PNR 207/PNR207 Final Exam V3 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is preparing to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which of the following tasks is appropriate for the PN to delegate?
A. Performing a sterile dressing change on a post-operative wound
B. Assisting a stable patient with routine morning hygiene
C. Developing a plan of care for a newly admitted client
D. Administering the first dose of an intravenous antibiotic
Correct Answer: B
Explanation: The PN must ensure that delegated tasks do not require clinical judgment or
nursing assessment. Routine tasks like hygiene and basic ambulation are appropriate for
UAPs because they follow a set procedure. Delegating complex or invasive tasks is a
violation of the professional scope of practice and safety protocols.
2. According to the ethical principle of Autonomy, which action by the nurse is most
appropriate?
A. Ensuring the patient receives the medication the doctor ordered despite the patient’s
refusal
B. Distributing nursing care time equally among all patients on the unit
,C. Respecting a patient’s decision to discontinue life-sustaining treatment
D. Reporting a colleague for a potential medication error
Correct Answer: C
Explanation: Autonomy refers to the right of the patient to make their own healthcare
decisions without coercion. The nurse must support the patient’s choices, even if those
choices conflict with the healthcare provider’s recommendations. This principle is
fundamental to patient-centered care and the legal requirement of informed consent.
3. A nurse is communicating a patient’s condition to a healthcare provider using the SBAR
technique. Which information should the nurse include in the ‘B’ (Background) portion of the
report?
A. The patient’s current heart rate and blood pressure
B. The nurse’s recommendation for a change in intravenous fluids
C. The immediate reason the nurse is calling the provider
D. A summary of the patient’s medical history and admission diagnosis
Correct Answer: D
Explanation: The ‘Background’ section of SBAR provides the context of the patient’s
situation, including their medical history and recent clinical history. This information
allows the provider to understand the progression of the patient’s condition. Proper use of
SBAR facilitates clear and concise communication, which is vital for patient safety.
, 4. Which of the following describes the legal concept of ‘Negligence’ in nursing practice?
A. A nurse failing to perform a duty that a reasonable person would have done in a similar
situation
B. A nurse intentionally harming a patient through physical force
C. A nurse sharing a patient’s private medical information on social media
D. A nurse performing a procedure without obtaining informed consent
Correct Answer: A
Explanation: Negligence is a non-intentional tort where the nurse fails to meet the
standard of care, resulting in potential or actual harm. To prove negligence, there must be a
duty, a breach of that duty, causation, and damages. Ensuring the standard of care is met is
a primary legal responsibility for every practical nurse.
5. The Practical Nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient who is two hours post-appendectomy and has a heart rate of 124 bpm
B. A patient with chronic obstructive pulmonary disease (COPD) who has a pulse oximetry
of 91%
C. A patient who was admitted for a hip fracture and is requesting pain medication
D. A patient who needs discharge instructions regarding their new diabetic diet
Correct Answer: A
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is preparing to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which of the following tasks is appropriate for the PN to delegate?
A. Performing a sterile dressing change on a post-operative wound
B. Assisting a stable patient with routine morning hygiene
C. Developing a plan of care for a newly admitted client
D. Administering the first dose of an intravenous antibiotic
Correct Answer: B
Explanation: The PN must ensure that delegated tasks do not require clinical judgment or
nursing assessment. Routine tasks like hygiene and basic ambulation are appropriate for
UAPs because they follow a set procedure. Delegating complex or invasive tasks is a
violation of the professional scope of practice and safety protocols.
2. According to the ethical principle of Autonomy, which action by the nurse is most
appropriate?
A. Ensuring the patient receives the medication the doctor ordered despite the patient’s
refusal
B. Distributing nursing care time equally among all patients on the unit
,C. Respecting a patient’s decision to discontinue life-sustaining treatment
D. Reporting a colleague for a potential medication error
Correct Answer: C
Explanation: Autonomy refers to the right of the patient to make their own healthcare
decisions without coercion. The nurse must support the patient’s choices, even if those
choices conflict with the healthcare provider’s recommendations. This principle is
fundamental to patient-centered care and the legal requirement of informed consent.
3. A nurse is communicating a patient’s condition to a healthcare provider using the SBAR
technique. Which information should the nurse include in the ‘B’ (Background) portion of the
report?
A. The patient’s current heart rate and blood pressure
B. The nurse’s recommendation for a change in intravenous fluids
C. The immediate reason the nurse is calling the provider
D. A summary of the patient’s medical history and admission diagnosis
Correct Answer: D
Explanation: The ‘Background’ section of SBAR provides the context of the patient’s
situation, including their medical history and recent clinical history. This information
allows the provider to understand the progression of the patient’s condition. Proper use of
SBAR facilitates clear and concise communication, which is vital for patient safety.
, 4. Which of the following describes the legal concept of ‘Negligence’ in nursing practice?
A. A nurse failing to perform a duty that a reasonable person would have done in a similar
situation
B. A nurse intentionally harming a patient through physical force
C. A nurse sharing a patient’s private medical information on social media
D. A nurse performing a procedure without obtaining informed consent
Correct Answer: A
Explanation: Negligence is a non-intentional tort where the nurse fails to meet the
standard of care, resulting in potential or actual harm. To prove negligence, there must be a
duty, a breach of that duty, causation, and damages. Ensuring the standard of care is met is
a primary legal responsibility for every practical nurse.
5. The Practical Nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient who is two hours post-appendectomy and has a heart rate of 124 bpm
B. A patient with chronic obstructive pulmonary disease (COPD) who has a pulse oximetry
of 91%
C. A patient who was admitted for a hip fracture and is requesting pain medication
D. A patient who needs discharge instructions regarding their new diabetic diet
Correct Answer: A
