CAPSTONE QUIZ MODULE 3
1. A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following
actions should the nurse plan to include in the plan? (SATA)
a. Lock beds and wheelchairs when not providing care
b. Administer a sedative at bedtime
c. Provide information about home safety
checks
d. Teach balance and strengthening exercises
e. Place the bedside table within the clients reach
2. A nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the
following instructions should the nurse include in the teaching?
a) Report any sign of infection to the provider immediately
b) Expect your blood pressure to increase
c) Easy bruising may occur while taking this medication
d) Muscle rigidity is an expected adverse effect during the first few days of therapy
3. A nurse is teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis.
Which of the following statements by the client indicates an understanding of the teaching?
a) I will double my dose if I miss one
b) I should take this medication on an empty stomach between meals
c) I will take medication until my sore throat goes away
d) I will stop taking this medication if I develop itching
4. A nurse is preparing to administer medications to four clients. The nurse should administer medications
to which of the following clients first?
a) A client who has pneumonia a WBC count of 11,500/mm3 and is prescribed piperacillin
b) A client who is post coronary artery bypass graft (CABG) has total cholesterol of 318mg/dl and is
prescribed atorvastatin
c) A client who has anemia hemoglobin of 11g/dl and is prescribed epoetin alfa
d) A client who has renal failure, a serum potassium of 5.8/mEq/L and is prescribed
sodium polystyrene sulfonate
5. A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first?
a) Administer an antiemetic to the client
b) Notify housekeeping
c) Prevent the client from aspirating
d) Providing the client with an emesis basin
6. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include
which of the following food choices for this child?
a) Rice
b) Barley
c) Wheat
d) Rye
7. A nurse is caring for a client who is postoperative and has a prescription stockings. Which of
thefollowing actions should the nurse take?
a) Check the stockings for wrinkles
b) Apply the stockings while the client is sitting in a chair
c) Measure the size of the client’s foot
d) Remove the stockings once each day
8. A nurse is teaching a client about which foods she should include in her low fiber diet. Which of the
following statements indicates the client understands the teaching?
a) A fresh pear would be a good snack option
b) I can prepare refried beans for supper
c) I should choose white rice as a side dish
, d) Bran cereal would be a good breakfast choice
9. A client is prescribed 1g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g
potassium phosphate in 250ml dextrose 5% water (D5W). The nurse should set the IV pump to run at
how many ml/hr? (round nearest whole number)
42
10. A nurse is assessing a client who has a hip fracture. Which of the following findings should the
nurseexpect?
a) Hip pallor
b) Leg abduction
c) Muscle spasms
d) Leg lengthening
11. A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the
treatment of schizophrenia. Which of the following findings indicates a contraindication to clozapine?
a) Fasting blood glucose 120mg/dl
b) Asthma
c) Hypertension
d) WBC count 3,300/mm
12. A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the
following statements should the nurse identify as an indication that the client understands the
instructions?
a) I will walk briskly for 30minute before bedtime
b) I will have a cup of hot cocoa immediately before bedtime
c) I will no longer have a glass of wine before bedtime
d) I will do my muscle relaxation techniques each afternoon
13. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which
of the following interventions should the nurse use to help maintain the integrity of the client’s skin?
a) Elevate the head of the bed no more than 45
b) Apply cornstarch to keep sensitive skin area dry
c) Massage the skin over the client’s bony prominences
d) Use a transfer device to lift the client up in bed
14. A nurse is teaching an older adult client who has left sided weakness about cane use. Which of the
following instructions should the nurse include?
a) Hold the cane with your left hand
b) Move the cane forward 18 inches with each step
c) When walking move your left foot forward first
d) Keep your elbow straight when you hold the cane
15. A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of
0.9% sodium chloride. Which of the following intervention should the nurse include in the plan of care?
a) Monitor the client’s intake and output every 6 hr
b) Administer furosemide to the client
c) Check the client’s IV infusion every 8hr
d) Offer the client 240 ml (8oz) of oral fluids every 4hr
16. A nurse is teaching a client who has a new diagnosis of type 1diabetes mellitus about self-
administration of insulin. Which of the following instructions should the nurse include?
