RASMUSSEN COLLEGE MODULE 7
CAPSTONE TRANSITION TO PRACTICE
QUESTIONS AND CORRECT ANSWERS.
A nurse is observing patient care provided by assistive personnel (AP). Which of the following
actions should prompt the charge nurse to intervene?
• The AP puts on clean gloves prior to brushing a patient's teeth.
• The AP attaches a patient's urinary drainage bag to the bed frame.
• The AP instructs a patient who needs assistance with turning to place his arms at his
side before the turn.
• The AP applies moisturizing cream to the feet of a patient who has diabetes mellitus. - c.
The AP instructs a patient who needs assistance with turning to place his arms at his side
before the turn.
A nurse is assessing an adolescent patient who has attention deficit hyperactivity disorder
(ADHD). Which of the following findings should the nurse expect?
• Elevated mood
• Anxiety
• Emotional numbing
• Impulsivity - d. Impulsivity
A nurse is developing the plan of care for a patient who does not speak the same language as
the nurse. Which of the following interventions should the nurse include?
• Make sure a family member is present to interpret for the staff
• Encourage the patient to nod to indicates understanding
• Determine the patient's level of fluency in his primary language
• Speak directly to the interpreter when teaching the patient - b. Encourage the patient to
nod to indicates understanding
A nurse has completed care procedures for patient who requires airborne precautions. Which
of the following items of personal protective equipment (PPE) should the nurse remove last?
• Gloves
• Gown
• Mask
• Goggles - c. Mask
,Following a tornado, a nurse is determining which of the patients assigned to her care can be
discharged to free up beds for injured patients. Which of the following patients should the
nurse recommend for discharge?
• An older adult who was admitted for diabetic ketoacidosis and his most recent ABGs
show his pH is now 7.32
• Middle adult who is 36hr postoperative from an open laminectomy
• An adolescent patient who was admitted 24hr ago due to a spontaneous pneumothorax
• A young adult patient who has Crohn's disease and is 1 day preoperative for an ileostomy
- d. A young adult patient who has Crohn's disease and is 1 day preoperative for an ileostomy
A community mental health nurse is assessing patient who has schizophrenia. Which of the
following findings indicates the patient might be relapsing?
• The patient reports feelings of anger toward her provider
• The patient states have started smoking again
• The patient is wearing mismatched clothing
• The patient reports difficulties with sleeping and concentrating - d. The patient
reports difficulties with sleeping and concentrating
A nurse is caring for a patient whose informed consent form has been signed in preparation
for a procedure. The patient states, "I have decided not to have the procedure. "Which of
the following actions should the nurse take?
• Remind the patient the consent form has already been signed
• Discuss alternatives to the procedure
• Explain why this procedure is necessary
• Inform the provider that the patient is withdrawing consent - d. Inform the provider that
the patient is withdrawing consent
A nurse in a mental health facility is caring for a patient who is a patient who is upset about
the loss of privileges due to repetitive negative behavior. Which of the following statements
by the nurse demonstrates the effective use of assertive communication?
• "You need to calm down before discussing this matter any further"
• "I understand that you are angry. However, I followed the appropriate protocol
• "You were made aware of the consequences of negative behavior"
• "Why did you make the choice to behave negatively?" - b. "I understand that you are
angry. However, I followed the appropriate protocol
A nurse is caring for an adolescent patient who has a new diagnosis of schizophrenia. The
patient's parents are tearful and express feelings of guilt. Which of the following statements
should the nurse make?
• "You said that you feel guilty about your daughter's diagnosis. Lets talk about what
is causing you to feel this way".
• "Your provider has explained the causes of schizophrenia why you feel guilty about
your daughter diagnosis?"
, • "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable".
• "I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be
all right once she receives the proper treatment". - a. "You said that you feel guilty about
your daughter's diagnosis. Lets talk about what is causing you to feel this way".
A nurse in the emergency department is assessing a patient who has experienced
intimate partner abuse. The nurse should monitor the patient for which of the
following behavioral findings?
• Body image disturbance
• Altered role performance
• Personal identity disturbance
• Self- esteem disturbance - d. Self- esteem disturbance
A nurse is preparing to administer oral medications to a patient. Which of the following
should the nurse recognize as an acceptable patient identifier? (Select all that apply)
• Partner's full name
• Facility room number
• patient's full name
• Provider's name - c. patient's full name
A nurse asks a patient how he is feeling. The patient states, "I'm feeling a bit nervous today".
Which of the following responses should the nurse make?
• "Would a backrub ease your nervousness?"
• "What is making you feel nervous?"
• "Please explain what you mean by the word nervous"
• "You shouldn't feel nervous" - c. "Please explain what you mean by the word nervous"
A nurse is caring for a patient who is experiencing a normal grief reaction following the loss of
her spouse. Which of the following finding should the nurse expect?
• Chest pain
• Insomnia
• Hypertension
• Dry month - a. Chest pain
A nurse is teaching a class on torts. The nurse should instruct the class that administering an
antibiotic medication to a competent patient after the patient has refused it is an example of
which of the following torts?
