Module 3 Capstone Proctored Exam
1. A nurse is developing a plan of care for an older adult A. Teach balance
who is at risk for falls. Which of the following actions and strength exer-
should the nurse plan to include in the plan? (SATA) cises
A. Teach balance and strength exercises B. Provide in-
B. Provide information about home safety checks formation about
C. Lock beds and wheelchairs when not providing home safety
care checks
D. Place the bedside table within client's reach C. Lock beds and
E. Administer a sedative at bedtime wheelchairs when
not providing care
D. Place the bed-
side table within
client's reach
2. A nurse is caring for a client who has schizophrenia B. Writhing motion
and is taking haloperidol daily. Which of the following of the tongue
findings should indicate to the nurse that the client
has developed tardive dyskinesia (TD)? (Select all that D. Jerking move-
apply.) ments of the
A. Feelings of inner restlessness shoulders
B. Writhing motion of the tongue E. Involuntary
C. Fine tremors of the hands pelvic rocking
D. Jerking movements of the shoulders
E. Involuntary pelvic rocking
3. A nurse is providing teaching to a client who has A. Report any sign
schizophrenia about thioridazine. Which of the fol- of infection to the
lowing instructions should the nurse include in the provider immedi-
teaching? ately
A. Report any sign of infection to the provider imme-
diately
B. Expect your blood pressure to increase
C. Easy bruising may occur while taking this medica-
tion
D. Muscle rigidity is an expected adverse effect during
the first few days of therapy
4. A nurse is teaching a client who has a new prescrip-
tion for amoxicillin-clavulanate to treat pharyngitis.
, Module 3 Capstone Proctored Exam
Which of the following statements by the client indi- C. I will stop taking
cates an understanding of the teaching? this medication if I
A. I will take this medication until my sore throat goes develop itching
away
B. I should take this medication on an empty stomach
between meals
C. I will stop taking this medication if I develop itching
D. I will double my dose if I miss one
5. A nurse is preparing to administer medications to four D. A client who
clients. The nurse should administer medications to has renal failure, a
which of the following clients first? serum potassium
A. A client who has pneumonia, a WBC count of of 5.8 mEq/L, and
11,500/mm³, and is prescribed piperacillin is prescribed sodi-
B. A client who is post-coronary artery bypass graft um polystyrene
(CABG), has a total cholesterol of 318 mg/dL, and is sulfonate
prescribed atorvastatin
C. A client who has anemia, hemoglobin of 11g/dL, and
is prescribed epoetin alfa
D. A client who has renal failure, a serum potassium
of 5.8 mEq/L, and is prescribed sodium polystyrene
sulfonate
6. A nurse is caring for a client who is vomiting. Which C. Prevent the
of the following actions should the nurse take first? client from aspirat-
A. Provide the client with an emesis basin ing
B. Notify housekeeping
C. Prevent the client from aspirating
D. Administer an antiemetic to the client
7. A nurse is providing teaching to a parent of a child A. Rice
who has celiac disease. The nurse should include
which of the following food choices for this child?
A. Rice
B. Barley
C. Wheat
D. Rye
8. A nurse is caring for a client who is postoperative
and has a prescription for stockings. Which of the
, Module 3 Capstone Proctored Exam
following actions should the nurse take? A. Check the
A. Check the stockings for wrinkles stockings for wrin-
B. Apply the stockings while the client is sitting in a kles
chair
C. Measure the size of the client's foot
D. Remove the stockings once each day
9. A nurse is teaching a client about which foods she C. I should choose
should include in her low fiber diet. Which of the fol- white rice as a side
lowing statements indicates the client understands dish
the teaching?
A. A fresh pear would be a good snack option
B. I can prepare refried beans for supper
C. I should choose white rice as a side dish
D. Bran cereal would be a good breakfast choice
10. A nurse is caring for a client who is in labor and B. Oxytocin infu-
has HIV. Which of the following procedures should the sion
nurse identify as being safe for this client? (Select all
that apply.) D. Cesarean birth
A. Vacuum extraction
B. Oxytocin infusion
C. Use of forceps
D. Cesarean birth
E. Internal fetal monitoring
11. A nurse is preparing to administer oxytocin to a client A. Use an in-
to stimulate uterine contractions. Which of the follow- fusion pump for
ing actions should the nurse plan to take? (Select all medication admin-
that apply.) istration.
A. Use an infusion pump for medication administra- B. Monitor mater-
tion. nal blood pres-
B. Monitor maternal blood pressure and pulse fre- sure and pulse fre-
quently. quently.
C. Stop the infusion if uterine contractions occur
every 4 min and last 45 seconds. E. Monitor the fetal
D. Increase the medication infusion rate rapidly. heart rate continu-
E. Monitor the fetal heart rate continuously. ously.
12.
