NUR 2058 Exam 3 Actual Exam V3 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 3) | Rasmussen
1. A nurse is faced with an ethical dilemma where the family wants to withhold a terminal
diagnosis from the patient. Which action by the nurse best demonstrates the principle of
veracity?
A. Following the family’s wishes to maintain a peaceful environment.
B. Avoiding the patient’s questions to prevent emotional distress.
C. Encouraging the provider to speak honestly with the patient about their condition.
D. Telling the patient a partial truth to soften the impact of the news.
Answer: C
Rationale: Veracity is the ethical principle of telling the truth and not intentionally
deceiving or misleading patients. By encouraging the provider to be honest, the nurse
upholds the patient’s right to know their medical status. This action ensures that the
professional relationship is based on trust and integrity rather than deception.
2. A nurse manager is implementing a new bedside shift report protocol. Which leadership
style is most likely to result in long-term staff buy-in and commitment?
A. Autocratic leadership
B. Transformational leadership
C. Laissez-faire leadership
D. Transactional leadership
Answer: B
Rationale: Transformational leadership focuses on inspiring and motivating staff through
a shared vision and collaboration. This approach encourages nurses to participate in the
change process, leading to higher job satisfaction and commitment. Unlike autocratic styles,
transformational leaders value the input of their team members to achieve common goals.
3. According to Patricia Benner’s ‘From Novice to Expert’ theory, which characteristic best
describes a ‘Competent’ nurse?
A. Has been on the job 2-3 years and can prioritize tasks using conscious deliberate
planning.
B. Lacks experience and follows rules rigidly to perform tasks.
C. Uses intuition to grasp situations immediately without unnecessary steps.
D. Perceives situations as wholes rather than in terms of chopped-up parts.
,Answer: A
Rationale: The competent nurse has typically been in the same clinical position for two to
three years and is able to see actions in the context of long-range goals. At this stage, the
nurse begins to master organizational skills and can multitask more effectively. This stage
is a critical transition between the advanced beginner and the proficient nurse levels.
4. A patient refuses to take a prescribed medication. The nurse explains the benefits and risks
but respects the patient’s decision. This is an application of which ethical principle?
A. Autonomy
B. Justice
C. Non-maleficence
D. Fidelity
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their healthcare. The nurse demonstrates respect for autonomy by providing information
and then honoring the patient’s choice to refuse treatment. This principle is fundamental to
the concept of informed consent and patient-centered care.
5. A nurse is preparing a presentation on Evidence-Based Practice (EBP). What is the primary
purpose of using the PICO(T) format?
A. To ensure the research study is ethically sound.
B. To determine the budget for a research project.
C. To help nurses formulate a clear, searchable clinical question.
D. To evaluate the performance of nursing staff during a trial.
Answer: C
Rationale: The PICO(T) format provides a structured way to identify the Population,
Intervention, Comparison, Outcome, and Time. Using this method allows nurses to narrow
their search for evidence to relevant clinical studies. It serves as a foundational step in the
EBP process to improve patient outcomes based on scientific data.
6. Which action by a nurse constitutes professional negligence?
A. Speaking rudely to a coworker in the breakroom.
B. Administering a medication to the wrong patient resulting in a seizure.
C. Forgetting to sign a flow sheet after performing a routine assessment.
D. Refusing to work an extra shift due to exhaustion.
Answer: B
, Rationale: Professional negligence, or malpractice, occurs when a nurse’s performance
falls below the standard of care, resulting in injury to the patient. For a claim to be
successful, duty, breach of duty, causation, and damages must be proven. In this case,
administering medication to the wrong patient is a clear breach of safety protocols that
caused harm.
7. A nurse is advocating for a patient who does not speak English. What is the most
appropriate action for the nurse to take to ensure informed consent?
A. Use a hospital-approved medical interpreter to explain the procedure.
B. Ask the patient’s teenage daughter to interpret the consent form.
C. Proceed with the procedure as long as the patient nods their head.
D. Provide a translated pamphlet and assume the patient understands it.
Answer: A
Rationale: Using a professional medical interpreter ensures that medical terminology is
accurately translated and that the patient truly understands the risks and benefits. Family
members should not be used as interpreters because they may lack medical knowledge or
have personal biases. Ensuring clear communication is a vital component of patient
advocacy and cultural competence.
8. Which of the following is a primary goal of the Quality and Safety Education for Nurses
(QSEN) initiative?
A. Preparing future nurses with the knowledge, skills, and attitudes to improve healthcare
quality.
B. Increasing the nurse-to-patient ratio in acute care settings.
C. Focusing solely on the financial aspects of hospital management.
D. Standardizing nursing uniforms across all healthcare facilities.
Answer: A
Rationale: QSEN defines six core competencies: patient-centered care, teamwork,
evidence-based practice, quality improvement, safety, and informatics. The initiative aims
to reshape nursing education to focus on these critical areas. By integrating these
competencies, nurses are better equipped to reduce errors and improve patient outcomes.
9. A nurse is caring for a patient who is post-operative. The nurse prioritizes the patient’s pain
management to prevent complications. This demonstrates which ethical principle?