a) Store the current bottle of insulin at room temperature
b) Massage the injection site after removing the needle
c) Pull back on the plunger after injecting the insulin
d) Use each syringe up to six times
17. A nurse is reviewing a client’s lab result. Which of the following lab values should the nurse report
1. A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following
actions should the nurse plan to include in the plan? (SATA)
a. Lock beds and wheelchairs when not providing care
b. Administer a sedative at bedtime
c. Provide information about home safety
checks
d. Teach balance and strengthening exercises
e. Place the bedside table within the clients reach
2. A nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the
following instructions should the nurse include in the teaching?
a) Report any sign of infection to the provider immediately
b) Expect your blood pressure to increase
c) Easy bruising may occur while taking this medication
d) Muscle rigidity is an expected adverse effect during the first few days of therapy
3. A nurse is teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis.
Which of the following statements by the client indicates an understanding of the teaching?
a) I will double my dose if I miss one
b) I should take this medication on an empty stomach between meals
c) I will take medication until my sore throat goes away
d) I will stop taking this medication if I develop itching
4. A nurse is preparing to administer medications to four clients. The nurse should administer medications
to which of the following clients first?
a) A client who has pneumonia a WBC count of 11,500/mm3 and is prescribed piperacillin
b) A client who is post coronary artery bypass graft (CABG) has total cholesterol of 318mg/dl and is
prescribed atorvastatin
c) A client who has anemia hemoglobin of 11g/dl and is prescribed epoetin alfa
d) A client who has renal failure, a serum potassium of 5.8/mEq/L and is prescribed
sodium polystyrene sulfonate
5. A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first?
a) Administer an antiemetic to the client
b) Notify housekeeping
c) Prevent the client from aspirating
d) Providing the client with an emesis basin
6. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include
which of the following food choices for this child?
a) Rice
b) Barley
c) Wheat
d) Rye
7. A nurse is caring for a client who is postoperative and has a prescription stockings. Which of
thefollowing actions should the nurse take?
a) Check the stockings for wrinkles
b) Apply the stockings while the client is sitting in a chair
c) Measure the size of the client’s foot
d) Remove the stockings once each day
8. A nurse is teaching a client about which foods she should include in her low fiber diet. Which of the
following statements indicates the client understands the teaching?
a) A fresh pear would be a good snack option
b) I can prepare refried beans for supper
c) I should choose white rice as a side dish
, d) Bran cereal would be a good breakfast choice
9. A client is prescribed 1g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g
potassium phosphate in 250ml dextrose 5% water (D5W). The nurse should set the IV pump to run at
how many ml/hr? (round nearest whole number)
42
10. A nurse is assessing a client who has a hip fracture. Which of the following findings should the
nurseexpect?
a) Hip pallor
b) Leg abduction
c) Muscle spasms
d) Leg lengthening
11. A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the
treatment of schizophrenia. Which of the following findings indicates a contraindication to clozapine?
a) Fasting blood glucose 120mg/dl
b) Asthma
c) Hypertension
d) WBC count 3,300/mm
12. A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the
following statements should the nurse identify as an indication that the client understands the
instructions?
a) I will walk briskly for 30minute before bedtime
b) I will have a cup of hot cocoa immediately before bedtime
c) I will no longer have a glass of wine before bedtime
d) I will do my muscle relaxation techniques each afternoon
13. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which
of the following interventions should the nurse use to help maintain the integrity of the client’s skin?
a) Elevate the head of the bed no more than 45
b) Apply cornstarch to keep sensitive skin area dry
c) Massage the skin over the client’s bony prominences
d) Use a transfer device to lift the client up in bed
14. A nurse is teaching an older adult client who has left sided weakness about cane use. Which of the
following instructions should the nurse include?
a) Hold the cane with your left hand
b) Move the cane forward 18 inches with each step
c) When walking move your left foot forward first
d) Keep your elbow straight when you hold the cane
15. A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of
0.9% sodium chloride. Which of the following intervention should the nurse include in the plan of care?
a) Monitor the client’s intake and output every 6 hr
b) Administer furosemide to the client
c) Check the client’s IV infusion every 8hr
d) Offer the client 240 ml (8oz) of oral fluids every 4hr
16. A nurse is teaching a client who has a new diagnosis of type 1diabetes mellitus about self-
administration of insulin. Which of the following instructions should the nurse include?
a) Store the current bottle of insulin at room temperature
b) Massage the injection site after removing the needle
c) Pull back on the plunger after injecting the insulin
d) Use each syringe up to six times
17. A nurse is reviewing a client’s lab result. Which of the following lab values should the nurse report
