CAPSTONE B 2 FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL SOLUTION

CAPSTONE B 2 FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL SOLUTION
Capstone B 2 Learning Workbook 2026/2027 Clinical
Reasoning AND Evidence Questions and Answers
Verified Solutions Latest Update

Question:
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following
actions should the nurse include in the plan A. Provide the client with a means of communication B.
Maintain the head of the client's bed in a flat position C. Suction the client's endotracheal tube every
4 hr D. Perform oral hygiene for the client every 8 hr.

Answer:
A.) Provide the client with a means of communication Use electronic tablet computer,
programmable speech generating device, alphabet board, pencil and paper, etc



Question:
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration. Which
of the following laboratory results indicates effectiveness of the treatment A. Sodium 165 mEq/L B.
Potassium 5.2 mEq/L C. Urine specific gravity 1.020 D. Hct 62%.

Answer:
C Urine specific gravity 1.020 Within the expected range of 1.005-1.030



Question:
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip
arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased risk
for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million.

Answer:
C Platelets 80,000 platelet range is 150,000-400,000



Question:

,A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash.
Which of the following interventions is the nurse's priority while caring for this client A. Change the
client's position every 2 hours B. Pad pressure points at the edges of the client's cervical collar C.
Palpate the client's abdomen for bladder distention D. Assist the client with quad coughing.

Answer:
D Assist the client with quad coughing The greatest risk to a client who has a cervical spinal cord
injury is an obstructed airway; the priority is to ensure the client can clear their airway. Apply
abdominal pressure as the client coughs (quad coughing)



Question:
A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings
indicates that the client is experiencing transfusion-associated circulatory overload A. Nasuea B.
Hypothermia C. Dyspnea D. Bradycardia.

Answer:
C Dyspnea Dyspnea is an indication of possible transfusion associated circulatory overload, leading
to hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion related acute
lung injury to an anaphylactic response, which also causes wheezing, chest tightness, cyanosis, and
low BP



Question:
A nurse is assessing a client who has lung cancer and is undergoing radiation therapy to the chest.
Which of the following indicates an adverse effect of the therapy A. Hair loss on the scalp B.
Sweating at the treatment site C. Altered taste sensations D. Intolerance to cold.

Answer:
C Altered taste sensations Altered taste is a result of the release of metabolites by dead cells



Question:
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of the
following actions should the nurse plan to take (select all that apply) A. Obtain pre-transfusion
temperature B. Prime the IV tubing with lactated Ringer's C. Instruct an assistive personnel to
monitor the client during the transfusion D. Verify the client's blood type with a second nurse E. Use
a 20 gauge IV needle for venous access.

, Answer:
A, D, E A, complete assessment prior to transfusion D, verify identification, blood compatibility,
and expiration of product with second nurse E, the nurse should use a large bore needle to transfuse
the PRBCs to reduce the risk of cell hemolysis and obstruction of flow



Question:
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the following
BUN levels should the nurse expect A. 3.6 mg/dl B. 8 mg/dL C. 18.7 mg/dL D. 26 mg/dL.

Answer:
D 26 mg/dL Normal range is 10-20, and elevated levels indicates renal disease, dehydration, shock,
excessive protein in the diet, sepsis, glucocorticoid use, GI bleeding, or other conditions in which
blood is reabsorbed from injured tissues



Question:
A nurse is reviewing ECG strips for several clients. Which of the following images should the nurse
identify as atrial fibrillation (cannot insert pictures, read description) A. multiple irregular and
variable waves at the baseline and irregular R to R intervals B. a rate of 140-180/min C. a
tachycardia with no identifiable P wave and is determined to originate somewhere other than the
ventricles. Rate between 100- 280/min D. a P wave for every QRS, rate is 60-100/min.

Answer:
A.) multiple irregular and variable waves at the baseline and irregular R to R intervals



Question:
A nurse is preparing to admit a client who has a new tracheostomy from the operating room. Which
of the following items is the priority for the nurse to have available in the client's room upon
admission A. Obturator B. Hydrogen peroxide C. Sterile gloves D. Inner cannula.

Answer:
A.) Obturator The obturator can be inserted in the stoma in the even of dislodgment or
decannulation to maintain an airway until a new trach tube can be placed. For the first 72 hr
following the insertion of a trach, dislodgement or decannulation is considered an emergency