CAPSTONE B FINAL EXAM-ACTUAL EXAM-LATEST UPDATE 2025 | COMPLETE QUESTIONS WITH
CORRECT DETAILED AND VERIFIED ANSWERS-RATED 100% CORRECT!!GUARANTEED PASS!!
GRADED A+
1. A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when
making assignments. Which of the following ethical principles is the nurse upholding?: Justice
2. 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?: Nurse adds food coloring to the tube feeding
3. A newly-licensed nurse tells another nurse that their password has expired and asks for assistance with inputting
data into a client's electronic medical record. Which of the following statements should the nurse make?: You won't be
able to input any data until you reset your password
4. 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?: Bleach
5. A nurse at a pediatric clinic is checking the vital signs of a 2 week old infant. Which of the following findings is
outside of the expected reference range?: RR 68
6. A nurse in a provider's office is reinforcing teaching with a client about performing testicular self-examination.
Which of the following instructions should the nurse include?: Examine your testicles after a warm shower
7. A nurse is administering the inactivated influenza vaccine to a group of clients at a health clinic. The nurse
should recognize that which of the following conditions is a contraindication for this vaccine?: Allergy to gelatin 8. A
nurse is assisting with the admission of a client to an acute-care unit following a suicide attempt. Which of the following
actions should the nurse take first?: Search clients personal belongings
,9. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of the following actions
should the nurse take?: Determine if the client has prepared their advanced directive
10. A nurse is assisting with the care of a client who is in labor with ruptured membranes and has herpes simplex
virus with active lesion. The following actions should the nurse take?: Prepare client for cesarean birth
11. A nurse is assisting with the care of a client who is receiving 1 unit of packed RBCs. The client is coughing and
reports a headache and difficulty breathing. The client's vital signs indicate tachycardia and hypertension. The nurse
should identify that the client is experiencing which of the following types of transfusion reactions?: Circulatory
overload
12 A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for bipolar disorder. Which of
the following findings should indicate to the nurse that the client is experiencing lithium toxicity?: Dysrhythmia 13. A
nurse is caring for a client who has a compound fracture of the femur. Which of the following findings should the nurse
report to the provider as a manifestation of a fat embolism?: Petechiae over the client's chest
14. A nurse is caring for a client who has dementia and is at risk for falls. Which of the following preventive
measures should the nurse take?: Bed in the lowest position
15. A nurse is caring for a client who has HF and is taking furosemide. Which of the following statements by the
client indicates a need for the nurse to intervene?: I have to sleep sitting up
16. A nurse is caring for a client who has vegetative signs of major depression. which of the following actions should
the nurse take?: Provide high-protein fluids frequently
17. A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory findings should
the nurse report to the provider?: Blood glucose 130
18. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and vomiting on most days.
