NR 452 Capstone Week 2 Study Guide 2026 |Chamberlain College
1. Which task is most appropriate for the RN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s pain relief after medication
B. Developing a plan of care for a new admission
C. Assisting a stable patient with bedside commode use
D. Providing discharge instructions regarding wound care
Answer: C
Rationale: UAPs can perform routine tasks for stable patients such as hygiene and
ambulation. Evaluation, planning, and teaching are nursing responsibilities that cannot be
delegated.
2. The nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with chronic COPD and an O2 saturation of 90%
B. A patient with a new onset of shortness of breath and restlessness
C. A patient 2 hours post-op who has not yet voided
D. A patient requesting pain medication for a level 6/10 headache
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, new onset
respiratory distress is the highest priority as it indicates potential airway or breathing
compromise.
,3. Which ethical principle is the nurse upholding when supporting a patient’s
decision to refuse a life-saving blood transfusion?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
even if the healthcare team disagrees with the choice.
4. A nurse manager encourages staff participation in decision-making and values
teamwork. Which leadership style is being used?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in the decision-making process and
promotes autonomy and collaboration.
5. A nurse performs a procedure on a patient without obtaining informed
consent. Which legal tort has the nurse committed?
A. Assault
B. Slander
C. Negligence
D. Battery
Answer: D
Rationale: Battery is the intentional and wrongful physical contact with another person
without their consent. Assault is the threat of such contact.
, 6. Two nurses are in conflict over the holiday schedule. They decide to work
together to find a ‘win-win’ solution. Which conflict management strategy is
this?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: A
Rationale: Collaboration involves both parties working together to find a mutually
satisfying solution that meets the goals of everyone involved.
7. Which task is appropriate for the RN to delegate to a Licensed Practical Nurse
(LPN)?
A. Titrating an intravenous heparin drip
B. Performing an initial head-to-toe assessment on a new admit
C. Administering a routine scheduled oral medication
D. Providing initial education on a new insulin pump
Answer: C
Rationale: LPNs can administer medications and perform tasks for stable patients. Initial
assessments, IV titrations, and initial education are the responsibility of the RN.
8. A patient has a serum potassium level of 6.2 mEq/L. Which action should the
nurse take first?
A. Check the patient’s urine output for the last hour
B. Document the finding in the medical record
C. Encourage the patient to eat a banana
D. Notify the provider and request an ECG
Answer: D
1. Which task is most appropriate for the RN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s pain relief after medication
B. Developing a plan of care for a new admission
C. Assisting a stable patient with bedside commode use
D. Providing discharge instructions regarding wound care
Answer: C
Rationale: UAPs can perform routine tasks for stable patients such as hygiene and
ambulation. Evaluation, planning, and teaching are nursing responsibilities that cannot be
delegated.
2. The nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with chronic COPD and an O2 saturation of 90%
B. A patient with a new onset of shortness of breath and restlessness
C. A patient 2 hours post-op who has not yet voided
D. A patient requesting pain medication for a level 6/10 headache
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, new onset
respiratory distress is the highest priority as it indicates potential airway or breathing
compromise.
,3. Which ethical principle is the nurse upholding when supporting a patient’s
decision to refuse a life-saving blood transfusion?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
even if the healthcare team disagrees with the choice.
4. A nurse manager encourages staff participation in decision-making and values
teamwork. Which leadership style is being used?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in the decision-making process and
promotes autonomy and collaboration.
5. A nurse performs a procedure on a patient without obtaining informed
consent. Which legal tort has the nurse committed?
A. Assault
B. Slander
C. Negligence
D. Battery
Answer: D
Rationale: Battery is the intentional and wrongful physical contact with another person
without their consent. Assault is the threat of such contact.
, 6. Two nurses are in conflict over the holiday schedule. They decide to work
together to find a ‘win-win’ solution. Which conflict management strategy is
this?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: A
Rationale: Collaboration involves both parties working together to find a mutually
satisfying solution that meets the goals of everyone involved.
7. Which task is appropriate for the RN to delegate to a Licensed Practical Nurse
(LPN)?
A. Titrating an intravenous heparin drip
B. Performing an initial head-to-toe assessment on a new admit
C. Administering a routine scheduled oral medication
D. Providing initial education on a new insulin pump
Answer: C
Rationale: LPNs can administer medications and perform tasks for stable patients. Initial
assessments, IV titrations, and initial education are the responsibility of the RN.
8. A patient has a serum potassium level of 6.2 mEq/L. Which action should the
nurse take first?
A. Check the patient’s urine output for the last hour
B. Document the finding in the medical record
C. Encourage the patient to eat a banana
D. Notify the provider and request an ECG
Answer: D
