NUR2058 Exam 2 V2 | NUR 2058 Dimensions of
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is caring for a client who is refusing a prescribed medication. Which ethical
principle is the nurse upholding by respecting the client’s decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Explanation: Autonomy refers to the right of the patient to make their own decisions
about their healthcare. By allowing the patient to refuse medication after being informed of
the risks, the nurse respects the patient’s self-determination. This is a foundational concept
in nursing ethics that prioritizes individual choice over clinical preference.
2. When using the SBAR communication tool, which information should the nurse include in
the ‘Background’ section?
A. The client’s current vital signs and mental status
B. The nurse’s recommendation for a change in treatment
C. The immediate reason for calling the physician
,D. The client’s medical history and reason for admission
Correct Answer: D
Explanation: The Background portion of SBAR provides the clinical context for the
situation being discussed. This typically includes the admission diagnosis, medical history,
and relevant medications or treatments already administered. Providing this context helps
the receiving provider understand the patient’s baseline and clinical trajectory.
3. A nurse is planning care for a group of clients. Which task is most appropriate to delegate
to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a client’s surgical wound for infection
B. Providing discharge instructions to a stable client
C. Administering oral medications to a client
D. Ambulating a stable client in the hallway
Correct Answer: D
Explanation: Ambulating a stable client is a routine task that falls within the scope of
practice for UAPs. Tasks that require assessment, teaching, or clinical judgment, such as
wound evaluation or discharge teaching, must be performed by a licensed nurse. Proper
delegation ensures that the RN focuses on complex clinical needs while ensuring the
patient’s basic needs are met.
, 4. Which phase of the nursing process involves the nurse determining if the goals and
outcomes for a client were met?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Correct Answer: B
Explanation: Evaluation is the final step of the nursing process where the nurse compares
the client’s current status against the expected outcomes. If goals were not met, the nurse
analyzes why and modifies the care plan accordingly. This step is essential for maintaining
quality care and ensuring the nursing interventions are effective.
5. A nurse is documenting in a client’s electronic health record. Which action by the nurse
represents a potential HIPAA violation?
A. Logging off the computer before leaving the workstation
B. Reporting a communicable disease to the public health department
C. Sharing patient data with the multidisciplinary care team
D. Discussing the client’s condition with a family member who has no code
Correct Answer: D
Nursing Practice Exam Q&A | Rasmussen
University
1. A nurse is caring for a client who is refusing a prescribed medication. Which ethical
principle is the nurse upholding by respecting the client’s decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Explanation: Autonomy refers to the right of the patient to make their own decisions
about their healthcare. By allowing the patient to refuse medication after being informed of
the risks, the nurse respects the patient’s self-determination. This is a foundational concept
in nursing ethics that prioritizes individual choice over clinical preference.
2. When using the SBAR communication tool, which information should the nurse include in
the ‘Background’ section?
A. The client’s current vital signs and mental status
B. The nurse’s recommendation for a change in treatment
C. The immediate reason for calling the physician
,D. The client’s medical history and reason for admission
Correct Answer: D
Explanation: The Background portion of SBAR provides the clinical context for the
situation being discussed. This typically includes the admission diagnosis, medical history,
and relevant medications or treatments already administered. Providing this context helps
the receiving provider understand the patient’s baseline and clinical trajectory.
3. A nurse is planning care for a group of clients. Which task is most appropriate to delegate
to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a client’s surgical wound for infection
B. Providing discharge instructions to a stable client
C. Administering oral medications to a client
D. Ambulating a stable client in the hallway
Correct Answer: D
Explanation: Ambulating a stable client is a routine task that falls within the scope of
practice for UAPs. Tasks that require assessment, teaching, or clinical judgment, such as
wound evaluation or discharge teaching, must be performed by a licensed nurse. Proper
delegation ensures that the RN focuses on complex clinical needs while ensuring the
patient’s basic needs are met.
, 4. Which phase of the nursing process involves the nurse determining if the goals and
outcomes for a client were met?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Correct Answer: B
Explanation: Evaluation is the final step of the nursing process where the nurse compares
the client’s current status against the expected outcomes. If goals were not met, the nurse
analyzes why and modifies the care plan accordingly. This step is essential for maintaining
quality care and ensuring the nursing interventions are effective.
5. A nurse is documenting in a client’s electronic health record. Which action by the nurse
represents a potential HIPAA violation?
A. Logging off the computer before leaving the workstation
B. Reporting a communicable disease to the public health department
C. Sharing patient data with the multidisciplinary care team
D. Discussing the client’s condition with a family member who has no code
Correct Answer: D
