PNR 207/PNR207 Final Exam V1 |
Transition to PN Practice - Capstone Q&A
with Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is preparing to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the LPN to delegate?
A. Assisting a stable patient with a bed bath and oral care.
B. Updating the nursing care plan for a patient with new symptoms.
C. Administering the first dose of an intravenous antibiotic.
D. Teaching a patient how to use an incentive spirometer.
Correct Answer: A
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or assessment. Assisting with activities of daily living for a stable patient
falls within the UAP scope of practice. The nurse remains accountable for the outcome of
the delegated task and must ensure the UAP is competent to perform it.
2. When resolving a conflict between two staff members, the nurse manager uses a ‘win-win’
approach where both parties work together to find a solution. Which conflict resolution
strategy is being used?
A. Collaborating
B. Competing
,C. Avoiding
D. Accommodating
Correct Answer: A
Expert Explanation: Collaborating is a conflict management style where all parties work
together to reach a mutually satisfying solution. This approach encourages open
communication and addresses the underlying concerns of everyone involved. It is often
considered the most effective method for long-term conflict resolution in a healthcare
setting.
3. A nurse is caring for a client who is scheduled for surgery. The client expresses uncertainty
about the procedure. What is the nurse’s primary responsibility regarding informed consent?
A. Explaining the risks and benefits of the surgery to the client.
B. Witnessing the client’s signature on the consent form.
C. Obtaining the signature from the next of kin.
D. Deciding if the surgery is in the client’s best interest.
Correct Answer: B
Expert Explanation: The primary responsibility of the nurse regarding informed consent
is to witness the client signing the form and ensuring they are competent to do so. It is the
physician’s legal responsibility to explain the procedure, risks, and alternatives. If the client
is uncertain, the nurse should notify the physician to provide further clarification before
the signature is obtained.
, 4. Which document provides the legal framework and guidelines for the scope of practice for
a Licensed Practical Nurse in a specific state?
A. The American Nurses Association (ANA) Code of Ethics.
B. The Hospital’s Policy and Procedure Manual.
C. The Nurse Practice Act (NPA).
D. The National League for Nursing (NLN) Guidelines.
Correct Answer: C
Expert Explanation: The Nurse Practice Act is a state law that defines the scope of nursing
practice and the responsibilities of licensed nurses within that jurisdiction. It is designed to
protect the public by ensuring that nurses meet specific standards of competency. Nurses
must be familiar with the NPA of the state where they are licensed to practice legally and
safely.
5. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client with pneumonia who has become suddenly restless and confused.
B. A client who is 2 hours post-operative and reporting a pain level of 6 out of 10.
C. A client with a history of hypertension requesting a PRN medication for a mild headache.
D. A client who needs discharge instructions for a newly prescribed anticoagulant.
Correct Answer: A
Transition to PN Practice - Capstone Q&A
with Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is preparing to delegate tasks to an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the LPN to delegate?
A. Assisting a stable patient with a bed bath and oral care.
B. Updating the nursing care plan for a patient with new symptoms.
C. Administering the first dose of an intravenous antibiotic.
D. Teaching a patient how to use an incentive spirometer.
Correct Answer: A
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or assessment. Assisting with activities of daily living for a stable patient
falls within the UAP scope of practice. The nurse remains accountable for the outcome of
the delegated task and must ensure the UAP is competent to perform it.
2. When resolving a conflict between two staff members, the nurse manager uses a ‘win-win’
approach where both parties work together to find a solution. Which conflict resolution
strategy is being used?
A. Collaborating
B. Competing
,C. Avoiding
D. Accommodating
Correct Answer: A
Expert Explanation: Collaborating is a conflict management style where all parties work
together to reach a mutually satisfying solution. This approach encourages open
communication and addresses the underlying concerns of everyone involved. It is often
considered the most effective method for long-term conflict resolution in a healthcare
setting.
3. A nurse is caring for a client who is scheduled for surgery. The client expresses uncertainty
about the procedure. What is the nurse’s primary responsibility regarding informed consent?
A. Explaining the risks and benefits of the surgery to the client.
B. Witnessing the client’s signature on the consent form.
C. Obtaining the signature from the next of kin.
D. Deciding if the surgery is in the client’s best interest.
Correct Answer: B
Expert Explanation: The primary responsibility of the nurse regarding informed consent
is to witness the client signing the form and ensuring they are competent to do so. It is the
physician’s legal responsibility to explain the procedure, risks, and alternatives. If the client
is uncertain, the nurse should notify the physician to provide further clarification before
the signature is obtained.
, 4. Which document provides the legal framework and guidelines for the scope of practice for
a Licensed Practical Nurse in a specific state?
A. The American Nurses Association (ANA) Code of Ethics.
B. The Hospital’s Policy and Procedure Manual.
C. The Nurse Practice Act (NPA).
D. The National League for Nursing (NLN) Guidelines.
Correct Answer: C
Expert Explanation: The Nurse Practice Act is a state law that defines the scope of nursing
practice and the responsibilities of licensed nurses within that jurisdiction. It is designed to
protect the public by ensuring that nurses meet specific standards of competency. Nurses
must be familiar with the NPA of the state where they are licensed to practice legally and
safely.
5. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client with pneumonia who has become suddenly restless and confused.
B. A client who is 2 hours post-operative and reporting a pain level of 6 out of 10.
C. A client with a history of hypertension requesting a PRN medication for a mild headache.
D. A client who needs discharge instructions for a newly prescribed anticoagulant.
Correct Answer: A
