PNR 207/PNR207 Exam 2 V3 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse manager is discussing the Nurse Practice Act with a group of newly licensed
Practical Nurses. Which of the following statements should the manager include?
A. The Act provides a single national standard for all nursing practice.
B. The Act is a set of federal laws that govern nursing in all states.
C. The Act is managed by the American Nurses Association.
D. The Act defines the scope of practice for nurses within a specific state.
Correct Answer: D
Expert Explanation: The Nurse Practice Act is state-specific legislation that defines the
legal boundaries of nursing practice. Each state’s Board of Nursing enforces these laws to
protect the public. It is essential for LPNs to understand their specific state’s scope to avoid
legal repercussions.
2. A Licensed Practical Nurse (LPN) is assigned to care for four clients. Which client should the
nurse see first?
A. A client who was admitted with pneumonia and has a new onset of confusion.
B. A client who is requesting a PRN pain medication for chronic back pain.
C. A client who needs a dressing change for a stage 2 pressure injury.
,D. A client who is scheduled for physical therapy in 30 minutes.
Correct Answer: A
Expert Explanation: New onset confusion is a sign of potential hypoxia or physiological
instability, requiring immediate assessment. Using the ABC (Airway, Breathing, Circulation)
and safety framework, this client is the priority. The other clients’ needs are either chronic,
stable, or can be addressed after the unstable client is assessed.
3. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate to delegate?
A. Performing an initial head-to-toe assessment on a new admission.
B. Providing discharge instructions to a client going home.
C. Assisting a stable client with ambulation to the bathroom.
D. Administering a scheduled intramuscular injection.
Correct Answer: C
Expert Explanation: Assisting a stable client with activities of daily living is within the
scope of a UAP. Assessment, teaching, and medication administration require clinical
judgment and are reserved for licensed personnel. The LPN must always verify the
competency of the UAP before delegating tasks.
, 4. A nurse is caring for a client who is refusing a scheduled blood transfusion for religious
reasons. Which ethical principle is the nurse demonstrating by supporting the client’s
decision?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Correct Answer: B
Expert Explanation: Autonomy refers to the right of the client to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the client is informed and to
support their choice, even if it conflicts with personal beliefs. Respecting autonomy is a
cornerstone of professional nursing ethics.
5. An LPN is assisting with a quality improvement study regarding medication errors. Which
of the following actions should the nurse take first?
A. Interview staff members who have made medication errors.
B. Review incident reports to identify common themes.
C. Implement a new double-check system for high-alert medications.
D. Identify the standard of care that was not met.
Correct Answer: B
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse manager is discussing the Nurse Practice Act with a group of newly licensed
Practical Nurses. Which of the following statements should the manager include?
A. The Act provides a single national standard for all nursing practice.
B. The Act is a set of federal laws that govern nursing in all states.
C. The Act is managed by the American Nurses Association.
D. The Act defines the scope of practice for nurses within a specific state.
Correct Answer: D
Expert Explanation: The Nurse Practice Act is state-specific legislation that defines the
legal boundaries of nursing practice. Each state’s Board of Nursing enforces these laws to
protect the public. It is essential for LPNs to understand their specific state’s scope to avoid
legal repercussions.
2. A Licensed Practical Nurse (LPN) is assigned to care for four clients. Which client should the
nurse see first?
A. A client who was admitted with pneumonia and has a new onset of confusion.
B. A client who is requesting a PRN pain medication for chronic back pain.
C. A client who needs a dressing change for a stage 2 pressure injury.
,D. A client who is scheduled for physical therapy in 30 minutes.
Correct Answer: A
Expert Explanation: New onset confusion is a sign of potential hypoxia or physiological
instability, requiring immediate assessment. Using the ABC (Airway, Breathing, Circulation)
and safety framework, this client is the priority. The other clients’ needs are either chronic,
stable, or can be addressed after the unstable client is assessed.
3. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate to delegate?
A. Performing an initial head-to-toe assessment on a new admission.
B. Providing discharge instructions to a client going home.
C. Assisting a stable client with ambulation to the bathroom.
D. Administering a scheduled intramuscular injection.
Correct Answer: C
Expert Explanation: Assisting a stable client with activities of daily living is within the
scope of a UAP. Assessment, teaching, and medication administration require clinical
judgment and are reserved for licensed personnel. The LPN must always verify the
competency of the UAP before delegating tasks.
, 4. A nurse is caring for a client who is refusing a scheduled blood transfusion for religious
reasons. Which ethical principle is the nurse demonstrating by supporting the client’s
decision?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Correct Answer: B
Expert Explanation: Autonomy refers to the right of the client to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the client is informed and to
support their choice, even if it conflicts with personal beliefs. Respecting autonomy is a
cornerstone of professional nursing ethics.
5. An LPN is assisting with a quality improvement study regarding medication errors. Which
of the following actions should the nurse take first?
A. Interview staff members who have made medication errors.
B. Review incident reports to identify common themes.
C. Implement a new double-check system for high-alert medications.
D. Identify the standard of care that was not met.
Correct Answer: B
