NUR 2058 Final Exam Actual Exam V3 | NUR 2058 Dimensions of
Nursing Practice (NUR2058 Final Exam) | Rasmussen
1. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. Which ethical principle is the nurse upholding by respecting this decision?
A. Justice
B. Beneficence
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding healthcare even if those decisions conflict with medical advice. By supporting the
patient’s choice to refuse treatment, the nurse prioritizes the individual’s self-
determination over clinical outcomes. This principle is fundamental in nursing practice to
ensure patient-centered care and legal compliance with informed refusal.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), which of the following
‘Five Rights of Delegation’ is being applied when the nurse ensures the UAP has the proper
equipment?
A. Right Task
B. Right Supervision
C. Right Direction
D. Right Circumstance
Answer: D
Rationale: The Right Circumstance involves ensuring that the patient’s condition is stable
and that necessary resources, including equipment and staffing, are available. The nurse
must assess whether the environment is appropriate for the task to be performed safely by
the UAP. Providing the correct tools is a critical component of setting the delegate up for
success in a safe clinical context.
3. A nurse manager is encouraging staff to participate in decision-making and values their
input on unit policies. Which leadership style is the nurse manager exhibiting?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Bureaucratic
Answer: A
Rationale: Democratic leadership, also known as participative leadership, encourages
group discussion and decision-making among team members. This style fosters a sense of
ownership and increases morale within the nursing unit by valuing the professional
expertise of the staff. It contrasts with autocratic leadership, where the leader makes all
decisions without input from subordinates.
4. A nurse documents that a patient was ‘difficult and uncooperative’ after a disagreement.
This type of documentation can lead to which legal liability?
A. Assault
B. Slander
C. Battery
D. Libel
Answer: D
Rationale: Libel is a form of defamation that involves written communication that can
damage a person’s reputation or character. Nurses should document objective
observations rather than subjective labels or judgments to avoid legal repercussions.
Professional documentation must focus on specific behaviors and interventions to provide
a factual account of patient care.
5. What is the primary purpose of the Nurse Practice Act (NPA) in each state?
A. To set the national standard for nursing education
B. To define the scope of nursing practice and protect the public
C. To provide a framework for nursing salary negotiations
D. To determine the number of nurses required for hospital staffing
Answer: B
Rationale: The Nurse Practice Act is a state-level law that establishes the legal boundaries
of nursing practice to ensure that practitioners are competent. Its main objective is to
safeguard the health and safety of the public by regulating who can practice and what they
can do. Each state’s Board of Nursing enforces these acts to maintain professional
standards and accountability.
6. A nurse is using the SBAR tool to communicate with a physician. Which component of SBAR
is the nurse using when describing the patient’s current vital signs?
A. Background
B. Situation
, C. Assessment
D. Recommendation
Answer: B
Rationale: The Situation component of SBAR involves a concise statement of the problem
and current clinical data such as vital signs or the reason for the call. It provides the
immediate context for the communication so the receiver understands the urgency.
Effective use of Situation helps streamline clinical handovers and reduces the risk of
communication errors.
7. According to the American Nurses Association (ANA), which of the following is a core
characteristic of nursing as a profession?
A. Dependency on physician orders for all actions
B. Strict adherence to traditional hospital policies
C. A specialized body of knowledge and code of ethics
D. Prioritizing tasks over patient interaction
Answer: C
Rationale: Professionalism in nursing is defined by having a distinct body of knowledge,
specialized training, and a commitment to a code of ethics. This professional identity allows
nurses to exercise clinical judgment and maintain autonomy within their scope of practice.
The ANA highlights these traits to differentiate nursing from a technical vocation and
emphasize its scientific and ethical foundation.
8. Which QSEN competency focuses on using data to monitor the outcomes of care processes
and improve the quality and safety of healthcare systems?
A. Informatics
B. Evidence-Based Practice
C. Safety
D. Quality Improvement
Answer: D
Rationale: Quality Improvement (QI) involves the use of methods to design and test
changes to continuously improve the quality and safety of healthcare. It requires nurses to
analyze data over time to see if interventions are effective and to identify areas where
errors occur. QI is essential for moving healthcare towards better patient outcomes and
more efficient systems.
