PNR 207/PNR207 Exam 2 V2 | Transition to
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is most
appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Assisting a stable client with a bed bath
C. Performing an initial admission assessment
D. Teaching a client how to use an incentive spirometer
Correct Answer: B
Expert Explanation: The nurse is responsible for delegating tasks that do not require
clinical judgment or the nursing process. Assisting with activities of daily living for a stable
client is within the UAP’s scope of practice. The nurse must always supervise the UAP and
follow up to ensure the task was completed correctly.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Transactional
Correct Answer: C
Expert Explanation: The autocratic leadership style involves a single individual making
decisions for the entire group with little to no employee input. This style can be effective in
emergency situations where quick decisions are necessary. However, it often leads to low
staff morale if used as a primary management strategy in stable environments.
3. A nurse is using the SBAR tool to communicate with a provider. What information should
the nurse include in the ‘B’ portion of the report?
A. The client’s current vital signs
B. The client’s medical history and admitting diagnosis
C. The nurse’s recommendation for a change in treatment
D. The specific reason the nurse is calling
Correct Answer: B
Expert Explanation: The ‘B’ in SBAR stands for Background, which provides the clinical
context for the current situation. This includes the admitting diagnosis, date of admission,
and any relevant past medical history. Providing accurate background information helps
the provider understand the client’s baseline status.
4. Which ethical principle refers to the nurse’s obligation to do no harm to the client?
A. Non-maleficence
, B. Beneficence
C. Justice
D. Autonomy
Correct Answer: A
Expert Explanation: Non-maleficence is a core ethical principle that dictates the duty to
protect the patient from harm. Nurses apply this principle by adhering to safety protocols
and reporting unsafe practices. It is often balanced with beneficence, which is the duty to
act in the best interest of the patient.
5. A nurse is planning care for four clients. Which client should the nurse assess first?
A. A client who needs a dressing change for a surgical wound
B. A client who is requesting a scheduled dose of oral pain medication
C. A client who is ready for discharge and waiting for prescriptions
D. A client who reports new-onset shortness of breath and chest heaviness
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the client
with respiratory distress must be prioritized first. Shortness of breath and chest heaviness
could indicate a life-threatening cardiac or pulmonary event. The nurse must intervene
immediately to ensure the client’s stability before attending to lower-priority tasks.
PN Practice - Capstone Q&A with
Rationale | Fortis College
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is most
appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Assisting a stable client with a bed bath
C. Performing an initial admission assessment
D. Teaching a client how to use an incentive spirometer
Correct Answer: B
Expert Explanation: The nurse is responsible for delegating tasks that do not require
clinical judgment or the nursing process. Assisting with activities of daily living for a stable
client is within the UAP’s scope of practice. The nurse must always supervise the UAP and
follow up to ensure the task was completed correctly.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Transactional
Correct Answer: C
Expert Explanation: The autocratic leadership style involves a single individual making
decisions for the entire group with little to no employee input. This style can be effective in
emergency situations where quick decisions are necessary. However, it often leads to low
staff morale if used as a primary management strategy in stable environments.
3. A nurse is using the SBAR tool to communicate with a provider. What information should
the nurse include in the ‘B’ portion of the report?
A. The client’s current vital signs
B. The client’s medical history and admitting diagnosis
C. The nurse’s recommendation for a change in treatment
D. The specific reason the nurse is calling
Correct Answer: B
Expert Explanation: The ‘B’ in SBAR stands for Background, which provides the clinical
context for the current situation. This includes the admitting diagnosis, date of admission,
and any relevant past medical history. Providing accurate background information helps
the provider understand the client’s baseline status.
4. Which ethical principle refers to the nurse’s obligation to do no harm to the client?
A. Non-maleficence
, B. Beneficence
C. Justice
D. Autonomy
Correct Answer: A
Expert Explanation: Non-maleficence is a core ethical principle that dictates the duty to
protect the patient from harm. Nurses apply this principle by adhering to safety protocols
and reporting unsafe practices. It is often balanced with beneficence, which is the duty to
act in the best interest of the patient.
5. A nurse is planning care for four clients. Which client should the nurse assess first?
A. A client who needs a dressing change for a surgical wound
B. A client who is requesting a scheduled dose of oral pain medication
C. A client who is ready for discharge and waiting for prescriptions
D. A client who reports new-onset shortness of breath and chest heaviness
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the client
with respiratory distress must be prioritized first. Shortness of breath and chest heaviness
could indicate a life-threatening cardiac or pulmonary event. The nurse must intervene
immediately to ensure the client’s stability before attending to lower-priority tasks.
