PN Role Midterm NURS 1098 STUDY GUIDE
2026 COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED
PASS <RECENT VERSION>
PN Role Midterm NURS 1098 STUDY GUIDE 2026: 100 Questions & Answers
Section 1: Professional Nursing Role & Scope of Practice
1. Q: What is the primary role of the Practical Nurse (PN) as a member of the healthcare
team?
A: To provide direct, supervised patient care, focusing on meeting basic human needs,
implementing prescribed care plans, and reporting changes in patient status to the RN or
physician.
2. Q: Differentiate between the scope of practice for an RN and an LPN/LVN.
A: RNs perform assessments, develop nursing diagnoses and care plans, and administer
IV push medications (varies by state). LPNs/LVNs contribute to the care plan, perform
focused (not initial) assessments, and administer medications (excluding IV push in most
states) under RN/physician direction.
3. Q: What is the purpose of the Nurse Practice Act?
A: It is a state law that defines the legal scope of nursing practice, establishes
educational requirements, and protects public health, safety, and welfare by regulating
nursing licensure.
4. Q: Define delegation. What is the PN's role in the delegation process?
A: Delegation is the transfer of authority to perform a selected nursing task to a
competent individual. The PN can delegate tasks to Unlicensed Assistive Personnel (UAP)
but retains accountability for ensuring the task was appropriate to delegate and
correctly performed.
5. Q: List three rights of delegation.
A: The right TASK, the right CIRCUMSTANCES, the right PERSON, the right
DIRECTION/COMMUNICATION, and the right SUPERVISION.
,Section 2: Nursing Process & Critical Thinking
6. Q: What are the five steps of the nursing process in order?
A: Assessment, Diagnosis (RN-led), Planning, Implementation, and Evaluation.
7. Q: What type of data is "the patient reports a pain level of 8/10"?
A: Subjective data (symptom).
8. Q: What type of data is a blood pressure reading of 150/90 mmHg?
A: Objective data (sign).
9. Q: A nursing diagnosis is a statement describing a patient's response to an actual or
potential health problem. True or False?
A: True.
10. Q: In a SMART goal, what does the "T" stand for?
A: Time-bound.
Section 3: Communication & Documentation
11. Q: What is the purpose of SBAR communication?
A: To provide a structured, clear framework for communicating critical patient
information (Situation, Background, Assessment, Recommendation).
12. Q: Which therapeutic communication technique involves repeating the main idea of the
patient's statement?
A: Restating.
13. Q: "Why didn't you take your medication?" is an example of a non-therapeutic
communication block. What type?
A: Asking "why" questions (can imply accusation).
14. Q: What is the golden rule of documentation?
A: If it wasn't documented, it wasn't done.
15. Q: What should you do if you make an error in a written medical record?
A: Draw a single line through it, write "error," date, time, and initial it. The original entry
must remain legible.
Section 4: Ethics & Legal Principles
16. Q: What are the four main ethical principles in nursing?
A: Autonomy, Beneficence, Nonmaleficence, and Justice.
, 17. Q: A patient with decision-making capacity refuses a life-saving blood transfusion. What
ethical principle supports honoring this refusal?
A: Autonomy (self-determination).
18. Q: What is informed consent, and who is responsible for obtaining it?
A: The patient's voluntary agreement to a procedure after receiving information about
risks, benefits, and alternatives. The provider performing the procedure is responsible
for obtaining it; the nurse's role is to witness the signature and ensure the patient
understands.
19. Q: What is the difference between assault and battery?
A: Assault is the threat of harm; battery is the actual unauthorized touching/harm.
20. Q: What must a nurse do if they suspect a colleague is diverting narcotics?
A: Follow the chain of command and report the suspicion according to facility policy
(duty to report).
Section 5: Infection Control & Safety
21. Q: What is the most effective way to prevent the spread of infection?
A: Proper hand hygiene.
22. Q: When should alcohol-based hand rub NOT be used?
A: When hands are visibly soiled, after caring for a patient with C. difficile, or before
eating.
23. Q: What PPE is required for entering the room of a patient with active pulmonary
Tuberculosis?
A: N95 respirator (or higher).
