NUR2058 Exam 4 V3 | NUR 2058 Dimensions of
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate to the UAP?
A. Assessing a patient’s surgical incision site for signs of infection.
B. Teaching a patient how to use an incentive spirometer postoperatively.
C. Measuring and recording the intake and output of a stable patient.
D. Administering a prescribed subcutaneous insulin injection.
Correct Answer: C
Explanation: Delegation to UAPs should involve non-invasive, routine tasks such as
measuring intake and output. Assessment, teaching, and medication administration require
professional nursing judgment and are the responsibility of the RN.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from staff members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
,Correct Answer: B
Explanation: Autocratic (or authoritarian) leadership involves centralized decision-
making where the leader maintains total control. This style is often effective in emergency
situations but can lead to low staff morale if used exclusively.
3. A nurse manager is using the SBAR tool to communicate a patient’s condition to a
physician. What does the ‘B’ in SBAR represent?
A. Background
B. Behavior
C. Beliefs
D. Boundary
Correct Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation.
The Background component includes pertinent history, admitting diagnosis, and recent
clinical data relevant to the current problem.
4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of heart failure reporting new onset shortness of breath.
B. A patient requesting pain medication for a fractured leg rated 7/10.
C. A patient scheduled for physical therapy in 30 minutes.
D. A patient who needs discharge teaching for a new medication.
, Correct Answer: A
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath represents a breathing priority. This patient is at higher
physiological risk than those requiring pain relief or teaching.
5. A community health nurse is organizing a blood pressure screening event at a local senior
center. This is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Primary prevention focuses on health
promotion/vaccination, while tertiary focuses on rehabilitation.
6. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. The
nurse supports the patient’s decision. Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate to the UAP?
A. Assessing a patient’s surgical incision site for signs of infection.
B. Teaching a patient how to use an incentive spirometer postoperatively.
C. Measuring and recording the intake and output of a stable patient.
D. Administering a prescribed subcutaneous insulin injection.
Correct Answer: C
Explanation: Delegation to UAPs should involve non-invasive, routine tasks such as
measuring intake and output. Assessment, teaching, and medication administration require
professional nursing judgment and are the responsibility of the RN.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from staff members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
,Correct Answer: B
Explanation: Autocratic (or authoritarian) leadership involves centralized decision-
making where the leader maintains total control. This style is often effective in emergency
situations but can lead to low staff morale if used exclusively.
3. A nurse manager is using the SBAR tool to communicate a patient’s condition to a
physician. What does the ‘B’ in SBAR represent?
A. Background
B. Behavior
C. Beliefs
D. Boundary
Correct Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation.
The Background component includes pertinent history, admitting diagnosis, and recent
clinical data relevant to the current problem.
4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of heart failure reporting new onset shortness of breath.
B. A patient requesting pain medication for a fractured leg rated 7/10.
C. A patient scheduled for physical therapy in 30 minutes.
D. A patient who needs discharge teaching for a new medication.
, Correct Answer: A
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath represents a breathing priority. This patient is at higher
physiological risk than those requiring pain relief or teaching.
5. A community health nurse is organizing a blood pressure screening event at a local senior
center. This is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Primary prevention focuses on health
promotion/vaccination, while tertiary focuses on rehabilitation.
6. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. The
nurse supports the patient’s decision. Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