1. A nurse is developing a plan of care for an older adult A. Teach balance
who is at risk for falls. Which of the following actions and strength exer-
should the nurse plan to include in the plan? (SATA) cises
A. Teach balance and strength exercises B. Provide in-
B. Provide information about home safety checks formation about
C. Lock beds and wheelchairs when not providing home safety
care checks
D. Place the bedside table within client's reach C. Lock beds and
E. Administer a sedative at bedtime wheelchairs when
not providing care
D. Place the bed-
side table within
client's reach
2. A nurse is caring for a client who has schizophrenia B. Writhing motion
and is taking haloperidol daily. Which of the following of the tongue
findings should indicate to the nurse that the client
has developed tardive dyskinesia (TD)? (Select all that D. Jerking move-
apply.) ments of the
A. Feelings of inner restlessness shoulders
B. Writhing motion of the tongue E. Involuntary
C. Fine tremors of the hands pelvic rocking
D. Jerking movements of the shoulders
E. Involuntary pelvic rocking
3. A nurse is providing teaching to a client who has A. Report any sign
schizophrenia about thioridazine. Which of the fol- of infection to the
lowing instructions should the nurse include in the provider immedi-
teaching? ately
A. Report any sign of infection to the provider imme-
diately
B. Expect your blood pressure to increase
C. Easy bruising may occur while taking this medica-
tion
D. Muscle rigidity is an expected adverse effect during
the first few days of therapy
4. A nurse is teaching a client who has a new prescrip-
tion for amoxicillin-clavulanate to treat pharyngitis.
, Module 3 Capstone Proctored Exam
Which of the following statements by the client indi- C. I will stop taking
cates an understanding of the teaching? this medication if I
A. I will take this medication until my sore throat goes develop itching
away
B. I should take this medication on an empty stomach
between meals
C. I will stop taking this medication if I develop itching
D. I will double my dose if I miss one
5. A nurse is preparing to administer medications to four D. A client who
clients. The nurse should administer medications to has renal failure, a
which of the following clients first? serum potassium
A. A client who has pneumonia, a WBC count of of 5.8 mEq/L, and
11,500/mm³, and is prescribed piperacillin is prescribed sodi-
B. A client who is post-coronary artery bypass graft um polystyrene
(CABG), has a total cholesterol of 318 mg/dL, and is sulfonate
prescribed atorvastatin
C. A client who has anemia, hemoglobin of 11g/dL, and
is prescribed epoetin alfa
D. A client who has renal failure, a serum potassium
of 5.8 mEq/L, and is prescribed sodium polystyrene
sulfonate
6. A nurse is caring for a client who is vomiting. Which C. Prevent the
of the following actions should the nurse take first? client from aspirat-
A. Provide the client with an emesis basin ing
B. Notify housekeeping
C. Prevent the client from aspirating
D. Administer an antiemetic to the client
7. A nurse is providing teaching to a parent of a child A. Rice
who has celiac disease. The nurse should include
which of the following food choices for this child?
A. Rice
B. Barley
C. Wheat
D. Rye
8. A nurse is caring for a client who is postoperative
and has a prescription for stockings. Which of the
, Module 3 Capstone Proctored Exam
following actions should the nurse take? A. Check the
A. Check the stockings for wrinkles stockings for wrin-
B. Apply the stockings while the client is sitting in a kles
chair
C. Measure the size of the client's foot
D. Remove the stockings once each day
9. A nurse is teaching a client about which foods she C. I should choose
should include in her low fiber diet. Which of the fol- white rice as a side
lowing statements indicates the client understands dish
the teaching?
A. A fresh pear would be a good snack option
B. I can prepare refried beans for supper
C. I should choose white rice as a side dish
D. Bran cereal would be a good breakfast choice
10. A nurse is caring for a client who is in labor and B. Oxytocin infu-
has HIV. Which of the following procedures should the sion
nurse identify as being safe for this client? (Select all
that apply.) D. Cesarean birth
A. Vacuum extraction
B. Oxytocin infusion
C. Use of forceps
D. Cesarean birth
E. Internal fetal monitoring
11. A nurse is preparing to administer oxytocin to a client A. Use an in-
to stimulate uterine contractions. Which of the follow- fusion pump for
ing actions should the nurse plan to take? (Select all medication admin-
that apply.) istration.
A. Use an infusion pump for medication administra- B. Monitor mater-
tion. nal blood pres-
B. Monitor maternal blood pressure and pulse fre- sure and pulse fre-
quently. quently.
C. Stop the infusion if uterine contractions occur
every 4 min and last 45 seconds. E. Monitor the fetal
D. Increase the medication infusion rate rapidly. heart rate continu-
E. Monitor the fetal heart rate continuously. ously.
12.
