PNR 207/PNR207 Final Exam V2 |
Transition to PN Practice - Capstone Q&A
with Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is planning to delegate a task to an Unlicensed Assistive
Personnel (UAP). Which action by the LPN follows the five rights of delegation?
A. Delegating the measurement of vital signs on a client returning from surgery.
B. Directing the UAP to assist a stable client with a bed bath.
C. Asking the UAP to evaluate the effectiveness of pain medication.
D. Instructing the UAP to teach a client about a low-sodium diet.
Correct Answer: B
Expert Explanation: Assisting a stable client with activities of daily living is within the
scope of a UAP. Evaluation and teaching are professional nursing responsibilities that
cannot be delegated to unlicensed staff. The LPN must ensure the task is appropriate for
the individual’s level of training and the client’s condition.
2. The LPN is preparing to sign an informed consent form as a witness. What does the nurse’s
signature specifically indicate?
A. The client is fully aware of all medical risks and alternatives.
B. The physician has provided all necessary clinical information.
C. The nurse has explained the surgical procedure to the client.
,D. The client signed the form voluntarily and appears competent.
Correct Answer: D
Expert Explanation: When a nurse witnesses an informed consent, they are verifying that
the signature is authentic and the client is acting of their own free will. It is the physician’s
legal responsibility to explain the procedure and its risks. The nurse’s role is to ensure the
client is competent to provide the signature.
3. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse prioritize to see first?
A. A client with a history of heart failure reporting a 2-pound weight gain.
B. A client who is 12 hours postoperative and reporting localized pain.
C. A client who needs a scheduled dressing change for a stage 2 pressure injury.
D. A client with asthma who has a sudden onset of expiratory wheezing.
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the client
with wheezing represents a potential respiratory compromise. Sudden wheezing indicates
an acute change in status that requires immediate assessment and intervention. The other
clients, while needing care, are currently stable or presenting with expected findings.
, 4. An LPN is working in a long-term care facility and notices a co-worker documenting a
medication administration that was never given. Which ethical principle is the nurse
upholding by reporting this incident?
A. Autonomy
B. Veracity
C. Nonmaleficence
D. Beneficence
Correct Answer: B
Expert Explanation: Veracity refers to the duty to tell the truth and be honest in all
professional interactions. Falsifying medical records is a violation of this principle and
endangers patient safety. The nurse has a professional obligation to report dishonest
practices to ensure integrity in healthcare.
5. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
Transition to PN Practice - Capstone Q&A
with Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is planning to delegate a task to an Unlicensed Assistive
Personnel (UAP). Which action by the LPN follows the five rights of delegation?
A. Delegating the measurement of vital signs on a client returning from surgery.
B. Directing the UAP to assist a stable client with a bed bath.
C. Asking the UAP to evaluate the effectiveness of pain medication.
D. Instructing the UAP to teach a client about a low-sodium diet.
Correct Answer: B
Expert Explanation: Assisting a stable client with activities of daily living is within the
scope of a UAP. Evaluation and teaching are professional nursing responsibilities that
cannot be delegated to unlicensed staff. The LPN must ensure the task is appropriate for
the individual’s level of training and the client’s condition.
2. The LPN is preparing to sign an informed consent form as a witness. What does the nurse’s
signature specifically indicate?
A. The client is fully aware of all medical risks and alternatives.
B. The physician has provided all necessary clinical information.
C. The nurse has explained the surgical procedure to the client.
,D. The client signed the form voluntarily and appears competent.
Correct Answer: D
Expert Explanation: When a nurse witnesses an informed consent, they are verifying that
the signature is authentic and the client is acting of their own free will. It is the physician’s
legal responsibility to explain the procedure and its risks. The nurse’s role is to ensure the
client is competent to provide the signature.
3. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse prioritize to see first?
A. A client with a history of heart failure reporting a 2-pound weight gain.
B. A client who is 12 hours postoperative and reporting localized pain.
C. A client who needs a scheduled dressing change for a stage 2 pressure injury.
D. A client with asthma who has a sudden onset of expiratory wheezing.
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the client
with wheezing represents a potential respiratory compromise. Sudden wheezing indicates
an acute change in status that requires immediate assessment and intervention. The other
clients, while needing care, are currently stable or presenting with expected findings.
, 4. An LPN is working in a long-term care facility and notices a co-worker documenting a
medication administration that was never given. Which ethical principle is the nurse
upholding by reporting this incident?
A. Autonomy
B. Veracity
C. Nonmaleficence
D. Beneficence
Correct Answer: B
Expert Explanation: Veracity refers to the duty to tell the truth and be honest in all
professional interactions. Falsifying medical records is a violation of this principle and
endangers patient safety. The nurse has a professional obligation to report dishonest
practices to ensure integrity in healthcare.
5. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
