PNR 207/PNR207 Exam 4 V2 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is delegating tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Assisting a stable client with a bed bath
B. Assessing a client’s surgical incision
C. Providing discharge instructions to a client
D. Administering a bolus tube feeding
Correct Answer: A
Explanation: Assisting with activities of daily living for a stable client is within the UAP’s
scope of practice. Assessment and client teaching are responsibilities of the licensed nurse
and cannot be delegated. The LPN must ensure the task matches the UAP’s skill level and
the client’s stability.
2. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client with a blood glucose of 150 mg/dL
B. A client reporting new onset of chest tightness
C. A client requesting pain medication for chronic back pain
D. A client scheduled for physical therapy in 30 minutes
,Correct Answer: B
Explanation: The client reporting chest tightness is the priority due to potential life-
threatening cardiac or respiratory issues, following the ABC (Airway, Breathing,
Circulation) framework. Chronic pain and stable glucose levels are important but not
immediately life-threatening. The nurse must address the most unstable client first to
ensure safety.
3. A nurse manager is using a democratic leadership style. Which action best demonstrates
this style?
A. Making all unit decisions independently
B. Allowing staff to do whatever they choose
C. Encouraging staff input for new unit policies
D. Providing little to no guidance during a crisis
Correct Answer: C
Explanation: Democratic leadership involves including staff in decision-making processes
and valuing their input. This style fosters collaboration and increases staff morale by
making them feel heard. It contrasts with autocratic leadership, where the leader makes
decisions alone, and laissez-faire, where there is little direction.
4. An LPN is caring for a client who is refusing a scheduled medication. Which ethical principle
is the nurse upholding by respecting the client’s decision?
A. Autonomy
, B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Explanation: Autonomy refers to the client’s right to make their own decisions regarding
their health care. Beneficence involves doing good for the client, while nonmaleficence
focuses on doing no harm. By allowing the client to refuse treatment, the nurse
acknowledges the individual’s self-determination.
5. Which element is a necessary component of professional negligence (malpractice)?
A. The nurse’s intent to cause harm
B. A breach of the standard of care
C. The client’s refusal of treatment
D. The use of a generic medication
Correct Answer: B
Explanation: A breach of the standard of care occurs when the nurse fails to act as a
reasonably prudent nurse would in a similar situation. To prove malpractice, there must
also be a duty, causation, and actual injury or harm. Intent is not required for a claim of
negligence, unlike intentional torts.
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is delegating tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Assisting a stable client with a bed bath
B. Assessing a client’s surgical incision
C. Providing discharge instructions to a client
D. Administering a bolus tube feeding
Correct Answer: A
Explanation: Assisting with activities of daily living for a stable client is within the UAP’s
scope of practice. Assessment and client teaching are responsibilities of the licensed nurse
and cannot be delegated. The LPN must ensure the task matches the UAP’s skill level and
the client’s stability.
2. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client with a blood glucose of 150 mg/dL
B. A client reporting new onset of chest tightness
C. A client requesting pain medication for chronic back pain
D. A client scheduled for physical therapy in 30 minutes
,Correct Answer: B
Explanation: The client reporting chest tightness is the priority due to potential life-
threatening cardiac or respiratory issues, following the ABC (Airway, Breathing,
Circulation) framework. Chronic pain and stable glucose levels are important but not
immediately life-threatening. The nurse must address the most unstable client first to
ensure safety.
3. A nurse manager is using a democratic leadership style. Which action best demonstrates
this style?
A. Making all unit decisions independently
B. Allowing staff to do whatever they choose
C. Encouraging staff input for new unit policies
D. Providing little to no guidance during a crisis
Correct Answer: C
Explanation: Democratic leadership involves including staff in decision-making processes
and valuing their input. This style fosters collaboration and increases staff morale by
making them feel heard. It contrasts with autocratic leadership, where the leader makes
decisions alone, and laissez-faire, where there is little direction.
4. An LPN is caring for a client who is refusing a scheduled medication. Which ethical principle
is the nurse upholding by respecting the client’s decision?
A. Autonomy
, B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Explanation: Autonomy refers to the client’s right to make their own decisions regarding
their health care. Beneficence involves doing good for the client, while nonmaleficence
focuses on doing no harm. By allowing the client to refuse treatment, the nurse
acknowledges the individual’s self-determination.
5. Which element is a necessary component of professional negligence (malpractice)?
A. The nurse’s intent to cause harm
B. A breach of the standard of care
C. The client’s refusal of treatment
D. The use of a generic medication
Correct Answer: B
Explanation: A breach of the standard of care occurs when the nurse fails to act as a
reasonably prudent nurse would in a similar situation. To prove malpractice, there must
also be a duty, causation, and actual injury or harm. Intent is not required for a claim of
negligence, unlike intentional torts.
