# NURSING CAPSTONE COMPREHENSIVE EXAM 2
QUESTIONS WITH WELL VERIFIED ANSWERS
## 60-Question Practice Exam — 2026–2027 Style
**Instructions:** Select the best answer unless otherwise indicated.
---
### 1. A client with pneumonia suddenly becomes restless and confused. Which action should
the nurse take FIRST?
A. Administer the prescribed antibiotic
B. Assess the client's oxygen saturation
C. Obtain a urine specimen
D. Encourage oral fluids
**Answer: B**
**Rationale:** Restlessness and confusion may indicate hypoxemia. Airway and breathing take
priority.
---
### 2. A nurse is caring for a client with heart failure. Which finding requires immediate
intervention?
,A. 1+ ankle edema
B. Weight gain of 1 kg in 24 hours
C. Pink, frothy sputum
D. Fatigue when walking
**Answer: C**
**Rationale:** Pink, frothy sputum suggests acute pulmonary edema, a life-threatening
complication of heart failure.
---
### 3. A client taking warfarin has an INR of 5.8. What should the nurse do?
A. Administer the scheduled dose
B. Encourage foods high in vitamin K immediately
C. Hold the medication and notify the provider
D. Administer aspirin
**Answer: C**
**Rationale:** A markedly elevated INR increases bleeding risk. Warfarin should be held and
the provider notified.
---
,### 4. Which finding is most concerning in a client receiving morphine?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Drowsiness
**Answer: C**
**Rationale:** Opioids can cause life-threatening respiratory depression. A respiratory rate of
8/min requires immediate intervention.
---
### 5. A client is experiencing an acute asthma attack. Which medication should the nurse
expect to administer for rapid relief?
A. Fluticasone
B. Albuterol
C. Montelukast
D. Salmeterol
**Answer: B**
**Rationale:** Albuterol is a short-acting beta₂ agonist used as a rescue medication for acute
bronchospasm.
, ---
### 6. Which assessment finding is characteristic of hypoglycemia?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Deep respirations
**Answer: C**
**Rationale:** Hypoglycemia commonly causes sweating, tremors, hunger, palpitations,
anxiety, and altered mental status.
---
### 7. A conscious client with diabetes has a blood glucose level of 52 mg/dL. What should the
nurse do FIRST?
A. Administer regular insulin
B. Give approximately 15 g of fast-acting carbohydrate
C. Restrict oral fluids
D. Administer glucagon immediately
**Answer: B**
QUESTIONS WITH WELL VERIFIED ANSWERS
## 60-Question Practice Exam — 2026–2027 Style
**Instructions:** Select the best answer unless otherwise indicated.
---
### 1. A client with pneumonia suddenly becomes restless and confused. Which action should
the nurse take FIRST?
A. Administer the prescribed antibiotic
B. Assess the client's oxygen saturation
C. Obtain a urine specimen
D. Encourage oral fluids
**Answer: B**
**Rationale:** Restlessness and confusion may indicate hypoxemia. Airway and breathing take
priority.
---
### 2. A nurse is caring for a client with heart failure. Which finding requires immediate
intervention?
,A. 1+ ankle edema
B. Weight gain of 1 kg in 24 hours
C. Pink, frothy sputum
D. Fatigue when walking
**Answer: C**
**Rationale:** Pink, frothy sputum suggests acute pulmonary edema, a life-threatening
complication of heart failure.
---
### 3. A client taking warfarin has an INR of 5.8. What should the nurse do?
A. Administer the scheduled dose
B. Encourage foods high in vitamin K immediately
C. Hold the medication and notify the provider
D. Administer aspirin
**Answer: C**
**Rationale:** A markedly elevated INR increases bleeding risk. Warfarin should be held and
the provider notified.
---
,### 4. Which finding is most concerning in a client receiving morphine?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Drowsiness
**Answer: C**
**Rationale:** Opioids can cause life-threatening respiratory depression. A respiratory rate of
8/min requires immediate intervention.
---
### 5. A client is experiencing an acute asthma attack. Which medication should the nurse
expect to administer for rapid relief?
A. Fluticasone
B. Albuterol
C. Montelukast
D. Salmeterol
**Answer: B**
**Rationale:** Albuterol is a short-acting beta₂ agonist used as a rescue medication for acute
bronchospasm.
, ---
### 6. Which assessment finding is characteristic of hypoglycemia?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Deep respirations
**Answer: C**
**Rationale:** Hypoglycemia commonly causes sweating, tremors, hunger, palpitations,
anxiety, and altered mental status.
---
### 7. A conscious client with diabetes has a blood glucose level of 52 mg/dL. What should the
nurse do FIRST?
A. Administer regular insulin
B. Give approximately 15 g of fast-acting carbohydrate
C. Restrict oral fluids
D. Administer glucagon immediately
**Answer: B**
