NUR 1340 – CAPSTONE EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT DOWNLOAD PDF
,*
Core Domains
Patient Safety and Infection Control
Pharmacology and Medication Management
Clinical Assessment and Diagnostic Reasoning
Medical-Surgical Nursing Care
Pediatric and Obstetric Nursing
Mental Health and Psychiatric Nursing
Ethics, Legal Compliance, and Professional Standards
Emergency and Critical Care Nursing
Chronic Disease Management and Health Promotion
Transition to Professional Nursing Role
,Introduction
This capstone exam evaluates your comprehensive readiness for professional nursing practice. It assesses
critical knowledge spanning patient safety, pharmacology, clinical assessment, medical-surgical care,
pediatrics, obstetrics, mental health, ethics, emergency care, and chronic disease management. The multiple-
choice and scenario-based structure emphasizes real-world application and clinical decision-making skills
essential for safe, competent nursing practice. Questions require you to integrate foundational theory with
applied professional knowledge, demonstrate regulatory and legal compliance understanding, apply ethical
principles, and exercise critical thinking in complex clinical situations. This exam serves as a comprehensive
synthesis of your nursing education, preparing you for the NCLEX-RN and entry into professional nursing
practice as a safe, effective, and evidence-based practitioner.*
*
Section One: Questions 1–100
Question 1
A nurse is preparing to administer insulin to a patient with type 2 diabetes. Which action is most important to
prevent medication error?
A. Administer the insulin immediately after drawing it up
B. Double-check the medication dose and patient identity before administration
C. Store the insulin in the refrigerator until ready to use
D. Use the same injection site for all insulin administrations
🟢 B. Double-check the medication dose and patient identity before administration
, 🔴 RATIONALE: Double-checking the medication dose and verifying patient identity using at least two
identifiers is fundamental to medication safety and prevents administration errors. This aligns with the "rights
of medication administration" and patient protection protocols.
Question 2
A patient with MRSA is admitted to the hospital. Which precaution is most appropriate for the nurse to
implement?
A. Place the patient in a negative-pressure room
B. Use gloves and gown when changing bed linen
C. Wear a mask for all patient interactions
D. Implement airborne isolation precautions
🟢 B. Use gloves and gown when changing bed linen
🔴 RATIONALE: Contact precautions for MRSA require the use of gloves and a gown when changing bed linen
or providing direct care to prevent the spread of infection. MRSA is transmitted through contact, not air.
Question 3
During a patient assessment, the nurse notes shallow respirations at 8 breaths per minute. Which action should
the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the healthcare provider immediately
C. Assess the patient's level of consciousness
D. Document the finding and continue the assessment
PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT DOWNLOAD PDF
,*
Core Domains
Patient Safety and Infection Control
Pharmacology and Medication Management
Clinical Assessment and Diagnostic Reasoning
Medical-Surgical Nursing Care
Pediatric and Obstetric Nursing
Mental Health and Psychiatric Nursing
Ethics, Legal Compliance, and Professional Standards
Emergency and Critical Care Nursing
Chronic Disease Management and Health Promotion
Transition to Professional Nursing Role
,Introduction
This capstone exam evaluates your comprehensive readiness for professional nursing practice. It assesses
critical knowledge spanning patient safety, pharmacology, clinical assessment, medical-surgical care,
pediatrics, obstetrics, mental health, ethics, emergency care, and chronic disease management. The multiple-
choice and scenario-based structure emphasizes real-world application and clinical decision-making skills
essential for safe, competent nursing practice. Questions require you to integrate foundational theory with
applied professional knowledge, demonstrate regulatory and legal compliance understanding, apply ethical
principles, and exercise critical thinking in complex clinical situations. This exam serves as a comprehensive
synthesis of your nursing education, preparing you for the NCLEX-RN and entry into professional nursing
practice as a safe, effective, and evidence-based practitioner.*
*
Section One: Questions 1–100
Question 1
A nurse is preparing to administer insulin to a patient with type 2 diabetes. Which action is most important to
prevent medication error?
A. Administer the insulin immediately after drawing it up
B. Double-check the medication dose and patient identity before administration
C. Store the insulin in the refrigerator until ready to use
D. Use the same injection site for all insulin administrations
🟢 B. Double-check the medication dose and patient identity before administration
, 🔴 RATIONALE: Double-checking the medication dose and verifying patient identity using at least two
identifiers is fundamental to medication safety and prevents administration errors. This aligns with the "rights
of medication administration" and patient protection protocols.
Question 2
A patient with MRSA is admitted to the hospital. Which precaution is most appropriate for the nurse to
implement?
A. Place the patient in a negative-pressure room
B. Use gloves and gown when changing bed linen
C. Wear a mask for all patient interactions
D. Implement airborne isolation precautions
🟢 B. Use gloves and gown when changing bed linen
🔴 RATIONALE: Contact precautions for MRSA require the use of gloves and a gown when changing bed linen
or providing direct care to prevent the spread of infection. MRSA is transmitted through contact, not air.
Question 3
During a patient assessment, the nurse notes shallow respirations at 8 breaths per minute. Which action should
the nurse take first?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the healthcare provider immediately
C. Assess the patient's level of consciousness
D. Document the finding and continue the assessment
