Capstone Exam 1 2025 Questions and
Answers
A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to
develop a nosocomial infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with full thickness burns, an NG tube and a Foley -
....ANSWER ...-D- Full thickness burn, NG tube and Foley
*Think immunosupression and avenues for infection
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
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,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
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.
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, 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
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
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Answers
A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to
develop a nosocomial infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with full thickness burns, an NG tube and a Foley -
....ANSWER ...-D- Full thickness burn, NG tube and Foley
*Think immunosupression and avenues for infection
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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
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.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, 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
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
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