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CAPSTONE EXAM 3 2025/2026
UPDATED EXAM WITH VERIFIED
SOLUTIONS.
The nurse is caring for a client with left-sided heart failure. Which
assessment findings does the nurse anticipate for this client?
Select all that apply.
A. dyspnea
B. engorged spleen
C. dependent edema
D. jugular vein distention
E. weak peripheral pulses
F. crackles or wheezes in the lungs - correct answer -A. dyspnea
E. weak peripheral pulses
F. crackles or wheezes in the lungs
The nurse is providing teaching to a client newly diagnosed with
type 2 diabetes. Which should the nurse include in her teaching?
A. check the feet daily
B. have eye examinations every 2 years
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C. use a heating pad to keep the feet warm
D. take extra insulin before consuming sweets - correct answer -
A. check the feet daily
The nurse is caring for a client who had an inguinal hernia repair.
Which interventions by the nurse are appropriate for this client?
Select all that apply.
A. encouraging fluid intake
B. relieving urinary retention
C. applying heat to the scrotum
D. teaching turning, coughing, and deep breathing
E. keeping the client on bed rest for the first 12 hours after
surgery
F. teaching the client to avoid lifting more than 20 pounds until
approved by the health care provider - correct answer -A.
encouraging fluid intake
B. relieving urinary retention
The nurse is caring for a client experiencing an acute flare-up of
diverticular disease. Which interventions by the nurse are
appropriate for this client? Select all that apply.
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A. encourage a diet high in fiber
B. insert a nasogastric (NG) tube
C. administer enemas as ordered D. administer IV fluids as
ordered
E. encourage coughing and deep breathing
F. check stools for frank or occult bleeding - correct answer -B.
insert a nasogastric (NG) tube
D. administer IV fluids as ordered
F. check stools for frank or occult bleeding
The nurse is caring for a two-year-old client who presented to the
ER with vomiting, currant jelly-like stools, and abdominal pain that
causes the child to draw the knees up to the abdomen in a fetal
position. Which interventions does the nurse anticipate for this
client?
A. assessing for respiratory distress
B. orders for a soft diet as tolerated
C. monitoring for a normal, brown stool
D. preparing the client for a barium enema
E. placement of a nasogastric (NG) tube
F. monitoring for fever and changes in blood pressure - correct
answer -A. assessing for respiratory distress
C. monitoring for a normal, brown stool
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E. placement of a nasogastric (NG) tube
F. monitoring for fever and changes in blood pressure
The nurse comes upon a client in the clinic who appears to have
experienced a sudden cardiac arrest. After retrieving the
automated external defibrillator (AED), the nurse knows to use the
equipment in the following manner, as per the American Red
Cross. List the steps in order. Use all the steps. Make sure no one
is touching the client. Tell everyone to "stand clear." Open the
person's shirt and wipe the chest dry. Remove any visible
patches. Attach the AED pads and plug in the connector. Push
the "analyze" button to analyze the client's heart rhythm. Turn on
AED. Follow visual and/ or audio prompts. Begin CPR. As
prompted, press the "shock" button after clearing the client. -
correct answer -
The nurse is caring for a client with a gastric ulcer. Which menu
choice by the client indicates an understanding of the nurse's
dietary teaching?
A. yogurt with fresh berries
B. dry wheat toast with water
C. coffee with cream and a bagel
D. a grilled cheese sandwich with milk - correct answer -B. dry
wheat toast with water
CAPSTONE EXAM 3 2025/2026
UPDATED EXAM WITH VERIFIED
SOLUTIONS.
The nurse is caring for a client with left-sided heart failure. Which
assessment findings does the nurse anticipate for this client?
Select all that apply.
A. dyspnea
B. engorged spleen
C. dependent edema
D. jugular vein distention
E. weak peripheral pulses
F. crackles or wheezes in the lungs - correct answer -A. dyspnea
E. weak peripheral pulses
F. crackles or wheezes in the lungs
The nurse is providing teaching to a client newly diagnosed with
type 2 diabetes. Which should the nurse include in her teaching?
A. check the feet daily
B. have eye examinations every 2 years
, Page | 2
C. use a heating pad to keep the feet warm
D. take extra insulin before consuming sweets - correct answer -
A. check the feet daily
The nurse is caring for a client who had an inguinal hernia repair.
Which interventions by the nurse are appropriate for this client?
Select all that apply.
A. encouraging fluid intake
B. relieving urinary retention
C. applying heat to the scrotum
D. teaching turning, coughing, and deep breathing
E. keeping the client on bed rest for the first 12 hours after
surgery
F. teaching the client to avoid lifting more than 20 pounds until
approved by the health care provider - correct answer -A.
encouraging fluid intake
B. relieving urinary retention
The nurse is caring for a client experiencing an acute flare-up of
diverticular disease. Which interventions by the nurse are
appropriate for this client? Select all that apply.
, Page | 3
A. encourage a diet high in fiber
B. insert a nasogastric (NG) tube
C. administer enemas as ordered D. administer IV fluids as
ordered
E. encourage coughing and deep breathing
F. check stools for frank or occult bleeding - correct answer -B.
insert a nasogastric (NG) tube
D. administer IV fluids as ordered
F. check stools for frank or occult bleeding
The nurse is caring for a two-year-old client who presented to the
ER with vomiting, currant jelly-like stools, and abdominal pain that
causes the child to draw the knees up to the abdomen in a fetal
position. Which interventions does the nurse anticipate for this
client?
A. assessing for respiratory distress
B. orders for a soft diet as tolerated
C. monitoring for a normal, brown stool
D. preparing the client for a barium enema
E. placement of a nasogastric (NG) tube
F. monitoring for fever and changes in blood pressure - correct
answer -A. assessing for respiratory distress
C. monitoring for a normal, brown stool
, Page | 4
E. placement of a nasogastric (NG) tube
F. monitoring for fever and changes in blood pressure
The nurse comes upon a client in the clinic who appears to have
experienced a sudden cardiac arrest. After retrieving the
automated external defibrillator (AED), the nurse knows to use the
equipment in the following manner, as per the American Red
Cross. List the steps in order. Use all the steps. Make sure no one
is touching the client. Tell everyone to "stand clear." Open the
person's shirt and wipe the chest dry. Remove any visible
patches. Attach the AED pads and plug in the connector. Push
the "analyze" button to analyze the client's heart rhythm. Turn on
AED. Follow visual and/ or audio prompts. Begin CPR. As
prompted, press the "shock" button after clearing the client. -
correct answer -
The nurse is caring for a client with a gastric ulcer. Which menu
choice by the client indicates an understanding of the nurse's
dietary teaching?
A. yogurt with fresh berries
B. dry wheat toast with water
C. coffee with cream and a bagel
D. a grilled cheese sandwich with milk - correct answer -B. dry
wheat toast with water
