CAPSTONE EXAM 1 QUESTIONS WITH
CORRECT ANSWERS
ATNNurseTNisTNcaringTNforTNaTNclientsTNonTNtheTNmed-
surgTNunit.TNWhichTNclientTNisTNmostTNatTNriskTNtoTNdevelopTNaTNnosocomialTNinfection
?
A-TNclinetTNwithTNalcoholTNabuseTNadmittedTNforTNdetox
B-TNClientTNwithTNTypeTNITNdiabetesTNandTNperipheralTNneuropathy
C-TNClientTNrecoveringTNfromTNaTNcholeystectomy
D-TNClientTNwithTNfullTNthicknessTNburns,TNanTNNGTNtubeTNandTNaTNFoleyTN-TNANS--D-
TNFullTNthicknessTNburn,TNNGTNtubeTNandTNFoley
*ThinkTNimmunosupressionTNandTNavenuesTNforTNinfection
ATNnurseTNisTNcaringTNforTNclientsTNinTNtheTNICU.TNWhichTNclientTNmayTNbeTNtransferre
dTNtoTNtheTNstep-downTNneuroTNunit?
A-TNClientTNwithTNheadTNinjuryTNandTNseizure
B-TNClientTNwithTNanTNischemicTNstrokeTN4TNdaysTNagoTNwithTNconfusion
C-TNClientTNwhoTNisTN1-
dayTNpostTNopTNafterTNaTNtransshpenoidalTNcraniotomyTNwithTNaTNcerebrospinalTNfluidT
Nleak
D-ClientTNwithTNbacterialTNmeningitisTNandTNaTNGlasgowTNcomaTNsaleTNofTN7TN-
TNANS--B-TNclientTNwithTNanTNischemicTNstrokeTN4TNdaysTNagoTNwithTNconfusion.
*ThinkTNwhatTNisTNnormalTNandTNwhatTNisTNabnormal-TNwhoTNisTNmostTNstable
AfterTNaTNchangeTNofTNshift,TNyouTNareTNassingedTNtoTNcareTNforTNtheTNfollowingTNclien
ts,TNWhichTNclientTNshouldTNyouTNassessTNfirst?
A-
TN60TNyearTNoldTNclientTNonTNaTNventilatorTNforTNwhomTNaTNsterileTNsputumTNspecimen
TNmustTNbeTNsentTNtoTNtheTNlab
B-
TN55TNyearTNoldTNwithTNCOPDTNandTNaTNpulseTNoximetryTNreadingTNfromTNtheTNprevio
usTNshiftTNofTN90%
C-
TN70TNyearTNoldTNwithTNpneumoniaTNwhoTNneedsTNtoTNbeTNstartedTNonTNIVTNantibiotics
D-
TN50TNyearTNoldTNwithTNasthmaTNwhoTNcomplainsTNofTNshortnessTNofTNbreathTNafterTNu
singTNaTNbronchodilatorTN-TNANS--D-
TN50TNyearTNoldTNwithTNasthmaTNwhoTNcomplainsTNofTNshortnessTNofTNbreathTNafterTNu
singTNaTNbrochodilator
*ThinkTNABCs,TNalsoTNnotTNtheTNdesiredTNeffectTNofTNtheTNbrochodilatorTNtreatment;TNs
houldTNbeTNimproved.
, TheTNnurseTNjustTNreceivedTNreportTNonTNtheTNsurgicalTNward.TNWhichTNclientTNshouldT
NbeTNassessedTNfirst?
A-
TNPepticTNulcerTNdiseaseTNscheduledTNforTNaTNlaparosopicTNcholeycystectomyTNinTN4TN
hours
B-TNMultipleTNinjuriesTNafterTNaTNmotorTNvehicleTNcrash
C-TNGravesTNdiseaseTNscheduledTNforTNaTNthyroidectomy
D-TNPost-appendectomyTNwaitingTNforTNdischargeTN-TNANS--B-
TNmultipleTNinjuriesTNfollowingTNaTNmotorTNvehicleTNcrash
*thinkTNwhoTNisTNmostTNunstable
ATNhospitalTNwillTNreceiveTNaTNlargeTNnumberTNofTNclientsTNbecauseTNofTNaTNmagorTNdi
sasterTNinTNtheTNcity.TNWhichTNclientTNcanTNbeTNdischargedTNfirst?
