CAPSTONE EXAM 3 WITH
CORRECT ANSWERS
2025
The nurse is preparing to receive an 18-month-old client from surgery who
had repair of a congenital hip deformity. What type of traction does the
nurse anticipate setting up for the client? ( correct answers ) Bryant's
Traction
The nurse is caring for a client whose lab results show triglycerides of 380
and cholesterol level of 240. Which foods would the nurse educate the client
about including in his diet when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
C. an egg-white omelet with vegetables
D. natural honey from a local farmer's
market ( correct answers ) b. grilled
E.plain grilled steak prepared with salmon
pepper only seasoned with herbs
c. an egg-white omelet with vegetables
The nurse is discharging a client who was prescribed prednisone. The
nurse tells the client that one of the side effects may be impaired sleep.
The client says, "I already have a hard time sleeping. What can I do to help
with that?" Which recommendations should the nurse make? Select all that
apply.
A. avoid alcohol late in the evening
B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F.do a vigorous exercise routine after work to help him ( corre
become tired answers ) a. avoid alcohol late in the evening ct
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is preparing to discharge a client who was treated for
tuberculosis. Which guidelines for home management should the nurse
include in his discharge teaching? Select all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
GRADED
A+
,D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible
side effects and their management. ( correct answers ) b. the family should
maintain respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
d. the client may return to work when three sputum cultures are negative
The nurse is caring for a client who has a nasogastric tube for medication
administration and tube feedings. How should the nurse care for the tube
during her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300
mL
E. check under the adhesive tape on the nose daily to assess for skin
breakdown
F.assess the bowel sounds before feeding, and feed at half the rate if
bowel sounds are absent ( correct answers ) c. maintain the head of
bed in a high-Fowler's position during feedings
e. check under the adhesive tape on the nose daily to assess for skin
breakdown
The nurse is teaching a group of nursing students about proper client
positioning. Which statement by a student nurse indicates an understanding
of proper positioning?
A. A client receiving an enema should be placed on the right side in the Sims'
position.
B. A client with a below-the-knee amputation should be positioned with the
affected limb elevated at a 45-degree angle. C. Clients with pulmonary
edema should be positioned upright with the legs dangling over the side of
the bed.
D. Clients with a craniotomy should be positioned with the head of bed at a
20-degree angle with the head in a neutral, midline position. ( correct
answers ) c. clients with pulmonary edema should be positioned upright
with the legs dangling over the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which
should be included in the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D.
sitting up in the chair for all meals and during visitation time ( correct
answers ) a. bed rest with the affected extremity elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse
GRADED
strokes
A+
from the heel of the foot upward toward the ball, the infant exhibits
no movement. Which action is the priority for the nurse?
,A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D.ask how much formula the infant ( correct answers ) b.
consumes daily neurology consult order a
The nurse is caring for a client with COPD who complains of poor
quality of sleep. Which question should the nurse ask next?
A. "Does your partner snore heavily?"
B. "Do you get exercise during the
day?"
C. "How many pillows do you sleep on?" ( correct answers ) c. "How
D."Do you eat large meals right many
before bed?" pillows do you sleep on?"
The nurse is teaching infant CPR to a group of newly graduated nurses hired
to work in the labor and delivery unit. The nurse understands that proper
technique with infants includes which action? Select all that apply.
A. The femoral artery is checked for a pulse following each cycle of CPR.
B. Chest compression depth should be approximately 1.5 inches, or 4 cm.
C. A single rescuer should use three fingers on the dominant hand to do
compressions.
D. Rest the infant facedown on the forearm with the hand supporting the
head and jaw.
E.If arrest is witnessed the emergency response system should be
activated before beginning CPR ( correct answers ) b. Chest
compression depth should be approximately 1.5 inches, or 4 cm
e. If arrest is witnessed the emergency response system should be
activated before beginning CPR
The nurse is caring for a comatose client with a Salem sump tube. Which
action
A. bythe
clamp theair
nurse
ventisduring
correcttube
regarding
feedingscare of this client?
