NUR 2058 Final Exam Actual Exam V1 | 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. The nurse supports the patient’s decision even though they personally disagree.
Which ethical principle is being demonstrated?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without interference. The nurse must respect this self-determination even when it conflicts
with medical advice or personal values. This principle is a fundamental aspect of
professional nursing ethics and patient-centered care.
2. A nurse manager encourages staff to participate in decision-making and focuses on the
growth and development of the team to achieve a shared vision. Which leadership style does
this represent?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Transformational leadership involves motivating followers by appealing to
higher ideals and moral values. These leaders encourage innovation and include staff in the
decision-making process to improve the organization. This style is highly effective in
complex healthcare environments where change is frequent.
3. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been on the
same unit for 2 to 3 years and can anticipate nursing actions based on experience is at which
level?
A. Novice
B. Advanced Beginner
C. Proficient
,D. Competent
Answer: D
Rationale: The competent nurse has typically been in the same clinical position for two to
three years. This nurse understands the organization and specific tools of the clinical
environment and can perform tasks efficiently. They are able to coordinate multiple
complex care demands but may still lack the speed and flexibility of the proficient nurse.
4. When searching for the best evidence to answer a clinical question, which of the following
is considered the highest level of evidence?
A. Systematic reviews of randomized controlled trials (RCTs)
B. Single randomized controlled trials
C. Expert opinion and committee reports
D. Case-control studies
Answer: A
Rationale: The hierarchy of evidence places systematic reviews and meta-analyses of all
relevant RCTs at the top (Level I). These studies synthesize findings from multiple sources
to provide a more robust conclusion than a single study. Utilizing this level of evidence
ensures that nursing practice is based on the most rigorous data available.
5. A nurse administers the wrong dose of medication to a patient, resulting in a prolonged
hospital stay. The nurse’s actions meet the criteria for which of the following?
A. Battery
B. Malpractice
C. Assault
D. Slander
Answer: B
Rationale: Malpractice is a type of negligence that occurs when a professional fails to
follow the standard of care, resulting in harm to a patient. To prove malpractice, four
elements must be present: duty, breach of duty, causation, and damages. In this case, the
medication error (breach) directly caused the patient harm (damages).
6. The nurse is practicing ‘non-maleficence’ when they perform which of the following
actions?
A. Providing pain medication as soon as it is requested
B. Allocating resources fairly among all patients on the unit
C. Avoiding the performance of an unnecessary procedure that could cause harm
, D. Telling the truth to a patient about their diagnosis
Answer: C
Rationale: Non-maleficence means to ‘do no harm.’ It requires the nurse to avoid actions
that could cause injury or suffering to the patient. This principle is often balanced with
beneficence, which is the duty to do good for the patient.
7. What is the primary purpose of the Nurse Practice Act (NPA) in each state?
A. To protect the nursing profession’s reputation
B. To ensure that nurses receive competitive salaries
C. To protect the public by defining the scope of nursing practice
D. To provide guidelines for nursing education accreditation
Answer: C
Rationale: The Nurse Practice Act is a state law that defines the legal scope of nursing
practice within that state. Its primary goal is to protect the health, safety, and welfare of the
public from incompetent practitioners. Nurses are legally responsible for knowing and
following the NPA in the state where they practice.
8. A nurse uses the PICO(T) format to develop a clinical question. What does the ‘I’ in PICO(T)
stand for?
A. Implementation
B. Instruction
C. Information
D. Intervention
Answer: D
Rationale: PICO(T) is a framework used to formulate evidence-based questions. ‘P’ stands
for Population, ‘I’ for Intervention, ‘C’ for Comparison, ‘O’ for Outcome, and ‘T’ for Time.
Identifying a specific intervention allows the nurse to target their search for relevant
research.
9. Which nursing theorist’s model focuses on the 14 basic needs of the patient and the goal of
nursing to help the patient gain independence?
A. Florence Nightingale
B. Jean Watson
C. Virginia Henderson
D. Dorothea Orem
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. The nurse supports the patient’s decision even though they personally disagree.
