CAPSTONE B 2 UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A
PLUS
Capstone B 2 Comprehensive Study Guide 2026/2027
Integrated Clinical Questions and Answers Verified
Solutions Latest Update
Question:
A nurse is caring for clients in the ICU. Which client may be transferred to the step-down neuro
unit? A- Client with head injury and seizure B- Client with an ischemic stroke 4 days ago with
confusion C- Client who is 1-day post op after a transshpenoidal craniotomy with a cerebrospinal
fluid leak D-Client with bacterial meningitis and a Glasgow coma sale of 7.
Answer:
B- client with an ischemic stroke 4 days ago with confusion. *Think what is normal and what is
abnormal- who is most stable
Question:
After a change of shift, you are assinged to care for the following clients, Which client should you
assess first? A- 60 year old client on a ventilator for whom a sterile sputum specimen must be sent to
the lab B- 55 year old with COPD and a pulse oximetry reading from the previous shift of 90% C-
70 year old with pneumonia who needs to be started on IV antibiotics D- 50 year old with asthma
who complains of shortness of breath after using a bronchodilator.
Answer:
D- 50 year old with asthma who complains of shortness of breath after using a brochodilator *Think
ABCs, also not the desired effect of the brochodilator treatment; should be improved.
Question:
The nurse just received report on the surgical ward. Which client should be assessed first? A- Peptic
ulcer disease scheduled for a laparosopic choleycystectomy in 4 hours B- Multiple injuries after a
motor vehicle crash C- Graves disease scheduled for a thyroidectomy D- Post-appendectomy
waiting for discharge.
Answer:
B- multiple injuries following a motor vehicle crash *think who is most unstable
,Question:
A hospital will receive a large number of clients because of a magor disaster in the city. Which
client can be discharged first? A- 49 year old female 24 hours postop after hysterectomy B- 66 year
old male 5 days post op after total hip replacement C- 79 year old female admitted 12 hours ago
with pyrlonephritis D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer.
Answer:
B- 66 year old male 5 days post op after total hip replacement *think who is most stable and would
be safest to go home
Question:
A nurse just received report on her client's at the first of the shift. Which client should be assessed
first? A- 45 year old woman with a BP of 90/60 and hot, dry skin B- 37 year old man with BP
130/70, sleeping quietly in his bed C- 25 year old woman with fruity breath, excessive thrist and
polyphagia D- 16 year old boy with irritability and tremor.
Answer:
C- 25 year old woman with fruity breath, excessive thirst and polyphagia *who is showing definite
signs of a problem not just questionable ones
Question:
The staff nurse receives on her assignment for the shift. Which client should she assess first? A- A
client reporting a headache with a pain score 3/10 B- A client with frequent watery diarrhea,
abdominal pain, nausea C- A client with respirations of 20 and O2 sat of 94% on room ait D- A
client with nausea after taking oral contrast for abdominal CT scan.
Answer:
B- A client with frequent watery diarrhea, abdominal pain and nausea *think about dehyration and
electrolyte inbalance
Question:
The client with COPD tells the CNA that he did not get his annual flu shot this year and has not had
a pneumonia vaccination. You would be sure to instruct the CNA to report which of these? A-
Blood pressure of 152/84 mmHg B- Respiratory rate of 27 breaths per minute C- Heart rate of 92
, beats/min D- Oral temperature of 38.4.
Answer:
D- Oral temperature of 38.4 *most indicitive of infection
Question:
When assessing a 22-year old client who required emergency surgery and multiple transfusion 3
days ago, you find that the client looks anxious and has labred respirations at the rate of 38
breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6 L/min via nasal cannula.
Which action is most apropriate? A- Increase the flow rate on the oxygen to 10 L/min and reassess
the client after about 10 minutes B- Assis the client in using the incentive spirometer and splint his
chest with a pillow while he coughs C- Administer the ordered morpine sulfate to the client to
decrease his anxiety and reduce the hyperventilation D- Switch the client to a nonrebreather mask at
95-100% oxygen and call the physician to discuss the client's status.
Answer:
D- Switch the client to a nonrebreather mask at 95-100% O2 and call the physician to discuss the
client's status. *think Breathing/oxygen saturation (delievery)- make sure you don't choose anything
that is bad practice like 10 L on a nasal cannula
Question:
An office nurse just checked her secure email. Which message should the nurse return first? A-
Multipara at 34 weeks with headache and blurred vision B- Primipara at 22 weeks with supine
dizziness C- Primipara at 15 weeks says she has not felt baby move D- Multipara at 12 weeks with
white vaginal discharge.
Answer:
A- multipara at 34 weeks with headache and blurred vision *this is preeclampsia and that can be life
threatening- think in order of severity
Question:
The nurse is caring for clients in a rural hospital. Which client should be seen first? A- A young
child with a sore throat after tonsillectomy B- A client 2 days postpartum with pain during
breastfeeding C- A client with a long leg cast with pain after taking vicodin D- A client with pain 2
hours after a liver biopsy.
