NUR 210/NUR210 Final Exam V1 |
Transition to 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 to delegate to the UAP?
A. Evaluating a patient’s response to pain medication.
B. Performing a sterile dressing change on a central line.
C. Assisting a stable patient with ambulation in the hallway.
D. Providing discharge teaching to a patient following a colonoscopy.
Correct Answer: C
Expert Explanation: Delegation to UAP should involve tasks that are routine, non-
invasive, and do not require clinical judgment. Assisting a stable patient with ambulation is
a standard task within the UAP’s scope of practice. The RN remains responsible for
assessment, evaluation, and teaching, which cannot be delegated.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy is the nurse using when she asks both parties to
give up something to reach a solution?
A. Compromising
B. Competing
,C. Avoiding
D. Smoothing
Correct Answer: A
Expert Explanation: Compromising involves a ‘give-and-take’ approach where both
parties surrender something of value to resolve the dispute. This strategy is often used
when both sides have equal power and goals are moderately important. It differs from
collaborating, where a win-win solution is sought without necessarily losing a preference.
3. An RN is prioritizing care for a group of patients. Which patient should the nurse assess
first?
A. A patient with a blood glucose level of 150 mg/dL.
B. A patient requesting a PRN stool softener for constipation.
C. A patient who requires a dressing change for a stage 3 pressure injury.
D. A patient reporting new-onset sudden shortness of breath and chest pain.
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, a patient
with sudden shortness of breath and chest pain is the highest priority. This could indicate a
life-threatening condition such as a pulmonary embolism or myocardial infarction. The
other patients are stable and their needs can be addressed after the emergency is managed.
, 4. A nurse is caring for a client who has a terminal illness and requests no further life-
sustaining treatment. The nurse’s role in this situation is based on which ethical principle?
A. Autonomy
B. Justice
C. Fidelity
D. Non-maleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of the patient to make their own
decisions regarding their medical care. In this scenario, the nurse respects the patient’s
choice to refuse treatment even if it results in death. Supporting the patient’s self-
determination is a core component of professional nursing practice.
5. Which of the following is a primary characteristic of a ‘Magnet’ designated hospital?
A. Empowerment of nursing staff through shared governance.
B. Emphasis on high nurse-to-patient ratios.
C. Centralized decision-making processes.
D. Focus on minimizing professional development costs.
Correct Answer: A
Expert Explanation: Magnet hospitals are recognized for nursing excellence and high-
quality patient care. A key component of Magnet status is shared governance, which
Transition to 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 to delegate to the UAP?
A. Evaluating a patient’s response to pain medication.
B. Performing a sterile dressing change on a central line.
C. Assisting a stable patient with ambulation in the hallway.
D. Providing discharge teaching to a patient following a colonoscopy.
Correct Answer: C
Expert Explanation: Delegation to UAP should involve tasks that are routine, non-
invasive, and do not require clinical judgment. Assisting a stable patient with ambulation is
a standard task within the UAP’s scope of practice. The RN remains responsible for
assessment, evaluation, and teaching, which cannot be delegated.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy is the nurse using when she asks both parties to
give up something to reach a solution?
A. Compromising
B. Competing
,C. Avoiding
D. Smoothing
Correct Answer: A
Expert Explanation: Compromising involves a ‘give-and-take’ approach where both
parties surrender something of value to resolve the dispute. This strategy is often used
when both sides have equal power and goals are moderately important. It differs from
collaborating, where a win-win solution is sought without necessarily losing a preference.
3. An RN is prioritizing care for a group of patients. Which patient should the nurse assess
first?
A. A patient with a blood glucose level of 150 mg/dL.
B. A patient requesting a PRN stool softener for constipation.
C. A patient who requires a dressing change for a stage 3 pressure injury.
D. A patient reporting new-onset sudden shortness of breath and chest pain.
Correct Answer: D
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework, a patient
with sudden shortness of breath and chest pain is the highest priority. This could indicate a
life-threatening condition such as a pulmonary embolism or myocardial infarction. The
other patients are stable and their needs can be addressed after the emergency is managed.
, 4. A nurse is caring for a client who has a terminal illness and requests no further life-
sustaining treatment. The nurse’s role in this situation is based on which ethical principle?
A. Autonomy
B. Justice
C. Fidelity
D. Non-maleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of the patient to make their own
decisions regarding their medical care. In this scenario, the nurse respects the patient’s
choice to refuse treatment even if it results in death. Supporting the patient’s self-
determination is a core component of professional nursing practice.
5. Which of the following is a primary characteristic of a ‘Magnet’ designated hospital?
A. Empowerment of nursing staff through shared governance.
B. Emphasis on high nurse-to-patient ratios.
C. Centralized decision-making processes.
D. Focus on minimizing professional development costs.
Correct Answer: A
Expert Explanation: Magnet hospitals are recognized for nursing excellence and high-
quality patient care. A key component of Magnet status is shared governance, which
