RN Capstone
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Answer Choices:
▶ A high-fiber diet may reduce the risk of colorectal cancer, but it has no proven effect on preventing skin cancer.
▶ Skin cancer prevention focuses on UV protection, avoiding tanning beds, and regular skin checks.
▶ This statement shows a misunderstanding of risk factors specific to cutaneous malignancies.
▶ Therefore, the nurse should correct this misconception during education on skin cancer prevention.
Q2: A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
Answer Choices:
✓ Viral hepatitis A can be transmitted through contaminated food or water, especially in regions with poor sanitation.
✓ Clients should be taught to avoid food washed or prepared using unsafe water sources.
✓ Proper hand hygiene and water precautions are critical for preventing hepatitis transmission.
✓ Hepatitis B and C are bloodborne, but A is transmitted fecal-oral, which is relevant to this prevention strategy.
Q3: A nurse is assessing a client. Which of the following actions should the nurse take to assess the posterior tibial pulse? (Select all that apply.)
Answer Choices:
Palpate the area behind the ankle bone.
■ The posterior tibial pulse is located behind the medial malleolus, which is the bony prominence of the ankle.
■ This location must be palpated carefully, especially in patients with peripheral vascular disease.
■ Accurate placement ensures that a true pulse is being assessed.
Use the pads of the fingers to feel for the pulse.
■ The pads of the fingers offer the best tactile sensitivity for detecting a pulse.
■ Using fingertips avoids excessive pressure that might obliterate a weak pulse.
■ This technique is standard in clinical vascular assessments.
Compare the pulse strength with the other leg.
■ Comparing pulse strength bilaterally helps identify asymmetry, which may indicate vascular compromise.
■ This comparison is essential in detecting early signs of arterial insufficiency.
■ Consistent pulse checks are important in clients with circulatory risk factors.
Q4: The nurse reviews a primary health care provider’s prescriptions and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen is prescribed to be administered before the nitrate. The nurse implements the prescription with which understanding about why acetaminophen is prescribed?
Answer Choices:
⨠ Topical nitrates, such as nitroglycerin, are vasodilators that can cause headaches due to cerebral vessel dilation.
⨠ Acetaminophen is often prescribed as a preemptive measure to manage this expected side effect.
⨠ It does not affect platelet function like aspirin, making it safer in certain cardiovascular patients.
⨠ The nurse should anticipate and educate the patient about this common and manageable symptom.
Q5: A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the following findings should the nurse plan to monitor for and report to the provider immediately?
Answer Choices:
※ In a client with atrial fibrillation, slurred speech may indicate a cerebrovascular accident (stroke) due to embolization.
※ This is a medical emergency requiring immediate intervention.
※ While fatigue and irregular pulse are expected findings, neurological changes are not.
※ Prompt recognition prevents permanent damage from ischemic brain injury.
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