NUR2058 Exam 4 V2 | NUR 2058 Dimensions of
Nursing Practice Exam Q&A | Rasmussen
University
1. Which of the following tasks is most appropriate for a nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Measuring and recording intake and output for a stable patient
C. Assisting a stable patient with ambulation for the first time post-surgery
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Explanation: Recording intake and output is a routine, non-invasive task that falls within
the scope of a UAP. Assessment, teaching, and first-time ambulation after surgery require
the clinical judgment of a licensed nurse. The nurse remains accountable for the outcome of
the delegated task even after assigning it to the UAP.
2. A nurse manager is utilizing a transformational leadership style. Which action best
demonstrates this approach?
A. Using rewards and punishments to motivate staff performance
B. Maintaining a hands-off approach and letting the team work independently
C. Empowering staff to participate in decision-making and professional growth
,D. Focusing solely on daily operational tasks and efficiency
Correct Answer: C
Explanation: Transformational leaders focus on inspiring and motivating staff by creating
a shared vision and fostering an environment of growth. This style encourages innovation
and personal development within the nursing team. In contrast, transactional leadership
relies on rewards and punishments to ensure compliance.
3. Which component of the SBAR communication tool is represented when a nurse suggests a
specific intervention to a physician?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: D
Explanation: The ‘R’ in SBAR stands for Recommendation, where the nurse provides a
possible solution or request for action. This step follows the Assessment and helps guide
the physician’s response to the clinical problem. Effective use of SBAR improves patient
safety by standardizing communication between healthcare providers.
4. A nurse is caring for four patients. Using the principle of prioritization, which patient
should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes
, B. A patient requesting a PRN medication for mild headache
C. A patient reporting new-onset shortness of breath and chest tightness
D. A patient who needs a dressing change for a chronic wound
Correct Answer: C
Explanation: The nurse must prioritize based on the ABC (Airway, Breathing, Circulation)
framework. New-onset shortness of breath and chest tightness are signs of potential
respiratory or cardiac distress, making this patient the highest priority. The other patients
are stable and their needs can be addressed after the urgent assessment.
5. In the context of the Five Rights of Delegation, which right is being followed when the
nurse ensures the UAP has the necessary skills to perform a task?
A. Right Task
B. Right Direction
C. Right Person
D. Right Supervision
Correct Answer: C
Explanation: The ‘Right Person’ involves ensuring that the person delegated to has the
competency and scope of practice to perform the specific task. This protects patient safety
by matching the complexity of the task with the skill level of the staff member. It is the
delegating nurse’s responsibility to verify these competencies before delegation occurs.
Nursing Practice Exam Q&A | Rasmussen
University
1. Which of the following tasks is most appropriate for a nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Measuring and recording intake and output for a stable patient
C. Assisting a stable patient with ambulation for the first time post-surgery
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Explanation: Recording intake and output is a routine, non-invasive task that falls within
the scope of a UAP. Assessment, teaching, and first-time ambulation after surgery require
the clinical judgment of a licensed nurse. The nurse remains accountable for the outcome of
the delegated task even after assigning it to the UAP.
2. A nurse manager is utilizing a transformational leadership style. Which action best
demonstrates this approach?
A. Using rewards and punishments to motivate staff performance
B. Maintaining a hands-off approach and letting the team work independently
C. Empowering staff to participate in decision-making and professional growth
,D. Focusing solely on daily operational tasks and efficiency
Correct Answer: C
Explanation: Transformational leaders focus on inspiring and motivating staff by creating
a shared vision and fostering an environment of growth. This style encourages innovation
and personal development within the nursing team. In contrast, transactional leadership
relies on rewards and punishments to ensure compliance.
3. Which component of the SBAR communication tool is represented when a nurse suggests a
specific intervention to a physician?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: D
Explanation: The ‘R’ in SBAR stands for Recommendation, where the nurse provides a
possible solution or request for action. This step follows the Assessment and helps guide
the physician’s response to the clinical problem. Effective use of SBAR improves patient
safety by standardizing communication between healthcare providers.
4. A nurse is caring for four patients. Using the principle of prioritization, which patient
should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes
, B. A patient requesting a PRN medication for mild headache
C. A patient reporting new-onset shortness of breath and chest tightness
D. A patient who needs a dressing change for a chronic wound
Correct Answer: C
Explanation: The nurse must prioritize based on the ABC (Airway, Breathing, Circulation)
framework. New-onset shortness of breath and chest tightness are signs of potential
respiratory or cardiac distress, making this patient the highest priority. The other patients
are stable and their needs can be addressed after the urgent assessment.
5. In the context of the Five Rights of Delegation, which right is being followed when the
nurse ensures the UAP has the necessary skills to perform a task?
A. Right Task
B. Right Direction
C. Right Person
D. Right Supervision
Correct Answer: C
Explanation: The ‘Right Person’ involves ensuring that the person delegated to has the
competency and scope of practice to perform the specific task. This protects patient safety
by matching the complexity of the task with the skill level of the staff member. It is the
delegating nurse’s responsibility to verify these competencies before delegation occurs.
