NUR 2790 Exam 2 PN 3 Professional Transitions /
Integrated Nursing Concepts Actual Exam – Questions
and Answers Already Graded A with Detailed Rationales –
Pass Guaranteed – A+ Graded
Foundations: Safe Practice, Roles & Delegation
Q1: An LPN is caring for four patients on a medical-surgical unit. Which task is most
appropriate for the LPN to delegate to an unlicensed assistive personnel (UAP)?
A. Administering a patient's scheduled oral antibiotics.
B. Assessing a postoperative patient's incision for signs of infection.
C. Assisting an ambulatory patient with a bedside commode. [CORRECT]
D. Teaching a newly diagnosed diabetic patient how to administer insulin.
Correct Answer: C
Rationale: The best answer is C. UAPs can assist with activities of daily living and basic
mobility, but they cannot perform assessments, administer medications, or provide
patient education—that falls within the licensed nurse's scope. Delegating the commode
assistance keeps the patient safe and frees the LPN for skilled tasks.
Q2: Which action by an LPN represents a violation of the Nurse Practice Act and scope
of practice?
,A. Reporting a change in a patient's respiratory status to the charge RN.
B. Developing a nursing care plan for a stable patient under RN supervision.
C. Initiating a blood transfusion independently after verifying the blood product.
[CORRECT]
D. Documenting a patient's intake and output on the flow sheet.
Correct Answer: C
Rationale: This is correct because initiating a blood transfusion requires RN
assessment, verification, and monitoring per standard protocol. LPNs may assist but
cannot independently initiate transfusions, as this involves high-risk assessment and
intervention beyond LPN scope in most jurisdictions.
Q3: A UAP reports to the LPN that a patient's blood pressure is 88/52 mmHg. The
patient's baseline is 130/80. The LPN's priority action is to:
A. Instruct the UAP to recheck the blood pressure in one hour.
B. Delegate the UAP to give the patient a glass of water.
C. Assess the patient immediately and notify the RN of the significant change.
[CORRECT]
D. Document the finding and continue with the current care plan.
Correct Answer: C
Rationale: The best answer is C. A drop to 88/52 indicates potential hypotension, shock,
or bleeding—this is an unstable patient. The LPN must assess immediately and escalate
to the RN. Delegating or delaying could result in patient harm.
,Q4: Which of the following is an example of a tort in nursing practice?
A. A nurse administers the wrong medication and the patient suffers harm. [CORRECT]
B. A nurse arrives late for a shift.
C. A nurse delegates vital signs to a UAP.
D. A nurse documents care provided by another nurse.
Correct Answer: A
Rationale: This choice is correct because a tort is a civil wrong that causes harm.
Medication errors resulting in patient injury are a classic example of negligence, which
is an unintentional tort. The other options represent policy violations or scope issues,
but not necessarily torts.
Q5: An LPN is supervising a UAP who has just transferred from the pediatric unit to
adult med-surg. The LPN should:
A. Assume the UAP's skills are universal and assign the same tasks as other UAPs.
B. Provide orientation to adult-specific tasks and assess competency before delegating.
[CORRECT]
C. Refuse to work with the UAP until they complete a full six-week orientation.
D. Delegate only non-patient-care tasks to this UAP indefinitely.
Correct Answer: B
Rationale: The best answer is B. The five rights of delegation include the right task, right
circumstance, right person, right direction, and right supervision. A UAP transferring
, from pediatrics may need guidance on adult care differences; the LPN is responsible for
verifying competency.
Q6: Which task can an LPN appropriately perform without direct RN supervision in most
states?
A. Developing the initial nursing care plan for a newly admitted patient.
B. Inserting a nasogastric tube in an alert, cooperative patient per facility policy.
[CORRECT]
C. Administering IV push medications through a central line.
D. Discharging a patient and providing all discharge teaching independently.
Correct Answer: B
Rationale: This is correct because LPN scope typically includes NG tube insertion in
stable patients when trained and authorized by facility policy. Initial care plans, IV push
meds, and independent discharge teaching generally require RN level scope or
supervision.
Q7: A patient asks the LPN to witness their advance directive. The LPN should:
A. Refuse because LPNs cannot legally witness advance directives.
B. Agree to witness the signature but not provide any information about what the
document means.