Nursing Practice (NUR2058 Final Exam) | Rasmussen
1. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious
beliefs. Which ethical principle is the nurse upholding by respecting this decision?
A. Justice
B. Beneficence
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding healthcare even if those decisions conflict with medical advice. By supporting the
patient’s choice to refuse treatment, the nurse prioritizes the individual’s self-
determination over clinical outcomes. This principle is fundamental in nursing practice to
ensure patient-centered care and legal compliance with informed refusal.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), which of the following
‘Five Rights of Delegation’ is being applied when the nurse ensures the UAP has the proper
equipment?
A. Right Task
B. Right Supervision
C. Right Direction
D. Right Circumstance
Answer: D
Rationale: The Right Circumstance involves ensuring that the patient’s condition is stable
and that necessary resources, including equipment and staffing, are available. The nurse
must assess whether the environment is appropriate for the task to be performed safely by
the UAP. Providing the correct tools is a critical component of setting the delegate up for
success in a safe clinical context.
3. A nurse manager is encouraging staff to participate in decision-making and values their
input on unit policies. Which leadership style is the nurse manager exhibiting?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Bureaucratic
Answer: A
Rationale: Democratic leadership, also known as participative leadership, encourages
group discussion and decision-making among team members. This style fosters a sense of
ownership and increases morale within the nursing unit by valuing the professional
expertise of the staff. It contrasts with autocratic leadership, where the leader makes all
decisions without input from subordinates.
4. A nurse documents that a patient was ‘difficult and uncooperative’ after a disagreement.
This type of documentation can lead to which legal liability?
A. Assault
B. Slander
C. Battery
D. Libel
Answer: D
Rationale: Libel is a form of defamation that involves written communication that can
damage a person’s reputation or character. Nurses should document objective
observations rather than subjective labels or judgments to avoid legal repercussions.
Professional documentation must focus on specific behaviors and interventions to provide
a factual account of patient care.
5. What is the primary purpose of the Nurse Practice Act (NPA) in each state?
A. To set the national standard for nursing education
B. To define the scope of nursing practice and protect the public
C. To provide a framework for nursing salary negotiations
D. To determine the number of nurses required for hospital staffing
Answer: B
Rationale: The Nurse Practice Act is a state-level law that establishes the legal boundaries
of nursing practice to ensure that practitioners are competent. Its main objective is to
safeguard the health and safety of the public by regulating who can practice and what they
can do. Each state’s Board of Nursing enforces these acts to maintain professional
standards and accountability.
6. A nurse is using the SBAR tool to communicate with a physician. Which component of SBAR
is the nurse using when describing the patient’s current vital signs?
A. Background
B. Situation
, C. Assessment
D. Recommendation
Answer: B
Rationale: The Situation component of SBAR involves a concise statement of the problem
and current clinical data such as vital signs or the reason for the call. It provides the
immediate context for the communication so the receiver understands the urgency.
Effective use of Situation helps streamline clinical handovers and reduces the risk of
communication errors.
7. According to the American Nurses Association (ANA), which of the following is a core
characteristic of nursing as a profession?
A. Dependency on physician orders for all actions
B. Strict adherence to traditional hospital policies
C. A specialized body of knowledge and code of ethics
D. Prioritizing tasks over patient interaction
Answer: C
Rationale: Professionalism in nursing is defined by having a distinct body of knowledge,
specialized training, and a commitment to a code of ethics. This professional identity allows
nurses to exercise clinical judgment and maintain autonomy within their scope of practice.
The ANA highlights these traits to differentiate nursing from a technical vocation and
emphasize its scientific and ethical foundation.
8. Which QSEN competency focuses on using data to monitor the outcomes of care processes
and improve the quality and safety of healthcare systems?
A. Informatics
B. Evidence-Based Practice
C. Safety
D. Quality Improvement
Answer: D
Rationale: Quality Improvement (QI) involves the use of methods to design and test
changes to continuously improve the quality and safety of healthcare. It requires nurses to
analyze data over time to see if interventions are effective and to identify areas where
errors occur. QI is essential for moving healthcare towards better patient outcomes and
more efficient systems.
