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NUR 2811 PRACTICE EXAM & STUDY GUIDE
2026/2027 | NURSING CAPSTONE | 100 VERIFIED
Q&A | DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT – Questions 1-20
Q1: Nosocomial Infection Risk
A nurse is caring for multiple clients on a medical-surgical unit. Which client is at the highest risk for
developing a nosocomial infection?
A. Client with alcohol use disorder admitted for detoxification
B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D
Rationale: Patients with extensive burns have a severely compromised skin barrier, making them
highly susceptible to infection. The presence of invasive devices such as an NG tube and Foley
catheter further increases infection risk by providing entry points for microorganisms .
Q2: ICU Transfer Priority
Which client should the nurse prioritize for transfer from ICU to a step-down neurological unit?
A. Client with acute head injury and seizures
B. Client with ischemic stroke 4 days ago and mild confusion
C. Client 1-day post-transsphenoidal craniotomy with CSF leak
D. Client with bacterial meningitis and Glasgow Coma Scale of 7
Correct Answer: B
Rationale: The most stable client is the one with an ischemic stroke who is several days post-event
and only mildly confused. The other clients are unstable due to CSF leak, decreased level of
consciousness, or active neurological compromise .
Q3: First Assessment After Report
After shift report, which client should the nurse assess first?
A. Ventilated client requiring sputum culture collection
B. COPD client with oxygen saturation of 90% from previous shift
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C. Pneumonia client awaiting IV antibiotics
D. Asthma client reporting shortness of breath after bronchodilator use
Correct Answer: D
Rationale: Shortness of breath after bronchodilator use suggests worsening bronchospasm or
treatment failure. This is an airway priority (ABCs). The other clients are either stable or receiving
routine care .
Q4: Postoperative Priority Assessment
Which postoperative client should the nurse assess first?
A. Client scheduled for laparoscopic cholecystectomy
B. Multiple trauma client from motor vehicle collision
C. Client scheduled for thyroidectomy
D. Client awaiting discharge after appendectomy
Correct Answer: B
Rationale: Trauma patients are the most unstable and require immediate assessment due to risk of
internal injuries, hemorrhage, and airway compromise .
Q5: Disaster Triage Discharge
During disaster triage, which client can be safely discharged first?
A. 24-hour post-hysterectomy client
B. 5-day post-total hip replacement client
C. 12-hour pyelonephritis admission
D. 5-day stage III pressure ulcer patient
Correct Answer: B
Rationale: This client is the most stable and least dependent on acute care services compared to
infection or surgical complications .
Q6: DKA Recognition
Which client requires immediate assessment after shift change?
A. BP 90/60 with hot, dry skin
B. Sleeping client with stable vital signs
C. Fruity breath, polydipsia, and polyphagia
D. Irritable client with tremors
Correct Answer: C
Rationale: These are classic signs of diabetic ketoacidosis (DKA), a life-threatening metabolic
emergency .
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Q7: Chemotherapy Finding to Report
Which finding should be immediately reported in a client receiving chemotherapy?
A. Headache rated 3/10
B. Watery diarrhea with abdominal pain
C. Oxygen saturation 94%
D. Nausea after contrast dye
Correct Answer: B
Rationale: Frequent diarrhea increases risk for dehydration and electrolyte imbalance, which can
quickly become life-threatening .
Q8: Incident Report Requirement
Which event would require a nurse to complete and file an incident report?
A. A visitor suddenly becomes weak and dizzy; the nurse checks vital signs and takes the visitor to
the emergency department
B. A client has a seizure but sustains no injury
C. A nurse notes that the battery of an intravenous infusion pump is not working
D. A client who is at risk for falling uses a walker to ambulate
Correct Answer: A
Rationale: An incident report is required for any event not consistent with routine care, including a
visitor showing signs of illness .
Q9: Case Manager Responsibilities
The registered nurse has accepted a new position as case manager in a hospital. Which
responsibilities are part of the nurse's new role? (Select all that apply)
A. Evaluating and updating the plan of care as needed
B. Prescribing treatments specific to the client's needs
C. Assessing the client's needs for home supplies and equipment
D. Coordinating consultations and referrals to facilitate discharge
E. Establishing a safe and cost-effective plan of care
Correct Answer: A, C, D, E
Rationale: Case managers coordinate care, assess needs, and facilitate discharge. Prescribing
treatments is outside the RN scope .
