CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
1. Can an RN delegate to the LPN to provide tra- Yes.
cheostomy care to a client with pneumonia?
2. A nurse on a med-surg unit has received C. Reapplying a condom
change-of-shift report & will care for 4 clients. catheter for a client who
Which of the following client's needs may the has urinary incontinence
nurse assign to an assistive personnel (AP)?
Rationale: The applica-
A. Feeding a client who was admitted 24 hrs tion of a condom catheter
ago w/aspiration pneumonia is a noninvasive, routine
procedure that the nurse
B. Reinforcing teaching w/a client who is learn- may delegate to the AP
ing to walk using a quad cane
C. Reapplying a condom catheter for a client
who has urinary incontinence
D. Applying a sterile dressing to a pressure
ulcer
3. A nurse is delegating the ambulation of a client B, C, D
who had knee arthroplasty 5 days ago to an AP.
Which of the following information should the
nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over
his antiembolic stockings
C. The client uses a front-wheeled walker when
ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morn-
ing
4. An RN is making assignments for client care D. Replacing the car-
to a LPN at the beginning of the shift. Which tridge and tubing on a
of the following assignments should the LPN PCA pump
question?
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
Rationale: The RN is re-
A. Assisting a client who is 24hr postop to use sponsible for the PCA
an incentive spirometer pump
B. Collecting a clean-catch urine specimen
from a client who was admitted on the previous
shift
C. Providing nasopharyngeal suctioning for a
client who has pneumonia
D. Replacing the cartridge and tubing on a PCA
pump
5. A nurse is preparing an in-service program B, C, E
about delegation. Which of the following ele-
ments should she identify when presenting the A and D are rights
5 rights of delegation? Select all. of medication administra-
tion
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
6. A nurse manager of a med-surg unit is as- B. RN
signing care responsibilities for the oncoming
shift. A client is awaiting transfer back to the A client returning from
unit from the PACU following thoracic surgery. surgery requires assess-
To which staff member should the nurse as- ment and establishment
sign to this client? of a plan of care. RNs are
responsible for this, espe-
A. Charge nurse cially if the client is poten-
B. RN tially unstable.
C. LPN
D. AP
7. A nurse observes an AP reprimanding a client A. Assault
for not using the urinal properly. The AP tells
him she will put a diaper on him if he does not By threatening the client,
use the urinal more carefully next time. Which the AP is committing as-
of the following torts is the AP committing? sault.
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
8. An adult client who is competent tells the nurse B. False imprisonment
that he is thinking about leaving the hospital
against medical advice. The nurse believes that The nurse gave the med
this is not in the client's best interest, so she as a chemical restraint
administers a PRN sedative med that the client to keep the client from
has not requested along w/his usual meds. leaving the facility against
Which of the following tort has the nurse com- medical advice. The client
mitted? did not consent.
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the C.
following week tells the nurse in the surgeon's The client has the right to
office that he will prepare his advance direc- decide and specify which
tives before he goes to the hospital. Which of medical procedures he
the following statements by the client indicates wants when a life-threat-
to the nurse that he understands advance di- ening situation arrives
rectives?
A. "I'd rather have my brother make decisions
for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery
unless I prepare these forms."
C. "I plan to write that I don't want them to ke
10. A client is about to undergo an elective surgi- A, B
cal procedure. Which of the following actions The rest of the choices
are appropriate for the nurse who is providing are the surgeon's respon-
preop care regarding informed consent? Se- sibility, not the nurse
lect all.
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
A. Make sure the surgeon obtained the client's
consent
B. Witness the client's signature on the con-
sent form
C. Explain the risks and benefits of the proce-
dure
D. Describe the consequences of choosing not
to have the surgery
E. Tell the client about alternatives to having
the surgery
11. A nurse has noticed several occasions in the C.
past week when another nurse on the unit Any nurse who notices
seemed drowsy & unable to focus on the issue behavior that could possi-
at hand. Today, she found the nurse asleep in a bly jeopardize client care
chair in the break room when she was not on or indicate a substance
break. Which of the following actions should abuse problem has a duty
the nurse take? to report the situation im-
mediately to the nurse
A. Remind the nurse that safe client care is a manager
priority on the unit
B. Ask others on the team whether they have
observed the same behavior
C. Report observations to the nurse manager
on the unit
D. Conclude that h
12. A nurse is preparing info for a change-of-shift C. A bone scan that is
report. Which of the following info should the scheduled for today
nurse include in the report?
This is important be-
A. The client's input & output for the shift cause the nurse might
B. The client's BP from the previous day have to modify the client's
C. A bone scan that is scheduled for today care to accommodate
D. The med routine from the med administra- them leaving the unit
tion record
13.
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
1. Can an RN delegate to the LPN to provide tra- Yes.
cheostomy care to a client with pneumonia?
