NUR 2058 Exam 1 Actual Exam V1 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is caring for a patient who refuses a recommended surgical procedure after being
informed of the risks and benefits. The nurse supports the patient’s decision. Which ethical
principle is the nurse primarily demonstrating?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of patients to make their own healthcare decisions
without interference. By supporting the patient’s refusal of surgery, the nurse respects the
patient’s self-determination and personal values. This principle is a cornerstone of the
American Nurses Association (ANA) Code of Ethics.
2. Which nursing pioneer is recognized for establishing the first formal school of nursing and
utilizing statistics to improve healthcare outcomes?
A. Florence Nightingale
B. Lillian Wald
C. Clara Barton
D. Mary Seacole
Answer: A
Rationale: Florence Nightingale established the St. Thomas’ Hospital and the Nightingale
Training School for Nurses in 1860. Her use of statistical data to link sanitary conditions to
patient mortality revolutionized healthcare management. These contributions transformed
nursing from a domestic task into a respected, science-based profession.
3. A nurse is using the SBAR communication tool during a handoff report. Which component
of SBAR is being used when the nurse describes the patient’s current vital signs and mental
status?
A. Assessment
B. Background
C. Situation
D. Recommendation
,Answer: A
Rationale: The Assessment component of SBAR involves reporting clinical findings such as
vital signs, physical assessment data, and laboratory results. This provides a clear picture of
the patient’s current physiological state to the receiving clinician. Effective use of SBAR
reduces communication errors and enhances patient safety during transitions of care.
4. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been on the
same clinical unit for 2 to 3 years and begins to rely on abstract principles to plan care is at
which level?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Answer: D
Rationale: The Competent nurse typically has been in the same clinical position for 2 to 3
years and is able to prioritize tasks by drawing on past experiences. At this stage, the nurse
begins to see their actions in terms of long-range goals and is more efficient and organized.
This level is a critical milestone in the development of clinical judgment and professional
identity.
5. In the context of the nursing process and theory, which theorist defined nursing as ‘the act
of utilizing the environment of the patient to assist him in his recovery’?
A. Dorothea Orem
B. Jean Watson
C. Florence Nightingale
D. Sister Callista Roy
Answer: C
Rationale: Florence Nightingale’s Environmental Theory focused on the impact of external
factors like fresh air, light, and cleanliness on health. She believed that the nurse’s role was
to manipulate the environment to facilitate the body’s natural healing processes. This
holistic view remains a fundamental aspect of modern nursing practice and patient-
centered care.
6. A nurse fails to raise the side rails on the bed of a confused patient, resulting in the patient
falling and sustaining a hip fracture. This is an example of which legal concept?
A. Assault
B. Battery
, C. Defamation
D. Negligence
Answer: D
Rationale: Negligence occurs when a nurse fails to perform an act that a reasonably
prudent nurse would do in a similar situation, leading to patient harm. In this case, the
nurse had a duty to protect the patient but breached that duty, directly causing the injury.
Negligence that occurs in a professional capacity is specifically referred to as malpractice.
7. Which ethical principle is violated if a nurse provides a placebo to a patient without their
knowledge, claiming it is a potent pain medication?
A. Veracity
B. Fidelity
C. Justice
D. Altruism
Answer: A
Rationale: Veracity is the obligation to tell the truth and not deceive or mislead patients.
By lying about the nature of the medication, the nurse violates the trust inherent in the
nurse-patient relationship. Maintaining veracity is essential for informed consent and for
fostering a therapeutic environment built on honesty.
8. Which nursing organization is primarily responsible for establishing the standards of
professional nursing practice and the Code of Ethics for Nurses in the United States?
A. American Nurses Association (ANA)
B. National League for Nursing (NLN)
C. International Council of Nurses (ICN)
D. State Board of Nursing (SBON)
Answer: A
Rationale: The American Nurses Association (ANA) is the professional organization that
represents the interests of all registered nurses. It develops the scope and standards of
practice that guide nursing behavior and clinical performance. The ANA Code of Ethics
serves as a non-negotiable ethical standard for the profession.
9. A patient is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent and explaining the risks and benefits of the procedure?
