,NUR210 Transition to Practice Capstone Exam
3 Study Guide & 150 Practice Questions Fortis
College 2026/2027
1. A nurse is caring for a client who is scheduled for surgery and has a living will. The client's
daughter asks the nurse to disregard the living will because the family disagrees with its
provisions. What is the nurse's priority action?
A. Follow the family's wishes to maintain a therapeutic relationship.
B. Inform the daughter that the living will is a legal document that must be honored.
C. Ask the healthcare provider to override the living will.
D. Document the family's concerns and continue with the surgery.
Correct Answer: B. Inform the daughter that the living will is a legal document that must be
honored.
Rationale: The living will is a legal document that specifies the client's wishes regarding medical
treatment. The nurse must honor the client's autonomy, which takes precedence over family
disagreements. The nurse should educate the family about the legal and ethical obligations.
2. A charge nurse is making assignments for the oncoming shift. Which client should be assigned
to the most experienced nurse?
,A. A client requiring a routine dressing change
B. A client with a new onset of chest pain and a history of myocardial infarction
C. A client awaiting discharge after a knee replacement
D. A client requesting pain medication for a headache
Correct Answer: B. A client with a new onset of chest pain and a history of myocardial infarction
Rationale: Clients with acute, potentially life-threatening conditions such as new onset chest
pain require the most experienced nurse who can rapidly assess and intervene. Routine care
and stable clients can be assigned to less experienced staff.
3. A nurse is caring for a client who is confused and attempting to climb out of bed. Which
action should the nurse take first?
A. Apply restraints to prevent falls
B. Reorient the client and implement fall prevention measures
C. Administer a prescribed sedative
D. Ask the family to stay with the client
, Correct Answer: B. Reorient the client and implement fall prevention measures
Rationale: The first intervention for a confused client attempting to get out of bed is to reorient
them and implement fall prevention measures such as lowering the bed, ensuring the call light
is within reach, and using bed alarms. Restraints and sedatives require provider orders and are
used only after less restrictive interventions fail.
4. A nurse is reviewing the plan of care for a client with a new diagnosis of diabetes. Which
action best demonstrates advocacy?
A. Making dietary decisions for the client
B. Ensuring the client understands their treatment options and rights
C. Avoiding discussion of the client's concerns
D. Prioritizing the healthcare team's preferences over the client's
Correct Answer: B. Ensuring the client understands their treatment options and rights
Rationale: Advocacy involves ensuring the client understands their treatment options, rights,
and can make informed decisions. The nurse serves as a liaison between the client and the
healthcare team.
3 Study Guide & 150 Practice Questions Fortis
College 2026/2027
1. A nurse is caring for a client who is scheduled for surgery and has a living will. The client's
daughter asks the nurse to disregard the living will because the family disagrees with its
provisions. What is the nurse's priority action?
A. Follow the family's wishes to maintain a therapeutic relationship.
B. Inform the daughter that the living will is a legal document that must be honored.
C. Ask the healthcare provider to override the living will.
D. Document the family's concerns and continue with the surgery.
Correct Answer: B. Inform the daughter that the living will is a legal document that must be
honored.
Rationale: The living will is a legal document that specifies the client's wishes regarding medical
treatment. The nurse must honor the client's autonomy, which takes precedence over family
disagreements. The nurse should educate the family about the legal and ethical obligations.
2. A charge nurse is making assignments for the oncoming shift. Which client should be assigned
to the most experienced nurse?
,A. A client requiring a routine dressing change
B. A client with a new onset of chest pain and a history of myocardial infarction
C. A client awaiting discharge after a knee replacement
D. A client requesting pain medication for a headache
Correct Answer: B. A client with a new onset of chest pain and a history of myocardial infarction
Rationale: Clients with acute, potentially life-threatening conditions such as new onset chest
pain require the most experienced nurse who can rapidly assess and intervene. Routine care
and stable clients can be assigned to less experienced staff.
3. A nurse is caring for a client who is confused and attempting to climb out of bed. Which
action should the nurse take first?
A. Apply restraints to prevent falls
B. Reorient the client and implement fall prevention measures
C. Administer a prescribed sedative
D. Ask the family to stay with the client
, Correct Answer: B. Reorient the client and implement fall prevention measures
Rationale: The first intervention for a confused client attempting to get out of bed is to reorient
them and implement fall prevention measures such as lowering the bed, ensuring the call light
is within reach, and using bed alarms. Restraints and sedatives require provider orders and are
used only after less restrictive interventions fail.
4. A nurse is reviewing the plan of care for a client with a new diagnosis of diabetes. Which
action best demonstrates advocacy?
A. Making dietary decisions for the client
B. Ensuring the client understands their treatment options and rights
C. Avoiding discussion of the client's concerns
D. Prioritizing the healthcare team's preferences over the client's
Correct Answer: B. Ensuring the client understands their treatment options and rights
Rationale: Advocacy involves ensuring the client understands their treatment options, rights,
and can make informed decisions. The nurse serves as a liaison between the client and the
healthcare team.