2. A nurse on a med-surg unit has received C. Reapplying a condom
change-of-shift report & will care for 4 clients. catheter for a client who
Which of the following client's needs may the has urinary incontinence
nurse assign to an assistive personnel (AP)?
Rationale: The applica-
A. Feeding a client who was admitted 24 hrs tion of a condom catheter
ago w/aspiration pneumonia is a noninvasive, routine
procedure that the nurse
B. Reinforcing teaching w/a client who is learn- may delegate to the AP
ing to walk using a quad cane
C. Reapplying a condom catheter for a client
who has urinary incontinence
D. Applying a sterile dressing to a pressure
ulcer
3. A nurse is delegating the ambulation of a client B, C, D
who had knee arthroplasty 5 days ago to an AP.
Which of the following information should the
nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over
his antiembolic stockings
C. The client uses a front-wheeled walker when
ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morn-
ing
4. An RN is making assignments for client care D. Replacing the car-
to a LPN at the beginning of the shift. Which tridge and tubing on a
of the following assignments should the LPN PCA pump
question?
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
Rationale: The RN is re-
A. Assisting a client who is 24hr postop to use sponsible for the PCA
an incentive spirometer pump
B. Collecting a clean-catch urine specimen
from a client who was admitted on the previous
shift
C. Providing nasopharyngeal suctioning for a
client who has pneumonia
D. Replacing the cartridge and tubing on a PCA
pump
5. A nurse is preparing an in-service program B, C, E
about delegation. Which of the following ele-
ments should she identify when presenting the A and D are rights
5 rights of delegation? Select all. of medication administra-
tion
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
6. A nurse manager of a med-surg unit is as- B. RN
signing care responsibilities for the oncoming
shift. A client is awaiting transfer back to the A client returning from
unit from the PACU following thoracic surgery. surgery requires assess-
To which staff member should the nurse as- ment and establishment
sign to this client? of a plan of care. RNs are
responsible for this, espe-
A. Charge nurse cially if the client is poten-
B. RN tially unstable.
C. LPN
D. AP
7. A nurse observes an AP reprimanding a client A. Assault
for not using the urinal properly. The AP tells
him she will put a diaper on him if he does not By threatening the client,
use the urinal more carefully next time. Which the AP is committing as-
of the following torts is the AP committing? sault.
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
8. An adult client who is competent tells the nurse B. False imprisonment
that he is thinking about leaving the hospital
against medical advice. The nurse believes that The nurse gave the med
this is not in the client's best interest, so she as a chemical restraint
administers a PRN sedative med that the client to keep the client from
has not requested along w/his usual meds. leaving the facility against
Which of the following tort has the nurse com- medical advice. The client
mitted? did not consent.
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
9. A client who will undergo neurosurgery the C.
following week tells the nurse in the surgeon's The client has the right to
office that he will prepare his advance direc- decide and specify which
tives before he goes to the hospital. Which of medical procedures he
the following statements by the client indicates wants when a life-threat-
to the nurse that he understands advance di- ening situation arrives
rectives?
A. "I'd rather have my brother make decisions
for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery
unless I prepare these forms."
C. "I plan to write that I don't want them to ke
10. A client is about to undergo an elective surgi- A, B
cal procedure. Which of the following actions The rest of the choices
are appropriate for the nurse who is providing are the surgeon's respon-
preop care regarding informed consent? Se- sibility, not the nurse
lect all.
, CAPSTONE FUNDAMENTALS NEWEST 2024 ACTUAL EXAM COMPLE
100 QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_fueduj
A. Make sure the surgeon obtained the client's
consent
B. Witness the client's signature on the con-
sent form
C. Explain the risks and benefits of the proce-
dure
D. Describe the consequences of choosing not
to have the surgery
E. Tell the client about alternatives to having
the surgery
11. A nurse has noticed several occasions in the C.
past week when another nurse on the unit Any nurse who notices
seemed drowsy & unable to focus on the issue behavior that could possi-
at hand. Today, she found the nurse asleep in a bly jeopardize client care
chair in the break room when she was not on or indicate a substance
break. Which of the following actions should abuse problem has a duty
the nurse take? to report the situation im-
mediately to the nurse
A. Remind the nurse that safe client care is a manager
priority on the unit
B. Ask others on the team whether they have
observed the same behavior
C. Report observations to the nurse manager
on the unit
D. Conclude that h
12. A nurse is preparing info for a change-of-shift C. A bone scan that is
report. Which of the following info should the scheduled for today
nurse include in the report?
This is important be-
A. The client's input & output for the shift cause the nurse might
B. The client's BP from the previous day have to modify the client's
C. A bone scan that is scheduled for today care to accommodate
D. The med routine from the med administra- them leaving the unit
tion record
13.
