CAPSTONE FINAL EXAM QUESTIONS AND
CORRECT ANSWERS UPDATED
Question 1
The nurse caring for a child with aplastic anemia is reviewing the laboratory results
and notes a pletelet count of 10,000 mm.?
Which nursing intervention would be incorporated into the plan of care?
Correct Answer
use toothbrush with soft bristles
Question 2
The nurse is reviewing the criteria for early discharge of a newborn infant with a new
mother. which data, if noted in the infant, indicate the criterion for early discharge has
not been met?
Correct Answer
The infant has not passed urine or stool
Question 3
The nurse reinforces instructions to the parents of a child with sickle cell anemia
regarding the precipitating factors related to
pain crisis. Which parent statement would indicate a need for further education?
Correct Answer
A. "I will make sure that my child does not drink too much fluids."
Question 4
The client needs to receive a unit of blood in 3 hours. The unit of blood contains 320
mLs. The nurse sets the infusion rate
at 85 mLs/hour. What will be the outcome of using this infusion rate?
Correct Answer
It will take more than 3 hours to infuse the blood
Page 1 of 255
,Question 5
the nurse is providing discharge instructions to the parents of a 16-year-old who is
undergoing treatment for Hodgkin's disease. which statement by the parents
indicates a need for further teaching?
Correct Answer
D) I will recommend that my child use a......
Question 6
A client asks the nurse Why her newborn babv needs an injection of vitamin K
(phytonadione). The nurse would
make which statement to the client?
Correct Answer
"This injection prevents your baby from abnormal
bleeding
Question 7
A female client with acquired immunodeficiency syndrome (AIDS) is receiving
treatment with zidovudine and has blood
drawn for analysis. The nurse reviews the laboratory results (see image). Which
laboratory values should the nurse relay to
the healthcare provider?
Correct Answer
Hemoglobin and White blood cells
Question 8
The client develops thrombophlebitis after a cesarean section, and the nurse instructs
the client on appropriate activities. which client would indicate a need for more
education?
Correct Answer
the client who ambulates in the hall frequently
Page 2 of 255
,Question 9
The nurse is assisting with conducting a health-promotion program to community
members regarding testicular cancer. The
nurse determines that further teaching is needed if a community member states that
which is a sign/symptom of testicular
cancer?
Correct Answer
A. Increased appetite
B. Difficulty swallowing
D. Elevated prostate-specific antigen levels
Question 10
A licensed practical nurse (LPN) is assisting in the care of a client who is receiving
oxytocin to induce labor. The LPN plans
notify the registered nurse
immediately if which symptom is noted?
Correct Answer
Decreased blood pressure, increased
pulse
Question 11
The nurse in the labor room is caring for a client in the first stage of labor. When
monitoring the fetal
patterns, the nurse notes
variable decelerations of
fetal heart rate (FHR) on the monitor strip. What are the immediate nursing actions?
Correct Answer
Reposition
the mother
Give the mother supplemental oxygen
check the mothers vital signs
Page 3 of 255
, Question 12
A pregnant human immunodeficiency virus (HIV)-positive woman delivers a baby. The
nurse provides guidance to help the
client make decisions regarding newborn care. Which statement by the woman
indicates that additional guidance
is needed?
Correct Answer
my baby will need antibacterial medication for 8 weeks
Question 13
An adult female client has a hemoglobin level of 10.8 g/dL (108 g/L). The nurse
interprets that this result is most likely caused
by which condition noted in the client's history?
Correct Answer
Iron-deficiency anemia
Question 14
The nurse is assisting in caring for a pregnant client who is receiving intravenous
magnesium sulfate for the management of
preeclampsia and notes that the client's deep tendon reflexes are absent. Which
physician's order would the nurse question?
Correct Answer
Increase
the rate of magnesium sultate Inrusion
Question 15
The nurse is assisting in caring for a post-term neonate immediately after admission
to the nursery. The priority nursing
action would be monitor which clinical parameter?
