PNR 207/PNR207 Exam 3 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 Person
(UAP). Which task is most appropriate for the LPN to delegate?
A. Providing discharge instructions to a patient with a new diagnosis.
B. Assessing the pain level of a patient who just returned from surgery.
C. Measuring and recording the urinary output of a stable patient.
D. Administering a scheduled intramuscular injection.
Correct Answer: C
Explanation: Delegation to a UAP should only include non-invasive, routine tasks that do
not require clinical judgment. Measuring urinary output is a standardized procedure that
falls within the UAP scope. Assessment and teaching are professional nursing
responsibilities that cannot be delegated.
2. Which leadership style is characterized by a manager who makes all the decisions and
dictates tasks to subordinates without seeking input?
A. Democratic leadership
B. Laissez-faire leadership
C. Authoritarian leadership
,D. Transactional leadership
Correct Answer: C
Explanation: Authoritarian or autocratic leadership involves centralized decision-making
where the leader maintains full control. This style is often effective in emergency situations
where quick decisions are mandatory. However, it can lead to low staff morale if used
exclusively in non-urgent settings.
3. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion of the report?
A. The patient’s admitting diagnosis and relevant history.
B. The patient’s current vital signs and mental status.
C. A specific request for a medication change.
D. The nurse’s assessment of the patient’s current problem.
Correct Answer: A
Explanation: The ‘Background’ section of SBAR provides the context of the situation, such
as medical history or previous treatments. Vital signs belong in the ‘Situation’ or
‘Assessment’ phase depending on the protocol. Providing a clear background helps the
provider understand the clinical trajectory of the patient.
4. An LPN is caring for a group of patients. Which patient should the nurse see first?
A. A patient requesting a PRN pain medication for chronic back pain.
, B. A patient with a history of asthma reporting new onset of wheezing.
C. A patient with a scheduled dressing change for a stage 2 pressure injury.
D. A patient who needs assistance with their morning hygiene routine.
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework, the
patient with wheezing represents a breathing concern. This situation is potentially life-
threatening and requires immediate assessment. Other tasks like pain management or
dressing changes are important but less urgent than respiratory stability.
5. Which ethical principle is the nurse upholding when they respect a patient’s decision to
refuse a life-saving blood transfusion?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of patients to make their own decisions about
their healthcare. Nurses support autonomy by ensuring patients are informed and their
choices are honored. Even if the choice contradicts medical advice, the patient’s self-
determination is a core ethical standard.
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is delegating tasks to an Unlicensed Assistive Person
(UAP). Which task is most appropriate for the LPN to delegate?
A. Providing discharge instructions to a patient with a new diagnosis.
B. Assessing the pain level of a patient who just returned from surgery.
C. Measuring and recording the urinary output of a stable patient.
D. Administering a scheduled intramuscular injection.
Correct Answer: C
Explanation: Delegation to a UAP should only include non-invasive, routine tasks that do
not require clinical judgment. Measuring urinary output is a standardized procedure that
falls within the UAP scope. Assessment and teaching are professional nursing
responsibilities that cannot be delegated.
2. Which leadership style is characterized by a manager who makes all the decisions and
dictates tasks to subordinates without seeking input?
A. Democratic leadership
B. Laissez-faire leadership
C. Authoritarian leadership
,D. Transactional leadership
Correct Answer: C
Explanation: Authoritarian or autocratic leadership involves centralized decision-making
where the leader maintains full control. This style is often effective in emergency situations
where quick decisions are mandatory. However, it can lead to low staff morale if used
exclusively in non-urgent settings.
3. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion of the report?
A. The patient’s admitting diagnosis and relevant history.
B. The patient’s current vital signs and mental status.
C. A specific request for a medication change.
D. The nurse’s assessment of the patient’s current problem.
Correct Answer: A
Explanation: The ‘Background’ section of SBAR provides the context of the situation, such
as medical history or previous treatments. Vital signs belong in the ‘Situation’ or
‘Assessment’ phase depending on the protocol. Providing a clear background helps the
provider understand the clinical trajectory of the patient.
4. An LPN is caring for a group of patients. Which patient should the nurse see first?
A. A patient requesting a PRN pain medication for chronic back pain.
, B. A patient with a history of asthma reporting new onset of wheezing.
C. A patient with a scheduled dressing change for a stage 2 pressure injury.
D. A patient who needs assistance with their morning hygiene routine.
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework, the
patient with wheezing represents a breathing concern. This situation is potentially life-
threatening and requires immediate assessment. Other tasks like pain management or
dressing changes are important but less urgent than respiratory stability.
5. Which ethical principle is the nurse upholding when they respect a patient’s decision to
refuse a life-saving blood transfusion?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of patients to make their own decisions about
their healthcare. Nurses support autonomy by ensuring patients are informed and their
choices are honored. Even if the choice contradicts medical advice, the patient’s self-
determination is a core ethical standard.
