Capstone Exam 1 Questions With Complete
Solutions
2011 Health Act that provided health care benefits
to uninsured individuals and families Correct
Answers Affordable Care Act
A client has an NG tube and complains of nausea.
Which action by the nurse is most appropriate?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the physician
D- Reposition the tube Correct Answers B- irrigate
the NG tube
A client who has frequent watery stools and a
possible clostridium difficile infection is hospitilized
with dehydration. Which nursing action should the
chage nurse delegate to an LPN?
A- Performing ongoing assessments to dtermine
the client's hydration status
B- Explaining the purpose of ordered stool cultures
to the client and family
C- Administering the ordered metronidazole PO to
the client
D- Reviewing the client's medical history for any
risk factors for diarrhea Correct Answers C-
,Administering the ordered metronidazole PO to the
client
*LPNs can't assess, teach, or determine risk factors
A client with a vancomycin-resistant enterococcus
(VRE) is admitted to the medical unit. Which action
can be delegated to the UAP who is assesting with
the client's care?
A- Teaching the client and family members about
means to prevent transmission of VRE
B- Communicating with other departments when
the client is transported for ordered tests
C- Implementing contact precaustions when
prociding care for the client
D- Monitoring the results of ordered laboratory
culture and semsitivity tests Correct Answers C-
Implementing contact precautions when providing
care for the client
*can't teach, communicate with other departments
about tests or monitor results
A client with peptic ulcer disease (PUD) reports
dark, coffee ground vomitus. The nurse would
recognize that this is a result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being changed by gastric secretions
, D- Fresh bleeding in the epigastric stomach region
Correct Answers C- blood being chagned by
epigastric secretions
A client with ulcerative colitis is receiving
mesalamin 800 mg PO TID. Whic assessment is
most important for the nurse to perform to assess
the effectiveness of the medication?
A- Respiratory Rate
B- Blood pressure
C- Bowel patterns
D- White blood cell count Correct Answers C-
bowel patterns
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 Correct Answers 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
Solutions
2011 Health Act that provided health care benefits
to uninsured individuals and families Correct
Answers Affordable Care Act
A client has an NG tube and complains of nausea.
Which action by the nurse is most appropriate?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the physician
D- Reposition the tube Correct Answers B- irrigate
the NG tube
A client who has frequent watery stools and a
possible clostridium difficile infection is hospitilized
with dehydration. Which nursing action should the
chage nurse delegate to an LPN?
A- Performing ongoing assessments to dtermine
the client's hydration status
B- Explaining the purpose of ordered stool cultures
to the client and family
C- Administering the ordered metronidazole PO to
the client
D- Reviewing the client's medical history for any
risk factors for diarrhea Correct Answers C-
,Administering the ordered metronidazole PO to the
client
*LPNs can't assess, teach, or determine risk factors
A client with a vancomycin-resistant enterococcus
(VRE) is admitted to the medical unit. Which action
can be delegated to the UAP who is assesting with
the client's care?
A- Teaching the client and family members about
means to prevent transmission of VRE
B- Communicating with other departments when
the client is transported for ordered tests
C- Implementing contact precaustions when
prociding care for the client
D- Monitoring the results of ordered laboratory
culture and semsitivity tests Correct Answers C-
Implementing contact precautions when providing
care for the client
*can't teach, communicate with other departments
about tests or monitor results
A client with peptic ulcer disease (PUD) reports
dark, coffee ground vomitus. The nurse would
recognize that this is a result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being changed by gastric secretions
, D- Fresh bleeding in the epigastric stomach region
Correct Answers C- blood being chagned by
epigastric secretions
A client with ulcerative colitis is receiving
mesalamin 800 mg PO TID. Whic assessment is
most important for the nurse to perform to assess
the effectiveness of the medication?
A- Respiratory Rate
B- Blood pressure
C- Bowel patterns
D- White blood cell count Correct Answers C-
bowel patterns
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 Correct Answers 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
