NUR 210 TRANSITION TO PRACTICE CAPSTONE EXAM |
QUESTIONS AND ANSWERS | VERIFIED ANSWERS PLUS
RATIONALES | EXAM ALREADY GRADED A+ | LATEST EXAM
1. A nurse manager notices a consistent increase in medication errors on the night shift.
Which action is most appropriate?
A. Punish the staff responsible
B. Investigate the root cause of the errors
C. Ignore the trend
D. Change the staff schedule immediately
*Answer: B. Investigate the root cause of the errors – Identifying underlying causes
allows the nurse manager to implement systemic solutions rather than blaming
individuals.
2. When delegating care to a UAP (unlicensed assistive personnel), what task is
appropriate?
A. Administering IV medications
B. Measuring vital signs
C. Performing wound care
D. Assessing patient pain
*Answer: B. Measuring vital signs – UAPs can safely perform routine tasks that do not
require nursing judgment.
3. Which principle best supports patient-centered care?
A. Standardized care for all patients
B. Individualized care based on patient preferences
C. Following protocols strictly without variation
D. Minimizing patient input
*Answer: B. Individualized care based on patient preferences – Patient-centered care
focuses on tailoring care to the unique needs and values of each patient.
4. A patient refuses a prescribed medication. The nurse should first:
A. Administer the medication anyway
B. Educate the patient about the medication
C. Document refusal and move on
D. Notify the physician immediately
*Answer: B. Educate the patient about the medication – Patient education supports
informed decision-making and may resolve misconceptions.
5. Which intervention is priority for a patient at risk for falls?
A. Administer PRN analgesics
B. Place the bed in the lowest position
C. Encourage ambulation without assistance
D. Reduce fluid intake
*Answer: B. Place the bed in the lowest position – Minimizing environmental risks is the
first step in fall prevention.
6. During a code, a new nurse begins chest compressions incorrectly. The experienced nurse
should:
, A. Allow them to continue
B. Correct technique immediately
C. Let them observe first
D. Call for HR intervention
*Answer: B. Correct technique immediately – Immediate correction ensures effective
CPR and patient safety.
7. What is the best example of evidence-based practice?
A. Following traditions in patient care
B. Using research and clinical guidelines to guide care
C. Applying personal experience exclusively
D. Asking a colleague for advice
*Answer: B. Using research and clinical guidelines to guide care – Evidence-based
practice integrates research evidence, clinical expertise, and patient preferences.
8. Which situation requires incident reporting?
A. Patient falls
B. Routine vital signs
C. Hand hygiene performed
D. Medication administration as prescribed
*Answer: A. Patient falls – Incidents that could cause harm or errors must be
documented to improve safety.
9. Which action demonstrates accountability in nursing practice?
A. Blaming colleagues for mistakes
B. Reporting accurate patient information
C. Ignoring errors to save time
D. Delegating critical tasks inappropriately
*Answer: B. Reporting accurate patient information – Accountable nurses take
responsibility for actions and ensure accurate communication.
10. Which is the most important consideration when prioritizing patient care?
A. Room number
B. Severity of patient condition
C. Nurse preference
D. Length of hospital stay
*Answer: B. Severity of patient condition – Prioritization is guided by the acuity of
patient needs, following Maslow’s hierarchy and ABCs.
11. The nurse identifies that a patient is at risk for pressure ulcers. Which intervention is most
effective?
A. Administering pain medication
B. Repositioning the patient every 2 hours
C. Restricting movement to bedrest
D. Limiting fluid intake
*Answer: B. Repositioning the patient every 2 hours – Frequent repositioning reduces
pressure and prevents skin breakdown.
12. Which is an example of a collaborative nursing action?
A. Performing medication administration independently
B. Consulting a physical therapist for mobility plan
C. Ignoring the care plan
, D. Delegating all tasks to UAPs
*Answer: B. Consulting a physical therapist for mobility plan – Collaboration involves
working with interprofessional team members to optimize patient outcomes.
