PNR 207/PNR207 Final Exam V1 | Transition to PN
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is assuming a leadership role as a charge nurse in a long-
term care facility. Which leadership style is most effective when a quick decision is required
during a life-threatening emergency?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Situational
Correct Answer: C
Explanation: The autocratic leadership style is characterized by the leader making
decisions independently without input from the group. This style is most effective in
emergency situations where time is critical and immediate action is required to save a life.
It provides clear direction and reduces confusion during high-stress moments.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which action by the LPN
ensures compliance with the ‘Five Rights of Delegation’?
A. Delegating the assessment of a newly admitted patient.
B. Asking the UAP to administer a PRN oral medication.
,C. Providing clear, concise instructions and setting specific expectations.
D. Allowing the UAP to choose which patients to assist first.
Correct Answer: C
Explanation: The ‘Right Direction and Communication’ involves providing a clear
description of the task, including its objective and limits. The nurse must communicate
specifically what needs to be done and what observations should be reported back. Proper
delegation ensures that the task is performed safely and that the UAP understands their
responsibility.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is being
demonstrated?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Explanation: Autonomy refers to the right of patients to make their own decisions about
their healthcare. By supporting the patient’s refusal of treatment, the nurse respects the
patient’s independence and self-determination. This principle is a cornerstone of patient-
centered care and legal rights.
, 4. Which document defines the legal scope of practice for Licensed Practical Nurses within a
specific state?
A. The American Nurses Association (ANA) Code of Ethics
B. The Facility Policy and Procedure Manual
C. The Nurse Practice Act
D. The Patient’s Bill of Rights
Correct Answer: C
Explanation: The Nurse Practice Act (NPA) is the primary law that governs nursing
practice within a specific jurisdiction. It outlines the duties, responsibilities, and limitations
of the LPN role to protect the public from unsafe practice. It is essential for every nurse to
be familiar with the NPA of the state in which they are licensed.
5. An LPN is assisting with the development of a plan of care for a patient with heart failure.
Which part of the nursing process is the LPN primarily contributing to?
A. Implementation
B. Planning
C. Diagnosis
D. Assessment
Correct Answer: B
Practice - Capstone Q&A with Rationale | Fortis
College
1. A Licensed Practical Nurse (LPN) is assuming a leadership role as a charge nurse in a long-
term care facility. Which leadership style is most effective when a quick decision is required
during a life-threatening emergency?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Situational
Correct Answer: C
Explanation: The autocratic leadership style is characterized by the leader making
decisions independently without input from the group. This style is most effective in
emergency situations where time is critical and immediate action is required to save a life.
It provides clear direction and reduces confusion during high-stress moments.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which action by the LPN
ensures compliance with the ‘Five Rights of Delegation’?
A. Delegating the assessment of a newly admitted patient.
B. Asking the UAP to administer a PRN oral medication.
,C. Providing clear, concise instructions and setting specific expectations.
D. Allowing the UAP to choose which patients to assist first.
Correct Answer: C
Explanation: The ‘Right Direction and Communication’ involves providing a clear
description of the task, including its objective and limits. The nurse must communicate
specifically what needs to be done and what observations should be reported back. Proper
delegation ensures that the task is performed safely and that the UAP understands their
responsibility.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion due to religious
beliefs. The nurse supports the patient’s decision. Which ethical principle is being
demonstrated?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Explanation: Autonomy refers to the right of patients to make their own decisions about
their healthcare. By supporting the patient’s refusal of treatment, the nurse respects the
patient’s independence and self-determination. This principle is a cornerstone of patient-
centered care and legal rights.
, 4. Which document defines the legal scope of practice for Licensed Practical Nurses within a
specific state?
A. The American Nurses Association (ANA) Code of Ethics
B. The Facility Policy and Procedure Manual
C. The Nurse Practice Act
D. The Patient’s Bill of Rights
Correct Answer: C
Explanation: The Nurse Practice Act (NPA) is the primary law that governs nursing
practice within a specific jurisdiction. It outlines the duties, responsibilities, and limitations
of the LPN role to protect the public from unsafe practice. It is essential for every nurse to
be familiar with the NPA of the state in which they are licensed.
5. An LPN is assisting with the development of a plan of care for a patient with heart failure.
Which part of the nursing process is the LPN primarily contributing to?
A. Implementation
B. Planning
C. Diagnosis
D. Assessment
Correct Answer: B