Which ethical principle is being demonstrated?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without interference. The nurse must respect this self-determination even when it conflicts
with medical advice or personal values. This principle is a fundamental aspect of
professional nursing ethics and patient-centered care.
2. A nurse manager encourages staff to participate in decision-making and focuses on the
growth and development of the team to achieve a shared vision. Which leadership style does
this represent?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: A
Rationale: Transformational leadership involves motivating followers by appealing to
higher ideals and moral values. These leaders encourage innovation and include staff in the
decision-making process to improve the organization. This style is highly effective in
complex healthcare environments where change is frequent.
3. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been on the
same unit for 2 to 3 years and can anticipate nursing actions based on experience is at which
level?
A. Novice
B. Advanced Beginner
C. Proficient
,D. Competent
Answer: D
Rationale: The competent nurse has typically been in the same clinical position for two to
three years. This nurse understands the organization and specific tools of the clinical
environment and can perform tasks efficiently. They are able to coordinate multiple
complex care demands but may still lack the speed and flexibility of the proficient nurse.
4. When searching for the best evidence to answer a clinical question, which of the following
is considered the highest level of evidence?
A. Systematic reviews of randomized controlled trials (RCTs)
B. Single randomized controlled trials
C. Expert opinion and committee reports
D. Case-control studies
Answer: A
Rationale: The hierarchy of evidence places systematic reviews and meta-analyses of all
relevant RCTs at the top (Level I). These studies synthesize findings from multiple sources
to provide a more robust conclusion than a single study. Utilizing this level of evidence
ensures that nursing practice is based on the most rigorous data available.
5. A nurse administers the wrong dose of medication to a patient, resulting in a prolonged
hospital stay. The nurse’s actions meet the criteria for which of the following?
A. Battery
B. Malpractice
C. Assault
D. Slander
Answer: B
Rationale: Malpractice is a type of negligence that occurs when a professional fails to
follow the standard of care, resulting in harm to a patient. To prove malpractice, four
elements must be present: duty, breach of duty, causation, and damages. In this case, the
medication error (breach) directly caused the patient harm (damages).
6. The nurse is practicing ‘non-maleficence’ when they perform which of the following
actions?
A. Providing pain medication as soon as it is requested
B. Allocating resources fairly among all patients on the unit
C. Avoiding the performance of an unnecessary procedure that could cause harm
, D. Telling the truth to a patient about their diagnosis
Answer: C
Rationale: Non-maleficence means to ‘do no harm.’ It requires the nurse to avoid actions
that could cause injury or suffering to the patient. This principle is often balanced with
beneficence, which is the duty to do good for the patient.
7. What is the primary purpose of the Nurse Practice Act (NPA) in each state?
A. To protect the nursing profession’s reputation
B. To ensure that nurses receive competitive salaries
C. To protect the public by defining the scope of nursing practice
D. To provide guidelines for nursing education accreditation
Answer: C
Rationale: The Nurse Practice Act is a state law that defines the legal scope of nursing
practice within that state. Its primary goal is to protect the health, safety, and welfare of the
public from incompetent practitioners. Nurses are legally responsible for knowing and
following the NPA in the state where they practice.
8. A nurse uses the PICO(T) format to develop a clinical question. What does the ‘I’ in PICO(T)
stand for?
A. Implementation
B. Instruction
C. Information
D. Intervention
Answer: D
Rationale: PICO(T) is a framework used to formulate evidence-based questions. ‘P’ stands
for Population, ‘I’ for Intervention, ‘C’ for Comparison, ‘O’ for Outcome, and ‘T’ for Time.
Identifying a specific intervention allows the nurse to target their search for relevant
research.
9. Which nursing theorist’s model focuses on the 14 basic needs of the patient and the goal of
nursing to help the patient gain independence?
A. Florence Nightingale
B. Jean Watson
C. Virginia Henderson
D. Dorothea Orem
