CAPSTONE B 2 EXAM REVIEW SOLVED QUESTIONS COMPLETE ANSWERS GRADED A
PLUS
Capstone B 2 Revision Handbook 2026/2027 Patient
CARE Synthesis AND Complex Questions and
Answers Verified Solutions Latest Update
Question:
A nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation (cannot insert pictures, read description) A. multiple irregular and
variable waves at the baseline and irregular R to R intervals B. a rate of 140-180/min C. a
tachycardia with no identifiable P wave and is determined to originate somewhere other than the
ventricles. Rate between 100- 280/min D. a P wave for every QRS, rate is 60-100/min.
Answer:
A.) multiple irregular and variable waves at the baseline and irregular R to R intervals
Question:
A nurse is preparing to admit a client who has a new tracheostomy from the operating room. Which
of the following items is the priority for the nurse to have available in the client's room upon
admission A. Obturator B. Hydrogen peroxide C. Sterile gloves D. Inner cannula.
Answer:
A.) Obturator The obturator can be inserted in the stoma in the even of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed. For the first 72 hr
following the insertion of a trach, dislodgement or decannulation is considered an emergency
Question:
A nurse is caring for a client who had a below the knee amputation due to a traumatic injury 2 days
ago. Which of the following statements should the nurse use to assess how the client is coping with
this change in their body image A. "Tell me how the changes to your leg make you feel" B. "What
potential changes do you think you'll need to make when doing your job" C. "Let's discuss how you
can adjust once you have a prosthesis" D. "What are some possible issues that you foresee when
completing self-management tasks".
Answer:
A.) "Tell me how the changes to your leg make you feel"
,Question:
A nurse in an endoscopy clinic is providing teaching to a client who is to undergo a colonoscopy for
colon cancer screening. Which of the following information should the nurse provide A. "You
should have nothing to eat or drink for 3 hours prior to the procedure" B. "You should drink the
bowel preparation slowly to prevent nausea" C. "You will have no discomfort following the
procedure" D. "You will need someone to drive you home after your procedure".
Answer:
D.) "You will need someone to drive you home after your procedure" Do not drive for 12-18 hours
following the procedure, because during a colonoscopy, the pt receives moderate sedation
Question:
A nurse is monitoring a client who is receiving moderate sedation with midazolam. Which of the
following findings requires immediate intervention by the nurse A. Oxygen saturation 90% B. No
response to verbal stimuli C. Occasional premature ventricular contractions (PVCs) D. Nausea.
Answer:
B) No response to verbal stimuli using urgent vs non-urgent approach, this is the priority. During
moderate sedation, the pt should be able to provide a response to questions and commands. No
response to verbal stimuli can indicate a loss or consciousness or oversedation
Question:
A nurse is reviewing the laboratory findings for a client who has heart failure and is taking
furosemide. The nurse should identify which of the following findings as an adverse effect of the
medication A. Sodium 142 mEq/L B. Metabolic acidosis C. Potassium 3.2 mEq/L D.
Hypoglycemia.
Answer:
C. Potassium 3.2 mEq/L Loop diuretics remove excessive extracellular fluid through the kidneys,
causing an increased excretion of potassium. Monitor for dysrhythmias
Question:
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the
nurse take? (select all that apply) A. Monitor peripheral pulses in the affected extremity B. Position
, weights against the foot of the bed C. Adjust the prescribed weights every 24 hrs D. Examine the
skin under the traction bood E. Assess the temperature of the affected extremity.
Answer:
A, D, E - A, closely monitor the neurovascular integrity. Circulation can be compromised from the
fracture as well as the traction device D, monitor skin integrity at least every 8 hr E, Circulation can
be compromised from the fracture as well as the traction device. Check and document color,
temperature, distal pulses, capillary refill, movement, and sensation during neurovascular
assessment. Monitor 6 P's: pain, pallor, pulselessness, pressure, paresthesia, and paralysis
Question:
A nurse is reviewing safety measures with the caregiver of a client who has Alzheimer's disease.
Which of the following instructions should the nurse include in the teaching A. Lock doors leading
to stairways B. Instruct the client not to use the stove C. Place a throw rug in front of the toilet D.
Provide a darkened room for the client to sleep.
Answer:
A) Lock doors leading to stairways This pt is at an increased risk for falls d/t difficulty with balance
and an inability to recognize dangerous situations due to brain damage from the disease
Question:
A nurse is developing a plan of care for a client who has meningitis. Which of the following
interventions should the nurse include in the plan A. Keep the client's room dark and quiet B.
Perform a vascular assessment for the client every 6 hr C. Maintain the head of the client's bed at 15
degrees at all times D. Place the client on contact precautions.
Answer:
A) Keep the client's room dark and quiet Meningitis often causes photophobia and phonophobia.
Reduce stimuli
Question:
A nurse is caring for a client who has a right subclavian central venous catheter. Which reconnecting
a new intravenous infusion administration set, which of the following actions should the nurse take
A. Ask the client to exhale slowly B. Turn the client's head to the right C. Place the client in a semi
fowlers position D. use aseptic technique.