B. place the client on the left side in a high-Fowler's position
C. assess the position of the Salem sump before each feeding
D.infuse bolus feedings with a pump or by gently plunging into ( corre
the stomach answers ) c. assess the position of the salem sump ct
before each feeding
The nurse is teaching a client diagnosed with gastroesophageal reflux
disease (GERD) about dietary measures to manage symptoms. Which food
does the nurse advise the client to avoid?
a. bananas
b. tomatoes
c. white bread
d. grilled salmon
GRADED
A+
, e. steel-cut oatmeal ( correct answers ) b. tomatoes
The nurse is caring for a client with sternal wires following a coronary artery
bypass graft (CABG). The client complains of severe pain when coughing
and deep breathing. What nonpharmacological measures can the nurse
take to increase client comfort?
Select all that apply.
a. apply hot packs to the sternum
b. give morphine PRN for pain before client coughs
c. suggest using audio books or relaxing music as a distraction
d. teach the client how to use a pillow to splint the chest when
coughing
e. encourage the client to engage in prayer, meditation, or other ( corre
activities ct
f.properly position the head of the bed to minimize pressure on
the sternum answers ) c. suggest using audio books or relaxing
music as a distraction
d. teach the client how to use a pillow to splint the chest when
The coughing
nurse is caring for a client who is sedated and on the ventilator in ICU.
e. encourage
The the client
family expresses to engage
concern aboutin controlling
prayer, meditation, or other
the client's pain when he
activities
cannot speak. The nurse explains that assessing pain in a nonverbal client
involves
f. properly watching
position for
thewhich
head of
of the
the following signs? Select
bed to minimize all that
pressure on apply.
the sternum
a. grabbing at the bed rails
b. biting the ventilator tubing
c. facial grimacing
d. stiffness or rigidity of the body
d. decreased urinary output
f. increased blood pressure and heart rate as shown on the ( corre
cardiac monitor answers ) a. grabbing at the bed rails ct
b. biting the ventilator tubing
c. facial grimacing
d. stiffness or rigidity of the body
f. increased blood pressure and heart rate as shown on the
cardiac monitor
The clinic nurse is seeing a pregnant client who is expecting her first
child. She complains of morning sickness and nasal stuffiness. The
nurse recommends interventions to minimize discomfort from her
symptoms. Which should the nurse recommend? Select all that apply.
a. take ginger pills to alleviate nausea
b. drink a full glass of water at each meal
c. use a humidifier to help with congestion
d. eat dry crackers before getting out of bed in the morning
GRADED
A+
CORRECT ANSWERS
2025
The nurse is preparing to receive an 18-month-old client from surgery who
had repair of a congenital hip deformity. What type of traction does the
nurse anticipate setting up for the client? ( correct answers ) Bryant's
Traction
The nurse is caring for a client whose lab results show triglycerides of 380
and cholesterol level of 240. Which foods would the nurse educate the client
about including in his diet when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
C. an egg-white omelet with vegetables
D. natural honey from a local farmer's
market ( correct answers ) b. grilled
E.plain grilled steak prepared with salmon
pepper only seasoned with herbs
c. an egg-white omelet with vegetables
The nurse is discharging a client who was prescribed prednisone. The
nurse tells the client that one of the side effects may be impaired sleep.
The client says, "I already have a hard time sleeping. What can I do to help
with that?" Which recommendations should the nurse make? Select all that
apply.
A. avoid alcohol late in the evening
B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F.do a vigorous exercise routine after work to help him ( corre
become tired answers ) a. avoid alcohol late in the evening ct
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is preparing to discharge a client who was treated for
tuberculosis. Which guidelines for home management should the nurse
include in his discharge teaching? Select all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
GRADED
A+
,D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible
side effects and their management. ( correct answers ) b. the family should
maintain respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
d. the client may return to work when three sputum cultures are negative
The nurse is caring for a client who has a nasogastric tube for medication
administration and tube feedings. How should the nurse care for the tube
during her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300
mL
E. check under the adhesive tape on the nose daily to assess for skin
breakdown
F.assess the bowel sounds before feeding, and feed at half the rate if
bowel sounds are absent ( correct answers ) c. maintain the head of
bed in a high-Fowler's position during feedings
e. check under the adhesive tape on the nose daily to assess for skin
breakdown
The nurse is teaching a group of nursing students about proper client
positioning. Which statement by a student nurse indicates an understanding
of proper positioning?
A. A client receiving an enema should be placed on the right side in the Sims'
position.
B. A client with a below-the-knee amputation should be positioned with the
affected limb elevated at a 45-degree angle. C. Clients with pulmonary
edema should be positioned upright with the legs dangling over the side of
the bed.
