PNR 207/PNR207 Exam 4 V2 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is transitioning to a charge nurse role in a long-term care
facility. Which leadership style is characterized by the leader making all decisions with little
to no input from the staff?
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transformational leadership
Correct Answer: A
Expert Explanation: Autocratic leadership is a style where the leader maintains total
control over decision-making processes. This style is often effective in emergency
situations where quick decisions are mandatory. However, it can lead to decreased staff
morale because team members feel their expertise is undervalued.
2. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Providing perineal care to a stable client
B. Administering a scheduled oral medication
,C. Assessing a patient’s surgical incision
D. Evaluating the effectiveness of pain medication
Correct Answer: A
Expert Explanation: Assisting with activities of daily living, such as perineal care for a
stable patient, is within the scope of practice for a UAP. Tasks involving assessment,
medication administration, and evaluation require clinical judgment and must be
performed by the nurse. The LPN remains accountable for the outcome of any delegated
task.
3. When preparing for the NCLEX-PN, a student nurse learns about the concept of
‘Beneficence.’ Which action by a nurse demonstrates this ethical principle?
A. Providing the best possible care to promote health
B. Telling the truth about a poor prognosis
C. Ensuring the patient’s privacy is maintained
D. Treating all patients fairly regardless of insurance status
Correct Answer: A
Expert Explanation: Beneficence is the ethical principle of doing good and acting in the
best interest of the patient. It involves actively promoting health and preventing harm
through diligent nursing care. This principle contrasts with nonmaleficence, which is the
duty to do no harm.
, 4. A nurse is faced with a conflict between two staff members regarding the assignment of
duties. The nurse chooses to use a ‘Compromising’ conflict resolution strategy. What does
this involve?
A. One party giving up something to satisfy the other
B. Ignoring the conflict until it resolves itself
C. Both parties giving up something to reach a mutual agreement
D. Working together to find a completely new solution
Correct Answer: C
Expert Explanation: Compromising involves a ‘give and take’ approach where both sides
yield something to find a middle ground. This strategy is useful when time is limited and a
quick solution is needed to maintain workflow. It differs from collaboration, where a ‘win-
win’ solution is sought without either side losing something.
5. Which of the following legal terms refers to a nurse failing to provide the standard of care
that a reasonably prudent nurse would provide in a similar situation?
A. Assault
B. Battery
C. Slander
D. Negligence
Correct Answer: D
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Licensed Practical Nurse (LPN) is transitioning to a charge nurse role in a long-term care
facility. Which leadership style is characterized by the leader making all decisions with little
to no input from the staff?
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transformational leadership
Correct Answer: A
Expert Explanation: Autocratic leadership is a style where the leader maintains total
control over decision-making processes. This style is often effective in emergency
situations where quick decisions are mandatory. However, it can lead to decreased staff
morale because team members feel their expertise is undervalued.
2. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Providing perineal care to a stable client
B. Administering a scheduled oral medication
,C. Assessing a patient’s surgical incision
D. Evaluating the effectiveness of pain medication
Correct Answer: A
Expert Explanation: Assisting with activities of daily living, such as perineal care for a
stable patient, is within the scope of practice for a UAP. Tasks involving assessment,
medication administration, and evaluation require clinical judgment and must be
performed by the nurse. The LPN remains accountable for the outcome of any delegated
task.
3. When preparing for the NCLEX-PN, a student nurse learns about the concept of
‘Beneficence.’ Which action by a nurse demonstrates this ethical principle?
A. Providing the best possible care to promote health
B. Telling the truth about a poor prognosis
C. Ensuring the patient’s privacy is maintained
D. Treating all patients fairly regardless of insurance status
Correct Answer: A
Expert Explanation: Beneficence is the ethical principle of doing good and acting in the
best interest of the patient. It involves actively promoting health and preventing harm
through diligent nursing care. This principle contrasts with nonmaleficence, which is the
duty to do no harm.
, 4. A nurse is faced with a conflict between two staff members regarding the assignment of
duties. The nurse chooses to use a ‘Compromising’ conflict resolution strategy. What does
this involve?
A. One party giving up something to satisfy the other
B. Ignoring the conflict until it resolves itself
C. Both parties giving up something to reach a mutual agreement
D. Working together to find a completely new solution
Correct Answer: C
Expert Explanation: Compromising involves a ‘give and take’ approach where both sides
yield something to find a middle ground. This strategy is useful when time is limited and a
quick solution is needed to maintain workflow. It differs from collaboration, where a ‘win-
win’ solution is sought without either side losing something.
5. Which of the following legal terms refers to a nurse failing to provide the standard of care
that a reasonably prudent nurse would provide in a similar situation?
A. Assault
B. Battery
C. Slander
D. Negligence
Correct Answer: D
