EXAMINATION 1 COMPREHENSIVE EXAMINATION | 150 VERIFIED QUESTIONS & RATIONALES | NEWEST EXAM 2026/2027
NURS 2058
DIMENSIONS OF NURSING PRACTICE
RASMUSSEN COLLEGE - EXAMINATION 1
150 QUESTIONS EXAM 1 RATIONALES 2026/2027 NEWEST
, EXAM COVERAGE AREAS
Exam 1: Nursing Process, Critical Thinking & Ethics
• Nursing process ADPIE assessment subjective objective diagnosis NANDA PES planning SMART
implementation evaluation
• Critical thinking clinical judgment Tanner
• Ethics autonomy beneficence nonmaleficence justice fidelity veracity
• Maslow ABCs prioritization
Exam 1: Communication, Documentation & Teaching
• Therapeutic communication active listening open-ended reflection empathy silence avoid false reassurance
why
• Documentation SOAPIE charting SBAR handoff
• Patient teaching health literacy
• Legal informed consent
Exam 1: Safety, Infection Control & Vital Signs
• National Patient Safety Goals 2 identifiers hand hygiene falls pressure injury
• Infection control chain standard precautions PPE contact droplet airborne N95
• Vital signs T 36.5-37.5 C P 60-100 RR 12-20 BP <120/80 SpO2 >95% pain 0-10
• Asepsis
Exam 1: Basic Care, Mobility & Skin
• Hygiene bathing oral care
• Mobility ROM ambulation transfer
• Skin integrity Braden pressure ulcer stages
• Nutrition elimination
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 2
, QUESTION 1: Nursing process ADPIE correct order and application?
A) Assessment collect subjective objective data, Diagnosis NANDA problem related to etiology AEB
signs, Planning SMART measurable goals, Implementation perform actions, Evaluation outcomes met
partially not met revise
B) No order
C) Only assessment
D) Only evaluation
CORRECT ANSWER: A) Assessment collect subjective objective data, Diagnosis
NANDA problem related to etiology AEB signs, Planning SMART measurable goals,
Implementation perform actions, Evaluation outcomes met partially not met revise
RATIONALE: ADPIE: Assessment data collection interview vital signs subjective what patient says objective
measurable, Diagnosis NANDA-I problem related to etiology as evidenced by signs PES, Planning SMART
Specific Measurable Achievable Relevant Timed goals, Implementation nursing interventions independent
dependent collaborative, Evaluation determine if goals met revise care plan.
QUESTION 2: Maslow and ABCs prioritization principle?
A) Maslow physiological oxygen fluid nutrition elimination first then safety love esteem
self-actualization, ABCs airway breathing circulation acute over chronic unstable over stable
B) No prioritization
C) Only self-actualization first
D) Only esteem
CORRECT ANSWER: A) Maslow physiological oxygen fluid nutrition elimination first
then safety love esteem self-actualization, ABCs airway breathing circulation acute
over chronic unstable over stable
RATIONALE: Prioritization: Maslow hierarchy physiological needs oxygen fluid nutrition elimination
temperature most basic first, safety security, love belonging, esteem, self-actualization top. ABCs airway
breathing circulation first, acute over chronic, unstable over stable, newly admitted post-op first, actual
problem over risk.
QUESTION 3: Therapeutic vs nontherapeutic communication?
A) Therapeutic active listening open-ended tell me more reflection clarification restating empathy
silence, Nontherapeutic false reassurance everything fine giving advice why questions closed yes/no
changing subject
B) No difference
C) Only therapeutic
D) Only nontherapeutic
CORRECT ANSWER: A) Therapeutic active listening open-ended tell me more
reflection clarification restating empathy silence, Nontherapeutic false reassurance
everything fine giving advice why questions closed yes/no changing subject
RATIONALE: Therapeutic communication techniques facilitate: active listening eye contact leaning forward,
open-ended questions tell me more, reflection mirroring feelings, clarification what do you mean, restating,
focusing, silence allows processing, empathy I understand this is difficult, summarizing. Nontherapeutic
barriers: false reassurance don't worry, giving advice you should, asking why defensive, closed questions,
minimizing, changing subject.
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 3
, QUESTION 4: NPSG and infection control precautions?
A) NPSG identify 2 identifiers hand hygiene prevent falls pressure injury, standard precautions hand
hygiene PPE, contact MRSA gown gloves, droplet flu mask 3ft, airborne TB measles N95 negative
pressure
B) No NPSG
C) Only standard
D) Only contact
CORRECT ANSWER: A) NPSG identify 2 identifiers hand hygiene prevent falls pressure
injury, standard precautions hand hygiene PPE, contact MRSA gown gloves, droplet flu
mask 3ft, airborne TB measles N95 negative pressure
RATIONALE: Safety: National Patient Safety Goals identify patients correctly 2 identifiers name DOB,
improve staff communication SBAR, hand hygiene CDC, prevent infection, prevent falls, prevent pressure
injury, prevent wrong site surgery. Infection chain agent reservoir portal exit transmission contact droplet
airborne portal entry host. Standard precautions all patients hand hygiene gloves gown mask eye protection.
