NUR 2058 Exam 4 Actual Exam V3 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 4) | Rasmussen
1. A nurse manager is implementing a new electronic health record system and encounters
resistance from staff who find the technology cumbersome. Which leadership strategy would
be most effective in fostering acceptance of this change?
A. Mandate that all staff complete training within 24 hours or face disciplinary action.
B. Avoid discussing the drawbacks and focus only on the legal requirements of the system.
C. Request the IT department to simplify the system after the full rollout is complete.
D. Identify early adopters among the staff to act as ‘super-users’ and provide peer support.
Answer: D
Rationale: Utilizing early adopters as peer mentors is a key strategy in change
management, particularly in the ‘moving’ stage of Lewin’s change theory. This approach
builds trust and provides accessible troubleshooting for hesitant staff members. It shifts
the perception of change from a top-down mandate to a collaborative professional
improvement.
2. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and an
unlicensed assistive personnel (UAP) on a medical-surgical unit. Which task is most
appropriate for the RN to delegate to the LPN?
A. Performing the initial admission assessment on a patient with chest pain.
B. Administering a scheduled subcutaneous insulin injection to a stable patient.
C. Developing the nursing care plan for a patient with newly diagnosed diabetes.
D. Providing discharge education regarding complex wound care to the family.
Answer: B
Rationale: LPNs can perform routine procedures and administer most medications to
stable patients. Initial assessments, care plan development, and complex discharge
teaching are the responsibility of the RN and cannot be delegated. This reflects the RN’s
role in clinical judgment and evaluation.
3. In the context of nursing ethics, the principle of ‘veracity’ is best demonstrated by which of
the following actions?
A. Ensuring the patient has the right to refuse a life-saving blood transfusion.
B. Allocating nursing resources based on the acuity of the patients on the floor.
C. Admitting to a patient that a medication error occurred, even if no harm was done.
,D. Performing a procedure safely to prevent any unnecessary suffering for the patient.
Answer: C
Rationale: Veracity refers to the ethical obligation to tell the truth and not mislead
patients. Admitting an error is a direct application of this principle and is essential for
maintaining professional integrity. This fosters a culture of transparency and patient safety
within the healthcare environment.
4. A nurse is caring for a patient who has been diagnosed with terminal cancer. The patient’s
family requests that the nurse not tell the patient the diagnosis. Which action by the nurse
most aligns with professional ethical standards?
A. Consult with the healthcare provider and the ethics committee to ensure the patient’s
right to know is respected.
B. Tell the patient immediately regardless of the family’s or physician’s input.
C. Respect the family’s wishes to prevent the patient from losing hope.
D. Ask the family to sign a legal waiver that protects the nurse from being sued for
withholding information.
Answer: A
Rationale: The patient has a right to autonomy and informed consent, which includes
knowing their diagnosis. While the family’s concerns are noted, the nurse’s primary duty is
to the patient. Involving the ethics committee and the provider ensures a multidisciplinary
approach to resolving the conflict between beneficence and autonomy.
5. Which of the following is a required element for a legal claim of nursing malpractice to be
successful?
A. The nurse must have intended to cause harm to the patient.
B. There must be a direct causal link between the nurse’s breach of duty and the patient’s
injury.
C. The patient must have been dissatisfied with the quality of care provided.
D. The nurse must have failed to follow the patient’s verbal preferences for care.
Answer: B
Rationale: Malpractice requires four elements: duty, breach of duty, causation, and
damages. Causation means the injury would not have occurred if the nurse had followed
the standard of care. Without this direct link, a legal claim for negligence or malpractice
cannot be sustained.
6. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a physician. Which statement represents the ‘A’ in SBAR?
A. ‘The patient’s heart rate is 110 and blood pressure is 90/60.’
, B. ‘I believe the patient is developing hypovolemic shock due to post-operative bleeding.’
C. ‘I suggest we start an IV bolus of Normal Saline immediately.’
D. ‘The patient was admitted two days ago for a total hip arthroplasty.’
Answer: B
Rationale: The ‘A’ in SBAR stands for Assessment, where the nurse provides their
professional conclusion about what is happening. Option A is Situation/Background data,
Option C is Recommendation, and Option D is Background. Assessment requires the nurse
to synthesize clinical data into a logical interpretation.
7. A nurse is advocating for a change in hospital policy regarding visiting hours to improve
patient-centered care. This is an example of which nursing role?
A. Case Manager
B. Educator
C. Researcher
D. Change Agent
Answer: D
Rationale: A change agent is an individual who leads or facilitates the improvement of
systems and processes within an organization. By advocating for policy changes to improve
patient outcomes, the nurse is acting as a catalyst for organizational growth. This role is
vital for advancing the professional dimensions of nursing practice.
8. When applying the principle of ‘Justice’ in a clinical setting, how should a nurse prioritize
care?
A. By providing the most care to the patients who are the most vocal about their needs.
B. By treating patients with private insurance before those with government-funded
insurance.
C. By ensuring that healthcare resources are distributed fairly based on clinical need.
D. By following the orders of the physician who has the most seniority in the hospital.
Answer: C
Rationale: Justice in nursing refers to the fair and equitable distribution of benefits and
burdens. In practice, this means prioritizing patients based on the severity of their
condition and resource requirements rather than social status or insurance. It ensures that
every individual receives the care they deserve according to professional standards.