13. A patient with COPD has oxygen saturation of 85%. The nurse should first:
A. Encourage deep breathing exercises
B. Increase oxygen per order
C. Notify the physician immediately
D. Monitor every 30 minutes
*Answer: B. Increase oxygen per order – Immediate intervention is needed to correct
hypoxemia while monitoring patient response.
14. Which communication method is most effective for interdisciplinary team meetings?
A. Email updates
B. Face-to-face discussion
C. Text messages
D. Leaving notes on chart
*Answer: B. Face-to-face discussion – Direct communication ensures clarity, immediate
feedback, and collaborative problem-solving.
15. Which scenario demonstrates ethical nursing practice?
A. Disclosing confidential patient information
B. Respecting patient autonomy in decision-making
C. Administering medications without consent
D. Ignoring patient cultural preferences
*Answer: B. Respecting patient autonomy in decision-making – Ethical practice
prioritizes respect, beneficence, and justice.
16. A patient is experiencing acute pain. Which intervention is highest priority?
A. Offering emotional support
B. Administering prescribed analgesics
C. Encouraging family presence
D. Providing patient education
*Answer: B. Administering prescribed analgesics – Pain relief is a priority to prevent
physiological and psychological complications.
17. Which nursing action demonstrates delegation appropriately?
A. Assigning a new nurse to insert an IV without training
B. Having a UAP feed a stable patient
C. Allowing a student to administer insulin independently
D. Letting a colleague complete charting for you
*Answer: B. Having a UAP feed a stable patient – Delegation requires assigning tasks
within the scope of practice and competence.
18. Which nursing intervention addresses medication safety?
A. Administering without verifying patient ID
B. Double-checking medication orders and patient identifiers
C. Giving medications from memory
D. Ignoring drug allergies documented in chart
*Answer: B. Double-checking medication orders and patient identifiers – Following the
“five rights” ensures safe medication administration.
, 19. Which action by a nurse demonstrates cultural competence?
A. Providing care according to personal beliefs
B. Asking patients about cultural preferences and adapting care
C. Ignoring patient dietary restrictions
D. Standardizing care for all patients regardless of culture
*Answer: B. Asking patients about cultural preferences and adapting care – Cultural
competence improves patient satisfaction and adherence.
20. Which strategy is most effective to prevent infection in hospitalized patients?
A. Hand hygiene before and after patient contact
B. Wearing gloves only when visibly soiled
C. Limiting patient bathing
D. Using antibiotics prophylactically for all patients
*Answer: A. Hand hygiene before and after patient contact – Handwashing is the most
effective way to prevent healthcare-associated infections.
21. A nurse identifies early signs of sepsis in a patient. Which is the priority action?
A. Notify the physician and start sepsis protocol
B. Document the findings for later review
C. Monitor vital signs in 8 hours
D. Educate patient about infection control
*Answer: A. Notify the physician and start sepsis protocol – Early recognition and
intervention are critical to prevent deterioration.
22. Which strategy promotes patient safety in medication administration?
A. Administering meds at convenient times
B. Using bar-code scanning and verifying patient identity
C. Ignoring high-risk medications
D. Delegating medication administration to UAPs
*Answer: B. Using bar-code scanning and verifying patient identity – Technology and
verification reduce medication errors.
23. Which nursing action demonstrates professional accountability?
A. Reporting only positive patient outcomes
B. Taking responsibility for errors and reporting them
C. Delegating critical tasks to untrained staff
D. Ignoring documentation requirements
*Answer: B. Taking responsibility for errors and reporting them – Professional
accountability involves honesty and corrective action.
24. Which approach is most appropriate for conflict resolution among staff?
A. Ignoring the issue
B. Facilitating open discussion with focus on problem-solving
C. Punishing one party
D. Reporting to administration without discussion
*Answer: B. Facilitating open discussion with focus on problem-solving – Effective
conflict resolution promotes teamwork and patient safety.
