PNR 207/PNR207 Exam 4 V1 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A licensed practical nurse (LPN) is planning to delegate tasks to an unlicensed assistive
personnel (UAP). Which action should the nurse take first?
A. Provide a detailed timeline for when the task must be finished.
B. Assess the patient to ensure they are stable for the task.
C. Check if the UAP has performed the task previously in another unit.
D. Ask the RN to co-sign the delegation form for the UAP.
Correct Answer: B
Expert Explanation: The nurse must first assess the patient’s condition to determine if the
delegation is safe and appropriate. According to the Five Rights of Delegation, the right
circumstance must be validated before assigning a task. If the patient is unstable, the LPN
should perform the care personally rather than delegating it.
2. Which ethical principle is being applied when a nurse ensures that a patient has signed an
informed consent form prior to surgery?
A. Beneficence
B. Justice
C. Nonmaleficence
,D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
regarding their healthcare. By ensuring informed consent, the nurse respects the patient’s
independence and self-determination. This process involves providing the patient with all
necessary information to make a reasoned choice.
3. An LPN is preparing for the NCLEX-PN and is reviewing the test format. Which statement
regarding the Computerized Adaptive Testing (CAT) is correct?
A. The test provides an equal number of easy and hard questions to every candidate.
B. The difficulty of the next question is based on the correctness of the previous answer.
C. Candidates can skip difficult questions and return to them at the end of the exam.
D. The exam always stops exactly at 85 questions for every candidate who passes.
Correct Answer: B
Expert Explanation: The CAT system adjusts the difficulty of questions based on the
examinee’s performance to determine their competence level. As a candidate answers
correctly, the questions become more challenging until the passing threshold is established.
There is no option to skip or return to previous questions in this testing format.
4. Which document defines the legal scope of practice for a Licensed Practical Nurse in a
specific state?
A. The American Nurses Association (ANA) Code of Ethics
, B. The Hospital Policy and Procedure Manual
C. The Nurse Practice Act (NPA)
D. The National Council of State Boards of Nursing (NCSBN) Bylaws
Correct Answer: C
Expert Explanation: The Nurse Practice Act is the state law that governs nursing practice
and defines what an LPN is legally permitted to do. It varies by state and is designed to
protect the safety of the public. Nurses are legally obligated to practice within the
boundaries set by their specific state’s NPA.
5. A nurse is caring for a group of patients and must prioritize care. Which patient should the
nurse see first?
A. A patient with a scheduled dressing change for a stage 2 pressure injury.
B. A patient with a history of asthma who is complaining of shortness of breath.
C. A patient reporting a pain level of 6 out of 10 after physical therapy.
D. A patient who needs discharge instructions for a new medication.
Correct Answer: B
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the
patient with shortness of breath is the highest priority. Potential respiratory distress takes
precedence over stable wound care or routine pain management. Immediate assessment
and intervention are required to ensure the patient’s airway and breathing remain patent.
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A licensed practical nurse (LPN) is planning to delegate tasks to an unlicensed assistive
personnel (UAP). Which action should the nurse take first?
A. Provide a detailed timeline for when the task must be finished.
B. Assess the patient to ensure they are stable for the task.
C. Check if the UAP has performed the task previously in another unit.
D. Ask the RN to co-sign the delegation form for the UAP.
Correct Answer: B
Expert Explanation: The nurse must first assess the patient’s condition to determine if the
delegation is safe and appropriate. According to the Five Rights of Delegation, the right
circumstance must be validated before assigning a task. If the patient is unstable, the LPN
should perform the care personally rather than delegating it.
2. Which ethical principle is being applied when a nurse ensures that a patient has signed an
informed consent form prior to surgery?
A. Beneficence
B. Justice
C. Nonmaleficence
,D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
regarding their healthcare. By ensuring informed consent, the nurse respects the patient’s
independence and self-determination. This process involves providing the patient with all
necessary information to make a reasoned choice.
3. An LPN is preparing for the NCLEX-PN and is reviewing the test format. Which statement
regarding the Computerized Adaptive Testing (CAT) is correct?
A. The test provides an equal number of easy and hard questions to every candidate.
B. The difficulty of the next question is based on the correctness of the previous answer.
C. Candidates can skip difficult questions and return to them at the end of the exam.
D. The exam always stops exactly at 85 questions for every candidate who passes.
Correct Answer: B
Expert Explanation: The CAT system adjusts the difficulty of questions based on the
examinee’s performance to determine their competence level. As a candidate answers
correctly, the questions become more challenging until the passing threshold is established.
There is no option to skip or return to previous questions in this testing format.
4. Which document defines the legal scope of practice for a Licensed Practical Nurse in a
specific state?
A. The American Nurses Association (ANA) Code of Ethics
, B. The Hospital Policy and Procedure Manual
C. The Nurse Practice Act (NPA)
D. The National Council of State Boards of Nursing (NCSBN) Bylaws
Correct Answer: C
Expert Explanation: The Nurse Practice Act is the state law that governs nursing practice
and defines what an LPN is legally permitted to do. It varies by state and is designed to
protect the safety of the public. Nurses are legally obligated to practice within the
boundaries set by their specific state’s NPA.
5. A nurse is caring for a group of patients and must prioritize care. Which patient should the
nurse see first?
A. A patient with a scheduled dressing change for a stage 2 pressure injury.
B. A patient with a history of asthma who is complaining of shortness of breath.
C. A patient reporting a pain level of 6 out of 10 after physical therapy.
D. A patient who needs discharge instructions for a new medication.
Correct Answer: B
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the
patient with shortness of breath is the highest priority. Potential respiratory distress takes
precedence over stable wound care or routine pain management. Immediate assessment
and intervention are required to ensure the patient’s airway and breathing remain patent.