PLUS
Capstone B 2 Revision Handbook 2026/2027 Patient
CARE Synthesis AND Complex Questions and
Answers Verified Solutions Latest Update
Question:
A nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation (cannot insert pictures, read description) A. multiple irregular and
variable waves at the baseline and irregular R to R intervals B. a rate of 140-180/min C. a
tachycardia with no identifiable P wave and is determined to originate somewhere other than the
ventricles. Rate between 100- 280/min D. a P wave for every QRS, rate is 60-100/min.
Answer:
A.) multiple irregular and variable waves at the baseline and irregular R to R intervals
Question:
A nurse is preparing to admit a client who has a new tracheostomy from the operating room. Which
of the following items is the priority for the nurse to have available in the client's room upon
admission A. Obturator B. Hydrogen peroxide C. Sterile gloves D. Inner cannula.
Answer:
A.) Obturator The obturator can be inserted in the stoma in the even of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed. For the first 72 hr
following the insertion of a trach, dislodgement or decannulation is considered an emergency
Question:
A nurse is caring for a client who had a below the knee amputation due to a traumatic injury 2 days
ago. Which of the following statements should the nurse use to assess how the client is coping with
this change in their body image A. "Tell me how the changes to your leg make you feel" B. "What
potential changes do you think you'll need to make when doing your job" C. "Let's discuss how you
can adjust once you have a prosthesis" D. "What are some possible issues that you foresee when
completing self-management tasks".
Answer:
A.) "Tell me how the changes to your leg make you feel"
,Question:
A nurse in an endoscopy clinic is providing teaching to a client who is to undergo a colonoscopy for
colon cancer screening. Which of the following information should the nurse provide A. "You
should have nothing to eat or drink for 3 hours prior to the procedure" B. "You should drink the
bowel preparation slowly to prevent nausea" C. "You will have no discomfort following the
procedure" D. "You will need someone to drive you home after your procedure".
Answer:
D.) "You will need someone to drive you home after your procedure" Do not drive for 12-18 hours
following the procedure, because during a colonoscopy, the pt receives moderate sedation
Question:
A nurse is monitoring a client who is receiving moderate sedation with midazolam. Which of the
following findings requires immediate intervention by the nurse A. Oxygen saturation 90% B. No
response to verbal stimuli C. Occasional premature ventricular contractions (PVCs) D. Nausea.
Answer:
B) No response to verbal stimuli using urgent vs non-urgent approach, this is the priority. During
moderate sedation, the pt should be able to provide a response to questions and commands. No
response to verbal stimuli can indicate a loss or consciousness or oversedation
Question:
A nurse is reviewing the laboratory findings for a client who has heart failure and is taking
furosemide. The nurse should identify which of the following findings as an adverse effect of the
medication A. Sodium 142 mEq/L B. Metabolic acidosis C. Potassium 3.2 mEq/L D.
Hypoglycemia.
Answer:
C. Potassium 3.2 mEq/L Loop diuretics remove excessive extracellular fluid through the kidneys,
causing an increased excretion of potassium. Monitor for dysrhythmias
Question:
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the
nurse take? (select all that apply) A. Monitor peripheral pulses in the affected extremity B. Position
, weights against the foot of the bed C. Adjust the prescribed weights every 24 hrs D. Examine the
skin under the traction bood E. Assess the temperature of the affected extremity.
Answer:
A, D, E - A, closely monitor the neurovascular integrity. Circulation can be compromised from the
fracture as well as the traction device D, monitor skin integrity at least every 8 hr E, Circulation can
be compromised from the fracture as well as the traction device. Check and document color,
temperature, distal pulses, capillary refill, movement, and sensation during neurovascular
assessment. Monitor 6 P's: pain, pallor, pulselessness, pressure, paresthesia, and paralysis
Question:
A nurse is reviewing safety measures with the caregiver of a client who has Alzheimer's disease.
Which of the following instructions should the nurse include in the teaching A. Lock doors leading
to stairways B. Instruct the client not to use the stove C. Place a throw rug in front of the toilet D.
Provide a darkened room for the client to sleep.
Answer:
A) Lock doors leading to stairways This pt is at an increased risk for falls d/t difficulty with balance
and an inability to recognize dangerous situations due to brain damage from the disease
Question:
A nurse is developing a plan of care for a client who has meningitis. Which of the following
interventions should the nurse include in the plan A. Keep the client's room dark and quiet B.
Perform a vascular assessment for the client every 6 hr C. Maintain the head of the client's bed at 15
degrees at all times D. Place the client on contact precautions.
Answer:
A) Keep the client's room dark and quiet Meningitis often causes photophobia and phonophobia.
Reduce stimuli
Question:
A nurse is caring for a client who has a right subclavian central venous catheter. Which reconnecting
a new intravenous infusion administration set, which of the following actions should the nurse take
A. Ask the client to exhale slowly B. Turn the client's head to the right C. Place the client in a semi
fowlers position D. use aseptic technique.
