PNUR 103 Practical Nrsg. Prof. Growth 1 TEST #2 -
Lecture notes 8-12 Centennial College EXAM with
Questions and Answers/Plus a Rationale Updated 2026
A+/Instant Download PDF
EXAM COVERAGE
1. Professionalism and Ethical Practice in Nursing
2. Legal Frameworks and Regulatory Standards in Ontario
3. Nursing Documentation and Legal Accountability
4. Interprofessional Collaboration and Communication
5. Conflict Resolution and Assertive Communication
6. Therapeutic Nurse-Client Relationships and Boundaries
7. Leadership Styles and Delegation in Practical Nursing
8. Cultural Competence and Anti-Oppressive Practice
9. Reflection and Reflective Practice in Nursing
10. Advocacy and Ethical Decision-Making
1. An RPN is working in a long-term care facility and witnesses a colleague consistently failing to
document medication administration until the end of the shift. When questioned, the colleague
states that it is "more efficient" to chart all at once. What is the most appropriate action for the
RPN according to the CNO standards?
A. Document the colleague's behavior in an incident report immediately.
, B. Discuss the expectations for timely documentation with the colleague and report the
pattern to the charge nurse.
C. Monitor the colleague's documentation for one week before taking further action.
D. Ignore the practice as long as no medication errors occur.
CORRECT ANSWER : B
Rationale: The CNO requires documentation to be accurate and timely to ensure patient safety
and legal integrity. B is correct because the RPN must address the unsafe practice directly and
inform leadership to ensure accountability. A is premature without first addressing the
colleague, while C and D ignore the immediate risk to patient safety and standard of care.
2. A client asks an RPN to keep a secret regarding a recent fall that did not result in injury. The
client fears that reporting the fall will lead to restricted mobility. How should the RPN respond to
maintain professional boundaries?
A. Agree to keep the information confidential to build trust.
B. Inform the client that all information must be shared with the healthcare team.
C. Explain the importance of transparency for safety while reassuring the client that they
will be involved in care planning.
D. Report the fall immediately without informing the client to avoid confrontation.
CORRECT ANSWER : C
Rationale: Maintaining professional boundaries requires honesty and acting in the client's best
interest. C is correct because it balances transparency with the therapeutic relationship. A
violates the standard of care, B is unnecessarily blunt, and D undermines the trust necessary for
a therapeutic relationship.
3. A newly graduated RPN is asked to perform a complex dressing change that they have only
observed once during orientation. The RPN feels unsure of the procedure. Which action
demonstrates the best understanding of accountability?
A. Perform the dressing change as requested to demonstrate competence to the team.
B. Request supervision or assistance from a senior nurse before attempting the procedure.
C. Ask a nursing student to perform the procedure while the RPN supervises.
D. Decline the assignment entirely, citing that it is outside the scope of practice for an RPN.
, CORRECT ANSWER : B
Rationale: The RPN is accountable for their own practice and must recognize their limitations. B
is correct because seeking supervision ensures client safety and professional growth. A is
reckless, C is inappropriate for a student, and D is incorrect as the procedure is within scope but
requires competence validation.
4. During a shift, an RPN notices that a client’s chart has been left open on a shared workstation,
displaying sensitive personal health information. What is the immediate priority action?
A. Wait for the person who left it to return and inform them.
B. Close the chart immediately and notify the unit manager of the breach in privacy.
C. Print the information to ensure it is not lost, then close the screen.
D. Ignore the situation, assuming that only authorized staff have access to the area.
CORRECT ANSWER : B
Rationale: Privacy and confidentiality are legal mandates; protecting PHI is a professional
responsibility. B is correct because immediate containment is required to prevent unauthorized
access. A and D demonstrate negligence, and C increases the risk of a breach.
5. A client expresses dissatisfaction with their care plan, stating the RPN does not listen to their
cultural preferences regarding end-of-life care. How should the RPN approach this to
demonstrate anti-oppressive practice?
A. Explain that hospital policy dictates the care plan and it cannot be altered.
B. Invite the client to express their needs and collaboratively adjust the plan to integrate
their cultural values.
C. Ask the family to speak for the client, as they likely understand the cultural needs better.
D. Maintain the current plan but document the client’s refusal to participate in care.
CORRECT ANSWER : B
Rationale: Anti-oppressive practice requires addressing power imbalances and validating the
client’s expertise regarding their own life. B is correct as it empowers the client and honors their
cultural agency. A is dismissive, C ignores the client’s autonomy, and D is punitive.
6. An RPN is struggling to communicate effectively with a physician who is consistently
dismissive during rounds. Using assertive communication, what is the most effective way to
address this?
