NR 452 Capstone Course Week 6 Comprehensive Study Guide 2026
|Chamberlain College
1. A nurse is caring for a client who is post-operative. Which of the following
tasks is appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
A. Changing a sterile dressing on a central line
B. Assisting the client with basic hygiene and grooming
C. Assisting the client with ambulation for the first time post-surgery
D. Providing discharge instructions regarding wound care
Answer: B
Rationale: UAPs are responsible for activities of daily living (ADLs) and basic care tasks
that do not require clinical judgment or assessment. Hygiene and grooming fall under this
scope.
2. A nurse is using the SBAR communication tool to report a change in a client’s
status to a provider. Which of the following statements should the nurse include
in the ‘Background’ section?
A. The client’s heart rate has increased to 110 beats per minute.
B. The client has a history of congestive heart failure and was admitted yesterday.
C. I suggest we obtain a chest X-ray and a set of cardiac enzymes.
D. The client is experiencing shortness of breath and chest tightness.
Answer: B
Rationale: The Background section of SBAR includes relevant clinical history, admission
diagnosis, and pertinent data leading up to the current situation.
,3. A charge nurse is observing a newly licensed nurse provide care for a group of
clients. Which of the following actions indicates the new nurse is practicing
effective time management?
A. Waiting to document all cares at the end of the shift
B. Performing high-priority tasks only after routine tasks are finished
C. Answering all call lights personally before completing scheduled tasks
D. Grouping activities for a single client to minimize entries into the room
Answer: D
Rationale: Grouping or ‘clustering’ care is a key time management strategy that increases
efficiency and allows for longer periods of uninterrupted rest for the client.
4. Which ethical principle is a nurse demonstrating when they uphold a
commitment to provide life-saving care regardless of a client’s socioeconomic
status?
A. Justice
B. Autonomy
C. Fidelity
D. Nonmaleficence
Answer: A
Rationale: Justice refers to the fair and equitable distribution of resources and treatment
for all clients regardless of their background or status.
5. A nurse is planning care for four clients. Which client should the nurse assess
first?
A. A client with a knee replacement reporting pain as 7 out of 10
B. A client who is 2 days post-appendectomy and needs a dressing change
C. A client with diabetes whose pre-meal glucose was 150 mg/dL
D. A client with pneumonia who has an oxygen saturation of 88% on room air
Answer: D
, Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with low
oxygen saturation (Breathing) takes priority over stable pain, glucose levels, or routine
wound care.
6. A nurse manager is discussing the budget for the upcoming fiscal year. Which
type of budget covers the cost of large equipment, such as new ventilators or
infusion pumps?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Rationale: A capital budget is used for long-term investments and expensive items that
have a lifespan of more than one year, such as medical machinery.
7. A nurse is teaching a client about a living will. Which of the following
statements by the client indicates an understanding of the teaching?
A. A living will allows me to specify which medical treatments I want if I cannot speak for myself.
B. I need to appoint a family member to make decisions for me if I am incapacitated.
C. My lawyer is the only person who can keep a copy of this document.
D. I can only create a living will if I am currently diagnosed with a terminal illness.
Answer: A
Rationale: A living will is a legal document that specifies a client’s preferences regarding
medical treatments (like intubation) if they become terminally ill or permanently
unconscious.
|Chamberlain College
1. A nurse is caring for a client who is post-operative. Which of the following
tasks is appropriate for the nurse to delegate to an unlicensed assistive
personnel (UAP)?
A. Changing a sterile dressing on a central line
B. Assisting the client with basic hygiene and grooming
C. Assisting the client with ambulation for the first time post-surgery
D. Providing discharge instructions regarding wound care
Answer: B
Rationale: UAPs are responsible for activities of daily living (ADLs) and basic care tasks
that do not require clinical judgment or assessment. Hygiene and grooming fall under this
scope.
2. A nurse is using the SBAR communication tool to report a change in a client’s
status to a provider. Which of the following statements should the nurse include
in the ‘Background’ section?
A. The client’s heart rate has increased to 110 beats per minute.
B. The client has a history of congestive heart failure and was admitted yesterday.
C. I suggest we obtain a chest X-ray and a set of cardiac enzymes.
D. The client is experiencing shortness of breath and chest tightness.
Answer: B
Rationale: The Background section of SBAR includes relevant clinical history, admission
diagnosis, and pertinent data leading up to the current situation.
,3. A charge nurse is observing a newly licensed nurse provide care for a group of
clients. Which of the following actions indicates the new nurse is practicing
effective time management?
A. Waiting to document all cares at the end of the shift
B. Performing high-priority tasks only after routine tasks are finished
C. Answering all call lights personally before completing scheduled tasks
D. Grouping activities for a single client to minimize entries into the room
Answer: D
Rationale: Grouping or ‘clustering’ care is a key time management strategy that increases
efficiency and allows for longer periods of uninterrupted rest for the client.
4. Which ethical principle is a nurse demonstrating when they uphold a
commitment to provide life-saving care regardless of a client’s socioeconomic
status?
A. Justice
B. Autonomy
C. Fidelity
D. Nonmaleficence
Answer: A
Rationale: Justice refers to the fair and equitable distribution of resources and treatment
for all clients regardless of their background or status.
5. A nurse is planning care for four clients. Which client should the nurse assess
first?
A. A client with a knee replacement reporting pain as 7 out of 10
B. A client who is 2 days post-appendectomy and needs a dressing change
C. A client with diabetes whose pre-meal glucose was 150 mg/dL
D. A client with pneumonia who has an oxygen saturation of 88% on room air
Answer: D
, Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with low
oxygen saturation (Breathing) takes priority over stable pain, glucose levels, or routine
wound care.
6. A nurse manager is discussing the budget for the upcoming fiscal year. Which
type of budget covers the cost of large equipment, such as new ventilators or
infusion pumps?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Rationale: A capital budget is used for long-term investments and expensive items that
have a lifespan of more than one year, such as medical machinery.
7. A nurse is teaching a client about a living will. Which of the following
statements by the client indicates an understanding of the teaching?
A. A living will allows me to specify which medical treatments I want if I cannot speak for myself.
B. I need to appoint a family member to make decisions for me if I am incapacitated.
C. My lawyer is the only person who can keep a copy of this document.
D. I can only create a living will if I am currently diagnosed with a terminal illness.
Answer: A
Rationale: A living will is a legal document that specifies a client’s preferences regarding
medical treatments (like intubation) if they become terminally ill or permanently
unconscious.
