PNR 207/PNR207 Exam 1 V2 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client with pneumonia who has a new onset of confusion and restlessness.
B. A client who had a hip replacement 2 days ago and reports a pain level of 6/10.
C. A client with diabetes whose morning blood glucose was 150 mg/dL.
D. A client who is being discharged today and needs instruction on wound care.
Correct Answer: A
Expert Explanation: Confusion and restlessness are early signs of hypoxia and decreased
oxygenation in a pneumonia patient. According to the ABC (Airway, Breathing, Circulation)
priority framework, this client represents a potential airway or breathing crisis. The other
clients are stable or have non-urgent needs that can be addressed after the acute
respiratory status is evaluated.
2. The nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Updating the care plan for a client with a pressure ulcer.
B. Teaching a client how to use an incentive spirometer.
,C. Performing post-mortem care on a deceased client.
D. Interpreting vital signs for a client who just returned from surgery.
Correct Answer: C
Expert Explanation: Post-mortem care is a standard procedural task that does not require
clinical judgment and is within the scope of a UAP. Evaluation, teaching, and interpretation
of clinical data are responsibilities that must be performed by the licensed nurse.
Delegating these higher-level tasks would violate the principles of safe delegation and the
Nurse Practice Act.
3. Which ethical principle is the nurse demonstrating when they uphold a promise made to a
client to return in 15 minutes?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
Correct Answer: A
Expert Explanation: Fidelity refers to the obligation of the nurse to be faithful to
commitments and promises made to others. By returning when promised, the nurse builds
trust and maintains the professional relationship. Autonomy relates to the client’s right to
choose, while beneficence refers to doing good for the client.
, 4. A nurse witnesses a co-worker arriving at work with slurred speech and the smell of
alcohol on their breath. What is the nurse’s first action?
A. Tell the co-worker to go home and sleep it off.
B. Notify the nurse manager or supervisor immediately.
C. Watch the co-worker closely to ensure no mistakes are made.
D. Call the Board of Nursing to report the individual.
Correct Answer: B
Expert Explanation: The safety of the clients is the nurse’s primary responsibility, and an
impaired co-worker poses a direct threat to that safety. Reporting to a supervisor is the
standard legal and ethical requirement in most jurisdictions to initiate the chain of
command. This ensures the impaired individual is removed from care and receives
appropriate intervention while protecting patient outcomes.
5. A client is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent?
A. The nurse assigned to the client.
B. The surgeon performing the procedure.
C. The hospital administrator.
D. The surgical scrub technician.
Correct Answer: B
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse is caring for a group of clients on a medical-surgical unit. Which client should the
nurse assess first?
A. A client with pneumonia who has a new onset of confusion and restlessness.
B. A client who had a hip replacement 2 days ago and reports a pain level of 6/10.
C. A client with diabetes whose morning blood glucose was 150 mg/dL.
D. A client who is being discharged today and needs instruction on wound care.
Correct Answer: A
Expert Explanation: Confusion and restlessness are early signs of hypoxia and decreased
oxygenation in a pneumonia patient. According to the ABC (Airway, Breathing, Circulation)
priority framework, this client represents a potential airway or breathing crisis. The other
clients are stable or have non-urgent needs that can be addressed after the acute
respiratory status is evaluated.
2. The nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Updating the care plan for a client with a pressure ulcer.
B. Teaching a client how to use an incentive spirometer.
,C. Performing post-mortem care on a deceased client.
D. Interpreting vital signs for a client who just returned from surgery.
Correct Answer: C
Expert Explanation: Post-mortem care is a standard procedural task that does not require
clinical judgment and is within the scope of a UAP. Evaluation, teaching, and interpretation
of clinical data are responsibilities that must be performed by the licensed nurse.
Delegating these higher-level tasks would violate the principles of safe delegation and the
Nurse Practice Act.
3. Which ethical principle is the nurse demonstrating when they uphold a promise made to a
client to return in 15 minutes?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
Correct Answer: A
Expert Explanation: Fidelity refers to the obligation of the nurse to be faithful to
commitments and promises made to others. By returning when promised, the nurse builds
trust and maintains the professional relationship. Autonomy relates to the client’s right to
choose, while beneficence refers to doing good for the client.
, 4. A nurse witnesses a co-worker arriving at work with slurred speech and the smell of
alcohol on their breath. What is the nurse’s first action?
A. Tell the co-worker to go home and sleep it off.
B. Notify the nurse manager or supervisor immediately.
C. Watch the co-worker closely to ensure no mistakes are made.
D. Call the Board of Nursing to report the individual.
Correct Answer: B
Expert Explanation: The safety of the clients is the nurse’s primary responsibility, and an
impaired co-worker poses a direct threat to that safety. Reporting to a supervisor is the
standard legal and ethical requirement in most jurisdictions to initiate the chain of
command. This ensures the impaired individual is removed from care and receives
appropriate intervention while protecting patient outcomes.
5. A client is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent?
A. The nurse assigned to the client.
B. The surgeon performing the procedure.
C. The hospital administrator.
D. The surgical scrub technician.
Correct Answer: B
