PNR 207/PNR207 Exam 1 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 task is most appropriate for the LPN to delegate?
A. Performing an initial head-to-toe assessment on a new admission.
B. Administering the first dose of an intravenous antibiotic.
C. Developing a teaching plan for a patient with newly diagnosed diabetes.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
Expert Explanation: The LPN should delegate tasks that are routine and do not require
clinical judgment, such as assisting a stable patient with activities of daily living.
Assessment, teaching, and complex medication administration are responsibilities that
cannot be delegated to a UAP. Proper delegation ensures patient safety and efficient use of
the healthcare team’s skills.
2. Which leadership style is characterized by a leader who makes all decisions independently
and dictates tasks to the nursing staff?
A. Autocratic
B. Laissez-faire
,C. Democratic
D. Transformational
Correct Answer: A
Expert Explanation: An autocratic leader maintains total control and makes decisions
without seeking input from the team. This style can be effective in emergency situations
where quick decisions are required. However, it may decrease staff morale and stifle
creativity in a long-term clinical environment.
3. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle supports the patient’s right to make this decision?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the right of the individual to make their own
healthcare decisions. The nurse must respect a competent patient’s choice even if it
conflicts with the provider’s recommendations. This principle is a cornerstone of patient-
centered care and legal rights in healthcare.
, 4. When prioritizing care for a group of patients, which patient should the LPN see first?
A. A patient reporting a pain level of 4 out of 10.
B. A patient who is experiencing sudden shortness of breath.
C. A patient who needs a dressing change for a surgical wound.
D. A patient who is scheduled for discharge in two hours.
Correct Answer: B
Expert Explanation: The nurse should prioritize the patient with shortness of breath
because it indicates a potential airway or breathing emergency. According to the ABC
(Airway, Breathing, Circulation) framework, respiratory issues take precedence over pain
or discharge planning. Immediate assessment and intervention are required to prevent
further clinical deterioration.
5. A nurse fails to raise the side rails for a patient who is at a high risk for falls, resulting in the
patient falling and sustaining a fracture. This is an example of which legal concept?
A. Negligence
B. Battery
C. Assault
D. False Imprisonment
Correct Answer: A
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 task is most appropriate for the LPN to delegate?
A. Performing an initial head-to-toe assessment on a new admission.
B. Administering the first dose of an intravenous antibiotic.
C. Developing a teaching plan for a patient with newly diagnosed diabetes.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
Expert Explanation: The LPN should delegate tasks that are routine and do not require
clinical judgment, such as assisting a stable patient with activities of daily living.
Assessment, teaching, and complex medication administration are responsibilities that
cannot be delegated to a UAP. Proper delegation ensures patient safety and efficient use of
the healthcare team’s skills.
2. Which leadership style is characterized by a leader who makes all decisions independently
and dictates tasks to the nursing staff?
A. Autocratic
B. Laissez-faire
,C. Democratic
D. Transformational
Correct Answer: A
Expert Explanation: An autocratic leader maintains total control and makes decisions
without seeking input from the team. This style can be effective in emergency situations
where quick decisions are required. However, it may decrease staff morale and stifle
creativity in a long-term clinical environment.
3. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle supports the patient’s right to make this decision?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the right of the individual to make their own
healthcare decisions. The nurse must respect a competent patient’s choice even if it
conflicts with the provider’s recommendations. This principle is a cornerstone of patient-
centered care and legal rights in healthcare.
, 4. When prioritizing care for a group of patients, which patient should the LPN see first?
A. A patient reporting a pain level of 4 out of 10.
B. A patient who is experiencing sudden shortness of breath.
C. A patient who needs a dressing change for a surgical wound.
D. A patient who is scheduled for discharge in two hours.
Correct Answer: B
Expert Explanation: The nurse should prioritize the patient with shortness of breath
because it indicates a potential airway or breathing emergency. According to the ABC
(Airway, Breathing, Circulation) framework, respiratory issues take precedence over pain
or discharge planning. Immediate assessment and intervention are required to prevent
further clinical deterioration.
5. A nurse fails to raise the side rails for a patient who is at a high risk for falls, resulting in the
patient falling and sustaining a fracture. This is an example of which legal concept?
A. Negligence
B. Battery
C. Assault
D. False Imprisonment
Correct Answer: A
