Breathing, Circulation). A client with an
oxygen saturation of 89% is experiencing a breathing issue and requires immediate
intervention.
2. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is appropriate to delegate?
A. Feeding a client with a high risk of aspiration.
B. Performing an admission assessment on a new client.
C. Evaluating the effectiveness of a pain medication.
D. Measuring and recording vital signs on a stable client.
Answer: D
Rationale: UAPs can perform routine tasks on stable clients, such as vital signs.
Assessment, evaluation, and high-risk feeding require the clinical judgment of a nurse.
,3. A nurse manager is discussing the budget for the upcoming year. Which type
of budget accounts for the purchase of a new MRI machine?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash flow budget
Answer: C
Rationale: The capital budget involves large-scale, long-term investments in equipment or
infrastructure, such as medical machines or building renovations.
4. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with little to no input from subordinates.
5. A nurse is caring for a client who refuses a scheduled blood transfusion for
religious reasons. Which ethical principle is the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Veracity
Answer: A
Rationale: Autonomy refers to the client’s right to make their own healthcare decisions,
even if the nurse or provider disagrees.
, 6. During a staff meeting, two nurses disagree on the holiday schedule. The
manager suggests they each give up one preferred day to reach an agreement.
This is an example of:
A. Competing
B. Compromising
C. Avoiding
D. Accommodating
Answer: B
Rationale: Compromising involves both parties giving something up to reach a mutually
acceptable solution.
7. What is the primary purpose of a Root Cause Analysis (RCA)?
A. To assign blame to the individual who made a mistake.
B. To provide a basis for terminating an employee.
C. To identify system failures that contributed to an adverse event.
D. To satisfy legal requirements for hospital accreditation only.
Answer: C
Rationale: An RCA focuses on identifying underlying system problems rather than blaming
individuals, with the goal of preventing future occurrences.
8. Which task can be safely delegated to a Licensed Practical Nurse (LPN)?
A. Administering oral medications to a stable client.
B. Creating the initial nursing care plan for a new admission.
C. Giving an IV push medication for cardiac arrest.
D. Teaching a client how to manage a new insulin pump.
Answer: A
Rationale: LPNs can administer most medications (except usually IV push in many states)
and care for stable clients. Planning and complex teaching are RN responsibilities.