Contact MRSA VRE gown gloves, droplet influenza mask within 3ft, airborne TB measles varicella N95
negative pressure airborne infection isolation room.
QUESTION 5: Vital signs normal adult and abnormal signs?
A) Temp 36.5-37.5 C 97.7-99.5 F, Pulse 60-100 tachy >100 brady <60, RR 12-20 tachypnea
bradypnea, BP <120/80 elevated 120-129/<80 HTN stage1 130-139/80-89 stage2 ≥140/90, SpO2
>95% <90 hypoxia, Pain 0-10
B) No ranges
C) Only temp
D) Only BP
CORRECT ANSWER: A) Temp 36.5-37.5 C 97.7-99.5 F, Pulse 60-100 tachy >100 brady
<60, RR 12-20 tachypnea bradypnea, BP <120/80 elevated 120-129/<80 HTN stage1
130-139/80-89 stage2 ≥140/90, SpO2 >95% <90 hypoxia, Pain 0-10
RATIONALE: Vital signs: Temperature 36.5-37.5 C 97.7-99.5 F fever hyperthermia >38 C hypothermia <35,
Pulse 60-100 tachycardia >100 bradycardia <60 regular irregular, Respirations 12-20 eupnea tachypnea
>20 bradypnea <12, Blood Pressure <120/80 normal elevated 120-129/<80 stage1 HTN 130-139/80-89
stage2 ≥140/90 hypotension <90/60, SpO2 >95% normal 90-95 caution <90 hypoxia, Pain 0 no 10 worst
PQRST assessment.
QUESTION 6: Nursing process ADPIE correct order and application?
A) Assessment collect subjective objective data, Diagnosis NANDA problem related to etiology AEB
signs, Planning SMART measurable goals, Implementation perform actions, Evaluation outcomes met
partially not met revise
B) No order
C) Only assessment
D) Only evaluation
CORRECT ANSWER: A) Assessment collect subjective objective data, Diagnosis
NANDA problem related to etiology AEB signs, Planning SMART measurable goals,
Implementation perform actions, Evaluation outcomes met partially not met revise
RATIONALE: ADPIE: Assessment data collection interview vital signs subjective what patient says objective
measurable, Diagnosis NANDA-I problem related to etiology as evidenced by signs PES, Planning SMART
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 4
NURS 2058
DIMENSIONS OF NURSING PRACTICE
RASMUSSEN COLLEGE - EXAMINATION 1
150 QUESTIONS EXAM 1 RATIONALES 2026/2027 NEWEST
, EXAM COVERAGE AREAS
Exam 1: Nursing Process, Critical Thinking & Ethics
• Nursing process ADPIE assessment subjective objective diagnosis NANDA PES planning SMART
implementation evaluation
• Critical thinking clinical judgment Tanner
• Ethics autonomy beneficence nonmaleficence justice fidelity veracity
• Maslow ABCs prioritization
Exam 1: Communication, Documentation & Teaching
• Therapeutic communication active listening open-ended reflection empathy silence avoid false reassurance
why
• Documentation SOAPIE charting SBAR handoff
• Patient teaching health literacy
• Legal informed consent
Exam 1: Safety, Infection Control & Vital Signs
• National Patient Safety Goals 2 identifiers hand hygiene falls pressure injury
• Infection control chain standard precautions PPE contact droplet airborne N95
• Vital signs T 36.5-37.5 C P 60-100 RR 12-20 BP <120/80 SpO2 >95% pain 0-10
• Asepsis
Exam 1: Basic Care, Mobility & Skin
• Hygiene bathing oral care
• Mobility ROM ambulation transfer
• Skin integrity Braden pressure ulcer stages
• Nutrition elimination
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 2
, QUESTION 1: Nursing process ADPIE correct order and application?
A) Assessment collect subjective objective data, Diagnosis NANDA problem related to etiology AEB
signs, Planning SMART measurable goals, Implementation perform actions, Evaluation outcomes met
partially not met revise
B) No order
C) Only assessment
D) Only evaluation
CORRECT ANSWER: A) Assessment collect subjective objective data, Diagnosis
NANDA problem related to etiology AEB signs, Planning SMART measurable goals,
Implementation perform actions, Evaluation outcomes met partially not met revise
RATIONALE: ADPIE: Assessment data collection interview vital signs subjective what patient says objective
measurable, Diagnosis NANDA-I problem related to etiology as evidenced by signs PES, Planning SMART
Specific Measurable Achievable Relevant Timed goals, Implementation nursing interventions independent
dependent collaborative, Evaluation determine if goals met revise care plan.
QUESTION 2: Maslow and ABCs prioritization principle?
