NUR 210/NUR210 Exam 4 V1 | Transition
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is implementing a new bedside shift report policy and encourages staff to
provide feedback on the process. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: Democratic leadership involves the staff in decision-making and
values two-way communication. This style fosters a sense of ownership among team
members and increases overall job satisfaction. By seeking feedback on the new policy, the
manager is utilizing a participative approach characteristic of this style.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
,D. Providing discharge teaching about insulin
Correct Answer: A
Expert Explanation: Assisting a stable patient with activities of daily living is within the
scope of practice for a UAP. Tasks involving assessment, evaluation, and education require
the specialized knowledge and judgment of an RN. Delegating these higher-level clinical
tasks to unlicensed staff is a violation of the Five Rights of Delegation.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client scheduled for discharge in one hour
B. A client with a newly applied cast reporting increased tingling and numbness
C. A client requesting PRN pain medication for chronic back pain
D. A client who needs a routine dressing change for a stage 2 pressure ulcer
Correct Answer: B
Expert Explanation: The nurse must prioritize the client with tingling and numbness
because these are signs of neurovascular compromise or compartment syndrome. This
situation represents an urgent ‘Airway, Breathing, Circulation, or Neurological’ priority.
Assessing this client first prevents potential permanent tissue damage or loss of limb
function.
4. A client refuses a scheduled surgery after the risks and benefits have been explained. The
nurse supports this decision, demonstrating which ethical principle?
A. Beneficence
, B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Expert Explanation: Autonomy is the right of the individual to make their own decisions
regarding their healthcare. The nurse’s role as an advocate is to ensure the client’s choice is
respected even if it contradicts the medical recommendation. Supporting the client’s
refusal of treatment directly aligns with upholding their personal self-determination.
5. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. The manager tells them to ‘work it out themselves.’ Which conflict management
strategy is being used?
A. Compromising
B. Competing
C. Avoiding
D. Collaborating
Correct Answer: C
Expert Explanation: Avoiding is a passive conflict management strategy where the leader
ignores the issue or refuses to address it. While this might be appropriate for trivial
to Practice - Capstone Q&A with Rationale
| Fortis College
1. A nurse manager is implementing a new bedside shift report policy and encourages staff to
provide feedback on the process. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Expert Explanation: Democratic leadership involves the staff in decision-making and
values two-way communication. This style fosters a sense of ownership among team
members and increases overall job satisfaction. By seeking feedback on the new policy, the
manager is utilizing a participative approach characteristic of this style.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation
B. Performing an initial admission assessment
C. Evaluating a patient’s response to pain medication
,D. Providing discharge teaching about insulin
Correct Answer: A
Expert Explanation: Assisting a stable patient with activities of daily living is within the
scope of practice for a UAP. Tasks involving assessment, evaluation, and education require
the specialized knowledge and judgment of an RN. Delegating these higher-level clinical
tasks to unlicensed staff is a violation of the Five Rights of Delegation.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client scheduled for discharge in one hour
B. A client with a newly applied cast reporting increased tingling and numbness
C. A client requesting PRN pain medication for chronic back pain
D. A client who needs a routine dressing change for a stage 2 pressure ulcer
Correct Answer: B
Expert Explanation: The nurse must prioritize the client with tingling and numbness
because these are signs of neurovascular compromise or compartment syndrome. This
situation represents an urgent ‘Airway, Breathing, Circulation, or Neurological’ priority.
Assessing this client first prevents potential permanent tissue damage or loss of limb
function.
4. A client refuses a scheduled surgery after the risks and benefits have been explained. The
nurse supports this decision, demonstrating which ethical principle?
A. Beneficence
, B. Justice
C. Autonomy
D. Non-maleficence
Correct Answer: C
Expert Explanation: Autonomy is the right of the individual to make their own decisions
regarding their healthcare. The nurse’s role as an advocate is to ensure the client’s choice is
respected even if it contradicts the medical recommendation. Supporting the client’s
refusal of treatment directly aligns with upholding their personal self-determination.
5. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. The manager tells them to ‘work it out themselves.’ Which conflict management
strategy is being used?
A. Compromising
B. Competing
C. Avoiding
D. Collaborating
Correct Answer: C
Expert Explanation: Avoiding is a passive conflict management strategy where the leader
ignores the issue or refuses to address it. While this might be appropriate for trivial
