RN Capstone Study Challenge
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is caring for a client on the medical surgical unit.
Answer Choices:
🔴 Diaphoresis and agitation are signs of acute distress or hypoxia, potentially due to COPD exacerbation or PE.
🔴 Crackles may indicate fluid overload or early pneumonia, especially after surgery and limited mobility.
🔴 Tachycardia and increased respiratory rate suggest the client is compensating for poor oxygenation.
🔴 An SpO₂ of 85% on room air is critically low and indicates the need for immediate intervention.
Q2: A nurse in a mental health clinic is reviewing the history and physical of an adolescent who has a new diagnosis of social phobia. Which of the following is an expected finding?
Answer Choices:
🔵 Social phobia often presents with severe fear of embarrassment or scrutiny, such as speaking in public.
🔵 This leads to avoidance behaviors like not answering in class, even if the adolescent knows the answer.
🔵 It differs from generalized anxiety, which includes wider-ranging worries and sleep issues.
🔵 Fear of being alone is more typical of separation anxiety, not social phobia.
Q3: A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?
Answer Choices:
🟤 Thrombocytopenia increases the risk for bleeding, and nose blowing can rupture small vessels.
🟤 Wiping gently minimizes mucosal trauma and prevents epistaxis.
🟤 Other unsafe behaviors include flossing, walking barefoot, or using enemas, which can cause injury or bleeding.
🟤 Education should focus on protecting mucous membranes and skin integrity.
Q4: A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?
Answer Choices:
⚪ Weight loss percentage = (Weight lost ÷ Original weight) × 100
⚪ (6.8 ÷ 90.7) × 100 = 7.5%
⚪ This is considered a moderate weight loss, which can be significant depending on health status.
⚪ Accurate calculations are important in nutritional assessments and documentation.
Q5: A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?
Answer Choices:
🔷 Redness and warmth at an IV site are hallmark signs of phlebitis, which is inflammation of the vein.
🔷 This can result from mechanical irritation or infection at the catheter site.
🔷 Infiltration would present with coolness and swelling, not warmth.
🔷 Extravasation involves tissue damage from vesicant solutions, which is more severe than phlebitis.