A) Maslow physiological oxygen fluid nutrition elimination first then safety love esteem
self-actualization, ABCs airway breathing circulation acute over chronic unstable over stable
B) No prioritization
C) Only self-actualization first
D) Only esteem
CORRECT ANSWER: A) Maslow physiological oxygen fluid nutrition elimination first
then safety love esteem self-actualization, ABCs airway breathing circulation acute
over chronic unstable over stable
RATIONALE: Prioritization: Maslow hierarchy physiological needs oxygen fluid nutrition elimination
temperature most basic first, safety security, love belonging, esteem, self-actualization top. ABCs airway
breathing circulation first, acute over chronic, unstable over stable, newly admitted post-op first, actual
problem over risk.
QUESTION 3: Therapeutic vs nontherapeutic communication?
A) Therapeutic active listening open-ended tell me more reflection clarification restating empathy
silence, Nontherapeutic false reassurance everything fine giving advice why questions closed yes/no
changing subject
B) No difference
C) Only therapeutic
D) Only nontherapeutic
CORRECT ANSWER: A) Therapeutic active listening open-ended tell me more
reflection clarification restating empathy silence, Nontherapeutic false reassurance
everything fine giving advice why questions closed yes/no changing subject
RATIONALE: Therapeutic communication techniques facilitate: active listening eye contact leaning forward,
open-ended questions tell me more, reflection mirroring feelings, clarification what do you mean, restating,
focusing, silence allows processing, empathy I understand this is difficult, summarizing. Nontherapeutic
barriers: false reassurance don't worry, giving advice you should, asking why defensive, closed questions,
minimizing, changing subject.
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 3
, QUESTION 4: NPSG and infection control precautions?
A) NPSG identify 2 identifiers hand hygiene prevent falls pressure injury, standard precautions hand
hygiene PPE, contact MRSA gown gloves, droplet flu mask 3ft, airborne TB measles N95 negative
pressure
B) No NPSG
C) Only standard
D) Only contact
CORRECT ANSWER: A) NPSG identify 2 identifiers hand hygiene prevent falls pressure
injury, standard precautions hand hygiene PPE, contact MRSA gown gloves, droplet flu
mask 3ft, airborne TB measles N95 negative pressure
RATIONALE: Safety: National Patient Safety Goals identify patients correctly 2 identifiers name DOB,
improve staff communication SBAR, hand hygiene CDC, prevent infection, prevent falls, prevent pressure
injury, prevent wrong site surgery. Infection chain agent reservoir portal exit transmission contact droplet
airborne portal entry host. Standard precautions all patients hand hygiene gloves gown mask eye protection.
Contact MRSA VRE gown gloves, droplet influenza mask within 3ft, airborne TB measles varicella N95
negative pressure airborne infection isolation room.
QUESTION 5: Vital signs normal adult and abnormal signs?
A) Temp 36.5-37.5 C 97.7-99.5 F, Pulse 60-100 tachy >100 brady <60, RR 12-20 tachypnea
bradypnea, BP <120/80 elevated 120-129/<80 HTN stage1 130-139/80-89 stage2 ≥140/90, SpO2
>95% <90 hypoxia, Pain 0-10
B) No ranges
C) Only temp
D) Only BP
CORRECT ANSWER: A) Temp 36.5-37.5 C 97.7-99.5 F, Pulse 60-100 tachy >100 brady
<60, RR 12-20 tachypnea bradypnea, BP <120/80 elevated 120-129/<80 HTN stage1
130-139/80-89 stage2 ≥140/90, SpO2 >95% <90 hypoxia, Pain 0-10
RATIONALE: Vital signs: Temperature 36.5-37.5 C 97.7-99.5 F fever hyperthermia >38 C hypothermia <35,
Pulse 60-100 tachycardia >100 bradycardia <60 regular irregular, Respirations 12-20 eupnea tachypnea
>20 bradypnea <12, Blood Pressure <120/80 normal elevated 120-129/<80 stage1 HTN 130-139/80-89
stage2 ≥140/90 hypotension <90/60, SpO2 >95% normal 90-95 caution <90 hypoxia, Pain 0 no 10 worst
PQRST assessment.
QUESTION 6: Nursing process ADPIE correct order and application?
A) Assessment collect subjective objective data, Diagnosis NANDA problem related to etiology AEB
signs, Planning SMART measurable goals, Implementation perform actions, Evaluation outcomes met
partially not met revise
B) No order
C) Only assessment
D) Only evaluation
CORRECT ANSWER: A) Assessment collect subjective objective data, Diagnosis
NANDA problem related to etiology AEB signs, Planning SMART measurable goals,
Implementation perform actions, Evaluation outcomes met partially not met revise
RATIONALE: ADPIE: Assessment data collection interview vital signs subjective what patient says objective
measurable, Diagnosis NANDA-I problem related to etiology as evidenced by signs PES, Planning SMART
NURS 2058 Dimensions Nursing Practice Rasmussen 2026/2027 Exam1 150Q Page 4
