NUR 2058 Exam 3 Actual Exam V1 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 3) | Rasmussen
1. A nurse is caring for a patient who refuses to take a prescribed medication because it
causes nausea. The nurse decides to withhold the medication and documents the patient’s
refusal. Which ethical principle is the nurse primarily demonstrating?
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare, including the right to refuse treatment. By respecting the
patient’s choice to refuse the medication, the nurse is upholding this principle. This
requires that the patient is fully informed of the consequences of their decision before the
nurse accepts the refusal.
2. Which action by the nurse best illustrates the professional value of social justice?
A. Ensuring the patient’s privacy is maintained during a physical examination
B. Providing the same standard of care to a homeless patient as to a wealthy patient
C. Reporting a medication error immediately after it occurs
D. Allowing a patient to select their own meal from a hospital menu
Answer: B
Rationale: Social justice in nursing involves ensuring that healthcare resources and quality
care are distributed fairly regardless of social or economic status. By treating a homeless
patient with the same standard of care as a wealthy one, the nurse is acting on the principle
of equality and fairness. This professional value is essential for reducing healthcare
disparities in the community.
3. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a new admission for skin breakdown
B. Evaluating the patient’s response to pain medication
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with ambulation in the hallway
,Answer: D
Rationale: Delegation to UAPs should focus on routine tasks that do not require clinical
judgment or complex assessment. Assisting a stable patient with ambulation is a standard
task that falls within the UAP’s scope of responsibility. Assessment, teaching, and
evaluation are functions that must be performed by a registered nurse.
4. A nurse manager is using transformational leadership to improve unit morale. Which
behavior is characteristic of this leadership style?
A. Providing rewards for nurses who work extra shifts
B. Using disciplinary action to correct poor performance
C. Closely monitoring staff to ensure they follow policy
D. Inspiring the staff with a shared vision for the unit’s future
Answer: D
Rationale: Transformational leaders focus on inspiring and motivating their team to
achieve their highest potential and a shared vision. They encourage innovation and
personal growth rather than relying solely on rewards and punishments. This style is
highly effective in professional nursing environments to drive change and improve
organizational outcomes.
5. A nurse realizes they administered the wrong dosage of a medication. What is the first
priority action the nurse should take?
A. Assess the patient for adverse effects
B. Notify the healthcare provider
C. Complete an incident report
D. Call the pharmacy to verify the correct dose
Answer: A
Rationale: The safety and well-being of the patient are the primary concerns in the event
of a medication error. The nurse must first assess the patient’s physical condition to
identify any immediate harm or need for intervention. Following the assessment, the nurse
should then notify the provider and complete the required documentation according to
facility policy.
6. Which ethical principle is violated if a nurse tells a patient that their lab results were
normal when they actually show an abnormality, in order to keep the patient from worrying?
A. Fidelity
B. Confidentiality
C. Veracity
, D. Beneficence
Answer: C
Rationale: Veracity is the obligation to tell the truth and not mislead or deceive patients.
By lying about the lab results, the nurse fails to be honest, even if the intent was to prevent
anxiety. Truth-telling is fundamental to maintaining a trusting relationship between the
nurse and the patient.
7. In the context of nursing informatics, which of the following is the primary purpose of the
Electronic Health Record (EHR)?
A. To reduce the amount of time nurses spend at the bedside
B. To provide a secure, accessible, and comprehensive history of patient health
C. To allow billing departments to process insurance claims faster
D. To replace the need for verbal communication among the healthcare team
Answer: B
Rationale: The EHR is designed to integrate all aspects of a patient’s care into a single
digital record that is accessible to authorized providers. This facilitates better coordination
of care and improves patient safety through real-time data access. While it assists with
billing and communication, its primary clinical purpose is the continuity and
comprehensiveness of health information.
8. A nurse is preparing to participate in a root cause analysis (RCA) regarding a sentinel event.
What is the main objective of an RCA?
A. To determine which staff member is responsible for the error
B. To discipline the individual who caused the incident
C. To prepare a legal defense for the hospital
D. To identify system-level factors that contributed to the event
Answer: D
Rationale: A Root Cause Analysis is a process used to identify the underlying systems
failures that lead to adverse events. The focus is on processes rather than individual blame,
aiming to prevent the recurrence of similar incidents. This approach supports a ‘just
culture’ where safety improvements are prioritized over punishment.
9. A patient is scheduled for surgery and expresses doubt about the procedure. The nurse
notices the consent form is signed but the patient states, ‘I’m not really sure why I need this.’
What is the nurse’s best action?
