NURS 2058 DIMENSIONS OF NURSING
PRACTICE – RASMUSSEN COLLEGE
ACADEMIC YEAR 2026/2027 || NEWEST
COMPREHENSIVE EXAMINATION 1: 100
VERIFIED QUESTIONS WITH CORRECT
ANSWER RATIONALES
1. Which nursing theory emphasizes the nurse-patient relationship as central to
healing?
• A. Orem's Self-Care Deficit Theory
• B. Watson's Caring Theory
• C. Nightingale's Environmental Theory
• D. Peplau's Interpersonal Theory
Correct Answer: B. Watson's Caring Theory
Rationale: Watson's Caring Theory prioritizes the nurse-patient relationship and
caring as a core component of the healing process. While Peplau's theory focuses on
interpersonal relationships, Watson's theory explicitly places caring at the center of
nursing practice .
2. A nurse is assigned to a new patient. What is the first step in the nursing
process?
• A. Planning
• B. Implementation
• C. Diagnosis
• D. Assessment
,Correct Answer: D. Assessment
Rationale: The nursing process begins with assessment, which involves the
systematic collection of subjective and objective data to identify patient needs. This
foundational step informs all subsequent phases of care, including diagnosis,
planning, implementation, and evaluation .
3. A patient refuses a blood transfusion due to religious beliefs. What ethical
principle guides the nurse's response?
• A. Beneficence
• B. Justice
• C. Nonmaleficence
• D. Autonomy
Correct Answer: D. Autonomy
Rationale: Autonomy respects the patient's right to make their own healthcare
decisions, including the right to refuse treatment. While beneficence and
nonmaleficence are important, autonomy takes precedence in this situation,
requiring the nurse to support the patient's informed choice .
4. Which role of the nurse involves coordinating care with other healthcare
professionals?
• A. Advocate
• B. Educator
• C. Caregiver
• D. Manager
Correct Answer: D. Manager
Rationale: The nurse as a manager coordinates care, collaborates with the healthcare
,team, and ensures efficient delivery of services. This role involves organizing and
overseeing patient care activities to achieve optimal outcomes .
5. According to Nightingale's Environmental Theory, which factor is most
critical for patient recovery?
• A. A balanced diet
• B. A clean and safe environment
• C. Regular exercise
• D. Adequate sleep
Correct Answer: B. A clean and safe environment
Rationale: Florence Nightingale's Environmental Theory emphasizes factors like
cleanliness, ventilation, light, and sanitation to promote healing. She believed that a
healthy environment was essential for creating optimal conditions for patient
recovery .
6. A nurse delegates a task to a certified nursing assistant (CNA). Which task is
within the CNA's scope of practice?
• A. Administering oral medications
• B. Assisting with activities of daily living
• C. Developing a care plan
• D. Interpreting lab results
Correct Answer: B. Assisting with activities of daily living
Rationale: CNAs are trained to assist with activities of daily living (ADLs) such as
bathing, feeding, and ambulation. Medication administration, care planning, and lab
interpretation are beyond their scope and are reserved for licensed nurses .
, 7. Which organization is responsible for defining the legal scope of nursing
practice in each state?
• A. American Nurses Association (ANA)
• B. National League for Nursing (NLN)
• C. State Board of Nursing
• D. National Council of State Boards of Nursing
Correct Answer: C. State Board of Nursing
Rationale: The State Board of Nursing is the regulatory body that implements the
Nurse Practice Act in its specific jurisdiction. This act defines the legal scope of
practice, protecting the public by ensuring nurses meet minimum requirements for
safe practice .
8. A nurse is providing care based on Maslow's Hierarchy of Needs. Which
client action would the nurse address first?
• A. Expressing feelings of loneliness
• B. Having a fear of surgery
• C. Difficulty breathing
• D. Dissatisfaction with the hospital food
Correct Answer: C. Difficulty breathing
Rationale: Maslow's Hierarchy prioritizes basic physiological needs (e.g., breathing,
nutrition, hydration) as the most fundamental. Difficulty breathing represents a threat
to a physiological need and must be addressed before psychological or social needs .
