PNR 207/PNR207 Exam 3 V2 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is delegating tasks to a Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Performing an initial assessment on a new admission.
B. Assisting a stable patient with daily ambulation.
C. Providing discharge instructions to a patient going home.
D. Administering intravenous push medications.
Correct Answer: B
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or assessment. Assisting a stable patient with ambulation is a standard
activity of daily living suitable for a UAP. The LPN remains responsible for ensuring the
task is completed safely and documenting the outcome.
2. Which ethical principle is the nurse demonstrating when they respect a patient’s right to
refuse a life-saving blood transfusion?
A. Autonomy
B. Beneficence
C. Justice
,D. Non-maleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their healthcare. By respecting the patient’s refusal, the nurse upholds the patient’s
self-determination. This principle is fundamental to the nurse-patient relationship and
legal requirements for informed consent.
3. An LPN is working on a busy medical-surgical unit. Which patient should the nurse assess
first after receiving the morning report?
A. A patient with a pain level of 6 out of 10 who requested medication.
B. A patient who is two days postoperative and needs a dressing change.
C. A patient who needs assistance with breakfast before going to physical therapy.
D. A patient with a history of asthma who is experiencing new-onset wheezing.
Correct Answer: D
Expert Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. New-onset wheezing indicates a potential airway or breathing compromise,
which takes precedence over pain or routine tasks. Prompt assessment is necessary to
prevent respiratory distress or failure.
4. Which leadership style is characterized by a leader who makes all decisions and gives
orders without seeking input from the team?
A. Democratic
, B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains total control. This style is often used in emergency situations where
quick decisions are essential. However, it can decrease team morale if used exclusively in
non-urgent settings.
5. A nurse accidentally administers the wrong dose of a medication but the patient suffers no
ill effects. Which element of negligence is missing if the patient files a lawsuit?
A. Duty of care
B. Injury or damages
C. Breach of duty
D. Proximate cause
Correct Answer: B
Expert Explanation: For a negligence or malpractice claim to be successful, actual harm or
injury must occur to the patient. While a medication error is a breach of duty, the lack of
injury means a primary element of a tort claim is missing. The nurse should still report the
error via an incident report for quality improvement.
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is delegating tasks to a Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the LPN to delegate?
A. Performing an initial assessment on a new admission.
B. Assisting a stable patient with daily ambulation.
C. Providing discharge instructions to a patient going home.
D. Administering intravenous push medications.
Correct Answer: B
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or assessment. Assisting a stable patient with ambulation is a standard
activity of daily living suitable for a UAP. The LPN remains responsible for ensuring the
task is completed safely and documenting the outcome.
2. Which ethical principle is the nurse demonstrating when they respect a patient’s right to
refuse a life-saving blood transfusion?
A. Autonomy
B. Beneficence
C. Justice
,D. Non-maleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their healthcare. By respecting the patient’s refusal, the nurse upholds the patient’s
self-determination. This principle is fundamental to the nurse-patient relationship and
legal requirements for informed consent.
3. An LPN is working on a busy medical-surgical unit. Which patient should the nurse assess
first after receiving the morning report?
A. A patient with a pain level of 6 out of 10 who requested medication.
B. A patient who is two days postoperative and needs a dressing change.
C. A patient who needs assistance with breakfast before going to physical therapy.
D. A patient with a history of asthma who is experiencing new-onset wheezing.
Correct Answer: D
Expert Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. New-onset wheezing indicates a potential airway or breathing compromise,
which takes precedence over pain or routine tasks. Prompt assessment is necessary to
prevent respiratory distress or failure.
4. Which leadership style is characterized by a leader who makes all decisions and gives
orders without seeking input from the team?
A. Democratic
, B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains total control. This style is often used in emergency situations where
quick decisions are essential. However, it can decrease team morale if used exclusively in
non-urgent settings.
5. A nurse accidentally administers the wrong dose of a medication but the patient suffers no
ill effects. Which element of negligence is missing if the patient files a lawsuit?
A. Duty of care
B. Injury or damages
C. Breach of duty
D. Proximate cause
Correct Answer: B
Expert Explanation: For a negligence or malpractice claim to be successful, actual harm or
injury must occur to the patient. While a medication error is a breach of duty, the lack of
injury means a primary element of a tort claim is missing. The nurse should still report the
error via an incident report for quality improvement.
