NSG 4800 COMPREHENSIVE NURSING CAPSTONE EXAMINATION EXAMINATION FORMAT Full Exam Original Practice Questions with Correct Answers & Rationales| GAURANTEED PASS WITH 170+ TEST BANK QUESTIONS 2026 CARRICULUM VERRIFIED TEST INSTANT PDF DOWNLOAD

NSG 4800 COMPREHENSIVE NURSING CAPSTONE
EXAMINATION

EXAMINATION FORMAT Full Exam Original Practice
Questions with Correct Answers & Rationales|
GAURANTEED PASS WITH 170+ TEST BANK
QUESTIONS 2026 CARRICULUM VERRIFIED TEST
INSTANT PDF DOWNLOAD


1. A charge nurse is making assignments for the upcoming shift. Which client
should be assigned to the most experienced RN?
 A. A client who is 24 hours postoperative following an appendectomy
 B. A client who has a new diagnosis of hypertension and is stable
 C. A client who is receiving chemotherapy for the first time
 D. A client who has stable angina and is awaiting discharge

Correct Answer: C
Rationale: A client receiving chemotherapy for the first time requires extensive
teaching, close monitoring for hypersensitivity reactions, and potential
management of life-threatening adverse effects. This complex care requires a
nurse with experience and strong clinical judgment. The other clients have more
predictable, lower-acuity needs .


2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the nurse to delegate to the UAP?
 A. Performing an initial assessment on a newly admitted client
 B. Teaching a client how to use an incentive spirometer
 C. Ambulating a stable client who had a stroke 3 days ago

,  D. Evaluating a client's response to a diuretic medication

Correct Answer: C
Rationale: Delegation requires assigning tasks that are routine, have a
predictable outcome, and do not require nursing judgment. Ambulating a stable
client is a standard task that can be delegated to a UAP. Assessment (A),
teaching (B), and evaluation (D) require nursing clinical judgment and cannot be
delegated .


3. The nurse manager observes that staff morale is low and nurses are leaving
the unit at high rates. Which leadership action would BEST address this
situation?
 A. Implement strict disciplinary policies to improve performance
 B. Conduct staff surveys and hold regular meetings to identify and
address concerns
 C. Increase patient assignments to keep staff busy
 D. Ignore the situation and allow it to resolve naturally

Correct Answer: B
Rationale: Effective leadership involves active listening and addressing staff
concerns. Conducting surveys and holding meetings demonstrates that
management values staff input and is committed to improving working
conditions, which can improve morale and retention .


4. The nurse is evaluating a new graduate's understanding of delegation. Which
statement by the new graduate indicates a need for further teaching?
 A. "I must ensure the task is within the scope of practice for the person I
am delegating to."
 B. "I need to provide clear direction and communication about the task."
 C. "Once I delegate the task, I am no longer accountable for it."

,  D. "I must provide appropriate supervision and evaluation."

Correct Answer: C
Rationale: The RN remains accountable for the overall care of the client even
after delegating tasks. The RN is responsible for supervision and evaluation of
the delegated task. The other statements reflect correct understanding of
delegation principles .


5. A nurse is caring for a client who is scheduled for surgery in 2 hours. The
client states, "I've changed my mind. I don't want the surgery anymore." Which
of the following is the BEST action by the nurse?
 A. Tell the client they cannot cancel because the surgeon is already
prepared
 B. Administer the pre-operative sedation as ordered to calm the client's
anxiety
 C. Notify the surgeon immediately and document the client's decision
 D. Ask the client's family to convince the client to proceed with surgery

Correct Answer: C
Rationale: The client has the right to withdraw consent at any time. The nurse
must respect this decision, notify the healthcare provider, and document the
client's statement. The other options violate the client's autonomy and right to
make healthcare decisions .


6. The nurse is providing care for a client who is a Jehovah's Witness and is
refusing a blood transfusion despite having a hemoglobin of 5.8 g/dL. Which
ethical principle is the nurse upholding by respecting the client's decision?
 A. Beneficence
 B. Justice
 C. Veracity

,  D. Autonomy

Correct Answer: D
Rationale: Autonomy is the right of the client to make decisions about their own
healthcare, including the refusal of treatment. The nurse respects the client's
decision even when it conflicts with the nurse's personal beliefs or medical
recommendations .


7. A registered nurse (RN) is preparing to delegate tasks to a licensed practical
nurse (LPN) and a UAP. Which task is MOST appropriate to assign to the LPN?
 A. Developing the patient's plan of care
 B. Administering a scheduled oral medication to a stable patient
 C. Performing an admission assessment
 D. Providing discharge education to a newly diagnosed diabetic

Correct Answer: B
Rationale: LPNs are licensed to administer medications to stable patients.
Assessment, care planning, and discharge education are within the RN scope of
practice and cannot be delegated to an LPN .


8. A nurse is caring for a client who is not behaving and repeatedly tries to get
out of bed. The nurse states, "I will need to put restraints on you if you keep
getting up." Legally, this statement is an example of:
 A. Battery
 B. Assault
 C. False imprisonment
 D. Negligence

Correct Answer: B