,NUR 210 Exam 3 | Transition to Practice & Capstone (2026)
Actual Q&A PDF | Fortis College
1. A newly graduated nurse is working the night shift with one experienced RN and two
unlicensed assistive personnel (UAPs). Four clients need attention at the same time: a post-
operative client reporting pain of 8/10, a client with a blood pressure of 88/50 mm Hg, a
client requesting assistance to the bathroom, and a client whose IV pump is beeping. Which
client should the new nurse address first?
A) Administer the prescribed pain medication to the post-operative client
B) Assess the hypotensive client and check for signs of shock
C) Assist the client to the bathroom to prevent a fall
D) Silence and reset the beeping IV pump
Correct Answer: Assess the hypotensive client and check for signs of shock
Rationale: Airway, breathing, and circulation take priority. Hypotension may indicate
hemodynamic instability requiring immediate assessment. Pain management, toileting, and
equipment alarms are important but secondary to a potentially life-threatening circulatory
problem.
2. The charge nurse is preparing the assignment for a busy medical-surgical unit. One of the
RNs is a recent graduate who has been off orientation for three weeks. Which client
assignment is most appropriate for this novice nurse?
A) A stable client two days post-laparoscopic cholecystectomy ready for discharge teaching
B) A client with a new tracheostomy who requires frequent suctioning
C) A client receiving a continuous heparin infusion for a pulmonary embolism
,D) A client in sickle-cell crisis requiring hourly pain reassessment and titration of opioids
Correct Answer: A stable client two days post-laparoscopic cholecystectomy ready for
discharge teaching
Rationale: Novice nurses should be assigned stable clients with predictable needs.
Discharge teaching for an uncomplicated post-operative client matches the new graduate's
developing skill set. Complex respiratory, anticoagulant, or crisis clients require more
experienced judgment.
3. An RN is working with a licensed practical nurse (LPN) and a UAP. The RN is preparing to
leave the unit for a short break. Which task is appropriate to delegate to the LPN before
leaving?
A) Complete the admission assessment for a newly arrived client
B) Develop the initial plan of care for a client with complex wounds
C) Administer the scheduled oral medications to four stable clients
D) Evaluate the effectiveness of a newly ordered pain regimen
Correct Answer: Administer the scheduled oral medications to four stable clients
Rationale: LPNs may administer oral medications to stable clients within their scope of
practice. Initial assessments, care-plan development, and evaluation of response to treatment
remain RN responsibilities and cannot be delegated.
4. During morning report the off-going nurse states that a client's potassium was 3.1 mEq/L
on the night shift and that a replacement dose was given. The oncoming nurse finds no
, documentation of the laboratory result or the medication administration. What is the most
appropriate first action?
A) Assume the information is correct and continue with the shift
B) Redraw the potassium level immediately without further investigation
C) File an incident report before speaking with anyone
D) Contact the off-going nurse to clarify and complete the documentation
Correct Answer: Contact the off-going nurse to clarify and complete the documentation
Rationale: Professional accountability requires clarifying incomplete or missing
documentation before proceeding with care. Contacting the off-going nurse directly resolves
the gap safely and efficiently before escalation.
5. A nurse is advocating for a client who is being pressured by their family to undergo a risky
surgical procedure. Which ethical principle is the nurse primarily supporting?
A) Justice
B) Autonomy
C) Beneficence
D) Fidelity
Correct Answer: Autonomy
Rationale: Autonomy refers to the right of the client to make their own decisions regarding
their healthcare without undue influence from others. The nurse advocates for the client's
right to choose, even when family members disagree.
Actual Q&A PDF | Fortis College
1. A newly graduated nurse is working the night shift with one experienced RN and two
unlicensed assistive personnel (UAPs). Four clients need attention at the same time: a post-
operative client reporting pain of 8/10, a client with a blood pressure of 88/50 mm Hg, a
client requesting assistance to the bathroom, and a client whose IV pump is beeping. Which
client should the new nurse address first?
A) Administer the prescribed pain medication to the post-operative client
B) Assess the hypotensive client and check for signs of shock
C) Assist the client to the bathroom to prevent a fall
D) Silence and reset the beeping IV pump
Correct Answer: Assess the hypotensive client and check for signs of shock
Rationale: Airway, breathing, and circulation take priority. Hypotension may indicate
hemodynamic instability requiring immediate assessment. Pain management, toileting, and
equipment alarms are important but secondary to a potentially life-threatening circulatory
problem.
2. The charge nurse is preparing the assignment for a busy medical-surgical unit. One of the
RNs is a recent graduate who has been off orientation for three weeks. Which client
assignment is most appropriate for this novice nurse?
A) A stable client two days post-laparoscopic cholecystectomy ready for discharge teaching
B) A client with a new tracheostomy who requires frequent suctioning
C) A client receiving a continuous heparin infusion for a pulmonary embolism
,D) A client in sickle-cell crisis requiring hourly pain reassessment and titration of opioids
Correct Answer: A stable client two days post-laparoscopic cholecystectomy ready for
discharge teaching
Rationale: Novice nurses should be assigned stable clients with predictable needs.
Discharge teaching for an uncomplicated post-operative client matches the new graduate's
developing skill set. Complex respiratory, anticoagulant, or crisis clients require more
experienced judgment.
3. An RN is working with a licensed practical nurse (LPN) and a UAP. The RN is preparing to
leave the unit for a short break. Which task is appropriate to delegate to the LPN before
leaving?
A) Complete the admission assessment for a newly arrived client
B) Develop the initial plan of care for a client with complex wounds
C) Administer the scheduled oral medications to four stable clients
D) Evaluate the effectiveness of a newly ordered pain regimen
Correct Answer: Administer the scheduled oral medications to four stable clients
Rationale: LPNs may administer oral medications to stable clients within their scope of
practice. Initial assessments, care-plan development, and evaluation of response to treatment
remain RN responsibilities and cannot be delegated.
4. During morning report the off-going nurse states that a client's potassium was 3.1 mEq/L
on the night shift and that a replacement dose was given. The oncoming nurse finds no
, documentation of the laboratory result or the medication administration. What is the most
appropriate first action?
A) Assume the information is correct and continue with the shift
B) Redraw the potassium level immediately without further investigation
C) File an incident report before speaking with anyone
D) Contact the off-going nurse to clarify and complete the documentation
Correct Answer: Contact the off-going nurse to clarify and complete the documentation
Rationale: Professional accountability requires clarifying incomplete or missing
documentation before proceeding with care. Contacting the off-going nurse directly resolves
the gap safely and efficiently before escalation.
5. A nurse is advocating for a client who is being pressured by their family to undergo a risky
surgical procedure. Which ethical principle is the nurse primarily supporting?
A) Justice
B) Autonomy
C) Beneficence
D) Fidelity
Correct Answer: Autonomy
Rationale: Autonomy refers to the right of the client to make their own decisions regarding
their healthcare without undue influence from others. The nurse advocates for the client's
right to choose, even when family members disagree.