Lecture notes 8-12 Centennial College EXAM with
Questions and Answers/Plus a Rationale Updated 2026
A+/Instant Download PDF
EXAM COVERAGE
1. Professionalism and Ethical Practice in Nursing
2. Legal Frameworks and Regulatory Standards in Ontario
3. Nursing Documentation and Legal Accountability
4. Interprofessional Collaboration and Communication
5. Conflict Resolution and Assertive Communication
6. Therapeutic Nurse-Client Relationships and Boundaries
7. Leadership Styles and Delegation in Practical Nursing
8. Cultural Competence and Anti-Oppressive Practice
9. Reflection and Reflective Practice in Nursing
10. Advocacy and Ethical Decision-Making
1. An RPN is working in a long-term care facility and witnesses a colleague consistently failing to
document medication administration until the end of the shift. When questioned, the colleague
states that it is "more efficient" to chart all at once. What is the most appropriate action for the
RPN according to the CNO standards?
A. Document the colleague's behavior in an incident report immediately.
, B. Discuss the expectations for timely documentation with the colleague and report the
pattern to the charge nurse.
C. Monitor the colleague's documentation for one week before taking further action.
D. Ignore the practice as long as no medication errors occur.
CORRECT ANSWER : B
Rationale: The CNO requires documentation to be accurate and timely to ensure patient safety
and legal integrity. B is correct because the RPN must address the unsafe practice directly and
inform leadership to ensure accountability. A is premature without first addressing the
colleague, while C and D ignore the immediate risk to patient safety and standard of care.
2. A client asks an RPN to keep a secret regarding a recent fall that did not result in injury. The
client fears that reporting the fall will lead to restricted mobility. How should the RPN respond to
maintain professional boundaries?
A. Agree to keep the information confidential to build trust.
B. Inform the client that all information must be shared with the healthcare team.
C. Explain the importance of transparency for safety while reassuring the client that they
will be involved in care planning.
D. Report the fall immediately without informing the client to avoid confrontation.
CORRECT ANSWER : C
Rationale: Maintaining professional boundaries requires honesty and acting in the client's best
interest. C is correct because it balances transparency with the therapeutic relationship. A
violates the standard of care, B is unnecessarily blunt, and D undermines the trust necessary for
a therapeutic relationship.
3. A newly graduated RPN is asked to perform a complex dressing change that they have only
observed once during orientation. The RPN feels unsure of the procedure. Which action
demonstrates the best understanding of accountability?
A. Perform the dressing change as requested to demonstrate competence to the team.
B. Request supervision or assistance from a senior nurse before attempting the procedure.
C. Ask a nursing student to perform the procedure while the RPN supervises.
D. Decline the assignment entirely, citing that it is outside the scope of practice for an RPN.
, CORRECT ANSWER : B
Rationale: The RPN is accountable for their own practice and must recognize their limitations. B
is correct because seeking supervision ensures client safety and professional growth. A is
reckless, C is inappropriate for a student, and D is incorrect as the procedure is within scope but
requires competence validation.
4. During a shift, an RPN notices that a client’s chart has been left open on a shared workstation,
displaying sensitive personal health information. What is the immediate priority action?
A. Wait for the person who left it to return and inform them.
B. Close the chart immediately and notify the unit manager of the breach in privacy.
C. Print the information to ensure it is not lost, then close the screen.
D. Ignore the situation, assuming that only authorized staff have access to the area.
CORRECT ANSWER : B
Rationale: Privacy and confidentiality are legal mandates; protecting PHI is a professional
responsibility. B is correct because immediate containment is required to prevent unauthorized
access. A and D demonstrate negligence, and C increases the risk of a breach.
5. A client expresses dissatisfaction with their care plan, stating the RPN does not listen to their
cultural preferences regarding end-of-life care. How should the RPN approach this to
demonstrate anti-oppressive practice?
A. Explain that hospital policy dictates the care plan and it cannot be altered.
B. Invite the client to express their needs and collaboratively adjust the plan to integrate
their cultural values.
C. Ask the family to speak for the client, as they likely understand the cultural needs better.
D. Maintain the current plan but document the client’s refusal to participate in care.
CORRECT ANSWER : B
Rationale: Anti-oppressive practice requires addressing power imbalances and validating the
client’s expertise regarding their own life. B is correct as it empowers the client and honors their
cultural agency. A is dismissive, C ignores the client’s autonomy, and D is punitive.
6. An RPN is struggling to communicate effectively with a physician who is consistently
dismissive during rounds. Using assertive communication, what is the most effective way to
address this?