A. Notify the surgeon that the patient needs further explanation
B. Reassure the patient that the surgeon is highly skilled
Practice (NUR2058 Exam 3) | Rasmussen
1. A nurse is caring for a patient who refuses to take a prescribed medication because it
causes nausea. The nurse decides to withhold the medication and documents the patient’s
refusal. Which ethical principle is the nurse primarily demonstrating?
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Justice
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare, including the right to refuse treatment. By respecting the
patient’s choice to refuse the medication, the nurse is upholding this principle. This
requires that the patient is fully informed of the consequences of their decision before the
nurse accepts the refusal.
2. Which action by the nurse best illustrates the professional value of social justice?
A. Ensuring the patient’s privacy is maintained during a physical examination
B. Providing the same standard of care to a homeless patient as to a wealthy patient
C. Reporting a medication error immediately after it occurs
D. Allowing a patient to select their own meal from a hospital menu
Answer: B
Rationale: Social justice in nursing involves ensuring that healthcare resources and quality
care are distributed fairly regardless of social or economic status. By treating a homeless
patient with the same standard of care as a wealthy one, the nurse is acting on the principle
of equality and fairness. This professional value is essential for reducing healthcare
disparities in the community.
3. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a new admission for skin breakdown
B. Evaluating the patient’s response to pain medication
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with ambulation in the hallway
,Answer: D
Rationale: Delegation to UAPs should focus on routine tasks that do not require clinical
judgment or complex assessment. Assisting a stable patient with ambulation is a standard
task that falls within the UAP’s scope of responsibility. Assessment, teaching, and
evaluation are functions that must be performed by a registered nurse.
4. A nurse manager is using transformational leadership to improve unit morale. Which
behavior is characteristic of this leadership style?
A. Providing rewards for nurses who work extra shifts
B. Using disciplinary action to correct poor performance
C. Closely monitoring staff to ensure they follow policy
D. Inspiring the staff with a shared vision for the unit’s future
Answer: D
Rationale: Transformational leaders focus on inspiring and motivating their team to
achieve their highest potential and a shared vision. They encourage innovation and
personal growth rather than relying solely on rewards and punishments. This style is
highly effective in professional nursing environments to drive change and improve
organizational outcomes.
5. A nurse realizes they administered the wrong dosage of a medication. What is the first
priority action the nurse should take?
A. Assess the patient for adverse effects
B. Notify the healthcare provider
C. Complete an incident report
D. Call the pharmacy to verify the correct dose
Answer: A
Rationale: The safety and well-being of the patient are the primary concerns in the event
of a medication error. The nurse must first assess the patient’s physical condition to
identify any immediate harm or need for intervention. Following the assessment, the nurse
should then notify the provider and complete the required documentation according to
facility policy.
6. Which ethical principle is violated if a nurse tells a patient that their lab results were
normal when they actually show an abnormality, in order to keep the patient from worrying?
A. Fidelity
B. Confidentiality
C. Veracity
, D. Beneficence
Answer: C
Rationale: Veracity is the obligation to tell the truth and not mislead or deceive patients.
By lying about the lab results, the nurse fails to be honest, even if the intent was to prevent
anxiety. Truth-telling is fundamental to maintaining a trusting relationship between the
nurse and the patient.
7. In the context of nursing informatics, which of the following is the primary purpose of the
Electronic Health Record (EHR)?
A. To reduce the amount of time nurses spend at the bedside
B. To provide a secure, accessible, and comprehensive history of patient health
C. To allow billing departments to process insurance claims faster
D. To replace the need for verbal communication among the healthcare team
Answer: B
Rationale: The EHR is designed to integrate all aspects of a patient’s care into a single
digital record that is accessible to authorized providers. This facilitates better coordination
of care and improves patient safety through real-time data access. While it assists with
billing and communication, its primary clinical purpose is the continuity and
comprehensiveness of health information.
8. A nurse is preparing to participate in a root cause analysis (RCA) regarding a sentinel event.
What is the main objective of an RCA?
A. To determine which staff member is responsible for the error
B. To discipline the individual who caused the incident
C. To prepare a legal defense for the hospital
D. To identify system-level factors that contributed to the event
Answer: D
Rationale: A Root Cause Analysis is a process used to identify the underlying systems
failures that lead to adverse events. The focus is on processes rather than individual blame,
aiming to prevent the recurrence of similar incidents. This approach supports a ‘just
culture’ where safety improvements are prioritized over punishment.
9. A patient is scheduled for surgery and expresses doubt about the procedure. The nurse
notices the consent form is signed but the patient states, ‘I’m not really sure why I need this.’
What is the nurse’s best action?
A. Notify the surgeon that the patient needs further explanation
B. Reassure the patient that the surgeon is highly skilled