• Negligence
• Assault
• Battery
• False imprisonment - c. Battery
CAPSTONE TRANSITION TO PRACTICE
QUESTIONS AND CORRECT ANSWERS.
A nurse is observing patient care provided by assistive personnel (AP). Which of the following
actions should prompt the charge nurse to intervene?
• The AP puts on clean gloves prior to brushing a patient's teeth.
• The AP attaches a patient's urinary drainage bag to the bed frame.
• The AP instructs a patient who needs assistance with turning to place his arms at his
side before the turn.
• The AP applies moisturizing cream to the feet of a patient who has diabetes mellitus. - c.
The AP instructs a patient who needs assistance with turning to place his arms at his side
before the turn.
A nurse is assessing an adolescent patient who has attention deficit hyperactivity disorder
(ADHD). Which of the following findings should the nurse expect?
• Elevated mood
• Anxiety
• Emotional numbing
• Impulsivity - d. Impulsivity
A nurse is developing the plan of care for a patient who does not speak the same language as
the nurse. Which of the following interventions should the nurse include?
• Make sure a family member is present to interpret for the staff
• Encourage the patient to nod to indicates understanding
• Determine the patient's level of fluency in his primary language
• Speak directly to the interpreter when teaching the patient - b. Encourage the patient to
nod to indicates understanding
A nurse has completed care procedures for patient who requires airborne precautions. Which
of the following items of personal protective equipment (PPE) should the nurse remove last?
• Gloves
• Gown
• Mask
• Goggles - c. Mask
,Following a tornado, a nurse is determining which of the patients assigned to her care can be
discharged to free up beds for injured patients. Which of the following patients should the
nurse recommend for discharge?
• An older adult who was admitted for diabetic ketoacidosis and his most recent ABGs
show his pH is now 7.32
• Middle adult who is 36hr postoperative from an open laminectomy
• An adolescent patient who was admitted 24hr ago due to a spontaneous pneumothorax
• A young adult patient who has Crohn's disease and is 1 day preoperative for an ileostomy
- d. A young adult patient who has Crohn's disease and is 1 day preoperative for an ileostomy
A community mental health nurse is assessing patient who has schizophrenia. Which of the
following findings indicates the patient might be relapsing?
• The patient reports feelings of anger toward her provider
• The patient states have started smoking again
• The patient is wearing mismatched clothing
• The patient reports difficulties with sleeping and concentrating - d. The patient
reports difficulties with sleeping and concentrating
A nurse is caring for a patient whose informed consent form has been signed in preparation
for a procedure. The patient states, "I have decided not to have the procedure. "Which of
the following actions should the nurse take?
• Remind the patient the consent form has already been signed
• Discuss alternatives to the procedure
• Explain why this procedure is necessary
• Inform the provider that the patient is withdrawing consent - d. Inform the provider that
the patient is withdrawing consent
A nurse in a mental health facility is caring for a patient who is a patient who is upset about
the loss of privileges due to repetitive negative behavior. Which of the following statements
by the nurse demonstrates the effective use of assertive communication?
• "You need to calm down before discussing this matter any further"
• "I understand that you are angry. However, I followed the appropriate protocol
• "You were made aware of the consequences of negative behavior"
• "Why did you make the choice to behave negatively?" - b. "I understand that you are
angry. However, I followed the appropriate protocol
A nurse is caring for an adolescent patient who has a new diagnosis of schizophrenia. The
patient's parents are tearful and express feelings of guilt. Which of the following statements
should the nurse make?
• "You said that you feel guilty about your daughter's diagnosis. Lets talk about what
is causing you to feel this way".
• "Your provider has explained the causes of schizophrenia why you feel guilty about
your daughter diagnosis?"
, • "You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable".
• "I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be
all right once she receives the proper treatment". - a. "You said that you feel guilty about
your daughter's diagnosis. Lets talk about what is causing you to feel this way".
A nurse in the emergency department is assessing a patient who has experienced
intimate partner abuse. The nurse should monitor the patient for which of the
following behavioral findings?
• Body image disturbance
• Altered role performance
• Personal identity disturbance
• Self- esteem disturbance - d. Self- esteem disturbance
A nurse is preparing to administer oral medications to a patient. Which of the following
should the nurse recognize as an acceptable patient identifier? (Select all that apply)
• Partner's full name
• Facility room number
• patient's full name
• Provider's name - c. patient's full name
A nurse asks a patient how he is feeling. The patient states, "I'm feeling a bit nervous today".
Which of the following responses should the nurse make?
• "Would a backrub ease your nervousness?"
• "What is making you feel nervous?"
• "Please explain what you mean by the word nervous"
• "You shouldn't feel nervous" - c. "Please explain what you mean by the word nervous"
A nurse is caring for a patient who is experiencing a normal grief reaction following the loss of
her spouse. Which of the following finding should the nurse expect?
• Chest pain
• Insomnia
• Hypertension
• Dry month - a. Chest pain
A nurse is teaching a class on torts. The nurse should instruct the class that administering an
antibiotic medication to a competent patient after the patient has refused it is an example of
which of the following torts?
• Negligence
• Assault
• Battery
• False imprisonment - c. Battery