A-TN49TNyearTNoldTNfemaleTN24TNhoursTNpostopTNafterTNhysterectomy
B-TN66TNyearTNoldTNmaleTN5TNdaysTNpostTNopTNafterTNtotalTNhipTNreplacement
C-TN79TNyearTNoldTNfemaleTNadmittedTN12TNhoursTNagoTNwithTNpyrlonephritis
D-
TN82TNyearTNoldTNfemaleTNadmittedTN5TNdaysTNagoTNwithTNaTNstageTN3TNpressureTNulc
erTN-TNANS--B-
TN66TNyearTNoldTNmaleTN5TNdaysTNpostTNopTNafterTNtotalTNhipTNreplacement
*thinkTNwhoTNisTNmostTNstableTNandTNwouldTNbeTNsafestTNtoTNgoTNhome
ATNnurseTNjustTNreceivedTNreportTNonTNherTNclient'sTNatTNtheTNfirstTNofTNtheTNshift.TNWh
ichTNclientTNshouldTNbeTNassessedTNfirst?
A-TN45TNyearTNoldTNwomanTNwithTNaTNBPTNofTN90/60TNandTNhot,TNdryTNskin
B-TN37TNyearTNoldTNmanTNwithTNBPTN130/70,TNsleepingTNquietlyTNinTNhisTNbed
C-TN25TNyearTNoldTNwomanTNwithTNfruityTNbreath,TNexcessiveTNthristTNandTNpolyphagia
D-TN16TNyearTNoldTNboyTNwithTNirritabilityTNandTNtremorTN-TNANS--C-
TN25TNyearTNoldTNwomanTNwithTNfruityTNbreath,TNexcessiveTNthirstTNandTNpolyphagia
*whoTNisTNshowingTNdefiniteTNsignsTNofTNaTNproblemTNnotTNjustTNquestionableTNones
TheTNstaffTNnurseTNreceivesTNonTNherTNassignmentTNforTNtheTNshift.TNWhichTNclientTNs
houldTNsheTNassessTNfirst?
A-TNATNclientTNreportingTNaTNheadacheTNwithTNaTNpainTNscoreTN3/10
B-TNATNclientTNwithTNfrequentTNwateryTNdiarrhea,TNabdominalTNpain,TNnausea
C-TNATNclientTNwithTNrespirationsTNofTN20TNandTNO2TNsatTNofTN94%TNonTNroomTNait
D-
TNATNclientTNwithTNnauseaTNafterTNtakingTNoralTNcontrastTNforTNabdominalTNCTTNscanTN
-TNANS--B-
TNATNclientTNwithTNfrequentTNwateryTNdiarrhea,TNabdominalTNpainTNandTNnausea
*thinkTNaboutTNdehyrationTNandTNelectrolyteTNinbalance
CORRECT ANSWERS
ATNNurseTNisTNcaringTNforTNaTNclientsTNonTNtheTNmed-
surgTNunit.TNWhichTNclientTNisTNmostTNatTNriskTNtoTNdevelopTNaTNnosocomialTNinfection
?
A-TNclinetTNwithTNalcoholTNabuseTNadmittedTNforTNdetox
B-TNClientTNwithTNTypeTNITNdiabetesTNandTNperipheralTNneuropathy
C-TNClientTNrecoveringTNfromTNaTNcholeystectomy
D-TNClientTNwithTNfullTNthicknessTNburns,TNanTNNGTNtubeTNandTNaTNFoleyTN-TNANS--D-
TNFullTNthicknessTNburn,TNNGTNtubeTNandTNFoley
*ThinkTNimmunosupressionTNandTNavenuesTNforTNinfection
ATNnurseTNisTNcaringTNforTNclientsTNinTNtheTNICU.TNWhichTNclientTNmayTNbeTNtransferre
dTNtoTNtheTNstep-downTNneuroTNunit?
A-TNClientTNwithTNheadTNinjuryTNandTNseizure
B-TNClientTNwithTNanTNischemicTNstrokeTN4TNdaysTNagoTNwithTNconfusion
C-TNClientTNwhoTNisTN1-
dayTNpostTNopTNafterTNaTNtransshpenoidalTNcraniotomyTNwithTNaTNcerebrospinalTNfluidT
Nleak
D-ClientTNwithTNbacterialTNmeningitisTNandTNaTNGlasgowTNcomaTNsaleTNofTN7TN-
TNANS--B-TNclientTNwithTNanTNischemicTNstrokeTN4TNdaysTNagoTNwithTNconfusion.
*ThinkTNwhatTNisTNnormalTNandTNwhatTNisTNabnormal-TNwhoTNisTNmostTNstable
AfterTNaTNchangeTNofTNshift,TNyouTNareTNassingedTNtoTNcareTNforTNtheTNfollowingTNclien
ts,TNWhichTNclientTNshouldTNyouTNassessTNfirst?
