2017 Capstone Review Exam Question/Answer
Graded A+ 2024/2025
A nurse is providing education to a client with a fractured femur who will need to use
crutches for the next 6 weeks. Identify if the following directions provided by the nurse
for walking up stairs using crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the 'unaffected' leg.
3. If not allowed to place weight on the 'affected' leg, hop up with the 'unaffected' leg.
4. Bring the 'affected' leg and the crutches up beside the 'unaffected' leg.
5. Remember, the 'unaffected' leg goes up first and the crutches move with the
'affected' leg. - ✔️✔️True-correct method
Take on new experiences and when unable to accomplish task may feel guilty or
misbehave. Generally do not exhibit stranger anxiety. Understand behavior in terms of
what is socially acceptable. - ✔️✔️Pre-schoolers 3-6 years
Develop sense of personal identity that family expectations influence. Peer relationships
develop as support system. Concerned with body images that media portray. -
✔️✔️Adolescents 12-20 years
Personalize values and beliefs and base reasoning on ethical fairness principles.
Establish close relationships. Have influences that help with formation of healthy self-
concept, such family and friends. - ✔️✔️Young Adults 20-35
Develop sense of industry through advances in learning. Strive to develop healthy self-
respect by finding out in what areas they excel. Peer groups play important role in social
development. - ✔️✔️School-age children 6-12
Intact skin with an area of persistent, nonblanchable redness, typically over a bony
prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is
swollen and has congestion, with possible discomfort at the site. With darker skin tones,
the ulcer may appear blue or purple. - ✔️✔️stage 1
Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is visible
and superficial and may appear as an abrasion, blister, or shallow crater. Edema
persists, and the ulcer may become infected, possibly with pain and scant drainage. -
✔️✔️stage 2
, Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The ulcer
may extend down to, but not through, underlying fascia. The ulcer appears as a deep
crater with or without undermining of adjacent tissue and without exposed muscle or
bone. Drainage and infection are common. - ✔️✔️stage 3
Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle, bone,
or supporting structures. There may be sinus tracts, deep pockets of infection,
tunneling, undermining, eschar (black scab-like material), or slough (tan, yellow, or
green scab-like material). - ✔️✔️stage 4
A nurse is caring for a client with encephalopathy secondary to liver failure. The client
has been prescribed a high calorie, low protein diet. Which of the following meal
selections is appropriate for this client? - ✔️✔️Chicken breast, mashed potatoes, spinach
What is the name of a legal document that instructs health care providers and family
members about what, if any, life-sustaining treatment an individual wants if at some time
the individual is unable to make decisions? - ✔️✔️Correct. A living will is a legal
document that specifically outlines a clients wishes regarding life-sustaining treatment.
A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client's risk for falls? - ✔️✔️Hourly rounding by the nurse. In the
health care environment, hourly rounding by nurses significantly reduces the occurrence
of client falls, as well as reducing call light usage and increasing client satisfaction.
A nurse is caring for several clients prescribed heat/cold therapies. Which of the
following clients are at risk of injury from these therapies? Select all that apply. - ✔️✔️The
correct answer is: An older adult client prescribed heat therapy for hip pain., A client
with diabetes prescribed cold therapy for a fractured toe., A fair-skinned, school age
client prescribed heat therapy after a soccer injury., A cognitively impaired older adult
prescribed alternating heat and cold therapy.
A nurse is caring for a client with a closed head injury. When pressure is applied to the
client's nail beds, the client's eyes open and adduction of the arms with flexion of the
elbows and wrists is noted. The client also moans with stimulation. What is this client's
Glasgow Coma Score? - ✔️✔️7
A nurse is verifying nasogastric tube placement by the pH of aspirated gastric fluid.
Which of the following pH values provides a good indication of correct tube placement?
- ✔️✔️2 a good indication of appropriate placement is obtaining gastric contents with a
pH between 0 & 4
A nurse is providing dietary education to a client with cholecystitis who has been
prescribed a low-fat diet. Which of the following meal selections by the client indicates
understanding of education? - ✔️✔️Roast turkey, rice pilaf, green beans-it is a low-fat
protein option that would be an excellent choice for a low-fat diet.
