PNR 207/PNR207 Exam 3 V1 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Practical Nurse (PN) is caring for a group of clients. Which client should the PN see first?
A. A client post-abdominal surgery reporting pain as a 4 on a scale of 0 to 10.
B. A client who is scheduled for a physical therapy session in 30 minutes.
C. A client with a history of hypertension requesting a PRN stool softener.
D. A client who was admitted with asthma and has a respiratory rate of 28/min and oxygen
saturation of 89%.
Correct Answer: D
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the client
with respiratory distress takes priority. A respiratory rate of 28/min and low oxygen
saturation indicates potential hypoxia requiring immediate intervention. The PN must
address life-threatening physiological needs before attending to routine care or stable
post-operative pain.
2. A PN is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which task
is appropriate for the PN to delegate?
A. Evaluating the effectiveness of a client’s pain medication.
B. Assisting a stable client with ambulation in the hallway.
,C. Performing an initial admission assessment on a stable client.
D. Providing discharge instructions regarding wound care.
Correct Answer: B
Explanation: Delegation to UAPs should involve non-invasive tasks and activities of daily
living that do not require clinical judgment. Assisting a stable client with ambulation falls
within the UAP’s scope of practice. The PN remains accountable for the outcome of the
delegated task and must ensure the UAP is competent to perform it.
3. Which ethical principle is demonstrated when a PN provides the same quality of care to a
homeless client as they do to a wealthy business owner?
A. Justice
B. Autonomy
C. Fidelity
D. Beneficence
Correct Answer: A
Explanation: Justice involves the fair and equitable distribution of healthcare resources
and treatments. By treating all clients equally regardless of their socioeconomic status, the
nurse upholds the standard of fairness. This principle ensures that every individual
receives the care they are entitled to without bias.
, 4. A PN is discussing the Nursing Practice Act during a staff meeting. What is the primary
purpose of this legislation?
A. To define the pay scales for Licensed Practical Nurses in the state.
B. To provide guidelines for the hospital’s internal disciplinary actions.
C. To protect the public by defining the scope of nursing practice.
D. To mandate the number of continuing education hours required for renewal.
Correct Answer: C
Explanation: The primary goal of the Nursing Practice Act is to safeguard the public from
unsafe nursing practice. It establishes the legal boundaries of nursing and defines the roles
of the RN and PN within a specific jurisdiction. Understanding this act is critical for
maintaining professional accountability and legal compliance.
5. A PN witnesses a coworker taking a controlled substance from the medication cart and
putting it in their pocket. What is the PN’s first action?
A. Confront the coworker and ask them to return the medication.
B. Report the observation to the nurse manager or supervisor.
C. Notify the local police department immediately.
D. Document the incident in the client’s medical record.
Correct Answer: B
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Practical Nurse (PN) is caring for a group of clients. Which client should the PN see first?
A. A client post-abdominal surgery reporting pain as a 4 on a scale of 0 to 10.
B. A client who is scheduled for a physical therapy session in 30 minutes.
C. A client with a history of hypertension requesting a PRN stool softener.
D. A client who was admitted with asthma and has a respiratory rate of 28/min and oxygen
saturation of 89%.
Correct Answer: D
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the client
with respiratory distress takes priority. A respiratory rate of 28/min and low oxygen
saturation indicates potential hypoxia requiring immediate intervention. The PN must
address life-threatening physiological needs before attending to routine care or stable
post-operative pain.
2. A PN is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which task
is appropriate for the PN to delegate?
A. Evaluating the effectiveness of a client’s pain medication.
B. Assisting a stable client with ambulation in the hallway.
,C. Performing an initial admission assessment on a stable client.
D. Providing discharge instructions regarding wound care.
Correct Answer: B
Explanation: Delegation to UAPs should involve non-invasive tasks and activities of daily
living that do not require clinical judgment. Assisting a stable client with ambulation falls
within the UAP’s scope of practice. The PN remains accountable for the outcome of the
delegated task and must ensure the UAP is competent to perform it.
3. Which ethical principle is demonstrated when a PN provides the same quality of care to a
homeless client as they do to a wealthy business owner?
A. Justice
B. Autonomy
C. Fidelity
D. Beneficence
Correct Answer: A
Explanation: Justice involves the fair and equitable distribution of healthcare resources
and treatments. By treating all clients equally regardless of their socioeconomic status, the
nurse upholds the standard of fairness. This principle ensures that every individual
receives the care they are entitled to without bias.
, 4. A PN is discussing the Nursing Practice Act during a staff meeting. What is the primary
purpose of this legislation?
A. To define the pay scales for Licensed Practical Nurses in the state.
B. To provide guidelines for the hospital’s internal disciplinary actions.
C. To protect the public by defining the scope of nursing practice.
D. To mandate the number of continuing education hours required for renewal.
Correct Answer: C
Explanation: The primary goal of the Nursing Practice Act is to safeguard the public from
unsafe nursing practice. It establishes the legal boundaries of nursing and defines the roles
of the RN and PN within a specific jurisdiction. Understanding this act is critical for
maintaining professional accountability and legal compliance.
5. A PN witnesses a coworker taking a controlled substance from the medication cart and
putting it in their pocket. What is the PN’s first action?
A. Confront the coworker and ask them to return the medication.
B. Report the observation to the nurse manager or supervisor.
C. Notify the local police department immediately.
D. Document the incident in the client’s medical record.
Correct Answer: B
