CAPSTONE EXAM 1 ACTUAL EXAM 2023-2024
COMPLETE 70 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
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 – \u2026ANSWER\u2026.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 stepdown neuro unit?
A- Client with head injury and seizure
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 – \u2026ANSWER\u2026.Bclient 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 – \u2026ANSWER\u2026.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.
The nurse just received report on the surgical ward. Which client should be assessed
first?<\/p>\n\n\n\n
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 – \u2026ANSWER\u2026.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 –
\u2026ANSWER\u2026.B- 66 year old male 5 days post op after total hip replacement
*think who is most stable and would be safest to go home
A nurse just received report on her client’s at the first of the shift. Which client should be
assessed first?
A- 45 year old woman with a BP of 90\/60 and hot, dry skin
B- 37 year old man with BP 130\/70, sleeping quietly in his bed
C- 25 year old woman with fruity breath, excessive thrist and polyphagia
D- 16 year old boy with irritability and tremor – \u2026ANSWER\u2026.C- 25 year old woman with
fruity breath, excessive thirst and polyphagia
*who is showing definite signs of a problem not just questionable ones
The staff nurse receives on her assignment for the shift. Which client should she assess
first?
A- A client reporting a headache with a pain score 3\/10
B- A client with frequent watery diarrhea, abdominal pain, nausea
C- A client with respirations of 20 and O2 sat of 94% on room ait
D- A client with nausea after taking oral contrast for abdominal CT scan –
\u2026ANSWER\u2026.B- A client with frequent watery diarrhea, abdominal pain and nausea
*think about dehyration and electrolyte inbalance
The client with COPD tells the CNA that he did not get his annual flu shot this year and
has not had a pneumonia vaccination. You would be sure to instruct the CNA to report
which of these?
A- Blood pressure of 152\/84 mmHg
B- Respiratory rate of 27 breaths per minute
C- Heart rate of 92 beats\/min
D- Oral temperature of 38.4 – \u2026ANSWER\u2026.D- Oral temperature of 38.4
*most indicitive of infection<\/p>\n","protected":false},"excerpt":{"rendered":"
CAPSTONE EXAM 1 ACTUAL EXAM 2023-2024COMPLETE 70 QUESTIONS AND CORRECT DETAILEDANSWERS (VERIFIED ANSWERS) |ALREADY GRADEDA+A Nurse is caring for a clients on the med-surg unit. Which client is most at risk todevelop a nosocomial infection?A- clinet with alcohol abuse admitted for detoxB- Client with Type I diabetes and peripheral neuropathyC- Client recovering from a choleystectomyD- […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118033","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118033","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118033"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118033\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}