Q10: Nonmaleficence Principle
NUR 2811 PRACTICE EXAM & STUDY GUIDE
2026/2027 | NURSING CAPSTONE | 100 VERIFIED
Q&A | DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT – Questions 1-20
Q1: Nosocomial Infection Risk
A nurse is caring for multiple clients on a medical-surgical unit. Which client is at the highest risk for
developing a nosocomial infection?
A. Client with alcohol use disorder admitted for detoxification
B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D
Rationale: Patients with extensive burns have a severely compromised skin barrier, making them
highly susceptible to infection. The presence of invasive devices such as an NG tube and Foley
catheter further increases infection risk by providing entry points for microorganisms .
Q2: ICU Transfer Priority
Which client should the nurse prioritize for transfer from ICU to a step-down neurological unit?
A. Client with acute head injury and seizures
B. Client with ischemic stroke 4 days ago and mild confusion
C. Client 1-day post-transsphenoidal craniotomy with CSF leak
D. Client with bacterial meningitis and Glasgow Coma Scale of 7
Correct Answer: B
Rationale: The most stable client is the one with an ischemic stroke who is several days post-event
and only mildly confused. The other clients are unstable due to CSF leak, decreased level of
consciousness, or active neurological compromise .
Q3: First Assessment After Report
After shift report, which client should the nurse assess first?
A. Ventilated client requiring sputum culture collection
B. COPD client with oxygen saturation of 90% from previous shift
,2
C. Pneumonia client awaiting IV antibiotics
D. Asthma client reporting shortness of breath after bronchodilator use
Correct Answer: D
Rationale: Shortness of breath after bronchodilator use suggests worsening bronchospasm or
treatment failure. This is an airway priority (ABCs). The other clients are either stable or receiving
routine care .
Q4: Postoperative Priority Assessment
Which postoperative client should the nurse assess first?
A. Client scheduled for laparoscopic cholecystectomy
B. Multiple trauma client from motor vehicle collision
C. Client scheduled for thyroidectomy
D. Client awaiting discharge after appendectomy
Correct Answer: B
Rationale: Trauma patients are the most unstable and require immediate assessment due to risk of
internal injuries, hemorrhage, and airway compromise .
Q5: Disaster Triage Discharge
During disaster triage, which client can be safely discharged first?
A. 24-hour post-hysterectomy client
B. 5-day post-total hip replacement client
C. 12-hour pyelonephritis admission
D. 5-day stage III pressure ulcer patient
Correct Answer: B
Rationale: This client is the most stable and least dependent on acute care services compared to
infection or surgical complications .
Q6: DKA Recognition
Which client requires immediate assessment after shift change?
A. BP 90/60 with hot, dry skin
B. Sleeping client with stable vital signs
C. Fruity breath, polydipsia, and polyphagia
D. Irritable client with tremors
Correct Answer: C
Rationale: These are classic signs of diabetic ketoacidosis (DKA), a life-threatening metabolic
emergency .
, 3
Q7: Chemotherapy Finding to Report
Which finding should be immediately reported in a client receiving chemotherapy?
A. Headache rated 3/10
B. Watery diarrhea with abdominal pain
C. Oxygen saturation 94%
D. Nausea after contrast dye
Correct Answer: B
Rationale: Frequent diarrhea increases risk for dehydration and electrolyte imbalance, which can
quickly become life-threatening .
Q8: Incident Report Requirement
Which event would require a nurse to complete and file an incident report?
A. A visitor suddenly becomes weak and dizzy; the nurse checks vital signs and takes the visitor to
the emergency department
B. A client has a seizure but sustains no injury
C. A nurse notes that the battery of an intravenous infusion pump is not working
D. A client who is at risk for falling uses a walker to ambulate
Correct Answer: A
Rationale: An incident report is required for any event not consistent with routine care, including a
visitor showing signs of illness .
Q9: Case Manager Responsibilities
The registered nurse has accepted a new position as case manager in a hospital. Which
responsibilities are part of the nurse's new role? (Select all that apply)
A. Evaluating and updating the plan of care as needed
B. Prescribing treatments specific to the client's needs
C. Assessing the client's needs for home supplies and equipment
D. Coordinating consultations and referrals to facilitate discharge
E. Establishing a safe and cost-effective plan of care
Correct Answer: A, C, D, E
Rationale: Case managers coordinate care, assess needs, and facilitate discharge. Prescribing
treatments is outside the RN scope .
Q10: Nonmaleficence Principle