24. Q: List the order for donning PPE.
A: Gown, Mask/Respirator, Goggles/Face Shield, Gloves.
25. Q: List the order for doffing PPE.
A: Gloves, Goggles/Face Shield, Gown, Mask/Respirator. Perform hand hygiene
immediately after.
Section 6: Vital Signs & Health Assessment
26. Q: What is the normal range for oral temperature in an adult?
A: 97.8°F - 99.1°F (36.5°C - 37.3°C).
, 27. Q: Where is the point of maximal impulse (PMI) normally located?
A: 5th intercostal space, midclavicular line.
28. Q: What vital sign changes are expected in a patient with a fever?
A: Increased temperature, increased heart rate, increased respiratory rate.
29. Q: A blood pressure of 88/56 mmHg would be classified as what?
A: Hypotension.
30. Q: What is orthostatic hypotension, and how is it assessed?
A: A significant drop in BP (>20 mmHg systolic or >10 mmHg diastolic) and/or increase in
HR (>20 bpm) when moving from lying to standing. Assess by measuring BP and HR in
supine, sitting, and standing positions at 1-3 minute intervals.
Section 7: Medication Administration & Pharmacology
31. Q: What are the "Ten Rights" of medication administration?
A: Right Patient, Right Medication, Right Dose, Right Route, Right Time, Right
Documentation, Right Reason, Right Response, Right to Refuse, Right Assessment.
32. Q: What is the Z-track method used for?
A: Administering intramuscular injections that are irritating or can stain the skin (e.g.,
iron dextran).
33. Q: What is the first action if a medication error occurs?
A: Assess the patient and ensure their safety; notify the RN/physician immediately.
34. Q: A patient develops hives and itching after receiving penicillin. What is this an example
of?
A: An allergic reaction.
35. Q: What part of a prescription/medication order is "PO"?
A: The route (by mouth).
Section 8: Fundamentals of Patient Care
36. Q: When moving a patient up in bed, what should the nurse do to prevent self-injury?
A: Lower the head of the bed, use a friction-reducing sheet, and use proper body
mechanics with help from others.
2026 COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED
PASS <RECENT VERSION>
PN Role Midterm NURS 1098 STUDY GUIDE 2026: 100 Questions & Answers
Section 1: Professional Nursing Role & Scope of Practice
1. Q: What is the primary role of the Practical Nurse (PN) as a member of the healthcare
team?
A: To provide direct, supervised patient care, focusing on meeting basic human needs,
implementing prescribed care plans, and reporting changes in patient status to the RN or
physician.
2. Q: Differentiate between the scope of practice for an RN and an LPN/LVN.
A: RNs perform assessments, develop nursing diagnoses and care plans, and administer
IV push medications (varies by state). LPNs/LVNs contribute to the care plan, perform
focused (not initial) assessments, and administer medications (excluding IV push in most
states) under RN/physician direction.
3. Q: What is the purpose of the Nurse Practice Act?
A: It is a state law that defines the legal scope of nursing practice, establishes
educational requirements, and protects public health, safety, and welfare by regulating
nursing licensure.
4. Q: Define delegation. What is the PN's role in the delegation process?
A: Delegation is the transfer of authority to perform a selected nursing task to a
competent individual. The PN can delegate tasks to Unlicensed Assistive Personnel (UAP)
but retains accountability for ensuring the task was appropriate to delegate and
correctly performed.
5. Q: List three rights of delegation.
A: The right TASK, the right CIRCUMSTANCES, the right PERSON, the right
DIRECTION/COMMUNICATION, and the right SUPERVISION.
,Section 2: Nursing Process & Critical Thinking
6. Q: What are the five steps of the nursing process in order?
A: Assessment, Diagnosis (RN-led), Planning, Implementation, and Evaluation.
7. Q: What type of data is "the patient reports a pain level of 8/10"?
A: Subjective data (symptom).
8. Q: What type of data is a blood pressure reading of 150/90 mmHg?
A: Objective data (sign).
9. Q: A nursing diagnosis is a statement describing a patient's response to an actual or
potential health problem. True or False?
A: True.
