PNR 207/PNR207 Exam 1 V1 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A practical nurse (PN) is planning the care for four clients. Which client should the PN
prioritize to see first?
A. A client with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of
91%.
B. A client with a new onset of chest pressure and shortness of breath.
C. A client who is two days post-operative and requesting oral pain medication.
D. A client who needs instructions on how to use a glucometer before discharge.
Correct Answer: B
Explanation: The PN must prioritize the client with new onset chest pressure and
shortness of breath because it indicates a potential myocardial infarction or pulmonary
embolism. According to the ABC (Airway, Breathing, and Circulation) prioritization
framework, this client is the most unstable. Prompt assessment and intervention are
required to prevent further cardiac or respiratory arrest.
2. A practical nurse is working with an unlicensed assistive personnel (UAP). Which task is
most appropriate for the PN to delegate to the UAP?
A. Assessing the lung sounds of a client who just returned from surgery.
B. Teaching a client how to perform a dressing change at home.
,C. Evaluating a client’s response to a recently administered antihypertensive.
D. Assisting a stable client with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable client with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The PN remains responsible for the outcome, but the
task itself is routine and does not require clinical judgment. Tasks involving assessment,
evaluation, and teaching are nursing responsibilities that cannot be delegated to unlicensed
staff.
3. A client is refusing a scheduled blood transfusion due to religious beliefs. Which ethical
principle is the practical nurse demonstrating by supporting the client’s decision?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the right of a client to make their own decisions about their
medical care, even if the nurse or healthcare provider disagrees. By respecting the client’s
refusal based on religious beliefs, the PN is upholding this fundamental ethical principle.
This process ensures that the client remains in control of their body and treatment plan.
, 4. The practical nurse is preparing to administer a medication and notices the dosage is
significantly higher than the usual range. What action should the PN take first?
A. Contact the prescribing healthcare provider to clarify the order.
B. Consult with another practical nurse on the unit.
C. Administer the medication as ordered by the physician.
D. Document the order in the client’s chart and give half the dose.
Correct Answer: A
Explanation: The PN has a legal and professional responsibility to ensure medication
safety by clarifying orders that appear incorrect or unsafe. Administering a potentially toxic
dose could lead to client harm and professional negligence. Contacting the provider is the
first step in the chain of command to rectify a possible error.
5. Which documentation entry by the practical nurse is the most objective and accurate?
A. The client seems to be in a bad mood and was rude to the staff today.
B. Client appears to be sleeping comfortably with no signs of pain.
C. Client’s surgical incision is 5 cm long, red, and has a small amount of yellow drainage.
D. The client ate a good amount of their breakfast this morning.
Correct Answer: C
Explanation: Objective documentation involves stating facts that can be measured or
observed without bias. Descriptions like ‘bad mood’ or ‘ate a good amount’ are subjective
Practice - Capstone Q&A with Rationale | Fortis
College
1. A practical nurse (PN) is planning the care for four clients. Which client should the PN
prioritize to see first?
A. A client with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of
91%.
B. A client with a new onset of chest pressure and shortness of breath.
C. A client who is two days post-operative and requesting oral pain medication.
D. A client who needs instructions on how to use a glucometer before discharge.
Correct Answer: B
Explanation: The PN must prioritize the client with new onset chest pressure and
shortness of breath because it indicates a potential myocardial infarction or pulmonary
embolism. According to the ABC (Airway, Breathing, and Circulation) prioritization
framework, this client is the most unstable. Prompt assessment and intervention are
required to prevent further cardiac or respiratory arrest.
2. A practical nurse is working with an unlicensed assistive personnel (UAP). Which task is
most appropriate for the PN to delegate to the UAP?
A. Assessing the lung sounds of a client who just returned from surgery.
B. Teaching a client how to perform a dressing change at home.
,C. Evaluating a client’s response to a recently administered antihypertensive.
D. Assisting a stable client with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable client with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The PN remains responsible for the outcome, but the
task itself is routine and does not require clinical judgment. Tasks involving assessment,
evaluation, and teaching are nursing responsibilities that cannot be delegated to unlicensed
staff.
3. A client is refusing a scheduled blood transfusion due to religious beliefs. Which ethical
principle is the practical nurse demonstrating by supporting the client’s decision?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the right of a client to make their own decisions about their
medical care, even if the nurse or healthcare provider disagrees. By respecting the client’s
refusal based on religious beliefs, the PN is upholding this fundamental ethical principle.
This process ensures that the client remains in control of their body and treatment plan.
, 4. The practical nurse is preparing to administer a medication and notices the dosage is
significantly higher than the usual range. What action should the PN take first?
A. Contact the prescribing healthcare provider to clarify the order.
B. Consult with another practical nurse on the unit.
C. Administer the medication as ordered by the physician.
D. Document the order in the client’s chart and give half the dose.
Correct Answer: A
Explanation: The PN has a legal and professional responsibility to ensure medication
safety by clarifying orders that appear incorrect or unsafe. Administering a potentially toxic
dose could lead to client harm and professional negligence. Contacting the provider is the
first step in the chain of command to rectify a possible error.
5. Which documentation entry by the practical nurse is the most objective and accurate?
A. The client seems to be in a bad mood and was rude to the staff today.
B. Client appears to be sleeping comfortably with no signs of pain.
C. Client’s surgical incision is 5 cm long, red, and has a small amount of yellow drainage.
D. The client ate a good amount of their breakfast this morning.
Correct Answer: C
Explanation: Objective documentation involves stating facts that can be measured or
observed without bias. Descriptions like ‘bad mood’ or ‘ate a good amount’ are subjective
