NUR 210/NUR210 Exam 1 V2 | Transition
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is discussing the concept of ‘Unfreezing’ within Lewin’s Change Theory
during a staff meeting. Which action best illustrates this stage?
A. Implementing a new electronic documentation system across the unit.
B. Stabilizing the new work habits to ensure they become the norm.
C. Providing rewards to staff who successfully adapt to the new protocol.
D. Identifying a problem and creating a sense of urgency for change.
Correct Answer: D
Expert Explanation: The unfreezing stage involves recognizing the need for change and
preparing the members of the organization for it. This phase is characterized by identifying
a problem and breaking down the current status quo. By creating a sense of urgency, the
leader helps staff move away from old habits toward a new way of functioning.
2. An RN is delegating tasks to an Assistive Personnel (AP) on a busy medical-surgical unit.
Which task is appropriate for the RN to delegate?
A. Assisting a stable patient with a sponge bath and oral care.
B. Feeding a patient who has a high risk for aspiration.
C. Providing discharge instructions to a patient going home with a walker.
,D. Assessing the skin integrity of a patient with a new pressure ulcer.
Correct Answer: A
Expert Explanation: The RN should only delegate tasks that are routine, non-invasive, and
do not require clinical judgment. Assisting a stable patient with hygiene is within the scope
of the AP. Assessment, feeding high-risk patients, and education are the responsibility of
the licensed nurse and cannot be delegated.
3. Which ethical principle is the nurse demonstrating when they uphold a patient’s right to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the patient’s right to make their own healthcare
decisions without interference. The nurse respects this principle by supporting the
patient’s choice, even if it conflicts with the medical team’s recommendations. This ensures
that the individual maintains control over their own body and medical care.
4. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who is experiencing intercostal retractions.
, B. A patient 1 day post-op following an appendectomy with a temperature of 100.2 F.
C. A patient with a history of heart failure who has 2+ pitting edema.
D. A patient with chronic obstructive pulmonary disease (COPD) and an O2 saturation of
90%.
Correct Answer: A
Expert Explanation: The patient with asthma showing intercostal retractions is
demonstrating signs of acute respiratory distress, which is an airway and breathing
priority. Using the ABC (Airway, Breathing, Circulation) framework, this patient requires
immediate intervention. The other patients, while requiring care, are currently more stable
or exhibiting expected findings for their conditions.
5. A nurse manager uses a ‘Laissez-faire’ leadership style. Which of the following is a
characteristic of this style?
A. The leader makes all the decisions with little input from the staff.
B. The leader encourages group discussion and decision-making by consensus.
C. The leader provides minimal direction and allows the group to make decisions.
D. The leader motivates staff through a shared vision and inspiration.
Correct Answer: C
Expert Explanation: Laissez-faire leadership is a passive approach where the leader
provides very little guidance or oversight. It is most effective when the staff is highly
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is discussing the concept of ‘Unfreezing’ within Lewin’s Change Theory
during a staff meeting. Which action best illustrates this stage?
A. Implementing a new electronic documentation system across the unit.
B. Stabilizing the new work habits to ensure they become the norm.
C. Providing rewards to staff who successfully adapt to the new protocol.
D. Identifying a problem and creating a sense of urgency for change.
Correct Answer: D
Expert Explanation: The unfreezing stage involves recognizing the need for change and
preparing the members of the organization for it. This phase is characterized by identifying
a problem and breaking down the current status quo. By creating a sense of urgency, the
leader helps staff move away from old habits toward a new way of functioning.
2. An RN is delegating tasks to an Assistive Personnel (AP) on a busy medical-surgical unit.
Which task is appropriate for the RN to delegate?
A. Assisting a stable patient with a sponge bath and oral care.
B. Feeding a patient who has a high risk for aspiration.
C. Providing discharge instructions to a patient going home with a walker.
,D. Assessing the skin integrity of a patient with a new pressure ulcer.
Correct Answer: A
Expert Explanation: The RN should only delegate tasks that are routine, non-invasive, and
do not require clinical judgment. Assisting a stable patient with hygiene is within the scope
of the AP. Assessment, feeding high-risk patients, and education are the responsibility of
the licensed nurse and cannot be delegated.
3. Which ethical principle is the nurse demonstrating when they uphold a patient’s right to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the patient’s right to make their own healthcare
decisions without interference. The nurse respects this principle by supporting the
patient’s choice, even if it conflicts with the medical team’s recommendations. This ensures
that the individual maintains control over their own body and medical care.
4. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who is experiencing intercostal retractions.
, B. A patient 1 day post-op following an appendectomy with a temperature of 100.2 F.
C. A patient with a history of heart failure who has 2+ pitting edema.
D. A patient with chronic obstructive pulmonary disease (COPD) and an O2 saturation of
90%.
Correct Answer: A
Expert Explanation: The patient with asthma showing intercostal retractions is
demonstrating signs of acute respiratory distress, which is an airway and breathing
priority. Using the ABC (Airway, Breathing, Circulation) framework, this patient requires
immediate intervention. The other patients, while requiring care, are currently more stable
or exhibiting expected findings for their conditions.
5. A nurse manager uses a ‘Laissez-faire’ leadership style. Which of the following is a
characteristic of this style?
A. The leader makes all the decisions with little input from the staff.
B. The leader encourages group discussion and decision-making by consensus.
C. The leader provides minimal direction and allows the group to make decisions.
D. The leader motivates staff through a shared vision and inspiration.
Correct Answer: C
Expert Explanation: Laissez-faire leadership is a passive approach where the leader
provides very little guidance or oversight. It is most effective when the staff is highly
