NUR 2058 Exam 4 Actual Exam V1 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 4) | Rasmussen
1. A nurse is caring for a client who refuses a scheduled surgery despite the physician’s
explanation of its life-saving potential. The nurse documents the refusal and supports the
client’s right to choose. Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the client’s right to make their own decisions regarding
their healthcare. The nurse’s role is to ensure the client is informed and to respect their
choice even if it conflicts with medical advice. This principle is fundamental to the patient-
nurse relationship and legal rights in healthcare.
2. A nurse manager is evaluating a newly licensed nurse’s understanding of HIPAA. Which
action by the new nurse indicates a need for further teaching?
A. Discussing a client’s condition with the physical therapist assigned to the case.
B. Logging off the computer terminal before leaving the nursing station.
C. Sharing a client’s lab results with a family member who is not on the disclosure list.
D. Disposing of a printed shift report in a secure shredding bin.
Answer: C
Rationale: Sharing protected health information with unauthorized individuals is a direct
violation of HIPAA regulations. Confidentiality must be maintained unless the client has
provided explicit permission to share data with specific persons. The nurse must always
verify the disclosure list before providing updates to family members.
3. Which of the following describes the nurse’s role as a ‘Patient Advocate’?
A. Making healthcare decisions for a client who is confused.
B. Protecting the hospital from potential legal action by the client.
C. Performing procedures according to hospital policy regardless of client preference.
D. Ensuring the client’s wishes are communicated to the interdisciplinary team.
Answer: D
,Rationale: Advocacy involves supporting the client’s interests and ensuring their voice is
heard in the care planning process. The nurse acts as a bridge between the client and the
medical team to safeguard the client’s rights. This role is essential for maintaining patient-
centered care and ethical practice.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a client’s skin integrity following a fall.
B. Providing discharge instructions to a client leaving the unit.
C. Administering an oral antibiotic to a client with a wound infection.
D. Assisting a stable client with ambulation to the bathroom.
Answer: D
Rationale: Delegation to a UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment or assessment. Ambulation for a stable client falls within the
UAP’s scope of practice. The nurse remains accountable for the outcome of the delegated
task and must ensure the UAP is competent to perform it.
5. A nurse discovers a medication error where a dose was missed. What is the nurse’s first
priority action?
A. Complete an incident report and submit it to the risk manager.
B. Notify the healthcare provider and the nurse manager.
C. Administer the missed dose immediately to catch up.
D. Assess the client for any adverse effects or changes in condition.
Answer: D
Rationale: The safety of the client is always the primary concern following any medical
error. Before reporting or taking corrective action, the nurse must evaluate the client’s
current status to identify immediate risks. Once the client is assessed and stable, the nurse
then proceeds with notification and documentation requirements.
6. According to Lewin’s Change Theory, the stage where a nurse manager motivates staff to
realize that a change is necessary is called:
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
, Rationale: Unfreezing is the initial stage of change where the status quo is challenged and
the need for change is identified. During this phase, leaders must create a sense of urgency
and overcome individual resistance. Successful unfreezing prepares the organization to
accept new behaviors or processes.
7. A nurse is participating in a Root Cause Analysis (RCA) following a sentinel event. What is
the primary goal of an RCA?
A. To prevent future occurrences by identifying systemic failures.
B. To identify which individual staff member is at fault.
C. To provide documentation for the hospital’s legal defense team.
D. To punish the department where the error occurred.
Answer: A
Rationale: Root Cause Analysis is a process used to understand the underlying causes of an
error rather than focusing on individual blame. It looks at system-level issues such as
communication, training, or equipment failure. The ultimate objective is to implement
changes that enhance patient safety and quality of care.
8. Which ethical principle requires the nurse to ‘do no harm’ to the client?
A. Veracity
B. Fidelity
C. Nonmaleficence
D. Beneficence
Answer: C
Rationale: Nonmaleficence is the commitment to avoid causing injury or harm to patients.
This includes both intentional harm and harm resulting from negligence. Nurses apply this
by following safety protocols and ensuring their clinical skills are current.
9. A nurse is obtaining informed consent from a client for an elective procedure. What is the
nurse’s primary responsibility in this process?
