RN CAPSTONE COMPREHENSIVE PRACTICE B
COMPLETE STUDY GUIDE
◉ A nurse in a long-term care facility is serving on the ethics
committee, which is addressing a client care dilemma. Which of the
following strategies will facilitate resolving the dilemma? (Select all
that apply.)
Answer: [1] determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
◉ A nurse is talking with a client whose son died in a motor-vehicle
crash 2 weeks ago. The client states, "l really thought I'd be back to
my usual routines by now, but I can't think of anything else except
that my son is gone." Which Of the following responses should the
nurse make?
Answer: Grieving for your son is hard work. it will take as much time
as you need to come to terms with your loss.
◉ A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
Answer: Lamb
,Rationale:
including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
◉ A nurse notices an assistive personnel (AP) taking a nap in the
break room during meal time. The nurse also notes that the AP is
drowsy while performing routine tasks. Which of the following
actions should the nurse take?
Answer: Report the observation about the AP to the Unit nurse
manager
Rationale:
The nurse should report their observations to the unit's nurse
manager because they have a duty to report any behavior that poses
a risk to client safety.
◉ A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which of the following clients should the nurse
identify as being at risk for urinary retention?
Answer: A school age child who has allergic rhinitis and is taking
diphenhydramine.
,◉ A nurse is caring for a client following a bronchoscopy. Which of
the following actions should the nurse take first?
Answer: check for gag reflex
Rationale:
The greatest risk to this client is injury from aspiration. Therefore,
the first action the nurse should take is to check for a gag reflex.
◉ A nurse is assisting with the admission of a client who has a latex
allergy. The nurse should identify that which of the following
supplies has the potential to contain latex?
Answer: Indwelling urinary catheter
◉ A nurse is performing postmortem care for a client prior to the
arrival Of the client's family for viewing Of the body. Which Of the
following actions should the nurse take?
Answer: Gently close the client's eyelids
◉ A nurse is reinforcing teaching with a client who has dumping
syndrome about measures to reduce manifestations. Which of the
following instructions should the nurse include in the teaching?
Answer: avoid foods high in sugar content.
Rationale:
, The nurse should instruct the client to avoid sweet foods, which
often increase the manifestations of dumping syndrome. These
manifestations include nausea, sweating, abdominal pain, diarrhea,
and weakness.
◉ A nurse is collecting data from a client who is experiencing a
situational crisis following the loss of a job. The client states, "l don't
think I can go through this again." Which of the following actions is
the nurse's priority?
Answer: Determine if the client is experiencing psychotic thinking.
◉ A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the
following interventions should the nurse include?
Answer: Irrigate the bladder using sterile technique
Rationale:
The nurse should irrigate the bladder using strict sterile technique
and maintain the closed catheter drainage system to minimize the
risk of infection.
◉ A nurse is caring for an infant who is receiving IV fluids for
dehydration. Which of the following should the nurse recognize as a
positive response to the therapy?
Answer: Moist mucus membranes.
COMPLETE STUDY GUIDE
◉ A nurse in a long-term care facility is serving on the ethics
committee, which is addressing a client care dilemma. Which of the
following strategies will facilitate resolving the dilemma? (Select all
that apply.)
Answer: [1] determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
◉ A nurse is talking with a client whose son died in a motor-vehicle
crash 2 weeks ago. The client states, "l really thought I'd be back to
my usual routines by now, but I can't think of anything else except
that my son is gone." Which Of the following responses should the
nurse make?
Answer: Grieving for your son is hard work. it will take as much time
as you need to come to terms with your loss.
◉ A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
Answer: Lamb
,Rationale:
including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
◉ A nurse notices an assistive personnel (AP) taking a nap in the
break room during meal time. The nurse also notes that the AP is
drowsy while performing routine tasks. Which of the following
actions should the nurse take?
Answer: Report the observation about the AP to the Unit nurse
manager
Rationale:
The nurse should report their observations to the unit's nurse
manager because they have a duty to report any behavior that poses
a risk to client safety.
◉ A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which of the following clients should the nurse
identify as being at risk for urinary retention?
Answer: A school age child who has allergic rhinitis and is taking
diphenhydramine.
,◉ A nurse is caring for a client following a bronchoscopy. Which of
the following actions should the nurse take first?
Answer: check for gag reflex
Rationale:
The greatest risk to this client is injury from aspiration. Therefore,
the first action the nurse should take is to check for a gag reflex.
◉ A nurse is assisting with the admission of a client who has a latex
allergy. The nurse should identify that which of the following
supplies has the potential to contain latex?
Answer: Indwelling urinary catheter
◉ A nurse is performing postmortem care for a client prior to the
arrival Of the client's family for viewing Of the body. Which Of the
following actions should the nurse take?
Answer: Gently close the client's eyelids
◉ A nurse is reinforcing teaching with a client who has dumping
syndrome about measures to reduce manifestations. Which of the
following instructions should the nurse include in the teaching?
Answer: avoid foods high in sugar content.
Rationale:
, The nurse should instruct the client to avoid sweet foods, which
often increase the manifestations of dumping syndrome. These
manifestations include nausea, sweating, abdominal pain, diarrhea,
and weakness.
◉ A nurse is collecting data from a client who is experiencing a
situational crisis following the loss of a job. The client states, "l don't
think I can go through this again." Which of the following actions is
the nurse's priority?
Answer: Determine if the client is experiencing psychotic thinking.
◉ A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the
following interventions should the nurse include?
Answer: Irrigate the bladder using sterile technique
Rationale:
The nurse should irrigate the bladder using strict sterile technique
and maintain the closed catheter drainage system to minimize the
risk of infection.
◉ A nurse is caring for an infant who is receiving IV fluids for
dehydration. Which of the following should the nurse recognize as a
positive response to the therapy?
Answer: Moist mucus membranes.
