CAPSTONE EXAM 1 ACTUAL EXAM 2023-2024 COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

CAPSTONE EXAM 1 ACTUAL EXAM 2023-2024 COMPLETE 200

QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

For care of a patient who has oral cancer, which task would be appropriate to

delegate to an LPN/LVN?

A- Assisting the patient to brush and floss

B- Explaining when brushing and flossing are contraindicated

C- Giving antacids and sucralfate suspension as ordered

D- Recommending saliva substitutes - ANSWER- C- Giving Antacids and

sucralfate as ordered

Rationale; *LPNs can't teach

You are working in an AIDs hospice facility that is also staffed with LPNs and

UAPs. Which nursing action will you delegate to the LPN you are supervising?

A- Assessing patients' nutritional needs and individualizing diet plans to improve

nutrition

B- Collecting data about the patients responses to medications used for pain and

anorexia

C- Teaching the UAPs about how to lower the risk for spreading infections

D- Assisting patients with personal hygeine and other activities of daily liging as

needed - ANSWER- B- Collecting data about the patients responses to medications

used for pain and anorexia

Rationale; *LPNs can't asses or teach. They can assist with personal hygeine and

activities of daily living but so can a UAP

A hospitilized patient with AIDS has a nursing diagnosis of Imbalanced Nutrition:

Less than Body Requirements related to nausea and anorexia. Which nursing

action is most appropriate to delegate to an LPN who is providing care to this

patient?

A- Administering oxandrolone 5 mg daily

B- Assessing the patient for other nutritional risk factors

C- Developing a plan of care to improve the patient's appetite

D- Providing instructions about a high-calorie, high protein diet - ANSWER- Aadministering oxandrolone 5 mg daily

Rationale; *LPNs can't assess, develop care plans or teach

The client's nursing diagnosis is deficient fluid volume realted to excessive fluid

loss. Which action related to fluid mamagement should be delegated to a UAP?

A- Administering IV fluids as prescribed by the physicians

B- Providing straws and offering fluids between meals

C- Developing a plan for added fluid intake over 24 hours

D- Teaching family members to assist the client with fluid intake - ANSWER- BProviding straws and offering fluids between meals

Rationale; *UAPs can't administer IV fluids, develop care plans or teach

The nursing care plan for a client with dehydration includes interventions for oral

health. Which interventions are within the scope of practice for an LPN being

supervised by a nurse?

A- Reminding the client to avoid commercial mouthwashes

B- Encouraging mouth rinsing with warm saline

C- Observing the lips, tongue and mucous membranes

D- Providing mouth care every 2 hours wile the client is awake

E- Seeking a dietary consult to increase fluids on meal trays - ANSWER- A, B, C,

D

Rationale; *LPNs can't seek out consults

The charge nurse assigned the care of a client with acute kidney failure and

hypernatremia to you, a newly graduated RN. Which action can you delegate to the

UAP?

A- Providing oral care every 3-4 hours

B- Monitoring for indications of dehydration

C- Aministering 0.45% saline by IV line

D- Assessing daily weights for trends - ANSWER- A- providing oral care every 3-

4 hours

Rationale; *UAPs can't monitor for signs or trends and can't do IVs

Which action should you delegate to a UAP for the client with diabetic

ketoacidosis?

A- checking fingerstick glucose results every hour

B- Recording intake and output every hour

C- Measuring vital signs every 15 minutes

D- Assessing for indicators of fluid imbalance

E- Notifying the provider of changes in glucose level - ANSWER- B, C

Rationale; *UAPs can obtain measurements but not analyze them or trend them in

any way.

You are caring for a client who has been admitted to the hospital with a leg ulcer

that is fected with vancomycin-resistant S. aureus (VRSA). Which nursing action

can you delegate to an LPN?

A- Planning ways to improve the client's oral protein intake

B- Teaching the client about home care of the leg ulcer

C- Obtaining wound cultures during dressing changes

D- Assessing the risk for further skin breakdown - ANSWER- C- obtaining wound

cultures during dressing changes

Rationale; *can't plans, teach or assess

A client with a vancomycin-resistant enterococcus (VRE) is admitted to the

medical unit. Which action can be delegated to the UAP who is assesting with the

client's care?

A- Teaching the client and family members about means to prevent transmission of

VRE

B- Communicating with other departments when the client is transported for

ordered tests

C- Implementing contact precaustions when prociding care for the client

D- Monitoring the results of ordered laboratory culture and semsitivity tests -

ANSWER- C- Implementing contact precautions when providing care for the

client

Rationale; *can't teach, communicate with other departments about tests or

monitor results