NUR 2058 Exam 1 Actual Exam V2 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is advocating for a patient who lacks the capacity to make decisions and has no
designated power of attorney. The nurse follows the principle of doing what is best for the
patient’s well-being. Which ethical principle is primarily being applied?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: B
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the patient. In cases where the patient cannot advocate for themselves, the nurse acts to
promote their health and safety. This principle is a core component of professional nursing
practice.
2. Florence Nightingale’s theory of nursing primarily focused on which aspect of patient care
to promote healing?
A. Advanced pharmacological interventions
B. Manipulation of the external environment
C. Interpersonal relationship development
D. Self-care deficit identification
Answer: B
Rationale: Nightingale’s Environmental Theory emphasized that the nurse should
manipulate the environment to facilitate the body’s reparative processes. This included
ensuring adequate ventilation, light, cleanliness, and quiet. Her work laid the foundation for
modern infection control and patient-centered care.
3. A nurse fails to reposition a bedbound patient every two hours as required by the facility
protocol, resulting in a stage 3 pressure injury. This failure to meet the standard of care is
known as:
A. Assault
B. Negligence
C. Battery
D. Libel
,Answer: B
Rationale: Negligence is a professional failure to act as a reasonably prudent nurse would
under similar circumstances. In this scenario, the breach of duty directly caused harm to
the patient through the development of a pressure injury. Professional negligence, or
malpractice, requires proof of duty, breach, causation, and damages.
4. During the process of professional socialization, a nursing student begins to internalize the
values and norms of the nursing profession. According to Benner, which stage describes a
student who relies heavily on rules and lacks situational experience?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: A
Rationale: The Novice stage is characterized by a reliance on objective rules and a lack of
experience in the clinical setting. Students in this stage often struggle to prioritize tasks
because everything seems equally important. As they gain experience, they transition into
the Advanced Beginner stage.
5. A nurse uses the SBAR tool to communicate with a physician about a patient’s
deteriorating condition. What does the ‘R’ in SBAR represent?
A. Recommendation
B. Response
C. Reasoning
D. Review
Answer: A
Rationale: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests a
specific action or intervention. This structured communication tool ensures that critical
information is transmitted clearly and efficiently between providers. Using SBAR helps
reduce medical errors related to communication breakdowns.
6. Which ethical principle is violated if a nurse provides better care to a patient who is
wealthy compared to a patient who is homeless?
A. Veracity
B. Non-maleficence
C. Justice
, D. Autonomy
Answer: C
Rationale: Justice refers to the fair and equitable distribution of healthcare resources and
treatments. Nurses must treat all patients with the same level of care regardless of
socioeconomic status or personal characteristics. This principle ensures that every
individual receives what they are entitled to in the healthcare system.
7. A nurse researcher is developing a PICO question to investigate the effectiveness of honey
dressings on wound healing. What does the ‘I’ in PICO represent?
A. Intervention
B. Institutional involvement
C. Implementation
D. Inference
Answer: A
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome. In
this research study, the intervention (I) is the use of honey dressings. Establishing a clear
PICO question is the first step in conducting evidence-based practice research.
8. A nurse manager encourages staff input during staff meetings and allows the team to vote
on new scheduling policies. Which leadership style is this manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Rationale: Democratic leadership involves sharing the decision-making process with the
group to improve morale and buy-in. It fosters a sense of ownership among staff and
promotes professional growth. While it may take longer to reach a decision, it often leads to
higher satisfaction levels.
9. Which legal document allows a patient to specify exactly which medical treatments they do
or do not want in the event they become incapacitated?
A. Durable Power of Attorney
B. Living Will
C. Informed Consent
D. Nurse Practice Act
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is advocating for a patient who lacks the capacity to make decisions and has no
designated power of attorney. The nurse follows the principle of doing what is best for the
patient’s well-being. Which ethical principle is primarily being applied?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: B
Rationale: Beneficence is the ethical principle of doing good and acting in the best interest
of the patient. In cases where the patient cannot advocate for themselves, the nurse acts to
promote their health and safety. This principle is a core component of professional nursing
practice.
2. Florence Nightingale’s theory of nursing primarily focused on which aspect of patient care
to promote healing?
A. Advanced pharmacological interventions
B. Manipulation of the external environment
C. Interpersonal relationship development
D. Self-care deficit identification
Answer: B
Rationale: Nightingale’s Environmental Theory emphasized that the nurse should
manipulate the environment to facilitate the body’s reparative processes. This included
ensuring adequate ventilation, light, cleanliness, and quiet. Her work laid the foundation for
modern infection control and patient-centered care.
3. A nurse fails to reposition a bedbound patient every two hours as required by the facility
protocol, resulting in a stage 3 pressure injury. This failure to meet the standard of care is
known as:
A. Assault
B. Negligence
C. Battery
D. Libel
,Answer: B
Rationale: Negligence is a professional failure to act as a reasonably prudent nurse would
under similar circumstances. In this scenario, the breach of duty directly caused harm to
the patient through the development of a pressure injury. Professional negligence, or
malpractice, requires proof of duty, breach, causation, and damages.
4. During the process of professional socialization, a nursing student begins to internalize the
values and norms of the nursing profession. According to Benner, which stage describes a
student who relies heavily on rules and lacks situational experience?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: A
Rationale: The Novice stage is characterized by a reliance on objective rules and a lack of
experience in the clinical setting. Students in this stage often struggle to prioritize tasks
because everything seems equally important. As they gain experience, they transition into
the Advanced Beginner stage.
5. A nurse uses the SBAR tool to communicate with a physician about a patient’s
deteriorating condition. What does the ‘R’ in SBAR represent?
A. Recommendation
B. Response
C. Reasoning
D. Review
Answer: A
Rationale: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests a
specific action or intervention. This structured communication tool ensures that critical
information is transmitted clearly and efficiently between providers. Using SBAR helps
reduce medical errors related to communication breakdowns.
6. Which ethical principle is violated if a nurse provides better care to a patient who is
wealthy compared to a patient who is homeless?
A. Veracity
B. Non-maleficence
C. Justice
, D. Autonomy
Answer: C
Rationale: Justice refers to the fair and equitable distribution of healthcare resources and
treatments. Nurses must treat all patients with the same level of care regardless of
socioeconomic status or personal characteristics. This principle ensures that every
individual receives what they are entitled to in the healthcare system.
7. A nurse researcher is developing a PICO question to investigate the effectiveness of honey
dressings on wound healing. What does the ‘I’ in PICO represent?
A. Intervention
B. Institutional involvement
C. Implementation
D. Inference
Answer: A
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome. In
this research study, the intervention (I) is the use of honey dressings. Establishing a clear
PICO question is the first step in conducting evidence-based practice research.
8. A nurse manager encourages staff input during staff meetings and allows the team to vote
on new scheduling policies. Which leadership style is this manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Rationale: Democratic leadership involves sharing the decision-making process with the
group to improve morale and buy-in. It fosters a sense of ownership among staff and
promotes professional growth. While it may take longer to reach a decision, it often leads to
higher satisfaction levels.
9. Which legal document allows a patient to specify exactly which medical treatments they do
or do not want in the event they become incapacitated?
A. Durable Power of Attorney
B. Living Will
C. Informed Consent
D. Nurse Practice Act
