NR 452 Capstone Exam 3 Practice Questions 2026 |Chamberlain
College
1. A nurse manager is discussing the concept of ‘shared governance’ with the
staff. Which statement by a staff nurse indicates an understanding of this
model?
A. The nurse manager makes all the decisions for the unit.
B. It involves staff nurses in the decision-making process for the unit.
C. It is a hierarchical structure where only top management has power.
D. It limits the responsibility of the staff nurses to clinical tasks only.
Answer: B
Rationale: Shared governance is a model of nursing practice that integrates core values
and beliefs that professional practice is an internal process, as opposed to a purely
hierarchical model. It allows nurses to have a voice and participate in decision-making.
2. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)?
A. Evaluating a patient’s response to pain medication.
B. Assisting a stable patient with ambulation.
C. Performing a sterile dressing change.
D. Providing discharge instructions to a patient.
Answer: B
Rationale: Assisting with activities of daily living (ADLs) such as ambulation for stable
patients is within the scope of practice for AP. Evaluation, sterile procedures, and teaching
require the judgment of a licensed nurse.
,3. A nurse is caring for a client who is scheduled for surgery. The client expresses
doubt about the procedure. Which of the following actions should the nurse
take?
A. Notify the surgeon that the client has questions about the procedure.
B. Ask the client’s family to persuade the client.
C. Explain the risks and benefits of the surgery to the client.
D. Proceed with the preoperative preparation as planned.
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature. If the client has
doubts or lacks understanding, it is the surgeon’s responsibility to provide further
explanation and ensure informed consent.
4. According to the Five Rights of Delegation, which of the following is a
component?
A. Right cost
B. Right equipment
C. Right location
D. Right supervision
Answer: D
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) section?
A. The client’s current vital signs.
B. The client’s medical history and admission diagnosis.
C. The nurse’s recommendation for a change in treatment.
D. The reason the nurse is calling the provider.
Answer: B
, Rationale: Background (B) includes the context of the situation, such as medical history,
admission diagnosis, and relevant past treatments. Current vitals are usually under
Assessment (A).
6. A nurse is prioritizing care for four clients. Which client should the nurse see
first?
A. A client who needs a dressing change for a surgical wound.
B. A client who is being discharged later in the morning.
C. A client who is requesting pain medication for a chronic condition.
D. A client who is reporting shortness of breath and has a high respiratory rate.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
shortness of breath and respiratory distress is the highest priority.
7. A nurse is planning a quality improvement project. What is the first step the
nurse should take?
A. Collect and analyze data.
B. Implement a change in practice.
C. Identify the problem or area for improvement.
D. Establish a goal for the project.
Answer: C
Rationale: The first step in the quality improvement process is to identify the problem or
the area that needs improvement.
College
1. A nurse manager is discussing the concept of ‘shared governance’ with the
staff. Which statement by a staff nurse indicates an understanding of this
model?
A. The nurse manager makes all the decisions for the unit.
B. It involves staff nurses in the decision-making process for the unit.
C. It is a hierarchical structure where only top management has power.
D. It limits the responsibility of the staff nurses to clinical tasks only.
Answer: B
Rationale: Shared governance is a model of nursing practice that integrates core values
and beliefs that professional practice is an internal process, as opposed to a purely
hierarchical model. It allows nurses to have a voice and participate in decision-making.
2. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)?
A. Evaluating a patient’s response to pain medication.
B. Assisting a stable patient with ambulation.
C. Performing a sterile dressing change.
D. Providing discharge instructions to a patient.
Answer: B
Rationale: Assisting with activities of daily living (ADLs) such as ambulation for stable
patients is within the scope of practice for AP. Evaluation, sterile procedures, and teaching
require the judgment of a licensed nurse.
,3. A nurse is caring for a client who is scheduled for surgery. The client expresses
doubt about the procedure. Which of the following actions should the nurse
take?
A. Notify the surgeon that the client has questions about the procedure.
B. Ask the client’s family to persuade the client.
C. Explain the risks and benefits of the surgery to the client.
D. Proceed with the preoperative preparation as planned.
Answer: A
Rationale: The nurse’s role in informed consent is to witness the signature. If the client has
doubts or lacks understanding, it is the surgeon’s responsibility to provide further
explanation and ensure informed consent.
4. According to the Five Rights of Delegation, which of the following is a
component?
A. Right cost
B. Right equipment
C. Right location
D. Right supervision
Answer: D
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. A nurse is using the SBAR communication tool. Which information should the
nurse include in the ‘B’ (Background) section?
A. The client’s current vital signs.
B. The client’s medical history and admission diagnosis.
C. The nurse’s recommendation for a change in treatment.
D. The reason the nurse is calling the provider.
Answer: B
, Rationale: Background (B) includes the context of the situation, such as medical history,
admission diagnosis, and relevant past treatments. Current vitals are usually under
Assessment (A).
6. A nurse is prioritizing care for four clients. Which client should the nurse see
first?
A. A client who needs a dressing change for a surgical wound.
B. A client who is being discharged later in the morning.
C. A client who is requesting pain medication for a chronic condition.
D. A client who is reporting shortness of breath and has a high respiratory rate.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
shortness of breath and respiratory distress is the highest priority.
7. A nurse is planning a quality improvement project. What is the first step the
nurse should take?
A. Collect and analyze data.
B. Implement a change in practice.
C. Identify the problem or area for improvement.
D. Establish a goal for the project.
Answer: C
Rationale: The first step in the quality improvement process is to identify the problem or
the area that needs improvement.
