NUR 2811 CAPSTONE MODULE 6 EXAM | QUESTIONS AND
ANSWERS WITH RATIONALES | 2026/2027 UPDATED | 100%
CORRECT - INTERNATIONAL COLLEGE OF HEALTH SCIENCES.
143 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 2811 CAPSTONE MODULE 6 EXAM | QUESTIONS AND ANSWERS WITH RATIONALES | 2026/2027
UPDATED | 100% CORRECT - INTERNATIONAL COLLEGE OF HEALTH SCIENCES.. It contains 143 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 143 Questions
Foundations - Application - NUR 2811 Capstone Module 6 AND WITH Rationales 2026/2027 Updated 100
Correct - International College OF Health Sciences Nursing Capstone Medical-surgical Critical CARE
Pharmacology Leadership AND Nclex-rn Readiness Undergraduate YEAR 4 / Capstone BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-24 Medication, Preparing, Administer, Reviewing, Receiving
Safety AND Infection Control 25-48 Indicates, Teaching, Finding, Warfarin, Medication
Health Promotion AND 49-72 Reviewing, Finding, Preparing, Administer, Order
Maintenance
Psychosocial Integrity 73-96 Prescribed, Suspected, Receiving, Assessing, Teaching
Basic CARE AND Comfort 97-120 Reflects, Medication, Finding, Indicates, Intervention
Pharmacological AND 121-143 Prescribed, Preparing, Administer, Transfusion, Medication
Parenteral Therapies
TOTAL 143 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient receiving continuous IV heparin has an aPTT of 96 seconds (therapeutic range
60-80 seconds) and no active bleeding. Which action should the nurse anticipate?
A. Administer protamine sulfate IV push B. Hold the heparin infusion and reassess
immediately aPTT per protocol
C. Continue the infusion and recheck aPTT D. Administer vitamin K subcutaneously
in 24 hours
Correct: B - Hold the heparin infusion and reassess aPTT per protocol
Rationale:An aPTT above the therapeutic range indicates supratherapeutic anticoagulation;
the standard nursing action is to hold the infusion and reassess per the heparin protocol.
Protamine is reserved for serious bleeding or extreme elevation, and vitamin K reverses
warfarin, not heparin.
Why the other answers are wrong:
A. Protamine is indicated for significant bleeding or life-threatening aPTT elevations, not an
isolated supratherapeutic level without bleeding.
C. Continuing the infusion risks hemorrhage and delays correction of a supratherapeutic aPTT.
D. Vitamin K reverses warfarin, not heparin; it has no effect on aPTT.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 52
Q2.
Which finding best demonstrates that a patient with a new ileostomy has achieved an
expected postoperative outcome?
A. Stoma is pale and moist with minimal B. Stoma is beefy red and moist with liquid
output effluent
C. Stoma is dusky with a dry, crusted D. Stoma is dark purple with absent bowel
surface sounds
Correct: B - Stoma is beefy red and moist with liquid effluent
Rationale:A healthy ileostomy stoma is beefy red, moist, and produces liquid-to-semisolid
effluent because the small intestine absorbs less water. Pallor, duskiness, or dark
discoloration suggests ischemia and requires immediate provider notification.
Why the other answers are wrong:
A. A pale stoma suggests impaired perfusion, and minimal output may indicate obstruction or
ileus.
C. A dusky, dry stoma indicates ischemia and possible necrosis, not a positive outcome.
Page 3
, Section A - Management OF CARE
D. Dark purple coloration with absent bowel sounds signals necrosis or ileus, requiring urgent
intervention.
Reference: Hinkle, J.L. & Cheever, K.H. (2022). Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 15th Ed., Ch. 45
Q3.
A nurse manager is reviewing staffing for the upcoming shift. Which task is most
appropriate to delegate to a newly licensed LPN/LVN?
A. Administering IV push morphine to a B. Performing the initial admission
postoperative patient assessment on a new patient
C. Reinforcing teaching about a low-sodium D. Developing the plan of care for a patient
diet with a stable patient with heart failure
Correct: C - Reinforcing teaching about a low-sodium diet with a stable patient
Rationale:Reinforcing teaching to a stable patient is within LPN/LVN scope under RN
supervision. IV push opioids, initial assessments, and care plan development require RN-level
education and licensure.
Why the other answers are wrong:
A. IV push administration of opioids is restricted to RNs in most states and requires advanced
assessment.
B. The initial assessment and care plan are non-delegable RN responsibilities per NPA and
ANA standards.
D. Developing the plan of care requires RN clinical judgment and cannot be delegated.
Reference: ANA (2025). Principles for Delegation, 3rd Ed.; NCSBN Delegation Guidelines
Q4.
A patient with sepsis has a lactate of 4.2 mmol/L and MAP of 58 mm Hg despite 30 mL/kg
crystalloid. Which intervention should the nurse anticipate next?
A. Initiate norepinephrine infusion to B. Administer furosemide to improve urine
maintain MAP 65 mm Hg output
C. Transfuse packed red blood cells to a D. Begin broad-spectrum antibiotics after
hemoglobin of 10 g/dL cultures return
Correct: A - Initiate norepinephrine infusion to maintain MAP 65 mm Hg
Rationale:Per Surviving Sepsis Campaign 2021/2025 updates, vasopressors (norepinephrine
first-line) are indicated when MAP remains < 65 mm Hg after adequate fluid resuscitation.
Diuretics and transfusion are not initial interventions for fluid-refractory septic shock, and
antibiotics must be given within one hour, not delayed for cultures.
