SNHU CAPSTONE EXAM 1 2025 |159 QUESTIONS AND
ANSWERS
1. The triage nurse is prioritizing adult clients to be evaluated in the
emergency department. Which client does the nurse assess first?
A client with a temperature of 100°F (37.8°C).
A client reporting vomiting for the past several hours.
A client with a persistent nosebleed.
A client reporting arm pain after falling off a chair.
2. A client with a foot ulcer is admitted to the medical unit with Vancomycin-
Resistant Staphylococcus Aureus (VRSA). Which task is appropriate to
assign to an LPN/LVN?
Assess for further infection risks
Plan a protein-rich diet for the client
Obtain wound culture with aseptic technique
Provide education on wound care
3. A nurse is reinforcing teaching with a client who has ulcerative colitis and
requires low fiber diet. The nurse should instruct the client to avoid which
of the following foods?
white rice
bananas
cooked carrots
dried apricots
4. Discuss the significance of Mary Seacole's contributions to nursing during
,the Crimean War.
, Mary Seacole's work was overshadowed by Florence Nightingale's
efforts in the Crimean War.
Mary Seacole's contributions highlighted the role of black
nurses and expanded the recognition of diverse contributions
to nursing.
Mary Seacole focused on administrative roles rather than direct
patient care.
Mary Seacole was primarily known for her work in the United
States during the Civil War.
5. Which nursing action is appropriate to delegate to an LPN when caring
for a client with a leg ulcer infected with VRSA?
Planning ways to improve the client's oral protein intake
Assessing the risk for further skin breakdown
Teaching the client about home care of the leg ulcer
Obtaining wound cultures during dressing changes
6. If a patient with cirrhosis shows signs of confusion and ataxia, what
should the nurse prioritize in their care plan?
Increase the dosage of lorazepam to manage symptoms.
Focus on providing high-protein meals to improve liver function.
Administer thiamine and multivitamins as part of the IV fluids.
Monitor the patient for signs of vitamin K deficiency.
7. Which client condition is associated with potential dehydration and
electrolyte imbalance?
A client with frequent watery diarrhea, abdominal pain, nausea
A client with nausea after taking oral contrast for abdominal CT
scan
, A client with respirations of 20 and O2 sat of 94% on room air
A client reporting a headache with a pain score 3/10
8. Why is the client with a long leg cast and pain after taking vicodin
prioritized over the other clients?
The client after a liver biopsy requires monitoring for bleeding.
The client with a long leg cast may be experiencing
compartment syndrome, which is a medical emergency.
The postpartum client needs support for breastfeeding issues.
The young child may have a risk of infection post-surgery.
9. The staff nurse just received report for her shift. Which client will she
need to assess first?
- A client with a lung lobectomy 1 day ago
- A client with a left femur fracture in a cast
- A client complainin of a headache of 2/10
- A client that had a laryngectomy 5 hours ago
10. Which of the following tasks can LPNs perform according to the
provided information?
Administer medications
Develop nursing care plans
Diagnose medical conditions
Perform major surgeries
11. Describe the significance of monitoring amylase levels in a patient with
acute pancreatitis.
Amylase is unrelated to pancreatic function and is used for kidney
assessment.
ANSWERS
1. The triage nurse is prioritizing adult clients to be evaluated in the
emergency department. Which client does the nurse assess first?
A client with a temperature of 100°F (37.8°C).
A client reporting vomiting for the past several hours.
A client with a persistent nosebleed.
A client reporting arm pain after falling off a chair.
2. A client with a foot ulcer is admitted to the medical unit with Vancomycin-
Resistant Staphylococcus Aureus (VRSA). Which task is appropriate to
assign to an LPN/LVN?
Assess for further infection risks
Plan a protein-rich diet for the client
Obtain wound culture with aseptic technique
Provide education on wound care
3. A nurse is reinforcing teaching with a client who has ulcerative colitis and
requires low fiber diet. The nurse should instruct the client to avoid which
of the following foods?
white rice
bananas
cooked carrots
dried apricots
4. Discuss the significance of Mary Seacole's contributions to nursing during
,the Crimean War.
, Mary Seacole's work was overshadowed by Florence Nightingale's
efforts in the Crimean War.
Mary Seacole's contributions highlighted the role of black
nurses and expanded the recognition of diverse contributions
to nursing.
Mary Seacole focused on administrative roles rather than direct
patient care.
Mary Seacole was primarily known for her work in the United
States during the Civil War.
5. Which nursing action is appropriate to delegate to an LPN when caring
for a client with a leg ulcer infected with VRSA?
Planning ways to improve the client's oral protein intake
Assessing the risk for further skin breakdown
Teaching the client about home care of the leg ulcer
Obtaining wound cultures during dressing changes
6. If a patient with cirrhosis shows signs of confusion and ataxia, what
should the nurse prioritize in their care plan?
Increase the dosage of lorazepam to manage symptoms.
Focus on providing high-protein meals to improve liver function.
Administer thiamine and multivitamins as part of the IV fluids.
Monitor the patient for signs of vitamin K deficiency.
7. Which client condition is associated with potential dehydration and
electrolyte imbalance?
A client with frequent watery diarrhea, abdominal pain, nausea
A client with nausea after taking oral contrast for abdominal CT
scan
, A client with respirations of 20 and O2 sat of 94% on room air
A client reporting a headache with a pain score 3/10
8. Why is the client with a long leg cast and pain after taking vicodin
prioritized over the other clients?
The client after a liver biopsy requires monitoring for bleeding.
The client with a long leg cast may be experiencing
compartment syndrome, which is a medical emergency.
The postpartum client needs support for breastfeeding issues.
The young child may have a risk of infection post-surgery.
9. The staff nurse just received report for her shift. Which client will she
need to assess first?
- A client with a lung lobectomy 1 day ago
- A client with a left femur fracture in a cast
- A client complainin of a headache of 2/10
- A client that had a laryngectomy 5 hours ago
10. Which of the following tasks can LPNs perform according to the
provided information?
Administer medications
Develop nursing care plans
Diagnose medical conditions
Perform major surgeries
11. Describe the significance of monitoring amylase levels in a patient with
acute pancreatitis.
Amylase is unrelated to pancreatic function and is used for kidney
assessment.
