CAPSTONE 497 EXIT EXAM-STUDYGUIDE 2021 VERSION 1-3

CAPSTONE 497 EXIT EXAM-STUDYGUIDE 2021

VERSION 1-3

1) A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that the suctioning has been effective?

•  Presence of a productive cough

•  Decrease peak inspiratory pressure

•  Flattening of the artificial airway cuff

•  Thinning of mucus secretions

2) A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?

•  Speak assertively to the client

•  Express sympathy for the client's situation

•  Confront the client about this behavior

•  Stand within 30 cm of the client when speaking with them

3)  A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treat Cushing's disease. Which of the following actions is the nurse's priority?

•  Monitor the client’s fluid and electrolyte status

•  Observe for any indications of infection

•  Reposition a client for comfort every 2 hours

•  Document amount and color of the incision and drainage

4) A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?

•  Notify the provider

•  Report the incident to the nurse manager

•  Monitor vital signs

•  Fill out an incident report

5)  A nurse is caring for a client who is scheduled for a surgical procedure and states I don't want to have the surgery anymore. Which of the following responses should the nurse make?

•  You have the right to refuse the procedure

•  Your doctor thinks the surgery is necessary

•  Let me review the procedure so you can understand what is going to happen

•  We can manage your care following the procedure without complications ‘

6)  A nurse is evaluating a client who has borderline personality disorder. Which of the following behaviors indicates an improvement in the client's condition?

•  Decreased clinging behavior

•  Impulsive behaviors

•  Lability of mood

•  Dependent behavior