10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Comprehensive Pre-Test Exam (Graded)
Due Oct 16 at 11:59pm Points 263 Questions 263 Available Oct 3 at 12am - Oct 16 at 11:59pm
Time Limit None Allowed Attempts Unlimited
Instructions
This quiz is opened from start of semester until the end of week 2. Students will score 0 or 100. A zero will be awarded for those who did not
complete the assignment and a 100 will be awarded for students who completed the assignment, regardless of score.
Faculty will be using this pre-test as a baseline for students in this course. It is for your benefit only to do the questions without looking up the
answers, using the textbook, or any outside resources. We want to help you be successful and this quiz can assist us in understanding your
areas of weakness. We hope that you can complete this assignment with integrity.
Take the Quiz Again
Attempt History
Attempt Time Score
LATEST Attempt 1 3,032 minutes 167.42 out of 263
Score for this attempt: 167.42 out of 263
Submitted Oct 7 at 11:20pm
This attempt took 3,032 minutes.
Question 1 pts
Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse perform as
a priority before administering the medication?
Correct! Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24 hours
https://ichs.instructure.com/courses/881/quizzes/2914 1/236
,10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client’s blood pressure immediately before administering each dose. Checking the
client’s peripheral pulses, the results of the most recent potassium level, and the intake and
output for the previous 24 hours are not specifically associated with this mediation.
Test-Taking Strategy: Focus on the subject, name of the medication and recall that
medications that end in the letters “pril” are ACE inhibitors and that these medications are used
to treat hypertension. This will direct you to the correct option.
Review: enalapril maleate.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
Giddens Concepts: Care Coordination, Safety
HESI Concepts: Collaboration/Managing Care, Safety
Question 2 pts
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for further
instruction?
"The test will take about 30 minutes."
You Answered "I need to fast for 8 hours before the test."
Correct Answer
"I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
"I need to take a laxative after the test is completed, because the liquid that I’ll have to drink for the test can
be constipating."
https://ichs.instructure.com/courses/881/quizzes/2914 2/236
,10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: No special preparation is necessary before a GI series, except that NPO (nothing by
mouth) status must be maintained for 8 hours before the test. An upper GI series involves
visualization of the esophagus, duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium), which is administered in a
flavored milkshake. Films are taken at intervals during the test, which takes about 30 minutes.
After an upper GI series, the client is prescribed a laxative to hasten elimination of the barium.
Barium that remains in the colon may become hard and difficult to expel, leading to fecal
impaction.
Test-Taking Strategy: Use the process of elimination. Note the strategic words "need for
further instruction." These words indicate a negative event query and the need to select the
incorrect client statement. Focusing on the word "upper" in the name of the test will direct you to
the correct option.
Review: upper GI series
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health/Gastrointestinal
Giddens Concepts: Client Education, Clinical Judgment
HESI Concepts: Clinical Decision Making/Clinical Judgment, Teaching and Learning/Patient
Education
Question 3 pts
A nurse on the evening shift checks a primary health care provider's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls the primary health care
provider's answering service and is told that the primary health care provider is off for the night and will
be available in the morning. What should the nurse do next?
Call the nursing supervisor
Correct!
Ask the answering service to contact the on-call primary health care provider
Withhold the medication until the primary health care provider can be reached in the morning
Administer the medication but consult the primary health care provider when he becomes available
https://ichs.instructure.com/courses/881/quizzes/2914 3/236
, 10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: The nurse has a duty to protect the client from harm. A nurse who believes that a
primary health care provider’s prescription may be in error is responsible for clarifying the
prescription before carrying it out. Therefore the nurse would not administer the medication;
instead, the nurse would withhold the medication until the dose can be clarified. The nurse
would not wait until the next morning to obtain clarification. It is premature to call the nursing
supervisor.
Test-Taking Strategy: Focus on the subject, prescribed dose of medication higher than normal
dose. Use the process of elimination and your knowledge of the legal responsibilities of the
nurse in regard to medication administration and primary health care provider’s prescriptions.
Eliminate the options that are comparable or alike in that they avoid clarification of the
prescription (administering the medication and holding the medication). To select from the
remaining options, note that it is premature to call the nursing supervisor. Also note that the
correct option is the only one that clarifies the prescription.
Review: legal medication prescriptions
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Leadership and Management
Giddens Concepts: Clinical Judgment, Leadership
HESI Concepts: Collaboration/Managing Care, Clinical Decision Making/Clinical Judgment
Question 4 pts
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not perfusing. What is the nurse’s most appropriate action?
