CAPSTONE B 2025|Latest Exam
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A nurse is checking a newborn's Moro reflex. Which of the following actions
should the nurse take to elicit this reflex? - Correct-answer-Stroke the newborn's
cheek toward their mouth.
A nurse is contributing to the preparation of an in-service about child
maltreatment for a group of staff members. Which of the following
information should the nurse recommend? - Correct-answer-A child is at the
highest risk for abuse from birth through 1 year of age
A nurse at a long-term care facility is caring for a client who has AIDS. The client
accidentally spills the contents of their urinal on the floor. After cleaning up the
spill with soap and water, the nurse should apply a solution of water and which of
the following disinfectants to the floor? - Correct-answer-Bleach
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A nurse is using an interpreter to communicate with a client who speaks a
different language than the nurse. Which of the following actions
should the nurse take? - Correct-answer-Avoid asking the client personal
questions.
A nurse is reviewing the laboratory results of a client who takes aspirin daily.
Which of the following laboratory blood values should the nurse identify as a
contraindication for the administration of aspirin? - Correct-answer-Bleeding time
9.75 min
A charge nurse is observing a newly licensed nurse administer an enteral feeding
to a client who has an established gastrostomy tube. Which of the following
actions by the newly licensed nurse indicates that the charge nurse should
intervene? - Correct-answer-The nurse adds food coloring to the tube feeding.
A nurse is monitoring an assistive personnel (AP) who is caring for several clients.
For which of the following actions by the AP should the nurse intervene? -
Correct-answer-Provides teaching to a client regarding ostomy care
A nurse is collecting data from a client who has bulimia nervosa. Which of the
following findings should the nurse expect? - Correct-answer-Tooth erosion
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A nurse is collecting data from an infant who has severe dehydration. Which of
the following findings should the nurse expect? - Correct-answer-Sunken
fontanels
A nurse is contributing to the plan of care for a client who is postoperative
following a below-the-knee amputation. Which of the following
strategies should the nurse include to help the client progress toward acceptance
of this body image alteration? - Correct-answer-Encourage the client to visit with
someone who has had an amputation.
A nurse is reviewing the laboratory values for an adolescent who is scheduled for
a surgical procedure. For which of the following laboratory values should the
nurse notify the provider? - Correct-answer-Platelet count 120.000/mm
A nurse is assisting with the care of a client who is in labor with ruptured
membranes and has herpes simplex virus with active lesioi
the following actions should the nurse take? - Correct-answer-Prepare the client
for a cesarean birth.