NUR 2058 Final Exam Actual Exam V2 | 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 honoring the patient’s request?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the patient’s inherent right to make their own healthcare
decisions without coercion. The nurse demonstrates respect for this principle by
facilitating the refusal despite the clinical outcome. This analysis shows that self-
determination takes precedence over the provider’s personal views in an ethical
framework.
2. Which element is required to prove a case of professional negligence (malpractice) against
a nurse?
A. The nurse was having a bad day and was tired
B. The patient was dissatisfied with the food provided
C. A breach of duty occurred where the nurse failed to meet the standard of care
D. The nurse did not introduce themselves to the family
Answer: C
Rationale: For a negligence claim to be successful, four elements must be proven: duty,
breach of duty, causation, and damages. A breach of duty occurs when the nurse fails to act
as a reasonably prudent nurse would in a similar situation. This standard ensures that
professional accountability is based on clinical performance rather than subjective factors
like patient satisfaction.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assisting a stable patient with activities of daily living (ADLs)
B. Assessing a patient’s surgical wound for signs of infection
C. Teaching a patient how to administer insulin injections
D. Evaluating the effectiveness of pain medication given 30 minutes ago
,Answer: A
Rationale: The nurse should only delegate tasks that do not involve the nursing process,
such as assessment, planning, or evaluation. Assisting with ADLs for a stable patient falls
under the scope of a UAP’s responsibilities. Proper delegation ensures that the RN focuses
on complex clinical decision-making while maintaining patient safety.
4. What is the primary purpose of the State Nurse Practice Act?
A. To define the scope of practice and protect the public from unsafe practitioners
B. To guarantee high salaries for registered nurses
C. To provide a list of hospitals where nurses can work
D. To offer scholarships for nursing students
Answer: A
Rationale: The Nurse Practice Act is a statutory law enacted by each state to regulate the
profession and protect the health, safety, and welfare of the public. It defines the legal
boundaries of nursing practice and sets requirements for licensure. Understanding this act
is critical for nurses to ensure they operate within their legal authority.
5. In the SBAR communication tool, which component involves the nurse providing their
recommendation for patient care?
A. S (Situation)
B. B (Background)
C. A (Assessment)
D. R (Recommendation)
E. None of the above
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘R’ component is where the nurse suggests a specific action or intervention to the
healthcare provider. This structured communication improves patient safety by ensuring
that critical information is conveyed clearly and concisely.
6. A nurse observes a colleague taking a patient’s controlled substances for personal use.
What is the nurse’s primary responsibility?
A. Report the observation to the nurse manager or supervisor immediately
B. Ignore the behavior to maintain a good working relationship
C. Wait until the end of the week to see if it happens again
D. Talk to the colleague and ask them to share the medication
, Answer: A
Rationale: Professional ethics and legal standards require nurses to report impaired
colleagues to protect patient safety. Failure to report can lead to patient harm and legal
liability for the witnessing nurse. Reporting ensures the colleague receives help and the
patients are protected from potential medication errors.
7. Which ethical principle is defined as ‘the duty to do good and act in the best interest of the
patient’?
A. Beneficence
B. Veracity
C. Fidelity
D. Justice
Answer: A
Rationale: Beneficence is the ethical obligation to act for the benefit of others and balance
benefits against risks. It requires the nurse to perform actions that promote the patient’s
well-being. This principle often guides clinical interventions aimed at healing and comfort.
8. A nurse realizes she gave the wrong dose of a medication. What should be her first action?
A. Call the pharmacy to ask if the dose is safe
B. Assess the patient’s condition and vital signs
C. Complete an incident report and hide it in the chart
D. Call the provider to apologize
Answer: B
Rationale: Patient safety is the top priority following a medication error, so an immediate
assessment is necessary. The nurse must check for adverse effects or changes in clinical
status before proceeding with reporting. Once the patient is stabilized, the nurse should
then notify the provider and complete the required facility documentation.