25. Which nursing action supports patient autonomy?
A. Ignoring patient requests
B. Involving patients in care decisions and informed consent
C. Mandating treatments regardless of patient wishes
QUESTIONS AND ANSWERS | VERIFIED ANSWERS PLUS
RATIONALES | EXAM ALREADY GRADED A+ | LATEST EXAM
1. A nurse manager notices a consistent increase in medication errors on the night shift.
Which action is most appropriate?
A. Punish the staff responsible
B. Investigate the root cause of the errors
C. Ignore the trend
D. Change the staff schedule immediately
*Answer: B. Investigate the root cause of the errors – Identifying underlying causes
allows the nurse manager to implement systemic solutions rather than blaming
individuals.
2. When delegating care to a UAP (unlicensed assistive personnel), what task is
appropriate?
A. Administering IV medications
B. Measuring vital signs
C. Performing wound care
D. Assessing patient pain
*Answer: B. Measuring vital signs – UAPs can safely perform routine tasks that do not
require nursing judgment.
3. Which principle best supports patient-centered care?
A. Standardized care for all patients
B. Individualized care based on patient preferences
C. Following protocols strictly without variation
D. Minimizing patient input
*Answer: B. Individualized care based on patient preferences – Patient-centered care
focuses on tailoring care to the unique needs and values of each patient.
4. A patient refuses a prescribed medication. The nurse should first:
A. Administer the medication anyway
B. Educate the patient about the medication
C. Document refusal and move on
D. Notify the physician immediately
*Answer: B. Educate the patient about the medication – Patient education supports
informed decision-making and may resolve misconceptions.
5. Which intervention is priority for a patient at risk for falls?
A. Administer PRN analgesics
B. Place the bed in the lowest position
C. Encourage ambulation without assistance
D. Reduce fluid intake
*Answer: B. Place the bed in the lowest position – Minimizing environmental risks is the
first step in fall prevention.
6. During a code, a new nurse begins chest compressions incorrectly. The experienced nurse
should:
, A. Allow them to continue
B. Correct technique immediately
C. Let them observe first
D. Call for HR intervention
*Answer: B. Correct technique immediately – Immediate correction ensures effective
CPR and patient safety.
7. What is the best example of evidence-based practice?
A. Following traditions in patient care
B. Using research and clinical guidelines to guide care
C. Applying personal experience exclusively
D. Asking a colleague for advice
*Answer: B. Using research and clinical guidelines to guide care – Evidence-based
practice integrates research evidence, clinical expertise, and patient preferences.
8. Which situation requires incident reporting?
A. Patient falls
B. Routine vital signs
C. Hand hygiene performed
D. Medication administration as prescribed
*Answer: A. Patient falls – Incidents that could cause harm or errors must be
documented to improve safety.
9. Which action demonstrates accountability in nursing practice?
A. Blaming colleagues for mistakes
B. Reporting accurate patient information
C. Ignoring errors to save time
D. Delegating critical tasks inappropriately
*Answer: B. Reporting accurate patient information – Accountable nurses take
responsibility for actions and ensure accurate communication.
10. Which is the most important consideration when prioritizing patient care?
A. Room number
B. Severity of patient condition
C. Nurse preference
D. Length of hospital stay
*Answer: B. Severity of patient condition – Prioritization is guided by the acuity of
patient needs, following Maslow’s hierarchy and ABCs.
11. The nurse identifies that a patient is at risk for pressure ulcers. Which intervention is most
effective?
A. Administering pain medication
B. Repositioning the patient every 2 hours
C. Restricting movement to bedrest
D. Limiting fluid intake
*Answer: B. Repositioning the patient every 2 hours – Frequent repositioning reduces
pressure and prevents skin breakdown.
12. Which is an example of a collaborative nursing action?
A. Performing medication administration independently
B. Consulting a physical therapist for mobility plan
C. Ignoring the care plan
, D. Delegating all tasks to UAPs
*Answer: B. Consulting a physical therapist for mobility plan – Collaboration involves
working with interprofessional team members to optimize patient outcomes.
