NUR2058 Final Exam V1 | NUR 2058 Dimensions of
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is caring for a client who decides to stop chemotherapy despite the family’s
wishes. Which ethical principle is the nurse supporting?
A. Justice
B. Beneficence
C. Autonomy
D. Veracity
Correct Answer: C
Explanation: Autonomy refers to the client’s right to make their own healthcare decisions.
In this scenario, the nurse respects the patient’s choice to refuse treatment even if others
disagree. This principle is foundational to patient-centered care and legal rights in nursing.
2. Which of the following tasks is most appropriate for a nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Assisting a stable client with ambulation
C. Providing discharge teaching to a stable patient
D. Interpreting vital signs for a post-operative patient
,Correct Answer: B
Explanation: Delegation to a UAP should involve tasks that are routine and do not require
clinical judgment. Assisting a stable client with ambulation is a standard task that falls
within the UAP’s scope of practice. The nurse remains responsible for the outcome but the
task itself is safely delegable.
3. A nurse notices a coworker looking at the medical record of a high-profile patient not
under their care. What is the nurse’s first action?
A. Ignore it as long as the coworker doesn’t share the information
B. Discuss the incident with other colleagues in the breakroom
C. Confront the coworker and ask why they are looking at the chart
D. Report the incident to the nursing supervisor immediately
Correct Answer: D
Explanation: Accessing records without a professional need is a violation of HIPAA
regulations. The nurse has a professional and legal obligation to report privacy breaches to
management. Protecting patient confidentiality is a core responsibility of the nursing
profession.
4. Using the ABC prioritization framework, which patient should the nurse assess first?
A. A client with a fractured leg reporting 8/10 pain
B. A client with diabetes whose blood glucose is 150 mg/dL
, C. A client who needs a routine dressing change for a surgical wound
D. A client with pneumonia who has an oxygen saturation of 88%
Correct Answer: D
Explanation: The ABC framework prioritizes Airway, Breathing, and Circulation. An
oxygen saturation of 88% indicates a potential breathing issue that requires immediate
intervention. Pain and routine care are lower priorities compared to physiological stability.
5. The nurse is ensuring informed consent has been obtained for a surgical procedure. Which
statement correctly identifies the nurse’s role?
A. The nurse must explain the risks and benefits of the surgery
B. The nurse decides if the client is mentally competent to sign
C. The nurse acts as a witness to the client’s signature
D. The nurse provides alternative treatment options to the client
Correct Answer: C
Explanation: The primary role of the nurse in informed consent is to witness the signature
and ensure the client appears competent. It is the surgeon’s responsibility to explain the
procedure, risks, and benefits. If the client has questions, the nurse must notify the
provider to come back and clarify.
6. In Evidence-Based Practice (EBP), what does the ‘P’ in the PICO acronym stand for?
A. Performance
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is caring for a client who decides to stop chemotherapy despite the family’s
wishes. Which ethical principle is the nurse supporting?
A. Justice
B. Beneficence
C. Autonomy
D. Veracity
Correct Answer: C
Explanation: Autonomy refers to the client’s right to make their own healthcare decisions.
In this scenario, the nurse respects the patient’s choice to refuse treatment even if others
disagree. This principle is foundational to patient-centered care and legal rights in nursing.
2. Which of the following tasks is most appropriate for a nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Evaluating the effectiveness of pain medication
B. Assisting a stable client with ambulation
C. Providing discharge teaching to a stable patient
D. Interpreting vital signs for a post-operative patient
,Correct Answer: B
Explanation: Delegation to a UAP should involve tasks that are routine and do not require
clinical judgment. Assisting a stable client with ambulation is a standard task that falls
within the UAP’s scope of practice. The nurse remains responsible for the outcome but the
task itself is safely delegable.
3. A nurse notices a coworker looking at the medical record of a high-profile patient not
under their care. What is the nurse’s first action?
A. Ignore it as long as the coworker doesn’t share the information
B. Discuss the incident with other colleagues in the breakroom
C. Confront the coworker and ask why they are looking at the chart
D. Report the incident to the nursing supervisor immediately
Correct Answer: D
Explanation: Accessing records without a professional need is a violation of HIPAA
regulations. The nurse has a professional and legal obligation to report privacy breaches to
management. Protecting patient confidentiality is a core responsibility of the nursing
profession.
4. Using the ABC prioritization framework, which patient should the nurse assess first?
A. A client with a fractured leg reporting 8/10 pain
B. A client with diabetes whose blood glucose is 150 mg/dL
, C. A client who needs a routine dressing change for a surgical wound
D. A client with pneumonia who has an oxygen saturation of 88%
Correct Answer: D
Explanation: The ABC framework prioritizes Airway, Breathing, and Circulation. An
oxygen saturation of 88% indicates a potential breathing issue that requires immediate
intervention. Pain and routine care are lower priorities compared to physiological stability.
5. The nurse is ensuring informed consent has been obtained for a surgical procedure. Which
statement correctly identifies the nurse’s role?
A. The nurse must explain the risks and benefits of the surgery
B. The nurse decides if the client is mentally competent to sign
C. The nurse acts as a witness to the client’s signature
D. The nurse provides alternative treatment options to the client
Correct Answer: C
Explanation: The primary role of the nurse in informed consent is to witness the signature
and ensure the client appears competent. It is the surgeon’s responsibility to explain the
procedure, risks, and benefits. If the client has questions, the nurse must notify the
provider to come back and clarify.
6. In Evidence-Based Practice (EBP), what does the ‘P’ in the PICO acronym stand for?
A. Performance
