NUR 210/NUR210 Exam 1 V1 | Transition
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a post-surgical wound
B. Assessing the lung sounds of a patient with pneumonia
C. Assisting a stable patient with their morning hygiene and ambulation
D. Providing discharge teaching to a patient following a gastric bypass
Correct Answer: C
Expert Explanation: The UAP’s scope of practice includes assistance with activities of
daily living such as hygiene and ambulation for stable patients. Tasks involving assessment,
sterile procedures, or patient education require clinical judgment and must be performed
by a licensed nurse. The nurse retains accountability for the outcome of the delegated task
even when the task itself is performed by another.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy involves both parties giving up something to
reach a solution?
A. Compromising
,B. Collaborating
C. Competing
D. Smoothing
Correct Answer: A
Expert Explanation: Compromising is a conflict resolution strategy where both parties
make concessions to reach a middle ground. This approach is useful when goals are
moderately important but not worth the effort of more intensive strategies. While it
resolves the issue quickly, it may result in a ‘lose-lose’ feeling if neither party is fully
satisfied with the outcome.
3. Which ethical principle is a nurse practicing when they respect a patient’s decision to
refuse a life-saving blood transfusion due to religious beliefs?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the right of the patient to make their own
healthcare decisions without interference. The nurse’s role is to ensure the patient is fully
informed and that their choices are honored by the healthcare team. Even if the nurse
, disagrees with the decision, they must advocate for the patient’s right to self-
determination.
4. A nurse is caring for a group of clients. Which client should the nurse prioritize to see first?
A. A client with Type 1 diabetes who is diaphoretic, shaky, and has a blood glucose of 45
mg/dL
B. A client who is 4 hours post-operative and reports a pain level of 7 out of 10
C. A client with a history of heart failure who has 2+ pitting edema in the lower extremities
D. A client receiving IV antibiotics who reports that the insertion site is slightly red
Correct Answer: A
Expert Explanation: Hypoglycemia with a blood glucose level of 45 mg/dL is a critical
condition that requires immediate intervention to prevent seizures or coma. According to
the Maslow’s Hierarchy of Needs and the ABC framework, physiological stability takes
precedence over pain or chronic conditions. The other clients, while requiring care, are not
in an immediate life-threatening state compared to the hypoglycemic client.
5. A nurse manager is explaining the purpose of the Nurse Practice Act to a new hire. Which
of the following statements is correct?
A. It defines the scope of practice for nurses within a specific state
B. It is a set of federal guidelines for all nursing schools to follow
C. It outlines the salary scales for different levels of nursing experience
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Performing a sterile dressing change on a post-surgical wound
B. Assessing the lung sounds of a patient with pneumonia
C. Assisting a stable patient with their morning hygiene and ambulation
D. Providing discharge teaching to a patient following a gastric bypass
Correct Answer: C
Expert Explanation: The UAP’s scope of practice includes assistance with activities of
daily living such as hygiene and ambulation for stable patients. Tasks involving assessment,
sterile procedures, or patient education require clinical judgment and must be performed
by a licensed nurse. The nurse retains accountability for the outcome of the delegated task
even when the task itself is performed by another.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy involves both parties giving up something to
reach a solution?
A. Compromising
,B. Collaborating
C. Competing
D. Smoothing
Correct Answer: A
Expert Explanation: Compromising is a conflict resolution strategy where both parties
make concessions to reach a middle ground. This approach is useful when goals are
moderately important but not worth the effort of more intensive strategies. While it
resolves the issue quickly, it may result in a ‘lose-lose’ feeling if neither party is fully
satisfied with the outcome.
3. Which ethical principle is a nurse practicing when they respect a patient’s decision to
refuse a life-saving blood transfusion due to religious beliefs?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the right of the patient to make their own
healthcare decisions without interference. The nurse’s role is to ensure the patient is fully
informed and that their choices are honored by the healthcare team. Even if the nurse
, disagrees with the decision, they must advocate for the patient’s right to self-
determination.
4. A nurse is caring for a group of clients. Which client should the nurse prioritize to see first?
A. A client with Type 1 diabetes who is diaphoretic, shaky, and has a blood glucose of 45
mg/dL
B. A client who is 4 hours post-operative and reports a pain level of 7 out of 10
C. A client with a history of heart failure who has 2+ pitting edema in the lower extremities
D. A client receiving IV antibiotics who reports that the insertion site is slightly red
Correct Answer: A
Expert Explanation: Hypoglycemia with a blood glucose level of 45 mg/dL is a critical
condition that requires immediate intervention to prevent seizures or coma. According to
the Maslow’s Hierarchy of Needs and the ABC framework, physiological stability takes
precedence over pain or chronic conditions. The other clients, while requiring care, are not
in an immediate life-threatening state compared to the hypoglycemic client.
5. A nurse manager is explaining the purpose of the Nurse Practice Act to a new hire. Which
of the following statements is correct?
A. It defines the scope of practice for nurses within a specific state
B. It is a set of federal guidelines for all nursing schools to follow
C. It outlines the salary scales for different levels of nursing experience