Correct Answer
blood glucose
Page 4 of 255
CORRECT ANSWERS UPDATED
Question 1
The nurse caring for a child with aplastic anemia is reviewing the laboratory results
and notes a pletelet count of 10,000 mm.?
Which nursing intervention would be incorporated into the plan of care?
Correct Answer
use toothbrush with soft bristles
Question 2
The nurse is reviewing the criteria for early discharge of a newborn infant with a new
mother. which data, if noted in the infant, indicate the criterion for early discharge has
not been met?
Correct Answer
The infant has not passed urine or stool
Question 3
The nurse reinforces instructions to the parents of a child with sickle cell anemia
regarding the precipitating factors related to
pain crisis. Which parent statement would indicate a need for further education?
Correct Answer
A. "I will make sure that my child does not drink too much fluids."
Question 4
The client needs to receive a unit of blood in 3 hours. The unit of blood contains 320
mLs. The nurse sets the infusion rate
at 85 mLs/hour. What will be the outcome of using this infusion rate?
Correct Answer
It will take more than 3 hours to infuse the blood
Page 1 of 255
,Question 5
the nurse is providing discharge instructions to the parents of a 16-year-old who is
undergoing treatment for Hodgkin's disease. which statement by the parents
indicates a need for further teaching?
Correct Answer
D) I will recommend that my child use a......
Question 6
A client asks the nurse Why her newborn babv needs an injection of vitamin K
(phytonadione). The nurse would
make which statement to the client?
Correct Answer
"This injection prevents your baby from abnormal
bleeding
Question 7
A female client with acquired immunodeficiency syndrome (AIDS) is receiving
treatment with zidovudine and has blood
drawn for analysis. The nurse reviews the laboratory results (see image). Which
laboratory values should the nurse relay to
the healthcare provider?
Correct Answer
Hemoglobin and White blood cells
Question 8
The client develops thrombophlebitis after a cesarean section, and the nurse instructs
the client on appropriate activities. which client would indicate a need for more
education?
Correct Answer
the client who ambulates in the hall frequently
Page 2 of 255
,Question 9
The nurse is assisting with conducting a health-promotion program to community
members regarding testicular cancer. The
nurse determines that further teaching is needed if a community member states that
which is a sign/symptom of testicular
cancer?
Correct Answer
A. Increased appetite
B. Difficulty swallowing
D. Elevated prostate-specific antigen levels
Question 10
A licensed practical nurse (LPN) is assisting in the care of a client who is receiving
oxytocin to induce labor. The LPN plans
notify the registered nurse
immediately if which symptom is noted?
Correct Answer
Decreased blood pressure, increased
pulse
Question 11
The nurse in the labor room is caring for a client in the first stage of labor. When
monitoring the fetal
patterns, the nurse notes
variable decelerations of
fetal heart rate (FHR) on the monitor strip. What are the immediate nursing actions?
Correct Answer
Reposition
the mother
Give the mother supplemental oxygen
check the mothers vital signs
Page 3 of 255
, Question 12
A pregnant human immunodeficiency virus (HIV)-positive woman delivers a baby. The
nurse provides guidance to help the
client make decisions regarding newborn care. Which statement by the woman
indicates that additional guidance
is needed?
Correct Answer
my baby will need antibacterial medication for 8 weeks
Question 13
An adult female client has a hemoglobin level of 10.8 g/dL (108 g/L). The nurse
interprets that this result is most likely caused
by which condition noted in the client's history?
Correct Answer
Iron-deficiency anemia
Question 14
The nurse is assisting in caring for a pregnant client who is receiving intravenous
magnesium sulfate for the management of
preeclampsia and notes that the client's deep tendon reflexes are absent. Which
physician's order would the nurse question?
Correct Answer
Increase
the rate of magnesium sultate Inrusion
Question 15
The nurse is assisting in caring for a post-term neonate immediately after admission
to the nursery. The priority nursing
action would be monitor which clinical parameter?
Correct Answer
blood glucose
Page 4 of 255
