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CAPSTONE EXAM 1 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Q: A Nurse is caring for a clients on the med-surg unit. Which client is
most at risk to develop a nosocomial infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with full thickness burns, an NG tube and a Foley
Ans: D- Full thickness burn, NG tube and Foley
*Think immunosupression and avenues for infection
Q: A nurse is caring for clients in the ICU. Which client may be
transferred to the step-down neuro unit?
A- Client with head injury and seizure
B- Client with an ischemic stroke 4 days ago with confusion
C- Client who is 1-day post op after a transshpenoidal craniotomy with
a cerebrospinal fluid leak
D-Client with bacterial meningitis and a Glasgow coma sale of 7
Ans: B- client with an ischemic stroke 4 days ago with confusion.
,*Think what is normal and what is abnormal- who is most stable
Q: After a change of shift, you are assinged to care for the following
clients, Which client should you assess first?
A- 60 year old client on a ventilator for whom a sterile sputum specimen
must be sent to the lab
B- 55 year old with COPD and a pulse oximetry reading from the
previous shift of 90%
C- 70 year old with pneumonia who needs to be started on IV
antibiotics
D- 50 year old with asthma who complains of shortness of breath after
using a bronchodilator
Ans: D- 50 year old with asthma who complains of shortness of breath after
using a brochodilator
*Think ABCs, also not the desired effect of the brochodilator treatment;
should be improved.
Q: The nurse just received report on the surgical ward. Which client
should be assessed first?
A- Peptic ulcer disease scheduled for a laparosopic choleycystectomy
in 4 hours
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, B- Multiple injuries after a motor vehicle crash
C- Graves disease scheduled for a thyroidectomy
D- Post-appendectomy waiting for discharge
Ans: B- multiple injuries following a motor vehicle crash
*think who is most unstable
Q: A hospital will receive a large number of clients because of a magor
disaster in the city. Which client can be discharged first?
A- 49 year old female 24 hours postop after hysterectomy
B- 66 year old male 5 days post op after total hip replacement
C- 79 year old female admitted 12 hours ago with pyrlonephritis
D- 82 year old female admitted 5 days ago with a stage 3 pressure
ulcer
Ans: B- 66 year old male 5 days post op after total hip replacement
*think who is most stable and would be safest to go home
Q: A nurse just received report on her client's at the first of the shift.
Which client should be assessed first?
A- 45 year old woman with a BP of 90/60 and hot, dry skin
B- 37 year old man with BP 130/70, sleeping quietly in his bed
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