A. The RN caring for the patient
B. The surgical scrub technician
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is caring for a patient who refuses a recommended surgical procedure after being
informed of the risks and benefits. The nurse supports the patient’s decision. Which ethical
principle is the nurse primarily demonstrating?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of patients to make their own healthcare decisions
without interference. By supporting the patient’s refusal of surgery, the nurse respects the
patient’s self-determination and personal values. This principle is a cornerstone of the
American Nurses Association (ANA) Code of Ethics.
2. Which nursing pioneer is recognized for establishing the first formal school of nursing and
utilizing statistics to improve healthcare outcomes?
A. Florence Nightingale
B. Lillian Wald
C. Clara Barton
D. Mary Seacole
Answer: A
Rationale: Florence Nightingale established the St. Thomas’ Hospital and the Nightingale
Training School for Nurses in 1860. Her use of statistical data to link sanitary conditions to
patient mortality revolutionized healthcare management. These contributions transformed
nursing from a domestic task into a respected, science-based profession.
3. A nurse is using the SBAR communication tool during a handoff report. Which component
of SBAR is being used when the nurse describes the patient’s current vital signs and mental
status?
A. Assessment
B. Background
C. Situation
D. Recommendation
,Answer: A
Rationale: The Assessment component of SBAR involves reporting clinical findings such as
vital signs, physical assessment data, and laboratory results. This provides a clear picture of
the patient’s current physiological state to the receiving clinician. Effective use of SBAR
reduces communication errors and enhances patient safety during transitions of care.
4. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been on the
same clinical unit for 2 to 3 years and begins to rely on abstract principles to plan care is at
which level?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Answer: D
Rationale: The Competent nurse typically has been in the same clinical position for 2 to 3
years and is able to prioritize tasks by drawing on past experiences. At this stage, the nurse
begins to see their actions in terms of long-range goals and is more efficient and organized.
This level is a critical milestone in the development of clinical judgment and professional
identity.
5. In the context of the nursing process and theory, which theorist defined nursing as ‘the act
of utilizing the environment of the patient to assist him in his recovery’?
A. Dorothea Orem
B. Jean Watson
C. Florence Nightingale
D. Sister Callista Roy
Answer: C
Rationale: Florence Nightingale’s Environmental Theory focused on the impact of external
factors like fresh air, light, and cleanliness on health. She believed that the nurse’s role was
to manipulate the environment to facilitate the body’s natural healing processes. This
holistic view remains a fundamental aspect of modern nursing practice and patient-
centered care.
6. A nurse fails to raise the side rails on the bed of a confused patient, resulting in the patient
falling and sustaining a hip fracture. This is an example of which legal concept?
A. Assault
B. Battery
, C. Defamation
D. Negligence
Answer: D
Rationale: Negligence occurs when a nurse fails to perform an act that a reasonably
prudent nurse would do in a similar situation, leading to patient harm. In this case, the
nurse had a duty to protect the patient but breached that duty, directly causing the injury.
Negligence that occurs in a professional capacity is specifically referred to as malpractice.
7. Which ethical principle is violated if a nurse provides a placebo to a patient without their
knowledge, claiming it is a potent pain medication?
A. Veracity
B. Fidelity
C. Justice
D. Altruism
Answer: A
Rationale: Veracity is the obligation to tell the truth and not deceive or mislead patients.
By lying about the nature of the medication, the nurse violates the trust inherent in the
nurse-patient relationship. Maintaining veracity is essential for informed consent and for
fostering a therapeutic environment built on honesty.
8. Which nursing organization is primarily responsible for establishing the standards of
professional nursing practice and the Code of Ethics for Nurses in the United States?
A. American Nurses Association (ANA)
B. National League for Nursing (NLN)
C. International Council of Nurses (ICN)
D. State Board of Nursing (SBON)
Answer: A
Rationale: The American Nurses Association (ANA) is the professional organization that
represents the interests of all registered nurses. It develops the scope and standards of
practice that guide nursing behavior and clinical performance. The ANA Code of Ethics
serves as a non-negotiable ethical standard for the profession.
9. A patient is scheduled for an elective surgery. Who is legally responsible for obtaining the
informed consent and explaining the risks and benefits of the procedure?
A. The RN caring for the patient
B. The surgical scrub technician
