PNR 207/PNR207 Final Exam V2 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is planning to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which of the following tasks is appropriate for the nurse to delegate?
A. Assessing the lung sounds of a client with pneumonia.
B. Assisting a stable client with ambulation in the hallway.
C. Performing a sterile dressing change on a post-operative wound.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: B
Explanation: Delegation to UAPs should involve non-invasive, routine tasks such as ADLs
and ambulation for stable clients. Tasks involving assessment, sterile procedures, or client
teaching require the clinical judgment of a licensed nurse. By delegating ambulation, the
LPN ensures the safety of the client while effectively managing the care team’s workload.
2. The nurse is caring for a group of clients. Which client should the LPN prioritize to see first
after receiving the morning report?
A. A client who had a stroke 3 days ago and needs help with breakfast.
B. A client with asthma who is complaining of shortness of breath and has a wheeze.
C. A client who is scheduled for a physical therapy session in 30 minutes.
,D. A client who needs a routine dressing change for a stage II pressure ulcer.
Correct Answer: B
Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The client with asthma experiencing shortness of breath and wheezing
indicates a potential respiratory compromise that requires immediate intervention. Other
clients, while needing care, do not present with life-threatening issues at this moment.
3. A nurse is faced with an ethical dilemma regarding a client’s end-of-life care. Which
principle is the nurse upholding when supporting the client’s right to refuse treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Explanation: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare. By supporting a client’s decision to refuse treatment, the nurse
respects the client’s independence and self-determination. This is a fundamental
component of the LPN’s role in patient advocacy and ethical practice.
4. Which of the following actions by an LPN constitutes professional negligence?
A. Documenting a client’s refusal of a prescribed treatment.
, B. Refusing to perform a task outside of their scope of practice.
C. Reporting a coworker for showing up to work under the influence.
D. Administering the wrong dose of medication to a client.
Correct Answer: D
Explanation: Professional negligence, or malpractice, occurs when a nurse fails to provide
the standard of care that a reasonably prudent nurse would provide in a similar situation,
resulting in harm. Administering an incorrect medication dose is a breach of duty that
directly impacts patient safety. The other options represent appropriate professional and
legal behaviors for an LPN.
5. A nurse is preparing to administer a medication. Which of the following is one of the ‘six
rights’ of medication administration?
A. Right Room
B. Right Physician
C. Right Documentation
D. Right Facility
Correct Answer: C
Explanation: The six rights of medication administration include right patient, right
medication, right dose, right route, right time, and right documentation. Ensuring accurate
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is planning to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which of the following tasks is appropriate for the nurse to delegate?
A. Assessing the lung sounds of a client with pneumonia.
B. Assisting a stable client with ambulation in the hallway.
C. Performing a sterile dressing change on a post-operative wound.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: B
Explanation: Delegation to UAPs should involve non-invasive, routine tasks such as ADLs
and ambulation for stable clients. Tasks involving assessment, sterile procedures, or client
teaching require the clinical judgment of a licensed nurse. By delegating ambulation, the
LPN ensures the safety of the client while effectively managing the care team’s workload.
2. The nurse is caring for a group of clients. Which client should the LPN prioritize to see first
after receiving the morning report?
A. A client who had a stroke 3 days ago and needs help with breakfast.
B. A client with asthma who is complaining of shortness of breath and has a wheeze.
C. A client who is scheduled for a physical therapy session in 30 minutes.
,D. A client who needs a routine dressing change for a stage II pressure ulcer.
Correct Answer: B
Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The client with asthma experiencing shortness of breath and wheezing
indicates a potential respiratory compromise that requires immediate intervention. Other
clients, while needing care, do not present with life-threatening issues at this moment.
3. A nurse is faced with an ethical dilemma regarding a client’s end-of-life care. Which
principle is the nurse upholding when supporting the client’s right to refuse treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Explanation: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare. By supporting a client’s decision to refuse treatment, the nurse
respects the client’s independence and self-determination. This is a fundamental
component of the LPN’s role in patient advocacy and ethical practice.
4. Which of the following actions by an LPN constitutes professional negligence?
A. Documenting a client’s refusal of a prescribed treatment.
, B. Refusing to perform a task outside of their scope of practice.
C. Reporting a coworker for showing up to work under the influence.
D. Administering the wrong dose of medication to a client.
Correct Answer: D
Explanation: Professional negligence, or malpractice, occurs when a nurse fails to provide
the standard of care that a reasonably prudent nurse would provide in a similar situation,
resulting in harm. Administering an incorrect medication dose is a breach of duty that
directly impacts patient safety. The other options represent appropriate professional and
legal behaviors for an LPN.
5. A nurse is preparing to administer a medication. Which of the following is one of the ‘six
rights’ of medication administration?
A. Right Room
B. Right Physician
C. Right Documentation
D. Right Facility
Correct Answer: C
Explanation: The six rights of medication administration include right patient, right
medication, right dose, right route, right time, and right documentation. Ensuring accurate