A. Beneficence
B. Non-maleficence
C. Justice
Practice (NUR2058 Exam 3) | Rasmussen
1. A nurse is faced with an ethical dilemma where the family wants to withhold a terminal
diagnosis from the patient. Which action by the nurse best demonstrates the principle of
veracity?
A. Following the family’s wishes to maintain a peaceful environment.
B. Avoiding the patient’s questions to prevent emotional distress.
C. Encouraging the provider to speak honestly with the patient about their condition.
D. Telling the patient a partial truth to soften the impact of the news.
Answer: C
Rationale: Veracity is the ethical principle of telling the truth and not intentionally
deceiving or misleading patients. By encouraging the provider to be honest, the nurse
upholds the patient’s right to know their medical status. This action ensures that the
professional relationship is based on trust and integrity rather than deception.
2. A nurse manager is implementing a new bedside shift report protocol. Which leadership
style is most likely to result in long-term staff buy-in and commitment?
A. Autocratic leadership
B. Transformational leadership
C. Laissez-faire leadership
D. Transactional leadership
Answer: B
Rationale: Transformational leadership focuses on inspiring and motivating staff through
a shared vision and collaboration. This approach encourages nurses to participate in the
change process, leading to higher job satisfaction and commitment. Unlike autocratic styles,
transformational leaders value the input of their team members to achieve common goals.
3. According to Patricia Benner’s ‘From Novice to Expert’ theory, which characteristic best
describes a ‘Competent’ nurse?
A. Has been on the job 2-3 years and can prioritize tasks using conscious deliberate
planning.
B. Lacks experience and follows rules rigidly to perform tasks.
C. Uses intuition to grasp situations immediately without unnecessary steps.
D. Perceives situations as wholes rather than in terms of chopped-up parts.
,Answer: A
Rationale: The competent nurse has typically been in the same clinical position for two to
three years and is able to see actions in the context of long-range goals. At this stage, the
nurse begins to master organizational skills and can multitask more effectively. This stage
is a critical transition between the advanced beginner and the proficient nurse levels.
4. A patient refuses to take a prescribed medication. The nurse explains the benefits and risks
but respects the patient’s decision. This is an application of which ethical principle?
A. Autonomy
B. Justice
C. Non-maleficence
D. Fidelity
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their healthcare. The nurse demonstrates respect for autonomy by providing information
and then honoring the patient’s choice to refuse treatment. This principle is fundamental to
the concept of informed consent and patient-centered care.
5. A nurse is preparing a presentation on Evidence-Based Practice (EBP). What is the primary
purpose of using the PICO(T) format?
A. To ensure the research study is ethically sound.
B. To determine the budget for a research project.
C. To help nurses formulate a clear, searchable clinical question.
D. To evaluate the performance of nursing staff during a trial.
Answer: C
Rationale: The PICO(T) format provides a structured way to identify the Population,
Intervention, Comparison, Outcome, and Time. Using this method allows nurses to narrow
their search for evidence to relevant clinical studies. It serves as a foundational step in the
EBP process to improve patient outcomes based on scientific data.
6. Which action by a nurse constitutes professional negligence?
A. Speaking rudely to a coworker in the breakroom.
B. Administering a medication to the wrong patient resulting in a seizure.
C. Forgetting to sign a flow sheet after performing a routine assessment.
D. Refusing to work an extra shift due to exhaustion.
Answer: B
, Rationale: Professional negligence, or malpractice, occurs when a nurse’s performance
falls below the standard of care, resulting in injury to the patient. For a claim to be
successful, duty, breach of duty, causation, and damages must be proven. In this case,
administering medication to the wrong patient is a clear breach of safety protocols that
caused harm.
7. A nurse is advocating for a patient who does not speak English. What is the most
appropriate action for the nurse to take to ensure informed consent?
A. Use a hospital-approved medical interpreter to explain the procedure.
B. Ask the patient’s teenage daughter to interpret the consent form.
C. Proceed with the procedure as long as the patient nods their head.
D. Provide a translated pamphlet and assume the patient understands it.
Answer: A
Rationale: Using a professional medical interpreter ensures that medical terminology is
accurately translated and that the patient truly understands the risks and benefits. Family
members should not be used as interpreters because they may lack medical knowledge or
have personal biases. Ensuring clear communication is a vital component of patient
advocacy and cultural competence.
8. Which of the following is a primary goal of the Quality and Safety Education for Nurses
(QSEN) initiative?
A. Preparing future nurses with the knowledge, skills, and attitudes to improve healthcare
quality.
B. Increasing the nurse-to-patient ratio in acute care settings.
C. Focusing solely on the financial aspects of hospital management.
D. Standardizing nursing uniforms across all healthcare facilities.
Answer: A
Rationale: QSEN defines six core competencies: patient-centered care, teamwork,
evidence-based practice, quality improvement, safety, and informatics. The initiative aims
to reshape nursing education to focus on these critical areas. By integrating these
competencies, nurses are better equipped to reduce errors and improve patient outcomes.
9. A nurse is caring for a patient who is post-operative. The nurse prioritizes the patient’s pain
management to prevent complications. This demonstrates which ethical principle?
A. Beneficence
B. Non-maleficence
C. Justice
