CAPSTONE EXAM 3 STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED
PASS <RECENT VERSION>
Professional Nursing Practice & Leadership
1. A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN) and
an unlicensed assistive personnel (UAP). Which task is most appropriate to
delegate to the UAP?
a) Administering oral medications to a stable patient.
b) Performing a dressing change for a stage 2 pressure injury.
c) Assisting a stable patient with ambulation to the bathroom.
d) Assessing a patient's bowel sounds post-abdominal surgery.
Answer: UAPs are trained for tasks like ambulation, vital signs, and activities of
daily living. Medication administration, dressing changes, and assessment require
the clinical judgment of licensed nursing staff (RN or LPN).
2. According to the American Nurses Association (ANA) Code of Ethics, which
principle is primarily demonstrated when a nurse respects a patient's decision to
refuse a blood transfusion?
a) Beneficence
b) Fidelity
c) Autonomy
d) Justice
Answer: Autonomy is the respect for a patient's right to self-determination and to
make decisions about their own healthcare, even if the nurse disagrees.
3. A nurse manager is implementing a change in the wound care protocol on the
unit. Which action by the manager best demonstrates transformational
leadership?
,a) Sending a memo with the new policy and an implementation date.
b) Inviting staff nurses to a meeting to discuss the evidence behind the change
and empowering them to help with the rollout.
c) Closely monitoring each nurse's adherence to the new protocol for one week.
d) Offering a monetary bonus to the first nurse to correctly use the new protocol.
Answer: Transformational leadership inspires and motivates followers through a
shared vision and empowerment, rather than through top-down authority or
transactional rewards.
4. A nurse is caring for a patient who speaks a different language. The nurse
obtains assistance from a professional interpreter. This action best promotes
which ethical principle?
a) Veracity
b) Nonmaleficence
c) Justice
d) Fidelity
Answer: Veracity means truth-telling. Using a professional interpreter ensures the
patient receives accurate, truthful information and can give truly informed
consent, upholding the principle of veracity.
5. During a busy shift, a nurse makes a medication error that does not harm the
patient. What is the nurse's best first action?
a) Document the error in the patient's chart and notify the physician.
b) Report the error to the risk management department.
c) Inform the charge nurse and complete an incident report.
d) Monitor the patient closely without documenting to avoid liability.
Answer: The first priority is always patient safety. The nurse must assess the
patient, notify the primary care provider for orders if needed, and then document
the facts in the medical record. An incident report is a separate, internal document
for quality improvement.
Patient Safety & Quality Improvement
, 6. The National Patient Safety Goal to "improve the effectiveness of
communication among caregivers" directly includes which of the following?
a) Using two patient identifiers.
b) Reporting critical results of tests and diagnostics on a timely basis.
c) Preventing hospital-acquired pressure injuries.
d) Implementing fall prevention protocols.
Answer: While all are important NPSGs, the goal of improving communication is
specifically addressed by timely reporting of critical test results.
7. A nurse is preparing to insert an indwelling urinary catheter. To adhere to The
Joint Commission's NPSGs, what must the nurse do prior to the procedure?
a) Have the patient sign a consent form.
b) Perform a procedural "time-out."
c) Administer prophylactic antibiotics.
d) Ensure the room door is closed for privacy.
Answer: A time-out is a mandatory safety pause before any invasive procedure to
verify the correct patient, procedure, and site.
8. The use of chlorhexidine gluconate (CHG) for skin cleansing prior to surgery is
an example of a protocol designed to prevent which type of hospital-acquired
condition?
a) Venous Thromboembolism (VTE)
b) Surgical Site Infection (SSI)
c) Catheter-Associated Urinary Tract Infection (CAUTI)
d) Central Line-Associated Bloodstream Infection (CLABSI)
Answer: CHG is an antiseptic used to reduce the microbial load on the skin,
thereby reducing the risk of infections at the surgical site.
9. A root cause analysis (RCA) is primarily used in healthcare to:
a) Determine which individual staff member is at fault for an error.
b) Identify underlying system-level processes that contributed to an adverse
event.
c) Discipline employees who make repeated mistakes.
d) Calculate the financial cost of a sentinel event.
