Nursing Capstone Proctored Exam | Questions
And Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant Download PDF
1. A nurse is preparing to administer a medication to a patient with a feeding
tube. Which action should the nurse take first?
A. Flush the tube with 30 mL of sterile water
B. Verify medication compatibility with enteral feedings
C. Crush all medications together to save time
D. Administer the medication before checking placement
Rationale: Verifying compatibility ensures the medication won’t interact
negatively with the tube feeding or clog the tube.
2. A client is being discharged after surgery with a prescription for home
health care. Which action is most appropriate?
A. Give the client a written list of community resources
B. Call the home health nurse after the client arrives home
C. Notify the home health agency of the referral before discharge
D. Schedule a follow-up appointment at the clinic
Rationale: Early notification allows timely coordination and planning of care
services.
, 3. A nurse notices that a client's IV site is red and swollen. What is the nurse's
priority action?
A. Discontinue the IV
B. Flush the IV with saline
C. Apply a warm compress
D. Administer pain medication
Rationale: Discontinuing the IV prevents further tissue damage and
complications.
4. What is the best way to evaluate the effectiveness of pain management?
A. Monitoring facial expressions
B. Asking the family
C. Using a pain rating scale with the client
D. Checking vital signs
Rationale: Self-reported pain using a scale is the most accurate and reliable
method.
5. Which client should the nurse see first after receiving change-of-shift
report?
A. A client scheduled for physical therapy
B. A client requesting to ambulate
, C. A client with a BP of 86/58 mmHg and dizziness
D. A client asking about a new diet
Rationale: Hypotension and dizziness could indicate serious issues like shock or
dehydration.
6. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. Which
finding requires immediate action?
A. Respiratory rate of 22
B. New onset confusion
C. SpO2 of 92%
D. Productive cough
Rationale: Confusion may indicate CO2 retention or oxygen toxicity and must be
addressed immediately.
7. A nurse is teaching a client about insulin administration. Which statement
indicates understanding?
A. “I will always inject insulin into the same site.”
B. “I can skip insulin when I don’t eat.”
C. “I will rotate injection sites within the same area.”
D. “I will store opened insulin in the freezer.”
Rationale: Rotating sites within the same area promotes absorption and reduces
tissue damage.
And Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant Download PDF
1. A nurse is preparing to administer a medication to a patient with a feeding
tube. Which action should the nurse take first?
A. Flush the tube with 30 mL of sterile water
B. Verify medication compatibility with enteral feedings
C. Crush all medications together to save time
D. Administer the medication before checking placement
Rationale: Verifying compatibility ensures the medication won’t interact
negatively with the tube feeding or clog the tube.
2. A client is being discharged after surgery with a prescription for home
health care. Which action is most appropriate?
A. Give the client a written list of community resources
B. Call the home health nurse after the client arrives home
C. Notify the home health agency of the referral before discharge
D. Schedule a follow-up appointment at the clinic
Rationale: Early notification allows timely coordination and planning of care
services.
, 3. A nurse notices that a client's IV site is red and swollen. What is the nurse's
priority action?
A. Discontinue the IV
B. Flush the IV with saline
C. Apply a warm compress
D. Administer pain medication
Rationale: Discontinuing the IV prevents further tissue damage and
complications.
4. What is the best way to evaluate the effectiveness of pain management?
A. Monitoring facial expressions
B. Asking the family
C. Using a pain rating scale with the client
D. Checking vital signs
Rationale: Self-reported pain using a scale is the most accurate and reliable
method.
5. Which client should the nurse see first after receiving change-of-shift
report?
A. A client scheduled for physical therapy
B. A client requesting to ambulate
, C. A client with a BP of 86/58 mmHg and dizziness
D. A client asking about a new diet
Rationale: Hypotension and dizziness could indicate serious issues like shock or
dehydration.
6. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. Which
finding requires immediate action?
A. Respiratory rate of 22
B. New onset confusion
C. SpO2 of 92%
D. Productive cough
Rationale: Confusion may indicate CO2 retention or oxygen toxicity and must be
addressed immediately.
7. A nurse is teaching a client about insulin administration. Which statement
indicates understanding?
A. “I will always inject insulin into the same site.”
B. “I can skip insulin when I don’t eat.”
C. “I will rotate injection sites within the same area.”
D. “I will store opened insulin in the freezer.”
Rationale: Rotating sites within the same area promotes absorption and reduces
tissue damage.
