NUR 2811 Module 5 Capstone Exam Nursing
Practice Questions, Answers & Rationales International College of
Health Sciences | 2026/2027 Study Edition
Note: Original practice material for exam preparation. It is not an actual, leaked, or guaranteed
copy of a school examination.
QUESTIONS 1–25: Adult Health & Pharmacology
1. A client receiving insulin asks why injection sites should be rotated. What is
the best response?
A. It prevents all injection pain
B. It prevents lipodystrophy and promotes predictable absorption
C. It eliminates the need for glucose monitoring
D. It makes insulin work immediately
Answer: B
Rationale: Repeated injections in one location can cause lipohypertrophy or lipoatrophy,
resulting in unpredictable insulin absorption.
2. Which medication should generally be taken on an empty stomach for optimal
absorption?
A. Levothyroxine
B. Acetaminophen
C. Furosemide
D. Diphenhydramine
Answer: A
Rationale: Levothyroxine is generally taken consistently on an empty stomach, commonly 30–
60 minutes before breakfast.
3. Which finding is most consistent with hypothyroidism?
,A. Heat intolerance
B. Tachycardia
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism decreases metabolic activity and commonly causes cold intolerance,
fatigue, constipation, and bradycardia.
4. Which finding is most consistent with hyperthyroidism?
A. Bradycardia
B. Heat intolerance
C. Constipation
D. Cold intolerance
Answer: B
Rationale: Increased thyroid hormone activity commonly produces heat intolerance,
tachycardia, weight loss, and diarrhea.
5. Which finding would the nurse expect in Cushing syndrome?
A. Hypoglycemia
B. Hyperglycemia
C. Severe hypotension
D. Weight loss
Answer: B
Rationale: Excess cortisol increases glucose production and can cause hyperglycemia,
hypertension, and central weight gain.
6. Which finding is associated with Addison disease?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Fluid overload
,Answer: B
Rationale: Adrenal insufficiency can cause hypotension, weakness, weight loss, hyponatremia,
hyperkalemia, and hypoglycemia.
7. A client taking warfarin asks about eating green leafy vegetables. Which
response is appropriate?
A. Avoid them completely
B. Eat an inconsistent amount
C. Maintain a consistent vitamin K intake
D. Eat as much vitamin K as possible
Answer: C
Rationale: Vitamin K affects warfarin activity. Consistency helps maintain a stable
anticoagulant response.
8. Which laboratory value is used to monitor warfarin therapy?
A. INR
B. Troponin
C. HbA1c
D. Amylase
Answer: A
Rationale: INR is used to assess the anticoagulant effect of warfarin.
9. A client taking digoxin has an apical pulse of 48/min. What should the nurse
do?
A. Administer the dose
B. Hold the dose and follow notification parameters
C. Give twice the dose later
D. Encourage vigorous exercise
Answer: B
Rationale: Significant bradycardia may indicate excessive digoxin effect or toxicity.
, 10. Which finding may indicate digoxin toxicity?
A. Yellow-green visual changes
B. Increased appetite
C. Hypertension
D. Increased energy
Answer: A
Rationale: Digoxin toxicity may produce GI symptoms, dysrhythmias, confusion, and visual
disturbances.
11. Which electrolyte abnormality increases the risk of digoxin toxicity?
A. Hypokalemia
B. Hypernatremia
C. Hyperchloremia
D. Hypermagnesemia
Answer: A
Rationale: Low potassium increases myocardial sensitivity to digoxin.
12. A client taking an SSRI reports new suicidal thoughts. What is the priority
nursing action?
A. Reassure the client that the symptom is expected
B. Assess immediate safety and notify the appropriate healthcare professional
C. Tell the client to stop the medication
D. Schedule follow-up several months later
Answer: B
Rationale: New suicidal thoughts require immediate safety assessment and prompt clinical
intervention.
13. Which supplement can interact with SSRIs?
Practice Questions, Answers & Rationales International College of
Health Sciences | 2026/2027 Study Edition
Note: Original practice material for exam preparation. It is not an actual, leaked, or guaranteed
copy of a school examination.
QUESTIONS 1–25: Adult Health & Pharmacology
1. A client receiving insulin asks why injection sites should be rotated. What is
the best response?
A. It prevents all injection pain
B. It prevents lipodystrophy and promotes predictable absorption
C. It eliminates the need for glucose monitoring
D. It makes insulin work immediately
Answer: B
Rationale: Repeated injections in one location can cause lipohypertrophy or lipoatrophy,
resulting in unpredictable insulin absorption.
2. Which medication should generally be taken on an empty stomach for optimal
absorption?
A. Levothyroxine
B. Acetaminophen
C. Furosemide
D. Diphenhydramine
Answer: A
Rationale: Levothyroxine is generally taken consistently on an empty stomach, commonly 30–
60 minutes before breakfast.
3. Which finding is most consistent with hypothyroidism?
,A. Heat intolerance
B. Tachycardia
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism decreases metabolic activity and commonly causes cold intolerance,
fatigue, constipation, and bradycardia.
4. Which finding is most consistent with hyperthyroidism?
A. Bradycardia
B. Heat intolerance
C. Constipation
D. Cold intolerance
Answer: B
Rationale: Increased thyroid hormone activity commonly produces heat intolerance,
tachycardia, weight loss, and diarrhea.
5. Which finding would the nurse expect in Cushing syndrome?
A. Hypoglycemia
B. Hyperglycemia
C. Severe hypotension
D. Weight loss
Answer: B
Rationale: Excess cortisol increases glucose production and can cause hyperglycemia,
hypertension, and central weight gain.
6. Which finding is associated with Addison disease?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Fluid overload
,Answer: B
Rationale: Adrenal insufficiency can cause hypotension, weakness, weight loss, hyponatremia,
hyperkalemia, and hypoglycemia.
7. A client taking warfarin asks about eating green leafy vegetables. Which
response is appropriate?
A. Avoid them completely
B. Eat an inconsistent amount
C. Maintain a consistent vitamin K intake
D. Eat as much vitamin K as possible
Answer: C
Rationale: Vitamin K affects warfarin activity. Consistency helps maintain a stable
anticoagulant response.
8. Which laboratory value is used to monitor warfarin therapy?
A. INR
B. Troponin
C. HbA1c
D. Amylase
Answer: A
Rationale: INR is used to assess the anticoagulant effect of warfarin.
9. A client taking digoxin has an apical pulse of 48/min. What should the nurse
do?
A. Administer the dose
B. Hold the dose and follow notification parameters
C. Give twice the dose later
D. Encourage vigorous exercise
Answer: B
Rationale: Significant bradycardia may indicate excessive digoxin effect or toxicity.
, 10. Which finding may indicate digoxin toxicity?
A. Yellow-green visual changes
B. Increased appetite
C. Hypertension
D. Increased energy
Answer: A
Rationale: Digoxin toxicity may produce GI symptoms, dysrhythmias, confusion, and visual
disturbances.
11. Which electrolyte abnormality increases the risk of digoxin toxicity?
A. Hypokalemia
B. Hypernatremia
C. Hyperchloremia
D. Hypermagnesemia
Answer: A
Rationale: Low potassium increases myocardial sensitivity to digoxin.
12. A client taking an SSRI reports new suicidal thoughts. What is the priority
nursing action?
A. Reassure the client that the symptom is expected
B. Assess immediate safety and notify the appropriate healthcare professional
C. Tell the client to stop the medication
D. Schedule follow-up several months later
Answer: B
Rationale: New suicidal thoughts require immediate safety assessment and prompt clinical
intervention.
13. Which supplement can interact with SSRIs?
