PNR 207/PNR207 Exam 2 V1 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is working with an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the nurse to delegate to the UAP?
A. Assisting a stable client with ambulation to the bathroom.
B. Performing a sterile dressing change on a post-operative wound.
C. Feeding a client who has recently developed dysphagia.
D. Providing discharge instructions to a client going home.
Correct Answer: A
Explanation: The nurse must delegate tasks that do not require clinical judgment or
complex assessment to the UAP. Assisting a stable client with ambulation is a routine
activity of daily living that falls within the UAP’s scope. This decision ensures that the LPN
can focus on tasks that require licensed expertise while maintaining client safety.
2. When prioritizing care for four clients, which client should the nurse assess first after
receiving the morning shift report?
A. A client with a history of heart failure reporting a 1 lb weight gain.
B. A client with chronic obstructive pulmonary disease (COPD) reporting new-onset
shortness of breath and agitation.
,C. A client who is scheduled for an abdominal ultrasound in two hours.
D. A client requesting PRN pain medication for a chronic back injury.
Correct Answer: B
Explanation: The nurse should apply the Airway-Breathing-Circulation (ABC) framework
to prioritize client care. New-onset shortness of breath and agitation in a COPD patient
indicate a potential respiratory emergency that requires immediate assessment. Prompt
intervention in this scenario is critical to prevent further physiological deterioration.
3. An LPN is caring for a client who refuses to take their prescribed antihypertensive
medication. Which action should the nurse take first?
A. Explore the client’s reasons for refusing the medication.
B. Tell the client that they will have a stroke if they do not take it.
C. Document the refusal and inform the healthcare provider immediately.
D. Crush the medication and mix it with the client’s food.
Correct Answer: A
Explanation: The nurse’s first responsibility is to respect the client’s autonomy while
ensuring they are making an informed decision. By exploring the reasons for refusal, the
nurse may identify barriers such as side effects or cost that can be addressed. This
approach fosters a therapeutic relationship and supports the client’s right to self-
determination.
, 4. A nurse is preparing to administer an intramuscular injection but realizes the medication is
expired. Administering this medication would be a violation of which ethical principle?
A. Justice
B. Nonmaleficence
C. Fidelity
D. Autonomy
Correct Answer: B
Explanation: Nonmaleficence is the ethical principle that dictates healthcare providers
must ‘do no harm’ to their clients. Administering expired medication could potentially
cause harm or result in sub-therapeutic treatment for the patient. Upholding this principle
requires the nurse to double-check medication labels and expiration dates before
administration.
5. Which leadership style is characterized by a leader who makes all decisions without
seeking input from staff members?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is working with an Unlicensed Assistive Personnel (UAP).
Which task is most appropriate for the nurse to delegate to the UAP?
A. Assisting a stable client with ambulation to the bathroom.
B. Performing a sterile dressing change on a post-operative wound.
C. Feeding a client who has recently developed dysphagia.
D. Providing discharge instructions to a client going home.
Correct Answer: A
Explanation: The nurse must delegate tasks that do not require clinical judgment or
complex assessment to the UAP. Assisting a stable client with ambulation is a routine
activity of daily living that falls within the UAP’s scope. This decision ensures that the LPN
can focus on tasks that require licensed expertise while maintaining client safety.
2. When prioritizing care for four clients, which client should the nurse assess first after
receiving the morning shift report?
A. A client with a history of heart failure reporting a 1 lb weight gain.
B. A client with chronic obstructive pulmonary disease (COPD) reporting new-onset
shortness of breath and agitation.
,C. A client who is scheduled for an abdominal ultrasound in two hours.
D. A client requesting PRN pain medication for a chronic back injury.
Correct Answer: B
Explanation: The nurse should apply the Airway-Breathing-Circulation (ABC) framework
to prioritize client care. New-onset shortness of breath and agitation in a COPD patient
indicate a potential respiratory emergency that requires immediate assessment. Prompt
intervention in this scenario is critical to prevent further physiological deterioration.
3. An LPN is caring for a client who refuses to take their prescribed antihypertensive
medication. Which action should the nurse take first?
A. Explore the client’s reasons for refusing the medication.
B. Tell the client that they will have a stroke if they do not take it.
C. Document the refusal and inform the healthcare provider immediately.
D. Crush the medication and mix it with the client’s food.
Correct Answer: A
Explanation: The nurse’s first responsibility is to respect the client’s autonomy while
ensuring they are making an informed decision. By exploring the reasons for refusal, the
nurse may identify barriers such as side effects or cost that can be addressed. This
approach fosters a therapeutic relationship and supports the client’s right to self-
determination.
, 4. A nurse is preparing to administer an intramuscular injection but realizes the medication is
expired. Administering this medication would be a violation of which ethical principle?
A. Justice
B. Nonmaleficence
C. Fidelity
D. Autonomy
Correct Answer: B
Explanation: Nonmaleficence is the ethical principle that dictates healthcare providers
must ‘do no harm’ to their clients. Administering expired medication could potentially
cause harm or result in sub-therapeutic treatment for the patient. Upholding this principle
requires the nurse to double-check medication labels and expiration dates before
administration.
5. Which leadership style is characterized by a leader who makes all decisions without
seeking input from staff members?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