PLUS
Capstone B 2 Comprehensive Study Guide 2026/2027
Integrated Clinical Questions and Answers Verified
Solutions Latest Update
Question:
A nurse is caring for clients in the ICU. Which client may be transferred to the step-down neuro
unit? A- Client with head injury and seizure B- Client with an ischemic stroke 4 days ago with
confusion C- Client who is 1-day post op after a transshpenoidal craniotomy with a cerebrospinal
fluid leak D-Client with bacterial meningitis and a Glasgow coma sale of 7.
Answer:
B- client with an ischemic stroke 4 days ago with confusion. *Think what is normal and what is
abnormal- who is most stable
Question:
After a change of shift, you are assinged to care for the following clients, Which client should you
assess first? A- 60 year old client on a ventilator for whom a sterile sputum specimen must be sent to
the lab B- 55 year old with COPD and a pulse oximetry reading from the previous shift of 90% C-
70 year old with pneumonia who needs to be started on IV antibiotics D- 50 year old with asthma
who complains of shortness of breath after using a bronchodilator.
Answer:
D- 50 year old with asthma who complains of shortness of breath after using a brochodilator *Think
ABCs, also not the desired effect of the brochodilator treatment; should be improved.
Question:
The nurse just received report on the surgical ward. Which client should be assessed first? A- Peptic
ulcer disease scheduled for a laparosopic choleycystectomy in 4 hours B- Multiple injuries after a
motor vehicle crash C- Graves disease scheduled for a thyroidectomy D- Post-appendectomy
waiting for discharge.
Answer:
B- multiple injuries following a motor vehicle crash *think who is most unstable
,Question:
A hospital will receive a large number of clients because of a magor disaster in the city. Which
client can be discharged first? A- 49 year old female 24 hours postop after hysterectomy B- 66 year
old male 5 days post op after total hip replacement C- 79 year old female admitted 12 hours ago
with pyrlonephritis D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer.
Answer:
B- 66 year old male 5 days post op after total hip replacement *think who is most stable and would
be safest to go home
Question:
A nurse just received report on her client's at the first of the shift. Which client should be assessed
first? A- 45 year old woman with a BP of 90/60 and hot, dry skin B- 37 year old man with BP
130/70, sleeping quietly in his bed C- 25 year old woman with fruity breath, excessive thrist and
polyphagia D- 16 year old boy with irritability and tremor.
Answer:
C- 25 year old woman with fruity breath, excessive thirst and polyphagia *who is showing definite
signs of a problem not just questionable ones
Question:
The staff nurse receives on her assignment for the shift. Which client should she assess first? A- A
client reporting a headache with a pain score 3/10 B- A client with frequent watery diarrhea,
abdominal pain, nausea C- A client with respirations of 20 and O2 sat of 94% on room ait D- A
client with nausea after taking oral contrast for abdominal CT scan.
Answer:
B- A client with frequent watery diarrhea, abdominal pain and nausea *think about dehyration and
electrolyte inbalance
Question:
The client with COPD tells the CNA that he did not get his annual flu shot this year and has not had
a pneumonia vaccination. You would be sure to instruct the CNA to report which of these? A-
Blood pressure of 152/84 mmHg B- Respiratory rate of 27 breaths per minute C- Heart rate of 92
, beats/min D- Oral temperature of 38.4.
Answer:
D- Oral temperature of 38.4 *most indicitive of infection
Question:
When assessing a 22-year old client who required emergency surgery and multiple transfusion 3
days ago, you find that the client looks anxious and has labred respirations at the rate of 38
breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6 L/min via nasal cannula.
Which action is most apropriate? A- Increase the flow rate on the oxygen to 10 L/min and reassess
the client after about 10 minutes B- Assis the client in using the incentive spirometer and splint his
chest with a pillow while he coughs C- Administer the ordered morpine sulfate to the client to
decrease his anxiety and reduce the hyperventilation D- Switch the client to a nonrebreather mask at
95-100% oxygen and call the physician to discuss the client's status.
Answer:
D- Switch the client to a nonrebreather mask at 95-100% O2 and call the physician to discuss the
client's status. *think Breathing/oxygen saturation (delievery)- make sure you don't choose anything
that is bad practice like 10 L on a nasal cannula
Question:
An office nurse just checked her secure email. Which message should the nurse return first? A-
Multipara at 34 weeks with headache and blurred vision B- Primipara at 22 weeks with supine
dizziness C- Primipara at 15 weeks says she has not felt baby move D- Multipara at 12 weeks with
white vaginal discharge.
Answer:
A- multipara at 34 weeks with headache and blurred vision *this is preeclampsia and that can be life
threatening- think in order of severity
Question:
The nurse is caring for clients in a rural hospital. Which client should be seen first? A- A young
child with a sore throat after tonsillectomy B- A client 2 days postpartum with pain during
breastfeeding C- A client with a long leg cast with pain after taking vicodin D- A client with pain 2
hours after a liver biopsy.