C. Witness the signature if the patient is alert and oriented, ensuring they are signing
voluntarily, while clarifying that the LPN is not providing legal advice. [CORRECT]
Integrated Nursing Concepts Actual Exam – Questions
and Answers Already Graded A with Detailed Rationales –
Pass Guaranteed – A+ Graded
Foundations: Safe Practice, Roles & Delegation
Q1: An LPN is caring for four patients on a medical-surgical unit. Which task is most
appropriate for the LPN to delegate to an unlicensed assistive personnel (UAP)?
A. Administering a patient's scheduled oral antibiotics.
B. Assessing a postoperative patient's incision for signs of infection.
C. Assisting an ambulatory patient with a bedside commode. [CORRECT]
D. Teaching a newly diagnosed diabetic patient how to administer insulin.
Correct Answer: C
Rationale: The best answer is C. UAPs can assist with activities of daily living and basic
mobility, but they cannot perform assessments, administer medications, or provide
patient education—that falls within the licensed nurse's scope. Delegating the commode
assistance keeps the patient safe and frees the LPN for skilled tasks.
Q2: Which action by an LPN represents a violation of the Nurse Practice Act and scope
of practice?
,A. Reporting a change in a patient's respiratory status to the charge RN.
B. Developing a nursing care plan for a stable patient under RN supervision.
C. Initiating a blood transfusion independently after verifying the blood product.
[CORRECT]
D. Documenting a patient's intake and output on the flow sheet.
Correct Answer: C
Rationale: This is correct because initiating a blood transfusion requires RN
assessment, verification, and monitoring per standard protocol. LPNs may assist but
cannot independently initiate transfusions, as this involves high-risk assessment and
intervention beyond LPN scope in most jurisdictions.
Q3: A UAP reports to the LPN that a patient's blood pressure is 88/52 mmHg. The
patient's baseline is 130/80. The LPN's priority action is to:
A. Instruct the UAP to recheck the blood pressure in one hour.
B. Delegate the UAP to give the patient a glass of water.
C. Assess the patient immediately and notify the RN of the significant change.
[CORRECT]
D. Document the finding and continue with the current care plan.
Correct Answer: C
Rationale: The best answer is C. A drop to 88/52 indicates potential hypotension, shock,
or bleeding—this is an unstable patient. The LPN must assess immediately and escalate
to the RN. Delegating or delaying could result in patient harm.
,Q4: Which of the following is an example of a tort in nursing practice?
A. A nurse administers the wrong medication and the patient suffers harm. [CORRECT]
B. A nurse arrives late for a shift.
C. A nurse delegates vital signs to a UAP.
D. A nurse documents care provided by another nurse.
Correct Answer: A
Rationale: This choice is correct because a tort is a civil wrong that causes harm.
Medication errors resulting in patient injury are a classic example of negligence, which
is an unintentional tort. The other options represent policy violations or scope issues,
but not necessarily torts.
Q5: An LPN is supervising a UAP who has just transferred from the pediatric unit to
adult med-surg. The LPN should:
A. Assume the UAP's skills are universal and assign the same tasks as other UAPs.
B. Provide orientation to adult-specific tasks and assess competency before delegating.
[CORRECT]
C. Refuse to work with the UAP until they complete a full six-week orientation.
D. Delegate only non-patient-care tasks to this UAP indefinitely.
Correct Answer: B
Rationale: The best answer is B. The five rights of delegation include the right task, right
circumstance, right person, right direction, and right supervision. A UAP transferring
, from pediatrics may need guidance on adult care differences; the LPN is responsible for
verifying competency.
Q6: Which task can an LPN appropriately perform without direct RN supervision in most
states?
A. Developing the initial nursing care plan for a newly admitted patient.
B. Inserting a nasogastric tube in an alert, cooperative patient per facility policy.
[CORRECT]
C. Administering IV push medications through a central line.
D. Discharging a patient and providing all discharge teaching independently.
Correct Answer: B
Rationale: This is correct because LPN scope typically includes NG tube insertion in
stable patients when trained and authorized by facility policy. Initial care plans, IV push
meds, and independent discharge teaching generally require RN level scope or
supervision.
Q7: A patient asks the LPN to witness their advance directive. The LPN should:
A. Refuse because LPNs cannot legally witness advance directives.
B. Agree to witness the signature but not provide any information about what the
document means.
C. Witness the signature if the patient is alert and oriented, ensuring they are signing
voluntarily, while clarifying that the LPN is not providing legal advice. [CORRECT]
