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86 Questions with Answers and Detailed Rationales
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NUR 2811 CAPSTONE MODULE 1 EXAM | FULL QUESTIONS AND ANSWERS | 2026/2027 UPDATE | 100%
CORRECT - INTERNATIONAL COLLEGE OF HEALTH SCIENCES.. It contains 86 carefully selected questions
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answer and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
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Review Summary 86 Questions
Foundations - Application - NUR 2811 Capstone Module 1 FULL AND 2026/2027 Update 100 Correct -
International College OF Health Sciences Nursing Leadership Evidence-based AND Comprehensive Patient
CARE Undergraduate YEAR 4 / Capstone
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-15 Appropriate, Pressure, Heart Failure, Intervention, Medication
Safety AND Infection Control 16-30 Acute, Appropriate, Syndrome, Blood, Finding
Health Promotion AND 31-45 Preparing, Administer, Finding, Medication, Blood
Maintenance
Psychosocial Integrity 46-60 Medication, Appropriate, Healthcare, Improvement, Blood
Basic CARE AND Comfort 61-75 Receiving, Infusion, Norepinephrine, Blood, Finding
Pharmacological Therapies 76-86 Finding, Acute, Caring, Intervention, Appropriate
TOTAL 86 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A nurse manager observes a staff nurse consistently documenting assessments before
actually performing them. When confronted, the nurse states, 'I know what the patient's
status is; I'm just saving time.' Which ethical principle is primarily being violated, and
what is the most appropriate initial action?
A. Veracity; initiate a formal disciplinary B. Nonmaleficence; ignore if patient
report immediately. outcomes are unaffected.
C. Accountability; privately counsel and D. Justice; reassign the nurse to non-clinical
educate the nurse, then escalate if behavior duties.
persists.
Correct: C - Accountability; privately counsel and educate the nurse, then escalate if
behavior persists.
Rationale:The nurse's falsification of records violates veracity and accountability. The initial
action should be private counseling and education to reinforce ethical standards; immediate
disciplinary action is warranted only after persistent behavior. Ignoring or reassigning fails to
address the root cause.
Why the other answers are wrong:
A. Immediate formal discipline bypasses progressive corrective action and may not be
appropriate for a first occurrence.
B. Ignoring falsification, even if outcomes are unaffected, undermines trust and professional
integrity.
D. Reassigning to non-clinical duties does not correct the behavior or uphold accountability.
Reference: American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive
Statements.
Q2.
A nurse is caring for a patient with chronic heart failure and new-onset atrial fibrillation.
The provider prescribes digoxin 0.125 mg IV, metoprolol succinate 100 mg PO daily, and
warfarin 5 mg PO daily. Which laboratory value is most critical to monitor to prevent
toxicity?
A. Serum potassium level B. International normalized ratio (INR)
C. Serum digoxin level D. Blood urea nitrogen (BUN)
Correct: A - Serum potassium level
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, Section A - Management OF CARE
Rationale: Hypokalemia potentiates digoxin toxicity, even at therapeutic digoxin levels.
Monitoring potassium is critical because both heart failure and diuretic use commonly cause
potassium depletion. While digoxin levels and INR are important, potassium imbalance
directly increases the risk of digoxin-induced arrhythmias.
Why the other answers are wrong:
B. INR is essential for warfarin monitoring but does not directly prevent digoxin toxicity.
C. Serum digoxin level is useful but does not account for the potentiating effect of hypokalemia.
D. BUN reflects renal function but is not the most immediate monitoring priority for digoxin
toxicity.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th ed., Ch. 36.
Q3.
A quality improvement team aims to reduce central line-associated bloodstream infections
(CLABSIs) in an intensive care unit. Which intervention reflects the highest level of
evidence and is most likely to produce sustained improvement?
A. Developing a new checklist based on B. Implementing a care bundle derived from
expert opinion from a single institution. a systematic review and using
plan-do-study-act (PDSA) cycles.
C. Conducting a retrospective chart review D. Requiring all nurses to attend an annual
to identify infection rates and sharing results educational session on infection prevention.
with staff.
Correct: B - Implementing a care bundle derived from a systematic review and using
plan-do-study-act (PDSA) cycles.
Rationale:Care bundles from systematic reviews represent high-level evidence, and PDSA
cycles facilitate iterative implementation and adaptation, leading to sustained improvements.
Single-institution checklists, retrospective reviews, or education alone lack the rigor and
iterative process needed.
Why the other answers are wrong:
A. Expert opinion is low-level evidence and may not generalize.
C. Retrospective review identifies problems but does not implement or test a solution.
D. Education alone is insufficient to change practice without system-level interventions.
Reference: Melnyk, B.M., & Fineout-Overholt, E. (2023). Evidence-Based Practice in Nursing &
Healthcare, 5th ed.
Q4.
A nursing student is preparing to administer a blood transfusion. The patient has a known
history of congestive heart failure. The primary health care provider orders one unit of
packed red blood cells to infuse over 2 hours. Which action should the student take?
Page 4