Rasmussen University NUR 2058 Dimensions of Nursing 3
Practice Exam | 120 Questions with Answers and Rationales
Nursing process and clinical judgment
1. A nurse reassesses a patient's pain after an intervention. Which nursing process
step is occurring?
A. Evaluation
B. Diagnosis
C. Assessment
D. Planning
2. Which information is subjective assessment data?
A. The patient reports nausea
B. Temperature is 38.2°C
C. Pulse is 110 beats/min
D. A wound measures 2 cm
3. Which statement is a nursing diagnosis rather than a medical diagnosis?
A. Type 2 diabetes mellitus
B. Pneumonia
C. Acute appendicitis
D. Impaired physical mobility related to weakness
4. Which outcome is measurable and time-specific?
A. The patient will walk 30 meters with assistance by tomorrow afternoon
B. The patient will improve mobility
C. The patient will feel better soon
D. The patient will understand all care
5.A nurse notices new confusion and a decreasing blood pressure. Which clinical
judgment function identifies these important findings?
A. Take action
, B. Recognize cues
C. Evaluate outcomes
D. Generate solutions
The nurse links tachycardia, hypotension, and bleeding to possible volume loss.
6.
Which function is demonstrated?
A. Evaluate teaching
B. Analyze cues
C. Document discharge
D. Delegate a task
,7.A nurse decides that respiratory compromise is more urgent than difficulty
sleeping. Which function is occurring?
A. Complete a referral
B. Record a medication history
C. Collect demographic data
D. Prioritize hypotheses
8. Which action represents generating solutions?
A. Compare post-treatment findings with goals
B. Record a pulse value
C. Identify appropriate interventions for the priority problem
D. Confirm the patient's address
9. A patient's condition changes after the care plan is written. What should the nurse
do?
A. Reassess and revise the plan as indicated
B. Follow the original plan without review
C. Wait until the next admission
D. Discard all previous findings
10. Which approach best demonstrates holistic nursing care?
A. Focus only on laboratory results
B. Address only the medical diagnosis
C. Consider physical, emotional, social, cultural, and spiritual needs
D. Treat all patients using identical preferences
11. Which action best evaluates an educational intervention?
A. Ask a family member whether the nurse spoke clearly
B. Count the number of printed pages provided
C. Ask the patient to demonstrate the skill that was taught
D. Record only that teaching occurred
, Ethics and advocacy
12.A capable adult refuses a recommended treatment after understanding the
risks. Which ethical principle supports respecting the decision?
A. Paternalism
B. Professional loyalty alone
C. Utility alone
D. Autonomy
Practice Exam | 120 Questions with Answers and Rationales
Nursing process and clinical judgment
1. A nurse reassesses a patient's pain after an intervention. Which nursing process
step is occurring?
A. Evaluation
B. Diagnosis
C. Assessment
D. Planning
2. Which information is subjective assessment data?
A. The patient reports nausea
B. Temperature is 38.2°C
C. Pulse is 110 beats/min
D. A wound measures 2 cm
3. Which statement is a nursing diagnosis rather than a medical diagnosis?
A. Type 2 diabetes mellitus
B. Pneumonia
C. Acute appendicitis
D. Impaired physical mobility related to weakness
4. Which outcome is measurable and time-specific?
A. The patient will walk 30 meters with assistance by tomorrow afternoon
B. The patient will improve mobility
C. The patient will feel better soon
D. The patient will understand all care
5.A nurse notices new confusion and a decreasing blood pressure. Which clinical
judgment function identifies these important findings?
A. Take action
, B. Recognize cues
C. Evaluate outcomes
D. Generate solutions
The nurse links tachycardia, hypotension, and bleeding to possible volume loss.
6.
Which function is demonstrated?
A. Evaluate teaching
B. Analyze cues
C. Document discharge
D. Delegate a task
,7.A nurse decides that respiratory compromise is more urgent than difficulty
sleeping. Which function is occurring?
A. Complete a referral
B. Record a medication history
C. Collect demographic data
D. Prioritize hypotheses
8. Which action represents generating solutions?
A. Compare post-treatment findings with goals
B. Record a pulse value
C. Identify appropriate interventions for the priority problem
D. Confirm the patient's address
9. A patient's condition changes after the care plan is written. What should the nurse
do?
A. Reassess and revise the plan as indicated
B. Follow the original plan without review
C. Wait until the next admission
D. Discard all previous findings
10. Which approach best demonstrates holistic nursing care?
A. Focus only on laboratory results
B. Address only the medical diagnosis
C. Consider physical, emotional, social, cultural, and spiritual needs
D. Treat all patients using identical preferences
11. Which action best evaluates an educational intervention?
A. Ask a family member whether the nurse spoke clearly
B. Count the number of printed pages provided
C. Ask the patient to demonstrate the skill that was taught
D. Record only that teaching occurred
, Ethics and advocacy
12.A capable adult refuses a recommended treatment after understanding the
risks. Which ethical principle supports respecting the decision?
A. Paternalism
B. Professional loyalty alone
C. Utility alone
D. Autonomy
