PNR 207/PNR207 Exam 4 V3 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse manager is observed making all departmental decisions without seeking input
from the staff. Which leadership style is this manager demonstrating?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Expert Explanation: Autocratic leadership is characterized by a leader who maintains
total control and makes decisions independently. This style is often effective in crisis
situations where rapid decision-making is essential for safety. However, it can lead to
decreased morale among professional staff who value autonomy and collaboration.
2. Which of the following clients should the nurse prioritize to assess first following the
morning shift report?
A. A client with a history of hypertension requesting a PRN headache medication.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client with type 1 diabetes who has a fasting blood glucose of 150 mg/dL.
,D. A post-operative client who is reporting pain at a level 4 out of 10.
Correct Answer: B
Expert Explanation: New onset of confusion and restlessness in a client with pneumonia
is a primary indicator of potential hypoxia. According to the ABC (Airway, Breathing,
Circulation) prioritization framework, respiratory status changes take precedence over
stable blood glucose or chronic pain. The nurse must assess this client immediately to
prevent further respiratory deterioration or arrest.
3. An LPN is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Feeding a client who has a high risk for aspiration.
B. Administering a scheduled dose of oral stool softener.
C. Providing basic hygiene and bathing for a stable client.
D. Evaluating the effectiveness of a pain medication.
Correct Answer: C
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or nursing assessment. Assisting a stable client with hygiene is a standard
duty for unlicensed personnel within their scope of practice. Tasks involving medication
administration, clinical evaluation, or caring for high-risk unstable clients must remain
with the licensed nurse.
, 4. A nurse is caring for a client who is scheduled for an elective surgery. The client states, ‘I
am not sure if I want to go through with this procedure.’ Which action should the nurse take?
A. Notify the surgeon that the client has questions regarding the procedure.
B. Explain the risks and benefits of the surgery to the client.
C. Reassure the client that the surgeon is highly skilled.
D. Ask the client’s family to help convince the client.
Correct Answer: A
Expert Explanation: While the nurse witnesses the signature on a consent form, the legal
responsibility for explaining the risks, benefits, and alternatives of a procedure lies with the
surgeon. If a client expresses doubt or lack of understanding, the nurse must advocate for
the client by contacting the physician. The nurse should not provide the primary education
regarding the surgical intervention as it is outside their legal scope for informed consent.
5. Which ethical principle is the nurse practicing when they ensure that all clients on the unit
receive the same quality of care regardless of their socioeconomic status?
A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence
Correct Answer: B
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse manager is observed making all departmental decisions without seeking input
from the staff. Which leadership style is this manager demonstrating?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Expert Explanation: Autocratic leadership is characterized by a leader who maintains
total control and makes decisions independently. This style is often effective in crisis
situations where rapid decision-making is essential for safety. However, it can lead to
decreased morale among professional staff who value autonomy and collaboration.
2. Which of the following clients should the nurse prioritize to assess first following the
morning shift report?
A. A client with a history of hypertension requesting a PRN headache medication.
B. A client with pneumonia who has a new onset of confusion and restlessness.
C. A client with type 1 diabetes who has a fasting blood glucose of 150 mg/dL.
,D. A post-operative client who is reporting pain at a level 4 out of 10.
Correct Answer: B
Expert Explanation: New onset of confusion and restlessness in a client with pneumonia
is a primary indicator of potential hypoxia. According to the ABC (Airway, Breathing,
Circulation) prioritization framework, respiratory status changes take precedence over
stable blood glucose or chronic pain. The nurse must assess this client immediately to
prevent further respiratory deterioration or arrest.
3. An LPN is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Feeding a client who has a high risk for aspiration.
B. Administering a scheduled dose of oral stool softener.
C. Providing basic hygiene and bathing for a stable client.
D. Evaluating the effectiveness of a pain medication.
Correct Answer: C
Expert Explanation: Delegation to UAPs should focus on routine tasks that do not require
clinical judgment or nursing assessment. Assisting a stable client with hygiene is a standard
duty for unlicensed personnel within their scope of practice. Tasks involving medication
administration, clinical evaluation, or caring for high-risk unstable clients must remain
with the licensed nurse.
, 4. A nurse is caring for a client who is scheduled for an elective surgery. The client states, ‘I
am not sure if I want to go through with this procedure.’ Which action should the nurse take?
A. Notify the surgeon that the client has questions regarding the procedure.
B. Explain the risks and benefits of the surgery to the client.
C. Reassure the client that the surgeon is highly skilled.
D. Ask the client’s family to help convince the client.
Correct Answer: A
Expert Explanation: While the nurse witnesses the signature on a consent form, the legal
responsibility for explaining the risks, benefits, and alternatives of a procedure lies with the
surgeon. If a client expresses doubt or lack of understanding, the nurse must advocate for
the client by contacting the physician. The nurse should not provide the primary education
regarding the surgical intervention as it is outside their legal scope for informed consent.
5. Which ethical principle is the nurse practicing when they ensure that all clients on the unit
receive the same quality of care regardless of their socioeconomic status?
A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence
Correct Answer: B
