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Exam (elaborations)

NUR2058 Exam 3 V3 | NUR 2058 Dimensions of Nursing Practice Exam Q&A | Rasmussen University

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NUR2058 Exam 3 V3 | NUR 2058 Dimensions of Nursing Practice Exam Q&A | Rasmussen University

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NUR2058 Exam 3 V3 | NUR 2058 Dimensions of
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. The

nurse supports the patient’s decision even though the patient’s hemoglobin is critically low.

Which ethical principle is the nurse demonstrating?

A. Beneficence


B. Autonomy


C. Justice


D. Veracity


Correct Answer: B


Explanation: Autonomy refers to the right of the patient to make their own healthcare

decisions. Supporting a patient’s refusal of treatment based on their beliefs is a core

application of this principle.


2. Which of the following actions by a nurse leader best demonstrates the ‘Transformational

Leadership’ style?

A. Empowering staff to participate in decision-making and inspiring a shared vision.


B. Focusing on day-to-day tasks and rewarding staff for meeting quotas.

,C. Maintaining a hands-off approach and letting the team work independently without

guidance.


D. Using disciplinary action as the primary tool to ensure policy compliance.


Correct Answer: A


Explanation: Transformational leaders motivate and inspire staff by creating a vision and

fostering an environment where employees are empowered to innovate and contribute to

change.


3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is

appropriate for the nurse to delegate?

A. Feeding a patient who has a high risk of aspiration.


B. Performing a sterile dressing change on a post-operative wound.


C. Evaluating the effectiveness of pain medication administered 30 minutes ago.


D. Taking vital signs on a stable patient who is 2 days post-op.


Correct Answer: D


Explanation: UAPs can perform routine tasks on stable patients, such as vital signs.

Assessment, evaluation, and complex/sterile procedures are the responsibility of the

licensed nurse.

, 4. When using the SBAR communication tool, which information should the nurse include in

the ‘B’ (Background) section?

A. The current vital signs and mental status of the patient.


B. A brief summary of the patient’s medical history and reason for admission.


C. The nurse’s recommendation for a change in the treatment plan.


D. A description of the specific problem the nurse is calling about.


Correct Answer: B


Explanation: The ‘Background’ section provides context, including pertinent medical

history, admitting diagnosis, and previous treatments relevant to the current situation.


5. A nurse is involved in a Root Cause Analysis (RCA) after a sentinel event occurred on the

unit. What is the primary purpose of an RCA?

A. To identify which specific staff member is at fault for the error.


B. To document the event for the hospital’s legal defense team.


C. To provide a basis for terminating the involved employees.


D. To determine the underlying system failures that contributed to the event.


Correct Answer: D


Explanation: An RCA focuses on identifying system-wide factors and process flaws that

allowed an error to occur, rather than blaming individuals, to prevent future occurrences.

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