SNHU CAPSTONE FUNDAMENTALS ASSESSMENT 2025
REVIEWED
1. Discuss how lowered immune system function in older adults can affect
their susceptibility to infections.
Lowered immune system function has no effect on infection rates
in older adults.
Lowered immune system function increases the effectiveness of
vaccines in older adults.
Lowered immune system function allows for quicker recovery from
infections in older adults.
Lowered immune system function in older adults can lead to a
decreased ability to fight off infections, making them more
susceptible to illness.
2. What is one potential contributing factor to decreased medication
effectiveness in a client with arthritis, according to nursing assessments?
Increased physical activity
Improper medication storage
Recent weight gain
A history of recurring bowel inflammation
3. In a scenario where a client receiving oral rehydration develops a heart
rate of 120/min, what should the nurse prioritize in their intervention?
Increase the oral rehydration solution dosage without assessment.
Assess the client's overall hydration status and consider further
fluid administration or medical evaluation.
,Ignore the heart rate if the client is alert and oriented.
Immediately administer a sedative to lower the heart rate.
,4. Asthma - metered dose inhaler - understanding of teaching
Waiting 15 seconds between puffs, if two puffs are required
Washing the plastic case and cap of the inhaler in the dishwasher
Breathing in rapidly while administering the medication
Holding breath for 10 seconds after inhaling
5. The nurse is assessing a community-dwelling client with a history of
rheumatoid arthritis. During the interview, the client states, "The last few
months, I have this ringing in my ears that I just cannot seem to get away
from." What assessment question should the nurse ask?
"Are you taking any herbal remedies or vitamin supplements?"
"Have you been taking aspirin on a regular basis?"
"Do you ever check your blood pressure when you're at home?"
"Have you ever had any steroid injection to treat your arthritis?"
6. A nurse is caring for a client with dysphagia who has just finished eating.
What is the most appropriate action for the nurse to take to ensure the
client's safety?
Encourage the client to lie down for a short rest.
Allow the client to return to a supine position right after meals.
Assist the client to sit upright for one hour after eating.
Provide the client with a glass of water immediately after eating.
7. In a scenario where a patient presents with abdominal pain, how should a
nurse prioritize the assessment techniques?
Start with palpation to locate the pain, then auscultate.
Inspect the abdomen before any other assessment techniques.
, Perform auscultation first, then palpation to avoid causing
discomfort.
Begin with a thorough patient history before any physical
assessment.
8. Why is effective communication emphasized in nursing care according to
the text?
It is necessary for conducting surgeries.
It helps in documenting patient history.
It is essential for understanding patient needs and providing
appropriate care.
It is only important for medication administration.
9. A nurse is reenforcing teaching who has a new prescription for home
oxygen therapy. Which of the following instructions should the nurse
include?
keep the oxygen tank lying on the floor
do not use any materials containing oil or alcohol when using
oxygen
do not use any electrical devices when receiving oxygen
use synthetic blankets and clothing when using oxygen
10. In a scenario where a nurse is caring for a client with similar symptoms of
fever and confusion, how should the nurse prioritize interventions after
identifying the client's needs?
By scheduling a follow-up appointment with the physician.
By focusing on patient education about medication
administration.
By addressing the most urgent medical needs first, such as
stabilizing vital signs.
REVIEWED
1. Discuss how lowered immune system function in older adults can affect
their susceptibility to infections.
Lowered immune system function has no effect on infection rates
in older adults.
Lowered immune system function increases the effectiveness of
vaccines in older adults.
Lowered immune system function allows for quicker recovery from
infections in older adults.
Lowered immune system function in older adults can lead to a
decreased ability to fight off infections, making them more
susceptible to illness.
2. What is one potential contributing factor to decreased medication
effectiveness in a client with arthritis, according to nursing assessments?
Increased physical activity
Improper medication storage
Recent weight gain
A history of recurring bowel inflammation
3. In a scenario where a client receiving oral rehydration develops a heart
rate of 120/min, what should the nurse prioritize in their intervention?
Increase the oral rehydration solution dosage without assessment.
Assess the client's overall hydration status and consider further
fluid administration or medical evaluation.
,Ignore the heart rate if the client is alert and oriented.
Immediately administer a sedative to lower the heart rate.
,4. Asthma - metered dose inhaler - understanding of teaching
Waiting 15 seconds between puffs, if two puffs are required
Washing the plastic case and cap of the inhaler in the dishwasher
Breathing in rapidly while administering the medication
Holding breath for 10 seconds after inhaling
5. The nurse is assessing a community-dwelling client with a history of
rheumatoid arthritis. During the interview, the client states, "The last few
months, I have this ringing in my ears that I just cannot seem to get away
from." What assessment question should the nurse ask?
"Are you taking any herbal remedies or vitamin supplements?"
"Have you been taking aspirin on a regular basis?"
"Do you ever check your blood pressure when you're at home?"
"Have you ever had any steroid injection to treat your arthritis?"
6. A nurse is caring for a client with dysphagia who has just finished eating.
What is the most appropriate action for the nurse to take to ensure the
client's safety?
Encourage the client to lie down for a short rest.
Allow the client to return to a supine position right after meals.
Assist the client to sit upright for one hour after eating.
Provide the client with a glass of water immediately after eating.
7. In a scenario where a patient presents with abdominal pain, how should a
nurse prioritize the assessment techniques?
Start with palpation to locate the pain, then auscultate.
Inspect the abdomen before any other assessment techniques.
, Perform auscultation first, then palpation to avoid causing
discomfort.
Begin with a thorough patient history before any physical
assessment.
8. Why is effective communication emphasized in nursing care according to
the text?
It is necessary for conducting surgeries.
It helps in documenting patient history.
It is essential for understanding patient needs and providing
appropriate care.
It is only important for medication administration.
9. A nurse is reenforcing teaching who has a new prescription for home
oxygen therapy. Which of the following instructions should the nurse
include?
keep the oxygen tank lying on the floor
do not use any materials containing oil or alcohol when using
oxygen
do not use any electrical devices when receiving oxygen
use synthetic blankets and clothing when using oxygen
10. In a scenario where a nurse is caring for a client with similar symptoms of
fever and confusion, how should the nurse prioritize interventions after
identifying the client's needs?
By scheduling a follow-up appointment with the physician.
By focusing on patient education about medication
administration.
By addressing the most urgent medical needs first, such as
stabilizing vital signs.
