PNR 207/PNR207 Exam 3 V3 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Practical Nurse (PN) is caring for a group of clients. Which client should the PN prioritize
for assessment first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client with pneumonia who has a new onset of confusion and an oxygen saturation of
88%.
C. A client who is 2 hours postoperative following an appendectomy and reports a pain
level of 4/10.
D. A client receiving IV antibiotics who reports that the IV site is slightly itchy.
Correct Answer: B
Expert Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the
client with pneumonia showing new-onset confusion and low oxygen saturation is the
highest priority. Confusion is a sign of hypoxia, which requires immediate intervention to
prevent further respiratory failure. The other clients are stable or have non-life-
threatening issues that can be addressed after the respiratory assessment.
2. The PN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate for the PN to delegate?
A. Providing discharge instructions to a client going home after a knee replacement.
,B. Assisting a stable client with a walker to the bathroom.
C. Adjusting the flow rate of an oxygen concentrator for a client with COPD.
D. Evaluating the effectiveness of a pain medication administered 30 minutes ago.
Correct Answer: B
Expert Explanation: Assisting a stable client with ambulation is a standard task within the
scope of practice for a UAP. Education, medication adjustment, and evaluation of nursing
interventions require clinical judgment and must be performed by licensed personnel. The
PN remains responsible for supervising the UAP and ensuring the task is completed safely.
3. A PN is preparing to obtain informed consent for a surgical procedure. What is the primary
role of the nurse in this process?
A. Explaining the risks and benefits of the surgery to the client.
B. Determining if the client is making the right medical decision.
C. Ensuring the client has explored alternative treatment options.
D. Witnessing the client’s signature on the consent form.
Correct Answer: D
Expert Explanation: The nurse’s role in informed consent is to act as a witness to the
client’s signature and to verify that the client is competent to sign. It is the surgeon’s legal
responsibility to explain the risks, benefits, and alternatives to the procedure. If the nurse
, notes that the client does not understand the procedure, the nurse must notify the provider
to come back and provide further explanation.
4. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control and gives orders to the staff. This style is often effective in
emergency situations where quick decisions are necessary for patient safety. However, it
can lead to low staff morale and decreased creativity in a long-term clinical environment.
5. A PN is involved in a conflict with a coworker regarding the division of the patient load.
Which conflict resolution strategy involves both parties giving up something to reach a
solution?
A. Competing
B. Avoiding
C. Compromising
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Practical Nurse (PN) is caring for a group of clients. Which client should the PN prioritize
for assessment first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client with pneumonia who has a new onset of confusion and an oxygen saturation of
88%.
C. A client who is 2 hours postoperative following an appendectomy and reports a pain
level of 4/10.
D. A client receiving IV antibiotics who reports that the IV site is slightly itchy.
Correct Answer: B
Expert Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the
client with pneumonia showing new-onset confusion and low oxygen saturation is the
highest priority. Confusion is a sign of hypoxia, which requires immediate intervention to
prevent further respiratory failure. The other clients are stable or have non-life-
threatening issues that can be addressed after the respiratory assessment.
2. The PN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate for the PN to delegate?
A. Providing discharge instructions to a client going home after a knee replacement.
,B. Assisting a stable client with a walker to the bathroom.
C. Adjusting the flow rate of an oxygen concentrator for a client with COPD.
D. Evaluating the effectiveness of a pain medication administered 30 minutes ago.
Correct Answer: B
Expert Explanation: Assisting a stable client with ambulation is a standard task within the
scope of practice for a UAP. Education, medication adjustment, and evaluation of nursing
interventions require clinical judgment and must be performed by licensed personnel. The
PN remains responsible for supervising the UAP and ensuring the task is completed safely.
3. A PN is preparing to obtain informed consent for a surgical procedure. What is the primary
role of the nurse in this process?
A. Explaining the risks and benefits of the surgery to the client.
B. Determining if the client is making the right medical decision.
C. Ensuring the client has explored alternative treatment options.
D. Witnessing the client’s signature on the consent form.
Correct Answer: D
Expert Explanation: The nurse’s role in informed consent is to act as a witness to the
client’s signature and to verify that the client is competent to sign. It is the surgeon’s legal
responsibility to explain the risks, benefits, and alternatives to the procedure. If the nurse
, notes that the client does not understand the procedure, the nurse must notify the provider
to come back and provide further explanation.
4. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control and gives orders to the staff. This style is often effective in
emergency situations where quick decisions are necessary for patient safety. However, it
can lead to low staff morale and decreased creativity in a long-term clinical environment.
5. A PN is involved in a conflict with a coworker regarding the division of the patient load.
Which conflict resolution strategy involves both parties giving up something to reach a
solution?
A. Competing
B. Avoiding
C. Compromising