Document the findings
Correct! Ask the ED primary health care provider to check the client
Continue to monitor the client's cardiac status
Inform the client that PVCs are expected after an MI
https://ichs.instructure.com/courses/881/quizzes/2914 4/236
Comprehensive Pre-Test Exam (Graded)
Due Oct 16 at 11:59pm Points 263 Questions 263 Available Oct 3 at 12am - Oct 16 at 11:59pm
Time Limit None Allowed Attempts Unlimited
Instructions
This quiz is opened from start of semester until the end of week 2. Students will score 0 or 100. A zero will be awarded for those who did not
complete the assignment and a 100 will be awarded for students who completed the assignment, regardless of score.
Faculty will be using this pre-test as a baseline for students in this course. It is for your benefit only to do the questions without looking up the
answers, using the textbook, or any outside resources. We want to help you be successful and this quiz can assist us in understanding your
areas of weakness. We hope that you can complete this assignment with integrity.
Take the Quiz Again
Attempt History
Attempt Time Score
LATEST Attempt 1 3,032 minutes 167.42 out of 263
Score for this attempt: 167.42 out of 263
Submitted Oct 7 at 11:20pm
This attempt took 3,032 minutes.
Question 1 pts
Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse perform as
a priority before administering the medication?
Correct! Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24 hours
https://ichs.instructure.com/courses/881/quizzes/2914 1/236
,10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client’s blood pressure immediately before administering each dose. Checking the
client’s peripheral pulses, the results of the most recent potassium level, and the intake and
output for the previous 24 hours are not specifically associated with this mediation.
Test-Taking Strategy: Focus on the subject, name of the medication and recall that
medications that end in the letters “pril” are ACE inhibitors and that these medications are used
to treat hypertension. This will direct you to the correct option.
Review: enalapril maleate.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
Giddens Concepts: Care Coordination, Safety
HESI Concepts: Collaboration/Managing Care, Safety
Question 2 pts
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for further
instruction?
"The test will take about 30 minutes."
You Answered "I need to fast for 8 hours before the test."
Correct Answer
"I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
"I need to take a laxative after the test is completed, because the liquid that I’ll have to drink for the test can
be constipating."
https://ichs.instructure.com/courses/881/quizzes/2914 2/236
,10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: No special preparation is necessary before a GI series, except that NPO (nothing by
mouth) status must be maintained for 8 hours before the test. An upper GI series involves
visualization of the esophagus, duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium), which is administered in a
flavored milkshake. Films are taken at intervals during the test, which takes about 30 minutes.
After an upper GI series, the client is prescribed a laxative to hasten elimination of the barium.
Barium that remains in the colon may become hard and difficult to expel, leading to fecal
impaction.
Test-Taking Strategy: Use the process of elimination. Note the strategic words "need for
further instruction." These words indicate a negative event query and the need to select the
incorrect client statement. Focusing on the word "upper" in the name of the test will direct you to
the correct option.
Review: upper GI series
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health/Gastrointestinal
Giddens Concepts: Client Education, Clinical Judgment
HESI Concepts: Clinical Decision Making/Clinical Judgment, Teaching and Learning/Patient
Education
Question 3 pts
A nurse on the evening shift checks a primary health care provider's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls the primary health care
provider's answering service and is told that the primary health care provider is off for the night and will
be available in the morning. What should the nurse do next?
Call the nursing supervisor
Correct!
Ask the answering service to contact the on-call primary health care provider
Withhold the medication until the primary health care provider can be reached in the morning
Administer the medication but consult the primary health care provider when he becomes available
https://ichs.instructure.com/courses/881/quizzes/2914 3/236
, 10/7/22, 11:22 PM Comprehensive Pre-Test Exam (Graded): NUR2811: Nursing Capstone
Rationale: The nurse has a duty to protect the client from harm. A nurse who believes that a
primary health care provider’s prescription may be in error is responsible for clarifying the
prescription before carrying it out. Therefore the nurse would not administer the medication;
instead, the nurse would withhold the medication until the dose can be clarified. The nurse
would not wait until the next morning to obtain clarification. It is premature to call the nursing
supervisor.
Test-Taking Strategy: Focus on the subject, prescribed dose of medication higher than normal
dose. Use the process of elimination and your knowledge of the legal responsibilities of the
nurse in regard to medication administration and primary health care provider’s prescriptions.
Eliminate the options that are comparable or alike in that they avoid clarification of the
prescription (administering the medication and holding the medication). To select from the
remaining options, note that it is premature to call the nursing supervisor. Also note that the
correct option is the only one that clarifies the prescription.
Review: legal medication prescriptions
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Leadership and Management
Giddens Concepts: Clinical Judgment, Leadership
HESI Concepts: Collaboration/Managing Care, Clinical Decision Making/Clinical Judgment
Question 4 pts
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not perfusing. What is the nurse’s most appropriate action?
Document the findings
Correct! Ask the ED primary health care provider to check the client
Continue to monitor the client's cardiac status
Inform the client that PVCs are expected after an MI
https://ichs.instructure.com/courses/881/quizzes/2914 4/236