D. Clients with a craniotomy should be positioned with the head of bed at a
20-degree angle with the head in a neutral, midline position. ( correct
answers ) c. clients with pulmonary edema should be positioned upright
with the legs dangling over the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which
should be included in the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D.
sitting up in the chair for all meals and during visitation time ( correct
answers ) a. bed rest with the affected extremity elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse
GRADED
strokes
A+
from the heel of the foot upward toward the ball, the infant exhibits
no movement. Which action is the priority for the nurse?
,A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D.ask how much formula the infant ( correct answers ) b.
consumes daily neurology consult order a
The nurse is caring for a client with COPD who complains of poor
quality of sleep. Which question should the nurse ask next?
A. "Does your partner snore heavily?"
B. "Do you get exercise during the
day?"
C. "How many pillows do you sleep on?" ( correct answers ) c. "How
D."Do you eat large meals right many
before bed?" pillows do you sleep on?"
The nurse is teaching infant CPR to a group of newly graduated nurses hired
to work in the labor and delivery unit. The nurse understands that proper
technique with infants includes which action? Select all that apply.
A. The femoral artery is checked for a pulse following each cycle of CPR.
B. Chest compression depth should be approximately 1.5 inches, or 4 cm.
C. A single rescuer should use three fingers on the dominant hand to do
compressions.
D. Rest the infant facedown on the forearm with the hand supporting the
head and jaw.
E.If arrest is witnessed the emergency response system should be
activated before beginning CPR ( correct answers ) b. Chest
compression depth should be approximately 1.5 inches, or 4 cm
e. If arrest is witnessed the emergency response system should be
activated before beginning CPR
The nurse is caring for a comatose client with a Salem sump tube. Which
action
A. bythe
clamp theair
nurse
ventisduring
correcttube
regarding
feedingscare of this client?
B. place the client on the left side in a high-Fowler's position
C. assess the position of the Salem sump before each feeding
D.infuse bolus feedings with a pump or by gently plunging into ( corre
the stomach answers ) c. assess the position of the salem sump ct
before each feeding
The nurse is teaching a client diagnosed with gastroesophageal reflux
disease (GERD) about dietary measures to manage symptoms. Which food
does the nurse advise the client to avoid?
a. bananas
b. tomatoes
c. white bread
d. grilled salmon
GRADED
A+
, e. steel-cut oatmeal ( correct answers ) b. tomatoes
The nurse is caring for a client with sternal wires following a coronary artery
bypass graft (CABG). The client complains of severe pain when coughing
and deep breathing. What nonpharmacological measures can the nurse
take to increase client comfort?
Select all that apply.
a. apply hot packs to the sternum
b. give morphine PRN for pain before client coughs
c. suggest using audio books or relaxing music as a distraction
d. teach the client how to use a pillow to splint the chest when
coughing
e. encourage the client to engage in prayer, meditation, or other ( corre
activities ct
f.properly position the head of the bed to minimize pressure on
the sternum answers ) c. suggest using audio books or relaxing
music as a distraction
d. teach the client how to use a pillow to splint the chest when
The coughing
nurse is caring for a client who is sedated and on the ventilator in ICU.
e. encourage
The the client
family expresses to engage
concern aboutin controlling
prayer, meditation, or other
the client's pain when he
activities
cannot speak. The nurse explains that assessing pain in a nonverbal client
involves
f. properly watching
position for
thewhich
head of
of the
the following signs? Select
bed to minimize all that
pressure on apply.
the sternum
a. grabbing at the bed rails
b. biting the ventilator tubing
c. facial grimacing
d. stiffness or rigidity of the body
d. decreased urinary output
f. increased blood pressure and heart rate as shown on the ( corre
cardiac monitor answers ) a. grabbing at the bed rails ct
b. biting the ventilator tubing
c. facial grimacing
d. stiffness or rigidity of the body
f. increased blood pressure and heart rate as shown on the
cardiac monitor
The clinic nurse is seeing a pregnant client who is expecting her first
child. She complains of morning sickness and nasal stuffiness. The
nurse recommends interventions to minimize discomfort from her
symptoms. Which should the nurse recommend? Select all that apply.
a. take ginger pills to alleviate nausea
b. drink a full glass of water at each meal
c. use a humidifier to help with congestion
d. eat dry crackers before getting out of bed in the morning
GRADED
A+