Which of the following recommendations should the nurse make?: Keep your environment well ventilated
,19. A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions
should the nurse take to help the client cope with the body image change resulting from the surgery?: Encourage client to
help care for their surgical incision
20. A nurse is caring for a client who is postpartum and asks the nurse why her newborn received a vitamin K
injection. The nurse should explain that the injection is administered in order to prevent which of the following
complications in the newborn?: Bleeding
21. A nurse is caring for a client who is pregnant and Rh-negative. The nurse should plan to monitor which of the
following maternal laboratory test results to determine maternal- fetal blood incompatibility?: Indirect coombs
22. A nurse is caring for a client who is receiving oxygen via nasal cannula at 4 L/min. Which of the following
actions should the nurse take?: Keep oxygen tubing off floor or clean cannula prongs daily
23. A nurse is caring for a preschooler immediately following a tonsillectomy and notices the child swallowing
frequently. Which of the following actions should the nurse take?: Check back of the throat with a pen light
24 A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to promote
communication?: Face the client at eye level when communicating
25. A nurse is checking a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this
reflex?: Place newborn on a flat surface and clap hands loudly
26. A nurse is collecting data for a client's health history and physical examination. Which of the following information
should the nurse identify as: risk factor for type 2 diabetes mellitus?: BMI 32.2
27. A nurse is collecting data from a 24-month-old toddler during an annual physical examination. Which of the
following findings should the nurse report to the provider?: Has a vocabulary of four words
28. A nurse is collecting data from a client prior to administration of verapamil. Which of the following findings
indicates a need to withhold the medication?: HR 48
, 29. A nurse is collecting data from a client who has bulimia nervosa. Which of the following findings should the nurse
expect?: Tooth erosion
30. A nurse is collecting data from a client who has dependent personality disorder. Which of the following
manifestations should the nurse expect? (Select all that apply.): Clings to others
Behaves submissively
31. A nurse is collecting data from a client who has hypothyroidism. When reviewing the findings and the client's
medical record, which of the following interventions should the nurse suggest to the provider? (Click on the "Exhibit"
button for additional information about the client. There are three tabs that contain separate categories of data.: Increase
levothyroxine
32. A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees
Which of the following recommendations should the nurse make?: Apply moist heat to the knees
33. A nurse is collecting data from a client who has recently stopped smoking. Which of the following findings should
the nurse recognize as a manifestation of acute nicotine withdrawal?: Nervousness
34. A nurse is collecting data from a client who is at 29 weeks of gestation. Which of the following findings should the
nurse identify as a potential indication of a prenatal complication?: Blurred vision
35. A nurse is collecting data from a client who is recovering from a recent stroke. Which of the following findings
should indicate to the nurse the need for a referral to a speech-language pathologist?: Coughing while eating
36 A nurse is collecting data from an adolescent client who takes digoxin. The nurse should monitor the client for which
of the following adverse effects?: Blurred vision
37. A nurse is collecting data from an adult client. The nurse should identify which of the following conditions increases
the client's risk for falls?: Multiple sclerosis
38. A nurse is collecting data from an infant who has severe dehydration.
CORRECT DETAILED AND VERIFIED ANSWERS-RATED 100% CORRECT!!GUARANTEED PASS!!
GRADED A+
1. A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when
making assignments. Which of the following ethical principles is the nurse upholding?: Justice
2. 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?: Nurse adds food coloring to the tube feeding
3. A newly-licensed nurse tells another nurse that their password has expired and asks for assistance with inputting
data into a client's electronic medical record. Which of the following statements should the nurse make?: You won't be
able to input any data until you reset your password
4. 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?: Bleach
5. A nurse at a pediatric clinic is checking the vital signs of a 2 week old infant. Which of the following findings is
outside of the expected reference range?: RR 68
6. A nurse in a provider's office is reinforcing teaching with a client about performing testicular self-examination.
Which of the following instructions should the nurse include?: Examine your testicles after a warm shower
7. A nurse is administering the inactivated influenza vaccine to a group of clients at a health clinic. The nurse
should recognize that which of the following conditions is a contraindication for this vaccine?: Allergy to gelatin 8. A
nurse is assisting with the admission of a client to an acute-care unit following a suicide attempt. Which of the following
actions should the nurse take first?: Search clients personal belongings
,9. A nurse is assisting with the admission of a client who is scheduled for surgery. Which of the following actions
should the nurse take?: Determine if the client has prepared their advanced directive
10. A nurse is assisting with the care of a client who is in labor with ruptured membranes and has herpes simplex
virus with active lesion. The following actions should the nurse take?: Prepare client for cesarean birth
11. A nurse is assisting with the care of a client who is receiving 1 unit of packed RBCs. The client is coughing and
reports a headache and difficulty breathing. The client's vital signs indicate tachycardia and hypertension. The nurse
should identify that the client is experiencing which of the following types of transfusion reactions?: Circulatory
overload
12 A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for bipolar disorder. Which of
the following findings should indicate to the nurse that the client is experiencing lithium toxicity?: Dysrhythmia 13. A
nurse is caring for a client who has a compound fracture of the femur. Which of the following findings should the nurse
report to the provider as a manifestation of a fat embolism?: Petechiae over the client's chest
14. A nurse is caring for a client who has dementia and is at risk for falls. Which of the following preventive
measures should the nurse take?: Bed in the lowest position
15. A nurse is caring for a client who has HF and is taking furosemide. Which of the following statements by the
client indicates a need for the nurse to intervene?: I have to sleep sitting up
16. A nurse is caring for a client who has vegetative signs of major depression. which of the following actions should
the nurse take?: Provide high-protein fluids frequently
17. A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory findings should
the nurse report to the provider?: Blood glucose 130
18. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and vomiting on most days.