10. Q: In a SMART goal, what does the "T" stand for?
A: Time-bound.
Section 3: Communication & Documentation
11. Q: What is the purpose of SBAR communication?
A: To provide a structured, clear framework for communicating critical patient
information (Situation, Background, Assessment, Recommendation).
12. Q: Which therapeutic communication technique involves repeating the main idea of the
patient's statement?
A: Restating.
13. Q: "Why didn't you take your medication?" is an example of a non-therapeutic
communication block. What type?
A: Asking "why" questions (can imply accusation).
14. Q: What is the golden rule of documentation?
A: If it wasn't documented, it wasn't done.
15. Q: What should you do if you make an error in a written medical record?
A: Draw a single line through it, write "error," date, time, and initial it. The original entry
must remain legible.
Section 4: Ethics & Legal Principles
16. Q: What are the four main ethical principles in nursing?
A: Autonomy, Beneficence, Nonmaleficence, and Justice.
, 17. Q: A patient with decision-making capacity refuses a life-saving blood transfusion. What
ethical principle supports honoring this refusal?
A: Autonomy (self-determination).
18. Q: What is informed consent, and who is responsible for obtaining it?
A: The patient's voluntary agreement to a procedure after receiving information about
risks, benefits, and alternatives. The provider performing the procedure is responsible
for obtaining it; the nurse's role is to witness the signature and ensure the patient
understands.
19. Q: What is the difference between assault and battery?
A: Assault is the threat of harm; battery is the actual unauthorized touching/harm.
20. Q: What must a nurse do if they suspect a colleague is diverting narcotics?
A: Follow the chain of command and report the suspicion according to facility policy
(duty to report).
Section 5: Infection Control & Safety
21. Q: What is the most effective way to prevent the spread of infection?
A: Proper hand hygiene.
22. Q: When should alcohol-based hand rub NOT be used?
A: When hands are visibly soiled, after caring for a patient with C. difficile, or before
eating.
23. Q: What PPE is required for entering the room of a patient with active pulmonary
Tuberculosis?
A: N95 respirator (or higher).
24. Q: List the order for donning PPE.
A: Gown, Mask/Respirator, Goggles/Face Shield, Gloves.
25. Q: List the order for doffing PPE.
A: Gloves, Goggles/Face Shield, Gown, Mask/Respirator. Perform hand hygiene
immediately after.
Section 6: Vital Signs & Health Assessment
26. Q: What is the normal range for oral temperature in an adult?
A: 97.8°F - 99.1°F (36.5°C - 37.3°C).
, 27. Q: Where is the point of maximal impulse (PMI) normally located?
A: 5th intercostal space, midclavicular line.
28. Q: What vital sign changes are expected in a patient with a fever?
A: Increased temperature, increased heart rate, increased respiratory rate.
29. Q: A blood pressure of 88/56 mmHg would be classified as what?
A: Hypotension.
30. Q: What is orthostatic hypotension, and how is it assessed?
A: A significant drop in BP (>20 mmHg systolic or >10 mmHg diastolic) and/or increase in
HR (>20 bpm) when moving from lying to standing. Assess by measuring BP and HR in
supine, sitting, and standing positions at 1-3 minute intervals.
Section 7: Medication Administration & Pharmacology
31. Q: What are the "Ten Rights" of medication administration?
A: Right Patient, Right Medication, Right Dose, Right Route, Right Time, Right
Documentation, Right Reason, Right Response, Right to Refuse, Right Assessment.
32. Q: What is the Z-track method used for?
A: Administering intramuscular injections that are irritating or can stain the skin (e.g.,
iron dextran).
33. Q: What is the first action if a medication error occurs?
A: Assess the patient and ensure their safety; notify the RN/physician immediately.
34. Q: A patient develops hives and itching after receiving penicillin. What is this an example
of?
A: An allergic reaction.
35. Q: What part of a prescription/medication order is "PO"?
A: The route (by mouth).
Section 8: Fundamentals of Patient Care
36. Q: When moving a patient up in bed, what should the nurse do to prevent self-injury?
A: Lower the head of the bed, use a friction-reducing sheet, and use proper body
mechanics with help from others.
