NUR2058 Exam 2 V2 | NUR 2058
Dimensions of Nursing Practice Exam
Q&A | Rasmussen University
1. A nurse is assessing a patient’s pain. The patient describes the pain as ‘aching’ and ‘deep.’
Which type of pain is the patient likely experiencing?
A. Neuropathic pain
B. Somatic pain
C. Cutaneous pain
D. Visceral pain
Answer: D
Rationale: Visceral pain arises from internal organs and is often described as dull, deep, or
aching. It is distinct from somatic pain which involves musculoskeletal structures and
neuropathic pain which relates to nerve damage. Understanding these categories helps the
nurse select the appropriate pharmacological intervention.
2. When providing perineal care for a female patient, in which direction should the nurse
wipe?
A. From back to front
B. From front to back
C. From side to side
,D. In a circular motion
Answer: B
Rationale: Cleaning from front to back (urethra toward the rectum) is essential to prevent
the spread of fecal organisms to the urinary tract. This practice reduces the risk of urinary
tract infections, which is a key safety measure in hygiene. Proper technique also preserves
the patient’s skin integrity in the sensitive perineal area.
3. A patient is on a clear liquid diet. Which of the following items is appropriate for the nurse
to provide?
A. Apple juice
B. Orange juice with pulp
C. Vanilla pudding
D. Cream of chicken soup
Answer: A
Rationale: Clear liquids are those that are transparent and liquid at room temperature,
such as apple juice, broth, and gelatin. Orange juice with pulp and cream soups are
considered full liquids because they are opaque. This diet is typically used to minimize
digestion requirements for patients post-operatively or before certain tests.
4. The nurse is using the Braden Scale to assess a patient. What is the primary purpose of this
tool?
A. To measure wound healing progress
, B. To assess the patient’s level of consciousness
C. To identify the risk for pressure injury development
D. To determine the stage of an existing ulcer
Answer: C
Rationale: The Braden Scale is a standardized assessment tool used to predict pressure
sore risk by evaluating sensory perception, moisture, activity, mobility, nutrition, and
friction/shear. A lower score indicates a higher risk for skin breakdown. Implementing this
tool allows nurses to apply preventative measures before skin integrity is compromised.
5. A nurse finds a patient lying on the floor. After assessing the patient and ensuring safety,
what is the nurse’s next legal and professional priority?
A. Discard the patient’s non-skid socks
B. Call the family to apologize for the incident
C. Document the fall in the patient’s medical record
D. Ask the patient why they were out of bed
Answer: C
Rationale: Documentation is a critical legal requirement in nursing practice to provide a
factual account of the event. The nurse must record the assessment findings, the time of the
incident, and the actions taken following the fall. This ensures continuity of care and
provides a legal record of the professional response.
Dimensions of Nursing Practice Exam
Q&A | Rasmussen University
1. A nurse is assessing a patient’s pain. The patient describes the pain as ‘aching’ and ‘deep.’
Which type of pain is the patient likely experiencing?
A. Neuropathic pain
B. Somatic pain
C. Cutaneous pain
D. Visceral pain
Answer: D
Rationale: Visceral pain arises from internal organs and is often described as dull, deep, or
aching. It is distinct from somatic pain which involves musculoskeletal structures and
neuropathic pain which relates to nerve damage. Understanding these categories helps the
nurse select the appropriate pharmacological intervention.
2. When providing perineal care for a female patient, in which direction should the nurse
wipe?
A. From back to front
B. From front to back
C. From side to side
,D. In a circular motion
Answer: B
Rationale: Cleaning from front to back (urethra toward the rectum) is essential to prevent
the spread of fecal organisms to the urinary tract. This practice reduces the risk of urinary
tract infections, which is a key safety measure in hygiene. Proper technique also preserves
the patient’s skin integrity in the sensitive perineal area.
3. A patient is on a clear liquid diet. Which of the following items is appropriate for the nurse
to provide?
A. Apple juice
B. Orange juice with pulp
C. Vanilla pudding
D. Cream of chicken soup
Answer: A
Rationale: Clear liquids are those that are transparent and liquid at room temperature,
such as apple juice, broth, and gelatin. Orange juice with pulp and cream soups are
considered full liquids because they are opaque. This diet is typically used to minimize
digestion requirements for patients post-operatively or before certain tests.
4. The nurse is using the Braden Scale to assess a patient. What is the primary purpose of this
tool?
A. To measure wound healing progress
, B. To assess the patient’s level of consciousness
C. To identify the risk for pressure injury development
D. To determine the stage of an existing ulcer
Answer: C
Rationale: The Braden Scale is a standardized assessment tool used to predict pressure
sore risk by evaluating sensory perception, moisture, activity, mobility, nutrition, and
friction/shear. A lower score indicates a higher risk for skin breakdown. Implementing this
tool allows nurses to apply preventative measures before skin integrity is compromised.
5. A nurse finds a patient lying on the floor. After assessing the patient and ensuring safety,
what is the nurse’s next legal and professional priority?
A. Discard the patient’s non-skid socks
B. Call the family to apologize for the incident
C. Document the fall in the patient’s medical record
D. Ask the patient why they were out of bed
Answer: C
Rationale: Documentation is a critical legal requirement in nursing practice to provide a
factual account of the event. The nurse must record the assessment findings, the time of the
incident, and the actions taken following the fall. This ensures continuity of care and
provides a legal record of the professional response.