13. A patient with COPD has oxygen saturation of 85%. The nurse should first:
A. Encourage deep breathing exercises
B. Increase oxygen per order
C. Notify the physician immediately
D. Monitor every 30 minutes
*Answer: B. Increase oxygen per order – Immediate intervention is needed to correct
hypoxemia while monitoring patient response.
14. Which communication method is most effective for interdisciplinary team meetings?
A. Email updates
B. Face-to-face discussion
C. Text messages
D. Leaving notes on chart
*Answer: B. Face-to-face discussion – Direct communication ensures clarity, immediate
feedback, and collaborative problem-solving.
15. Which scenario demonstrates ethical nursing practice?
A. Disclosing confidential patient information
B. Respecting patient autonomy in decision-making
C. Administering medications without consent
D. Ignoring patient cultural preferences
*Answer: B. Respecting patient autonomy in decision-making – Ethical practice
prioritizes respect, beneficence, and justice.
16. A patient is experiencing acute pain. Which intervention is highest priority?
A. Offering emotional support
B. Administering prescribed analgesics
C. Encouraging family presence
D. Providing patient education
*Answer: B. Administering prescribed analgesics – Pain relief is a priority to prevent
physiological and psychological complications.
17. Which nursing action demonstrates delegation appropriately?
A. Assigning a new nurse to insert an IV without training
B. Having a UAP feed a stable patient
C. Allowing a student to administer insulin independently
D. Letting a colleague complete charting for you
*Answer: B. Having a UAP feed a stable patient – Delegation requires assigning tasks
within the scope of practice and competence.
18. Which nursing intervention addresses medication safety?
A. Administering without verifying patient ID
B. Double-checking medication orders and patient identifiers
C. Giving medications from memory
D. Ignoring drug allergies documented in chart
*Answer: B. Double-checking medication orders and patient identifiers – Following the
“five rights” ensures safe medication administration.
, 19. Which action by a nurse demonstrates cultural competence?
A. Providing care according to personal beliefs
B. Asking patients about cultural preferences and adapting care
C. Ignoring patient dietary restrictions
D. Standardizing care for all patients regardless of culture
*Answer: B. Asking patients about cultural preferences and adapting care – Cultural
competence improves patient satisfaction and adherence.
20. Which strategy is most effective to prevent infection in hospitalized patients?
A. Hand hygiene before and after patient contact
B. Wearing gloves only when visibly soiled
C. Limiting patient bathing
D. Using antibiotics prophylactically for all patients
*Answer: A. Hand hygiene before and after patient contact – Handwashing is the most
effective way to prevent healthcare-associated infections.
21. A nurse identifies early signs of sepsis in a patient. Which is the priority action?
A. Notify the physician and start sepsis protocol
B. Document the findings for later review
C. Monitor vital signs in 8 hours
D. Educate patient about infection control
*Answer: A. Notify the physician and start sepsis protocol – Early recognition and
intervention are critical to prevent deterioration.
22. Which strategy promotes patient safety in medication administration?
A. Administering meds at convenient times
B. Using bar-code scanning and verifying patient identity
C. Ignoring high-risk medications
D. Delegating medication administration to UAPs
*Answer: B. Using bar-code scanning and verifying patient identity – Technology and
verification reduce medication errors.
23. Which nursing action demonstrates professional accountability?
A. Reporting only positive patient outcomes
B. Taking responsibility for errors and reporting them
C. Delegating critical tasks to untrained staff
D. Ignoring documentation requirements
*Answer: B. Taking responsibility for errors and reporting them – Professional
accountability involves honesty and corrective action.
24. Which approach is most appropriate for conflict resolution among staff?
A. Ignoring the issue
B. Facilitating open discussion with focus on problem-solving
C. Punishing one party
D. Reporting to administration without discussion
*Answer: B. Facilitating open discussion with focus on problem-solving – Effective
conflict resolution promotes teamwork and patient safety.
25. Which nursing action supports patient autonomy?
A. Ignoring patient requests
B. Involving patients in care decisions and informed consent
C. Mandating treatments regardless of patient wishes
