NUR 210/NUR210 Exam 1 V3 | Transition
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is planning a staff meeting to discuss a recent increase in medication
errors. Which leadership style is most effective when seeking collaborative solutions from the
team?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: A democratic leadership style encourages group discussion and
decision-making, which is ideal for problem-solving in a clinical setting. This approach
fosters a sense of ownership among staff and improves morale through participation. It is
contrasted with autocratic styles where the leader makes decisions unilaterally and laissez-
faire where there is a lack of direction.
2. Which of the following tasks should the Registered Nurse (RN) delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
,B. Performing a sterile dressing change
C. Teaching a client how to use an incentive spirometer
D. Assisting a stable client with ambulation
Correct Answer: D
Expert Explanation: Assisting a stable client with activities of daily living, such as
ambulation, falls within the scope of practice for a UAP. Evaluation, sterile procedures, and
patient teaching require the specialized knowledge and judgment of a licensed nurse. The
RN remains accountable for the outcome of the delegated task regardless of who performs
it.
3. A nurse is caring for a client who is scheduled for surgery. The client expresses uncertainty
about the procedure. Which action by the nurse best demonstrates the role of patient
advocate?
A. Explaining the risks and benefits of the surgery to the client
B. Asking the client’s family to convince the client to proceed
C. Notifying the surgeon that the client has questions about the procedure
D. Reassuring the client that the surgeon is highly skilled
Correct Answer: C
Expert Explanation: Advocacy involves ensuring that the client’s rights are protected and
their needs are met, which includes ensuring informed consent is truly informed. It is the
, surgeon’s legal responsibility to explain risks and benefits, while the nurse’s role is to
facilitate that communication if the client is unsure. Reassuring or involving family without
the client’s consent does not fulfill the professional advocacy role.
4. In the event of a mass casualty disaster, which color tag would the nurse assign to a client
with a sucking chest wound who requires immediate intervention?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Expert Explanation: Red tags are assigned to clients who have life-threatening injuries but
have a high possibility of survival if treated immediately. A sucking chest wound is a
respiratory emergency that fits the ‘immediate’ category. Green is for ‘walking wounded,’
yellow is for delayed, and black is for the deceased or those with non-survivable injuries.
5. A nurse is faced with an ethical dilemma regarding a client’s end-of-life care. Which
principle refers to the nurse’s obligation to do no harm?
A. Nonmaleficence
B. Beneficence
C. Fidelity
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is planning a staff meeting to discuss a recent increase in medication
errors. Which leadership style is most effective when seeking collaborative solutions from the
team?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: A democratic leadership style encourages group discussion and
decision-making, which is ideal for problem-solving in a clinical setting. This approach
fosters a sense of ownership among staff and improves morale through participation. It is
contrasted with autocratic styles where the leader makes decisions unilaterally and laissez-
faire where there is a lack of direction.
2. Which of the following tasks should the Registered Nurse (RN) delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication
,B. Performing a sterile dressing change
C. Teaching a client how to use an incentive spirometer
D. Assisting a stable client with ambulation
Correct Answer: D
Expert Explanation: Assisting a stable client with activities of daily living, such as
ambulation, falls within the scope of practice for a UAP. Evaluation, sterile procedures, and
patient teaching require the specialized knowledge and judgment of a licensed nurse. The
RN remains accountable for the outcome of the delegated task regardless of who performs
it.
3. A nurse is caring for a client who is scheduled for surgery. The client expresses uncertainty
about the procedure. Which action by the nurse best demonstrates the role of patient
advocate?
A. Explaining the risks and benefits of the surgery to the client
B. Asking the client’s family to convince the client to proceed
C. Notifying the surgeon that the client has questions about the procedure
D. Reassuring the client that the surgeon is highly skilled
Correct Answer: C
Expert Explanation: Advocacy involves ensuring that the client’s rights are protected and
their needs are met, which includes ensuring informed consent is truly informed. It is the
, surgeon’s legal responsibility to explain risks and benefits, while the nurse’s role is to
facilitate that communication if the client is unsure. Reassuring or involving family without
the client’s consent does not fulfill the professional advocacy role.
4. In the event of a mass casualty disaster, which color tag would the nurse assign to a client
with a sucking chest wound who requires immediate intervention?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Expert Explanation: Red tags are assigned to clients who have life-threatening injuries but
have a high possibility of survival if treated immediately. A sucking chest wound is a
respiratory emergency that fits the ‘immediate’ category. Green is for ‘walking wounded,’
yellow is for delayed, and black is for the deceased or those with non-survivable injuries.
5. A nurse is faced with an ethical dilemma regarding a client’s end-of-life care. Which
principle refers to the nurse’s obligation to do no harm?
A. Nonmaleficence
B. Beneficence
C. Fidelity