9. Which type of law is created by government agencies, such as the State Board of Nursing?
A. Administrative Law
B. Common Law
C. Statutory Law
D. Criminal Law
Answer: A
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 honoring the patient’s request?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the patient’s inherent right to make their own healthcare
decisions without coercion. The nurse demonstrates respect for this principle by
facilitating the refusal despite the clinical outcome. This analysis shows that self-
determination takes precedence over the provider’s personal views in an ethical
framework.
2. Which element is required to prove a case of professional negligence (malpractice) against
a nurse?
A. The nurse was having a bad day and was tired
B. The patient was dissatisfied with the food provided
C. A breach of duty occurred where the nurse failed to meet the standard of care
D. The nurse did not introduce themselves to the family
Answer: C
Rationale: For a negligence claim to be successful, four elements must be proven: duty,
breach of duty, causation, and damages. A breach of duty occurs when the nurse fails to act
as a reasonably prudent nurse would in a similar situation. This standard ensures that
professional accountability is based on clinical performance rather than subjective factors
like patient satisfaction.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assisting a stable patient with activities of daily living (ADLs)
B. Assessing a patient’s surgical wound for signs of infection
C. Teaching a patient how to administer insulin injections
D. Evaluating the effectiveness of pain medication given 30 minutes ago
,Answer: A
Rationale: The nurse should only delegate tasks that do not involve the nursing process,
such as assessment, planning, or evaluation. Assisting with ADLs for a stable patient falls
under the scope of a UAP’s responsibilities. Proper delegation ensures that the RN focuses
on complex clinical decision-making while maintaining patient safety.
4. What is the primary purpose of the State Nurse Practice Act?
A. To define the scope of practice and protect the public from unsafe practitioners
B. To guarantee high salaries for registered nurses
C. To provide a list of hospitals where nurses can work
D. To offer scholarships for nursing students
Answer: A
Rationale: The Nurse Practice Act is a statutory law enacted by each state to regulate the
profession and protect the health, safety, and welfare of the public. It defines the legal
boundaries of nursing practice and sets requirements for licensure. Understanding this act
is critical for nurses to ensure they operate within their legal authority.
5. In the SBAR communication tool, which component involves the nurse providing their
recommendation for patient care?
A. S (Situation)
B. B (Background)
C. A (Assessment)
D. R (Recommendation)
E. None of the above
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘R’ component is where the nurse suggests a specific action or intervention to the
healthcare provider. This structured communication improves patient safety by ensuring
that critical information is conveyed clearly and concisely.
6. A nurse observes a colleague taking a patient’s controlled substances for personal use.
What is the nurse’s primary responsibility?
A. Report the observation to the nurse manager or supervisor immediately
B. Ignore the behavior to maintain a good working relationship
C. Wait until the end of the week to see if it happens again
D. Talk to the colleague and ask them to share the medication
, Answer: A
Rationale: Professional ethics and legal standards require nurses to report impaired
colleagues to protect patient safety. Failure to report can lead to patient harm and legal
liability for the witnessing nurse. Reporting ensures the colleague receives help and the
patients are protected from potential medication errors.
7. Which ethical principle is defined as ‘the duty to do good and act in the best interest of the
patient’?
A. Beneficence
B. Veracity
C. Fidelity
D. Justice
Answer: A
Rationale: Beneficence is the ethical obligation to act for the benefit of others and balance
benefits against risks. It requires the nurse to perform actions that promote the patient’s
well-being. This principle often guides clinical interventions aimed at healing and comfort.
8. A nurse realizes she gave the wrong dose of a medication. What should be her first action?
A. Call the pharmacy to ask if the dose is safe
B. Assess the patient’s condition and vital signs
C. Complete an incident report and hide it in the chart
D. Call the provider to apologize
Answer: B
Rationale: Patient safety is the top priority following a medication error, so an immediate
assessment is necessary. The nurse must check for adverse effects or changes in clinical
status before proceeding with reporting. Once the patient is stabilized, the nurse should
then notify the provider and complete the required facility documentation.
9. Which type of law is created by government agencies, such as the State Board of Nursing?
A. Administrative Law
B. Common Law
C. Statutory Law
D. Criminal Law
Answer: A