Practice (NUR2058 Exam 4) | Rasmussen
1. A nurse manager is implementing a new electronic health record system and encounters
resistance from staff who find the technology cumbersome. Which leadership strategy would
be most effective in fostering acceptance of this change?
A. Mandate that all staff complete training within 24 hours or face disciplinary action.
B. Avoid discussing the drawbacks and focus only on the legal requirements of the system.
C. Request the IT department to simplify the system after the full rollout is complete.
D. Identify early adopters among the staff to act as ‘super-users’ and provide peer support.
Answer: D
Rationale: Utilizing early adopters as peer mentors is a key strategy in change
management, particularly in the ‘moving’ stage of Lewin’s change theory. This approach
builds trust and provides accessible troubleshooting for hesitant staff members. It shifts
the perception of change from a top-down mandate to a collaborative professional
improvement.
2. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and an
unlicensed assistive personnel (UAP) on a medical-surgical unit. Which task is most
appropriate for the RN to delegate to the LPN?
A. Performing the initial admission assessment on a patient with chest pain.
B. Administering a scheduled subcutaneous insulin injection to a stable patient.
C. Developing the nursing care plan for a patient with newly diagnosed diabetes.
D. Providing discharge education regarding complex wound care to the family.
Answer: B
Rationale: LPNs can perform routine procedures and administer most medications to
stable patients. Initial assessments, care plan development, and complex discharge
teaching are the responsibility of the RN and cannot be delegated. This reflects the RN’s
role in clinical judgment and evaluation.
3. In the context of nursing ethics, the principle of ‘veracity’ is best demonstrated by which of
the following actions?
A. Ensuring the patient has the right to refuse a life-saving blood transfusion.
B. Allocating nursing resources based on the acuity of the patients on the floor.
C. Admitting to a patient that a medication error occurred, even if no harm was done.
,D. Performing a procedure safely to prevent any unnecessary suffering for the patient.
Answer: C
Rationale: Veracity refers to the ethical obligation to tell the truth and not mislead
patients. Admitting an error is a direct application of this principle and is essential for
maintaining professional integrity. This fosters a culture of transparency and patient safety
within the healthcare environment.
4. A nurse is caring for a patient who has been diagnosed with terminal cancer. The patient’s
family requests that the nurse not tell the patient the diagnosis. Which action by the nurse
most aligns with professional ethical standards?
A. Consult with the healthcare provider and the ethics committee to ensure the patient’s
right to know is respected.
B. Tell the patient immediately regardless of the family’s or physician’s input.
C. Respect the family’s wishes to prevent the patient from losing hope.
D. Ask the family to sign a legal waiver that protects the nurse from being sued for
withholding information.
Answer: A
Rationale: The patient has a right to autonomy and informed consent, which includes
knowing their diagnosis. While the family’s concerns are noted, the nurse’s primary duty is
to the patient. Involving the ethics committee and the provider ensures a multidisciplinary
approach to resolving the conflict between beneficence and autonomy.
5. Which of the following is a required element for a legal claim of nursing malpractice to be
successful?
A. The nurse must have intended to cause harm to the patient.
B. There must be a direct causal link between the nurse’s breach of duty and the patient’s
injury.
C. The patient must have been dissatisfied with the quality of care provided.
D. The nurse must have failed to follow the patient’s verbal preferences for care.
Answer: B
Rationale: Malpractice requires four elements: duty, breach of duty, causation, and
damages. Causation means the injury would not have occurred if the nurse had followed
the standard of care. Without this direct link, a legal claim for negligence or malpractice
cannot be sustained.
6. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a physician. Which statement represents the ‘A’ in SBAR?
A. ‘The patient’s heart rate is 110 and blood pressure is 90/60.’
, B. ‘I believe the patient is developing hypovolemic shock due to post-operative bleeding.’
C. ‘I suggest we start an IV bolus of Normal Saline immediately.’
D. ‘The patient was admitted two days ago for a total hip arthroplasty.’
Answer: B
Rationale: The ‘A’ in SBAR stands for Assessment, where the nurse provides their
professional conclusion about what is happening. Option A is Situation/Background data,
Option C is Recommendation, and Option D is Background. Assessment requires the nurse
to synthesize clinical data into a logical interpretation.
7. A nurse is advocating for a change in hospital policy regarding visiting hours to improve
patient-centered care. This is an example of which nursing role?
A. Case Manager
B. Educator
C. Researcher
D. Change Agent
Answer: D
Rationale: A change agent is an individual who leads or facilitates the improvement of
systems and processes within an organization. By advocating for policy changes to improve
patient outcomes, the nurse is acting as a catalyst for organizational growth. This role is
vital for advancing the professional dimensions of nursing practice.
8. When applying the principle of ‘Justice’ in a clinical setting, how should a nurse prioritize
care?
A. By providing the most care to the patients who are the most vocal about their needs.
B. By treating patients with private insurance before those with government-funded
insurance.
C. By ensuring that healthcare resources are distributed fairly based on clinical need.
D. By following the orders of the physician who has the most seniority in the hospital.
Answer: C
Rationale: Justice in nursing refers to the fair and equitable distribution of benefits and
burdens. In practice, this means prioritizing patients based on the severity of their
condition and resource requirements rather than social status or insurance. It ensures that
every individual receives the care they deserve according to professional standards.