Which of the following recommendations should the nurse make?: Keep your environment well ventilated
,19. A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions
should the nurse take to help the client cope with the body image change resulting from the surgery?: Encourage client to
help care for their surgical incision
20. A nurse is caring for a client who is postpartum and asks the nurse why her newborn received a vitamin K
injection. The nurse should explain that the injection is administered in order to prevent which of the following
complications in the newborn?: Bleeding
21. A nurse is caring for a client who is pregnant and Rh-negative. The nurse should plan to monitor which of the
following maternal laboratory test results to determine maternal- fetal blood incompatibility?: Indirect coombs
22. A nurse is caring for a client who is receiving oxygen via nasal cannula at 4 L/min. Which of the following
actions should the nurse take?: Keep oxygen tubing off floor or clean cannula prongs daily
23. A nurse is caring for a preschooler immediately following a tonsillectomy and notices the child swallowing
frequently. Which of the following actions should the nurse take?: Check back of the throat with a pen light
24 A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to promote
communication?: Face the client at eye level when communicating
25. A nurse is checking a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this
reflex?: Place newborn on a flat surface and clap hands loudly
26. A nurse is collecting data for a client's health history and physical examination. Which of the following information
should the nurse identify as: risk factor for type 2 diabetes mellitus?: BMI 32.2
27. A nurse is collecting data from a 24-month-old toddler during an annual physical examination. Which of the
following findings should the nurse report to the provider?: Has a vocabulary of four words
28. A nurse is collecting data from a client prior to administration of verapamil. Which of the following findings
indicates a need to withhold the medication?: HR 48
, 29. A nurse is collecting data from a client who has bulimia nervosa. Which of the following findings should the nurse
expect?: Tooth erosion
30. A nurse is collecting data from a client who has dependent personality disorder. Which of the following
manifestations should the nurse expect? (Select all that apply.): Clings to others
Behaves submissively
31. A nurse is collecting data from a client who has hypothyroidism. When reviewing the findings and the client's
medical record, which of the following interventions should the nurse suggest to the provider? (Click on the "Exhibit"
button for additional information about the client. There are three tabs that contain separate categories of data.: Increase
levothyroxine
32. A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees
Which of the following recommendations should the nurse make?: Apply moist heat to the knees
33. A nurse is collecting data from a client who has recently stopped smoking. Which of the following findings should
the nurse recognize as a manifestation of acute nicotine withdrawal?: Nervousness
34. A nurse is collecting data from a client who is at 29 weeks of gestation. Which of the following findings should the
nurse identify as a potential indication of a prenatal complication?: Blurred vision
35. A nurse is collecting data from a client who is recovering from a recent stroke. Which of the following findings
should indicate to the nurse the need for a referral to a speech-language pathologist?: Coughing while eating
36 A nurse is collecting data from an adolescent client who takes digoxin. The nurse should monitor the client for which
of the following adverse effects?: Blurred vision
37. A nurse is collecting data from an adult client. The nurse should identify which of the following conditions increases
the client's risk for falls?: Multiple sclerosis
38. A nurse is collecting data from an infant who has severe dehydration.
