NUR 210/NUR210 Exam 4 V2 | Transition
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is discussing the role of the nurse as a patient advocate. Which action by
the staff nurse best demonstrates this role?
A. Completing a routine dressing change according to the facility’s standard protocol.
B. Assisting the patient with basic activities of daily living to promote physical comfort.
C. Reporting a colleague who arrived late for their shift to the nursing supervisor.
D. Ensuring the patient understands the risks and benefits of a scheduled procedure before
signing the consent form.
Correct Answer: D
Expert Explanation: Patient advocacy involves ensuring that the patient’s rights are
protected and that they have the information needed to make informed decisions. The
nurse acts as a liaison between the patient and the healthcare provider to facilitate
communication. This role is essential in the transition to practice as it protects patient
autonomy and safety.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering a scheduled dose of subcutaneous insulin to a stable patient.
,B. Developing the initial plan of care for a client with newly diagnosed type 2 diabetes.
C. Performing a comprehensive admission assessment on a patient with chest pain.
D. Teaching a patient how to use a new incentive spirometer after thoracic surgery.
Correct Answer: A
Expert Explanation: LPNs are trained to provide care for stable patients and can
administer medications via most routes excluding high-acuity IV pushes in some
jurisdictions. Development of the initial plan of care and comprehensive assessments
require the advanced clinical judgment of an RN. Delegation must always align with the
scope of practice and the stability of the patient.
3. A nurse is using the SBAR communication tool during a handoff report. Which information
should the nurse include in the ‘Assessment’ portion of the report?
A. The patient’s name and room number.
B. The patient’s current vital signs and clinical manifestations.
C. A suggestion for a change in the patient’s medication dose.
D. The patient’s medical history and reasons for admission.
Correct Answer: B
Expert Explanation: The Assessment component of SBAR focuses on what the nurse
believes is currently happening with the patient based on clinical findings. This differs from
the Background, which provides historical context, and the Situation, which identifies the
, immediate concern. Effective use of SBAR promotes patient safety by standardizing
communication among healthcare team members.
4. In a mass casualty incident, which patient should be assigned a ‘Red’ tag for immediate
treatment?
A. A patient with a fractured radius and minor lacerations.
B. A patient with deep partial-thickness burns over 10% of their body.
C. A patient with massive head trauma and no spontaneous respirations.
D. A patient with an open pneumothorax and labored breathing.
Correct Answer: D
Expert Explanation: The Red tag is reserved for patients with life-threatening injuries
who have a high probability of survival if treated immediately. An open pneumothorax
compromises the airway and breathing, making it a top priority in disaster triage. Correct
classification ensures that limited resources are directed to those who will benefit most.
5. A nurse is caring for a client who is refusing a necessary blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is the nurse
demonstrating?
A. Beneficence
B. Justice
C. Nonmaleficence
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is discussing the role of the nurse as a patient advocate. Which action by
the staff nurse best demonstrates this role?
A. Completing a routine dressing change according to the facility’s standard protocol.
B. Assisting the patient with basic activities of daily living to promote physical comfort.
C. Reporting a colleague who arrived late for their shift to the nursing supervisor.
D. Ensuring the patient understands the risks and benefits of a scheduled procedure before
signing the consent form.
Correct Answer: D
Expert Explanation: Patient advocacy involves ensuring that the patient’s rights are
protected and that they have the information needed to make informed decisions. The
nurse acts as a liaison between the patient and the healthcare provider to facilitate
communication. This role is essential in the transition to practice as it protects patient
autonomy and safety.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the LPN?
A. Administering a scheduled dose of subcutaneous insulin to a stable patient.
,B. Developing the initial plan of care for a client with newly diagnosed type 2 diabetes.
C. Performing a comprehensive admission assessment on a patient with chest pain.
D. Teaching a patient how to use a new incentive spirometer after thoracic surgery.
Correct Answer: A
Expert Explanation: LPNs are trained to provide care for stable patients and can
administer medications via most routes excluding high-acuity IV pushes in some
jurisdictions. Development of the initial plan of care and comprehensive assessments
require the advanced clinical judgment of an RN. Delegation must always align with the
scope of practice and the stability of the patient.
3. A nurse is using the SBAR communication tool during a handoff report. Which information
should the nurse include in the ‘Assessment’ portion of the report?
A. The patient’s name and room number.
B. The patient’s current vital signs and clinical manifestations.
C. A suggestion for a change in the patient’s medication dose.
D. The patient’s medical history and reasons for admission.
Correct Answer: B
Expert Explanation: The Assessment component of SBAR focuses on what the nurse
believes is currently happening with the patient based on clinical findings. This differs from
the Background, which provides historical context, and the Situation, which identifies the
, immediate concern. Effective use of SBAR promotes patient safety by standardizing
communication among healthcare team members.
4. In a mass casualty incident, which patient should be assigned a ‘Red’ tag for immediate
treatment?
A. A patient with a fractured radius and minor lacerations.
B. A patient with deep partial-thickness burns over 10% of their body.
C. A patient with massive head trauma and no spontaneous respirations.
D. A patient with an open pneumothorax and labored breathing.
Correct Answer: D
Expert Explanation: The Red tag is reserved for patients with life-threatening injuries
who have a high probability of survival if treated immediately. An open pneumothorax
compromises the airway and breathing, making it a top priority in disaster triage. Correct
classification ensures that limited resources are directed to those who will benefit most.
5. A nurse is caring for a client who is refusing a necessary blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is the nurse
demonstrating?
A. Beneficence
B. Justice
C. Nonmaleficence