A-
TN60TNyearTNoldTNclientTNonTNaTNventilatorTNforTNwhomTNaTNsterileTNsputumTNspecimen
TNmustTNbeTNsentTNtoTNtheTNlab
B-
TN55TNyearTNoldTNwithTNCOPDTNandTNaTNpulseTNoximetryTNreadingTNfromTNtheTNprevio
usTNshiftTNofTN90%
C-
TN70TNyearTNoldTNwithTNpneumoniaTNwhoTNneedsTNtoTNbeTNstartedTNonTNIVTNantibiotics
D-
TN50TNyearTNoldTNwithTNasthmaTNwhoTNcomplainsTNofTNshortnessTNofTNbreathTNafterTNu
singTNaTNbronchodilatorTN-TNANS--D-
TN50TNyearTNoldTNwithTNasthmaTNwhoTNcomplainsTNofTNshortnessTNofTNbreathTNafterTNu
singTNaTNbrochodilator
*ThinkTNABCs,TNalsoTNnotTNtheTNdesiredTNeffectTNofTNtheTNbrochodilatorTNtreatment;TNs
houldTNbeTNimproved.
, TheTNnurseTNjustTNreceivedTNreportTNonTNtheTNsurgicalTNward.TNWhichTNclientTNshouldT
NbeTNassessedTNfirst?
A-
TNPepticTNulcerTNdiseaseTNscheduledTNforTNaTNlaparosopicTNcholeycystectomyTNinTN4TN
hours
B-TNMultipleTNinjuriesTNafterTNaTNmotorTNvehicleTNcrash
C-TNGravesTNdiseaseTNscheduledTNforTNaTNthyroidectomy
D-TNPost-appendectomyTNwaitingTNforTNdischargeTN-TNANS--B-
TNmultipleTNinjuriesTNfollowingTNaTNmotorTNvehicleTNcrash
*thinkTNwhoTNisTNmostTNunstable
ATNhospitalTNwillTNreceiveTNaTNlargeTNnumberTNofTNclientsTNbecauseTNofTNaTNmagorTNdi
sasterTNinTNtheTNcity.TNWhichTNclientTNcanTNbeTNdischargedTNfirst?
A-TN49TNyearTNoldTNfemaleTN24TNhoursTNpostopTNafterTNhysterectomy
B-TN66TNyearTNoldTNmaleTN5TNdaysTNpostTNopTNafterTNtotalTNhipTNreplacement
C-TN79TNyearTNoldTNfemaleTNadmittedTN12TNhoursTNagoTNwithTNpyrlonephritis
D-
TN82TNyearTNoldTNfemaleTNadmittedTN5TNdaysTNagoTNwithTNaTNstageTN3TNpressureTNulc
erTN-TNANS--B-
TN66TNyearTNoldTNmaleTN5TNdaysTNpostTNopTNafterTNtotalTNhipTNreplacement
*thinkTNwhoTNisTNmostTNstableTNandTNwouldTNbeTNsafestTNtoTNgoTNhome
ATNnurseTNjustTNreceivedTNreportTNonTNherTNclient'sTNatTNtheTNfirstTNofTNtheTNshift.TNWh
ichTNclientTNshouldTNbeTNassessedTNfirst?
A-TN45TNyearTNoldTNwomanTNwithTNaTNBPTNofTN90/60TNandTNhot,TNdryTNskin
B-TN37TNyearTNoldTNmanTNwithTNBPTN130/70,TNsleepingTNquietlyTNinTNhisTNbed
C-TN25TNyearTNoldTNwomanTNwithTNfruityTNbreath,TNexcessiveTNthristTNandTNpolyphagia
D-TN16TNyearTNoldTNboyTNwithTNirritabilityTNandTNtremorTN-TNANS--C-
TN25TNyearTNoldTNwomanTNwithTNfruityTNbreath,TNexcessiveTNthirstTNandTNpolyphagia
*whoTNisTNshowingTNdefiniteTNsignsTNofTNaTNproblemTNnotTNjustTNquestionableTNones
TheTNstaffTNnurseTNreceivesTNonTNherTNassignmentTNforTNtheTNshift.TNWhichTNclientTNs
houldTNsheTNassessTNfirst?
A-TNATNclientTNreportingTNaTNheadacheTNwithTNaTNpainTNscoreTN3/10
B-TNATNclientTNwithTNfrequentTNwateryTNdiarrhea,TNabdominalTNpain,TNnausea
C-TNATNclientTNwithTNrespirationsTNofTN20TNandTNO2TNsatTNofTN94%TNonTNroomTNait
D-
TNATNclientTNwithTNnauseaTNafterTNtakingTNoralTNcontrastTNforTNabdominalTNCTTNscanTN
-TNANS--B-
TNATNclientTNwithTNfrequentTNwateryTNdiarrhea,TNabdominalTNpainTNandTNnausea
*thinkTNaboutTNdehyrationTNandTNelectrolyteTNinbalance