A. Witnessing the client’s signature on the consent form.
B. Explaining the risks and benefits of the surgery.
C. Describing alternative treatments available to the client.
D. Answering specific questions about the surgeon’s success rate.
Answer: A
Rationale: The nurse’s legal role in informed consent is primarily to act as a witness to the
signature. The nurse ensures the client is competent to sign and is doing so voluntarily. The
Practice (NUR2058 Exam 4) | Rasmussen
1. A nurse is caring for a client who refuses a scheduled surgery despite the physician’s
explanation of its life-saving potential. The nurse documents the refusal and supports the
client’s right to choose. Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the client’s right to make their own decisions regarding
their healthcare. The nurse’s role is to ensure the client is informed and to respect their
choice even if it conflicts with medical advice. This principle is fundamental to the patient-
nurse relationship and legal rights in healthcare.
2. A nurse manager is evaluating a newly licensed nurse’s understanding of HIPAA. Which
action by the new nurse indicates a need for further teaching?
A. Discussing a client’s condition with the physical therapist assigned to the case.
B. Logging off the computer terminal before leaving the nursing station.
C. Sharing a client’s lab results with a family member who is not on the disclosure list.
D. Disposing of a printed shift report in a secure shredding bin.
Answer: C
Rationale: Sharing protected health information with unauthorized individuals is a direct
violation of HIPAA regulations. Confidentiality must be maintained unless the client has
provided explicit permission to share data with specific persons. The nurse must always
verify the disclosure list before providing updates to family members.
3. Which of the following describes the nurse’s role as a ‘Patient Advocate’?
A. Making healthcare decisions for a client who is confused.
B. Protecting the hospital from potential legal action by the client.
C. Performing procedures according to hospital policy regardless of client preference.
D. Ensuring the client’s wishes are communicated to the interdisciplinary team.
Answer: D
,Rationale: Advocacy involves supporting the client’s interests and ensuring their voice is
heard in the care planning process. The nurse acts as a bridge between the client and the
medical team to safeguard the client’s rights. This role is essential for maintaining patient-
centered care and ethical practice.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a client’s skin integrity following a fall.
B. Providing discharge instructions to a client leaving the unit.
C. Administering an oral antibiotic to a client with a wound infection.
D. Assisting a stable client with ambulation to the bathroom.
Answer: D
Rationale: Delegation to a UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment or assessment. Ambulation for a stable client falls within the
UAP’s scope of practice. The nurse remains accountable for the outcome of the delegated
task and must ensure the UAP is competent to perform it.
5. A nurse discovers a medication error where a dose was missed. What is the nurse’s first
priority action?
A. Complete an incident report and submit it to the risk manager.
B. Notify the healthcare provider and the nurse manager.
C. Administer the missed dose immediately to catch up.
D. Assess the client for any adverse effects or changes in condition.
Answer: D
Rationale: The safety of the client is always the primary concern following any medical
error. Before reporting or taking corrective action, the nurse must evaluate the client’s
current status to identify immediate risks. Once the client is assessed and stable, the nurse
then proceeds with notification and documentation requirements.
6. According to Lewin’s Change Theory, the stage where a nurse manager motivates staff to
realize that a change is necessary is called:
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
, Rationale: Unfreezing is the initial stage of change where the status quo is challenged and
the need for change is identified. During this phase, leaders must create a sense of urgency
and overcome individual resistance. Successful unfreezing prepares the organization to
accept new behaviors or processes.
7. A nurse is participating in a Root Cause Analysis (RCA) following a sentinel event. What is
the primary goal of an RCA?
A. To prevent future occurrences by identifying systemic failures.
B. To identify which individual staff member is at fault.
C. To provide documentation for the hospital’s legal defense team.
D. To punish the department where the error occurred.
Answer: A
Rationale: Root Cause Analysis is a process used to understand the underlying causes of an
error rather than focusing on individual blame. It looks at system-level issues such as
communication, training, or equipment failure. The ultimate objective is to implement
changes that enhance patient safety and quality of care.
8. Which ethical principle requires the nurse to ‘do no harm’ to the client?
A. Veracity
B. Fidelity
C. Nonmaleficence
D. Beneficence
Answer: C
Rationale: Nonmaleficence is the commitment to avoid causing injury or harm to patients.
This includes both intentional harm and harm resulting from negligence. Nurses apply this
by following safety protocols and ensuring their clinical skills are current.
9. A nurse is obtaining informed consent from a client for an elective procedure. What is the
nurse’s primary responsibility in this process?
A. Witnessing the client’s signature on the consent form.
B. Explaining the risks and benefits of the surgery.
C. Describing alternative treatments available to the client.
D. Answering specific questions about the surgeon’s success rate.
Answer: A
Rationale: The nurse’s legal role in informed consent is primarily to act as a witness to the
signature. The nurse ensures the client is competent to sign and is doing so voluntarily. The