Graded A+ 2024/2025
A nurse is providing education to a client with a fractured femur who will need to use
crutches for the next 6 weeks. Identify if the following directions provided by the nurse
for walking up stairs using crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the 'unaffected' leg.
3. If not allowed to place weight on the 'affected' leg, hop up with the 'unaffected' leg.
4. Bring the 'affected' leg and the crutches up beside the 'unaffected' leg.
5. Remember, the 'unaffected' leg goes up first and the crutches move with the
'affected' leg. - ✔️✔️True-correct method
Take on new experiences and when unable to accomplish task may feel guilty or
misbehave. Generally do not exhibit stranger anxiety. Understand behavior in terms of
what is socially acceptable. - ✔️✔️Pre-schoolers 3-6 years
Develop sense of personal identity that family expectations influence. Peer relationships
develop as support system. Concerned with body images that media portray. -
✔️✔️Adolescents 12-20 years
Personalize values and beliefs and base reasoning on ethical fairness principles.
Establish close relationships. Have influences that help with formation of healthy self-
concept, such family and friends. - ✔️✔️Young Adults 20-35
Develop sense of industry through advances in learning. Strive to develop healthy self-
respect by finding out in what areas they excel. Peer groups play important role in social
development. - ✔️✔️School-age children 6-12
Intact skin with an area of persistent, nonblanchable redness, typically over a bony
prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is
swollen and has congestion, with possible discomfort at the site. With darker skin tones,
the ulcer may appear blue or purple. - ✔️✔️stage 1
Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is visible
and superficial and may appear as an abrasion, blister, or shallow crater. Edema
persists, and the ulcer may become infected, possibly with pain and scant drainage. -
✔️✔️stage 2
, Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The ulcer
may extend down to, but not through, underlying fascia. The ulcer appears as a deep
crater with or without undermining of adjacent tissue and without exposed muscle or
bone. Drainage and infection are common. - ✔️✔️stage 3
Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle, bone,
or supporting structures. There may be sinus tracts, deep pockets of infection,
tunneling, undermining, eschar (black scab-like material), or slough (tan, yellow, or
green scab-like material). - ✔️✔️stage 4
A nurse is caring for a client with encephalopathy secondary to liver failure. The client
has been prescribed a high calorie, low protein diet. Which of the following meal
selections is appropriate for this client? - ✔️✔️Chicken breast, mashed potatoes, spinach
What is the name of a legal document that instructs health care providers and family
members about what, if any, life-sustaining treatment an individual wants if at some time
the individual is unable to make decisions? - ✔️✔️Correct. A living will is a legal
document that specifically outlines a clients wishes regarding life-sustaining treatment.
A nurse is caring for an older adult client with delirium. Which intervention will most
effectively reduce the client's risk for falls? - ✔️✔️Hourly rounding by the nurse. In the
health care environment, hourly rounding by nurses significantly reduces the occurrence
of client falls, as well as reducing call light usage and increasing client satisfaction.
A nurse is caring for several clients prescribed heat/cold therapies. Which of the
following clients are at risk of injury from these therapies? Select all that apply. - ✔️✔️The
correct answer is: An older adult client prescribed heat therapy for hip pain., A client
with diabetes prescribed cold therapy for a fractured toe., A fair-skinned, school age
client prescribed heat therapy after a soccer injury., A cognitively impaired older adult
prescribed alternating heat and cold therapy.
A nurse is caring for a client with a closed head injury. When pressure is applied to the
client's nail beds, the client's eyes open and adduction of the arms with flexion of the
elbows and wrists is noted. The client also moans with stimulation. What is this client's
Glasgow Coma Score? - ✔️✔️7
A nurse is verifying nasogastric tube placement by the pH of aspirated gastric fluid.
Which of the following pH values provides a good indication of correct tube placement?
- ✔️✔️2 a good indication of appropriate placement is obtaining gastric contents with a
pH between 0 & 4
A nurse is providing dietary education to a client with cholecystitis who has been
prescribed a low-fat diet. Which of the following meal selections by the client indicates
understanding of education? - ✔️✔️Roast turkey, rice pilaf, green beans-it is a low-fat
protein option that would be an excellent choice for a low-fat diet.