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED
PASS <RECENT VERSION>
Professional Nursing Practice & Leadership
1. A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN) and
an unlicensed assistive personnel (UAP). Which task is most appropriate to
delegate to the UAP?
a) Administering oral medications to a stable patient.
b) Performing a dressing change for a stage 2 pressure injury.
c) Assisting a stable patient with ambulation to the bathroom.
d) Assessing a patient's bowel sounds post-abdominal surgery.
Answer: UAPs are trained for tasks like ambulation, vital signs, and activities of
daily living. Medication administration, dressing changes, and assessment require
the clinical judgment of licensed nursing staff (RN or LPN).
2. According to the American Nurses Association (ANA) Code of Ethics, which
principle is primarily demonstrated when a nurse respects a patient's decision to
refuse a blood transfusion?
a) Beneficence
b) Fidelity
c) Autonomy
d) Justice
Answer: Autonomy is the respect for a patient's right to self-determination and to
make decisions about their own healthcare, even if the nurse disagrees.
3. A nurse manager is implementing a change in the wound care protocol on the
unit. Which action by the manager best demonstrates transformational
leadership?
,a) Sending a memo with the new policy and an implementation date.
b) Inviting staff nurses to a meeting to discuss the evidence behind the change
and empowering them to help with the rollout.
c) Closely monitoring each nurse's adherence to the new protocol for one week.
d) Offering a monetary bonus to the first nurse to correctly use the new protocol.
Answer: Transformational leadership inspires and motivates followers through a
shared vision and empowerment, rather than through top-down authority or
transactional rewards.
4. A nurse is caring for a patient who speaks a different language. The nurse
obtains assistance from a professional interpreter. This action best promotes
which ethical principle?
a) Veracity
b) Nonmaleficence
c) Justice
d) Fidelity
Answer: Veracity means truth-telling. Using a professional interpreter ensures the
patient receives accurate, truthful information and can give truly informed
consent, upholding the principle of veracity.
5. During a busy shift, a nurse makes a medication error that does not harm the
patient. What is the nurse's best first action?
a) Document the error in the patient's chart and notify the physician.
b) Report the error to the risk management department.
c) Inform the charge nurse and complete an incident report.
d) Monitor the patient closely without documenting to avoid liability.
Answer: The first priority is always patient safety. The nurse must assess the
patient, notify the primary care provider for orders if needed, and then document
the facts in the medical record. An incident report is a separate, internal document
for quality improvement.
Patient Safety & Quality Improvement
, 6. The National Patient Safety Goal to "improve the effectiveness of
communication among caregivers" directly includes which of the following?
a) Using two patient identifiers.
b) Reporting critical results of tests and diagnostics on a timely basis.
c) Preventing hospital-acquired pressure injuries.
d) Implementing fall prevention protocols.
Answer: While all are important NPSGs, the goal of improving communication is
specifically addressed by timely reporting of critical test results.
7. A nurse is preparing to insert an indwelling urinary catheter. To adhere to The
Joint Commission's NPSGs, what must the nurse do prior to the procedure?
a) Have the patient sign a consent form.
b) Perform a procedural "time-out."
c) Administer prophylactic antibiotics.
d) Ensure the room door is closed for privacy.
Answer: A time-out is a mandatory safety pause before any invasive procedure to
verify the correct patient, procedure, and site.
8. The use of chlorhexidine gluconate (CHG) for skin cleansing prior to surgery is
an example of a protocol designed to prevent which type of hospital-acquired
condition?
a) Venous Thromboembolism (VTE)
b) Surgical Site Infection (SSI)
c) Catheter-Associated Urinary Tract Infection (CAUTI)
d) Central Line-Associated Bloodstream Infection (CLABSI)
Answer: CHG is an antiseptic used to reduce the microbial load on the skin,
thereby reducing the risk of infections at the surgical site.
9. A root cause analysis (RCA) is primarily used in healthcare to:
a) Determine which individual staff member is at fault for an error.
b) Identify underlying system-level processes that contributed to an adverse
event.
c) Discipline employees who make repeated mistakes.
d) Calculate the financial cost of a sentinel event.
