PNR 207/PNR207 Exam 1 V3 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Practical Nurse (PN) is preparing to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the PN to delegate?
A. Assessing a new admission’s skin integrity
B. Performing a sterile dressing change on a post-operative wound
C. Providing education on insulin administration
D. Assisting a stable client with ambulation in the hallway
Correct Answer: D
Expert Explanation: Delegation to UAP must involve tasks that are routine, non-invasive,
and do not require clinical judgment. Assisting a stable client with ambulation falls within
the UAP’s scope of practice. The nurse is responsible for ensuring the UAP is competent to
perform the task and must still supervise the outcome.
2. A nurse is caring for a group of clients. Which client should the nurse prioritize for
assessment?
A. A client who is two hours post-op and reporting sudden chest pain
B. A client with a history of COPD complaining of chronic shortness of breath
C. A client with diabetes whose blood glucose is 140 mg/dL
,D. A client requesting a PRN medication for mild back pain
Correct Answer: A
Expert Explanation: The client reporting sudden chest pain post-operatively is the highest
priority due to the risk of pulmonary embolism or myocardial infarction. Using the ABC
(Airway, Breathing, Circulation) framework, sudden chest pain indicates a potential
circulation or breathing crisis. This client requires immediate intervention compared to the
others who are relatively stable.
3. Which legal document allows a client to designate a specific person to make medical
decisions if the client becomes incapacitated?
A. Living Will
B. Durable Power of Attorney for Healthcare
C. Informed Consent
D. Patient Self-Determination Act
Correct Answer: B
Expert Explanation: The Durable Power of Attorney for Healthcare (DPOA-H) is a legal
document that names a healthcare proxy to make decisions. Unlike a living will, which
specifies treatment preferences, the DPOA-H designates a person. This document is a
critical component of advance directives in nursing practice.
, 4. A PN is observing a student nurse perform a procedure. Which action by the student nurse
requires immediate intervention?
A. Washing hands for 20 seconds before entering a room
B. Donning gloves after setting up a sterile field
C. Setting up a sterile field by opening the first flap toward the body
D. Checking the client’s identification band before medication
Correct Answer: C
Expert Explanation: When opening a sterile kit, the first flap must be opened away from
the body to prevent reaching over the sterile field. Reaching over a sterile field causes
contamination due to dander and microbes falling from the arms. The PN must intervene to
prevent a break in aseptic technique and ensure patient safety.
5. The PN is discussing HIPAA regulations with a new hire. Which of the following is a
violation of HIPAA?
A. Discussing client care in a private conference room
B. Posting a client’s status on a personal social media page without using their name
C. Sharing client laboratory results with the attending physician
D. Properly disposing of printed client information in a shredder bin
Correct Answer: B
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A Practical Nurse (PN) is preparing to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the PN to delegate?
A. Assessing a new admission’s skin integrity
B. Performing a sterile dressing change on a post-operative wound
C. Providing education on insulin administration
D. Assisting a stable client with ambulation in the hallway
Correct Answer: D
Expert Explanation: Delegation to UAP must involve tasks that are routine, non-invasive,
and do not require clinical judgment. Assisting a stable client with ambulation falls within
the UAP’s scope of practice. The nurse is responsible for ensuring the UAP is competent to
perform the task and must still supervise the outcome.
2. A nurse is caring for a group of clients. Which client should the nurse prioritize for
assessment?
A. A client who is two hours post-op and reporting sudden chest pain
B. A client with a history of COPD complaining of chronic shortness of breath
C. A client with diabetes whose blood glucose is 140 mg/dL
,D. A client requesting a PRN medication for mild back pain
Correct Answer: A
Expert Explanation: The client reporting sudden chest pain post-operatively is the highest
priority due to the risk of pulmonary embolism or myocardial infarction. Using the ABC
(Airway, Breathing, Circulation) framework, sudden chest pain indicates a potential
circulation or breathing crisis. This client requires immediate intervention compared to the
others who are relatively stable.
3. Which legal document allows a client to designate a specific person to make medical
decisions if the client becomes incapacitated?
A. Living Will
B. Durable Power of Attorney for Healthcare
C. Informed Consent
D. Patient Self-Determination Act
Correct Answer: B
Expert Explanation: The Durable Power of Attorney for Healthcare (DPOA-H) is a legal
document that names a healthcare proxy to make decisions. Unlike a living will, which
specifies treatment preferences, the DPOA-H designates a person. This document is a
critical component of advance directives in nursing practice.
, 4. A PN is observing a student nurse perform a procedure. Which action by the student nurse
requires immediate intervention?
A. Washing hands for 20 seconds before entering a room
B. Donning gloves after setting up a sterile field
C. Setting up a sterile field by opening the first flap toward the body
D. Checking the client’s identification band before medication
Correct Answer: C
Expert Explanation: When opening a sterile kit, the first flap must be opened away from
the body to prevent reaching over the sterile field. Reaching over a sterile field causes
contamination due to dander and microbes falling from the arms. The PN must intervene to
prevent a break in aseptic technique and ensure patient safety.
5. The PN is discussing HIPAA regulations with a new hire. Which of the following is a
violation of HIPAA?
A. Discussing client care in a private conference room
B. Posting a client’s status on a personal social media page without using their name
C. Sharing client laboratory results with the attending physician
D. Properly disposing of printed client information in a shredder bin
Correct Answer: B