PRACTICE – RASMUSSEN COLLEGE
ACADEMIC YEAR 2026/2027 || NEWEST
COMPREHENSIVE EXAMINATION 1: 100
VERIFIED QUESTIONS WITH CORRECT
ANSWER RATIONALES
1. Which nursing theory emphasizes the nurse-patient relationship as central to
healing?
• A. Orem's Self-Care Deficit Theory
• B. Watson's Caring Theory
• C. Nightingale's Environmental Theory
• D. Peplau's Interpersonal Theory
Correct Answer: B. Watson's Caring Theory
Rationale: Watson's Caring Theory prioritizes the nurse-patient relationship and
caring as a core component of the healing process. While Peplau's theory focuses on
interpersonal relationships, Watson's theory explicitly places caring at the center of
nursing practice .
2. A nurse is assigned to a new patient. What is the first step in the nursing
process?
• A. Planning
• B. Implementation
• C. Diagnosis
• D. Assessment
,Correct Answer: D. Assessment
Rationale: The nursing process begins with assessment, which involves the
systematic collection of subjective and objective data to identify patient needs. This
foundational step informs all subsequent phases of care, including diagnosis,
planning, implementation, and evaluation .
3. A patient refuses a blood transfusion due to religious beliefs. What ethical
principle guides the nurse's response?
• A. Beneficence
• B. Justice
• C. Nonmaleficence
• D. Autonomy
Correct Answer: D. Autonomy
Rationale: Autonomy respects the patient's right to make their own healthcare
decisions, including the right to refuse treatment. While beneficence and
nonmaleficence are important, autonomy takes precedence in this situation,
requiring the nurse to support the patient's informed choice .
4. Which role of the nurse involves coordinating care with other healthcare
professionals?
• A. Advocate
• B. Educator
• C. Caregiver
• D. Manager
Correct Answer: D. Manager
Rationale: The nurse as a manager coordinates care, collaborates with the healthcare
,team, and ensures efficient delivery of services. This role involves organizing and
overseeing patient care activities to achieve optimal outcomes .
5. According to Nightingale's Environmental Theory, which factor is most
critical for patient recovery?
• A. A balanced diet
• B. A clean and safe environment
• C. Regular exercise
• D. Adequate sleep
Correct Answer: B. A clean and safe environment
Rationale: Florence Nightingale's Environmental Theory emphasizes factors like
cleanliness, ventilation, light, and sanitation to promote healing. She believed that a
healthy environment was essential for creating optimal conditions for patient
recovery .
6. A nurse delegates a task to a certified nursing assistant (CNA). Which task is
within the CNA's scope of practice?
• A. Administering oral medications
• B. Assisting with activities of daily living
• C. Developing a care plan
• D. Interpreting lab results
Correct Answer: B. Assisting with activities of daily living
Rationale: CNAs are trained to assist with activities of daily living (ADLs) such as
bathing, feeding, and ambulation. Medication administration, care planning, and lab
interpretation are beyond their scope and are reserved for licensed nurses .
, 7. Which organization is responsible for defining the legal scope of nursing
practice in each state?
• A. American Nurses Association (ANA)
• B. National League for Nursing (NLN)
• C. State Board of Nursing
• D. National Council of State Boards of Nursing
Correct Answer: C. State Board of Nursing
Rationale: The State Board of Nursing is the regulatory body that implements the
Nurse Practice Act in its specific jurisdiction. This act defines the legal scope of
practice, protecting the public by ensuring nurses meet minimum requirements for
safe practice .
8. A nurse is providing care based on Maslow's Hierarchy of Needs. Which
client action would the nurse address first?
• A. Expressing feelings of loneliness
• B. Having a fear of surgery
• C. Difficulty breathing
• D. Dissatisfaction with the hospital food
Correct Answer: C. Difficulty breathing
Rationale: Maslow's Hierarchy prioritizes basic physiological needs (e.g., breathing,
nutrition, hydration) as the most fundamental. Difficulty breathing represents a threat
to a physiological need and must be addressed before psychological or social needs .