Why the other answers are wrong:
Page 4
ANSWERS WITH RATIONALES | 2026/2027 UPDATED | 100%
CORRECT - INTERNATIONAL COLLEGE OF HEALTH SCIENCES.
143 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 2811 CAPSTONE MODULE 6 EXAM | QUESTIONS AND ANSWERS WITH RATIONALES | 2026/2027
UPDATED | 100% CORRECT - INTERNATIONAL COLLEGE OF HEALTH SCIENCES.. It contains 143 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 143 Questions
Foundations - Application - NUR 2811 Capstone Module 6 AND WITH Rationales 2026/2027 Updated 100
Correct - International College OF Health Sciences Nursing Capstone Medical-surgical Critical CARE
Pharmacology Leadership AND Nclex-rn Readiness Undergraduate YEAR 4 / Capstone BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-24 Medication, Preparing, Administer, Reviewing, Receiving
Safety AND Infection Control 25-48 Indicates, Teaching, Finding, Warfarin, Medication
Health Promotion AND 49-72 Reviewing, Finding, Preparing, Administer, Order
Maintenance
Psychosocial Integrity 73-96 Prescribed, Suspected, Receiving, Assessing, Teaching
Basic CARE AND Comfort 97-120 Reflects, Medication, Finding, Indicates, Intervention
Pharmacological AND 121-143 Prescribed, Preparing, Administer, Transfusion, Medication
Parenteral Therapies
TOTAL 143 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient receiving continuous IV heparin has an aPTT of 96 seconds (therapeutic range
60-80 seconds) and no active bleeding. Which action should the nurse anticipate?
A. Administer protamine sulfate IV push B. Hold the heparin infusion and reassess
immediately aPTT per protocol
C. Continue the infusion and recheck aPTT D. Administer vitamin K subcutaneously
in 24 hours
Correct: B - Hold the heparin infusion and reassess aPTT per protocol
Rationale:An aPTT above the therapeutic range indicates supratherapeutic anticoagulation;
the standard nursing action is to hold the infusion and reassess per the heparin protocol.
Protamine is reserved for serious bleeding or extreme elevation, and vitamin K reverses
warfarin, not heparin.
Why the other answers are wrong:
A. Protamine is indicated for significant bleeding or life-threatening aPTT elevations, not an
isolated supratherapeutic level without bleeding.
C. Continuing the infusion risks hemorrhage and delays correction of a supratherapeutic aPTT.
D. Vitamin K reverses warfarin, not heparin; it has no effect on aPTT.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 52
Q2.
Which finding best demonstrates that a patient with a new ileostomy has achieved an
expected postoperative outcome?
A. Stoma is pale and moist with minimal B. Stoma is beefy red and moist with liquid
output effluent
C. Stoma is dusky with a dry, crusted D. Stoma is dark purple with absent bowel
surface sounds
Correct: B - Stoma is beefy red and moist with liquid effluent
Rationale:A healthy ileostomy stoma is beefy red, moist, and produces liquid-to-semisolid
effluent because the small intestine absorbs less water. Pallor, duskiness, or dark
discoloration suggests ischemia and requires immediate provider notification.
Why the other answers are wrong:
A. A pale stoma suggests impaired perfusion, and minimal output may indicate obstruction or
ileus.
C. A dusky, dry stoma indicates ischemia and possible necrosis, not a positive outcome.
Page 3
, Section A - Management OF CARE
D. Dark purple coloration with absent bowel sounds signals necrosis or ileus, requiring urgent
intervention.
Reference: Hinkle, J.L. & Cheever, K.H. (2022). Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 15th Ed., Ch. 45
Q3.
A nurse manager is reviewing staffing for the upcoming shift. Which task is most
appropriate to delegate to a newly licensed LPN/LVN?
A. Administering IV push morphine to a B. Performing the initial admission
postoperative patient assessment on a new patient
C. Reinforcing teaching about a low-sodium D. Developing the plan of care for a patient
diet with a stable patient with heart failure
Correct: C - Reinforcing teaching about a low-sodium diet with a stable patient
Rationale:Reinforcing teaching to a stable patient is within LPN/LVN scope under RN
supervision. IV push opioids, initial assessments, and care plan development require RN-level
education and licensure.
Why the other answers are wrong:
A. IV push administration of opioids is restricted to RNs in most states and requires advanced
assessment.
B. The initial assessment and care plan are non-delegable RN responsibilities per NPA and
ANA standards.
D. Developing the plan of care requires RN clinical judgment and cannot be delegated.
Reference: ANA (2025). Principles for Delegation, 3rd Ed.; NCSBN Delegation Guidelines
Q4.
A patient with sepsis has a lactate of 4.2 mmol/L and MAP of 58 mm Hg despite 30 mL/kg
crystalloid. Which intervention should the nurse anticipate next?
A. Initiate norepinephrine infusion to B. Administer furosemide to improve urine
maintain MAP 65 mm Hg output
C. Transfuse packed red blood cells to a D. Begin broad-spectrum antibiotics after
hemoglobin of 10 g/dL cultures return
Correct: A - Initiate norepinephrine infusion to maintain MAP 65 mm Hg
Rationale:Per Surviving Sepsis Campaign 2021/2025 updates, vasopressors (norepinephrine
first-line) are indicated when MAP remains < 65 mm Hg after adequate fluid resuscitation.
Diuretics and transfusion are not initial interventions for fluid-refractory septic shock, and
antibiotics must be given within one hour, not delayed for cultures.
Why the other answers are wrong:
Page 4
