Custom: Capstone Exam 1 - 0126
Extracted questions with correct answers. Images embedded from source screenshots. Questions ordered by ascending number.
Question: 1 of 105
Question: A client with heart failure has new onset crackles bilaterally, JVD, and weight gain of 3 lbs in 2 days.
Which action is the priority?
Options:
A. Reposition the client flat in bed
B. Document findings and reassess in 4 hours
C. Encourage increased fluid intake
D. Notify the provider and prepare to administer a diuretic
Correct Answer: Notify the provider and prepare to administer a diuretic
Rationale: Signs of acute fluid overload/decompensation require prompt provider notification and diuretic therapy.
,Question: 2 of 105
Question: The nurse is teaching a client newly prescribed warfarin (Coumadin). Which statement indicates a need
for further teaching?
Options:
A. I will have my blood drawn regularly to check my INR.
B. I can eat more spinach and kale now that I'm on this medication.
C. I will use an electric razor instead of a blade razor.
D. I will tell my dentist I am taking this medication.
Correct Answer: I can eat more spinach and kale now that I'm on this medication.
Rationale: Green leafy vegetables are high in vitamin K and can decrease warfarin effectiveness; consistent intake
is required, not increased.
,Question: 3 of 105
Question: Which laboratory value should the nurse monitor most closely in a client receiving IV heparin?
Options:
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count only, drawn once weekly
Correct Answer: Activated partial thromboplastin time (aPTT)
Rationale: aPTT is the primary monitoring parameter for unfractionated heparin therapy.
, Question: 4 of 105
Question: A client is diagnosed with atrial fibrillation. The nurse should prioritize assessment for which
complication?
Options:
A. Pulmonary embolism
B. Stroke from embolized atrial thrombus
C. Third-degree heart block
D. Pericardial tamponade
Correct Answer: Stroke from embolized atrial thrombus
Rationale: Atrial fibrillation predisposes to atrial thrombi that can embolize to the brain, causing ischemic stroke.
Extracted questions with correct answers. Images embedded from source screenshots. Questions ordered by ascending number.
Question: 1 of 105
Question: A client with heart failure has new onset crackles bilaterally, JVD, and weight gain of 3 lbs in 2 days.
Which action is the priority?
Options:
A. Reposition the client flat in bed
B. Document findings and reassess in 4 hours
C. Encourage increased fluid intake
D. Notify the provider and prepare to administer a diuretic
Correct Answer: Notify the provider and prepare to administer a diuretic
Rationale: Signs of acute fluid overload/decompensation require prompt provider notification and diuretic therapy.
,Question: 2 of 105
Question: The nurse is teaching a client newly prescribed warfarin (Coumadin). Which statement indicates a need
for further teaching?
Options:
A. I will have my blood drawn regularly to check my INR.
B. I can eat more spinach and kale now that I'm on this medication.
C. I will use an electric razor instead of a blade razor.
D. I will tell my dentist I am taking this medication.
Correct Answer: I can eat more spinach and kale now that I'm on this medication.
Rationale: Green leafy vegetables are high in vitamin K and can decrease warfarin effectiveness; consistent intake
is required, not increased.
,Question: 3 of 105
Question: Which laboratory value should the nurse monitor most closely in a client receiving IV heparin?
Options:
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count only, drawn once weekly
Correct Answer: Activated partial thromboplastin time (aPTT)
Rationale: aPTT is the primary monitoring parameter for unfractionated heparin therapy.
, Question: 4 of 105
Question: A client is diagnosed with atrial fibrillation. The nurse should prioritize assessment for which
complication?
Options:
A. Pulmonary embolism
B. Stroke from embolized atrial thrombus
C. Third-degree heart block
D. Pericardial tamponade
Correct Answer: Stroke from embolized atrial thrombus
Rationale: Atrial fibrillation predisposes to atrial thrombi that can embolize to the brain, causing ischemic stroke.
