NUR 2058 Exam 2 Actual Exam V3 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 2) | Rasmussen
1. A nurse is providing care for a patient who refuses a life-saving blood transfusion due to
religious beliefs. Which action by the nurse best demonstrates the ethical principle of
autonomy?
A. Consulting the facility chaplain to convince the patient to accept the treatment.
B. Seeking a court order to administer the blood because the patient’s life is at risk.
C. Ensuring the patient is fully informed of the risks of refusal and supporting their
decision.
D. Telling the patient that the doctor knows what is best for their health.
Answer: C
Rationale: The principle of autonomy recognizes the right of the patient to make their own
healthcare decisions. The nurse’s role is to provide all necessary information so the patient
can make an informed choice. Respecting this choice, even if it leads to a negative outcome,
is the hallmark of professional advocacy.
2. A nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the nurse to delegate to the UAP?
A. Collecting vital signs on a stable patient who is scheduled for discharge.
B. Administering an intravenous bolus medication for pain.
C. Performing the initial admission assessment on a new patient.
D. Teaching a patient how to use a glucose monitor at home.
Answer: A
Rationale: Delegation requires the nurse to assign tasks based on the scope of practice and
the stability of the patient. Tasks delegated to UAPs should be routine, non-invasive, and
have predictable outcomes. The RN remains responsible for assessment, teaching, and
complex nursing judgments which cannot be delegated.
3. During a handoff report, a nurse uses the SBAR communication tool. When the nurse
describes the patient’s current vital signs and mental status, which component of SBAR is
being addressed?
A. Situation
B. Background
C. Assessment
,D. Recommendation
Answer: C
Rationale: The Assessment phase of SBAR involves the nurse sharing their analysis of the
patient’s current clinical status. This includes vital signs, physical exam findings, and
changes from the baseline. This structured communication helps prevent medical errors
and ensures the provider receives clear, actionable data.
4. A nurse observes a colleague documenting a medication administration that was never
actually given to the patient. This action constitutes which legal violation?
A. Assault
B. Fraud
C. Battery
D. Defamation
Answer: B
Rationale: Fraud in nursing involves deliberate deception for unfair or unlawful gain, such
as falsifying medical records. Proper documentation is a legal and ethical requirement that
ensures patient safety and professional accountability. Falsifying records can lead to
patient harm and the revocation of the nurse’s license.
5. Which ethical principle is primary when a nurse ensures that healthcare resources are
distributed fairly among all patients regardless of their socio-economic status?
A. Justice
B. Veracity
C. Fidelity
D. Beneficence
Answer: A
Rationale: The principle of justice refers to the fair and equitable distribution of resources
and treatment. In nursing, this means providing the same quality of care to all individuals
regardless of their background or ability to pay. This principle guides policy-making and
bedside care to prevent discrimination in the healthcare system.
6. A patient is scheduled for surgery, but when the nurse enters the room, the patient states,
‘I don’t really understand what they are going to do to me.’ What is the nurse’s most
appropriate action?
A. Explain the surgical procedure and its risks to the patient.
B. Ask the patient to sign the consent form and then call the doctor.
, C. Notify the surgeon that the patient needs further explanation.
D. Tell the patient that the surgery is routine and they have nothing to worry about.
Answer: C
Rationale: While the nurse often witnesses the signing of a consent form, the primary
responsibility for explaining the procedure, risks, and benefits lies with the provider
performing the procedure. If the patient expresses a lack of understanding, the nurse must
advocate for the patient by ensuring the provider returns to clarify. Proceeding with
consent when a patient is confused is a violation of ethical and legal standards.
7. A nurse is caring for a patient who is unconscious and has no family present. The nurse
provides care that minimizes pain and promotes comfort. Which ethical principle is being
applied?
A. Non-maleficence
B. Beneficence
C. Veracity
D. Autonomy
Answer: B
Rationale: Beneficence is the duty to act in the best interest of the patient and to do good.
By focusing on comfort and pain management for a vulnerable patient, the nurse is actively
promoting the patient’s well-being. This principle often requires the nurse to balance the
benefits of treatment against the risks and burdens to the patient.
8. A nurse is sued for malpractice after failing to side-rail a bed, leading to a patient fall and
hip fracture. Which element of negligence is represented by the hip fracture?
A. Duty
B. Breach of Duty
C. Damages
D. Causation
Answer: C
Rationale: In a malpractice case, damages refer to the actual injury or harm suffered by the
patient as a result of the nurse’s actions or omissions. For negligence to be proven, there
must be a clear link between the breach of duty and the physical or emotional injury.
Without evidence of damages, a legal claim for negligence cannot be sustained.
9. A nurse is participating in a Root Cause Analysis (RCA) after a medication error occurred on
the unit. What is the primary purpose of this process?
A. To identify the individual nurse who made the mistake for disciplinary action.
Practice (NUR2058 Exam 2) | Rasmussen
1. A nurse is providing care for a patient who refuses a life-saving blood transfusion due to
religious beliefs. Which action by the nurse best demonstrates the ethical principle of
autonomy?
A. Consulting the facility chaplain to convince the patient to accept the treatment.
B. Seeking a court order to administer the blood because the patient’s life is at risk.
C. Ensuring the patient is fully informed of the risks of refusal and supporting their
decision.
D. Telling the patient that the doctor knows what is best for their health.
Answer: C
Rationale: The principle of autonomy recognizes the right of the patient to make their own
healthcare decisions. The nurse’s role is to provide all necessary information so the patient
can make an informed choice. Respecting this choice, even if it leads to a negative outcome,
is the hallmark of professional advocacy.
2. A nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the nurse to delegate to the UAP?
A. Collecting vital signs on a stable patient who is scheduled for discharge.
B. Administering an intravenous bolus medication for pain.
C. Performing the initial admission assessment on a new patient.
D. Teaching a patient how to use a glucose monitor at home.
Answer: A
Rationale: Delegation requires the nurse to assign tasks based on the scope of practice and
the stability of the patient. Tasks delegated to UAPs should be routine, non-invasive, and
have predictable outcomes. The RN remains responsible for assessment, teaching, and
complex nursing judgments which cannot be delegated.
3. During a handoff report, a nurse uses the SBAR communication tool. When the nurse
describes the patient’s current vital signs and mental status, which component of SBAR is
being addressed?
A. Situation
B. Background
C. Assessment
,D. Recommendation
Answer: C
Rationale: The Assessment phase of SBAR involves the nurse sharing their analysis of the
patient’s current clinical status. This includes vital signs, physical exam findings, and
changes from the baseline. This structured communication helps prevent medical errors
and ensures the provider receives clear, actionable data.
4. A nurse observes a colleague documenting a medication administration that was never
actually given to the patient. This action constitutes which legal violation?
A. Assault
B. Fraud
C. Battery
D. Defamation
Answer: B
Rationale: Fraud in nursing involves deliberate deception for unfair or unlawful gain, such
as falsifying medical records. Proper documentation is a legal and ethical requirement that
ensures patient safety and professional accountability. Falsifying records can lead to
patient harm and the revocation of the nurse’s license.
5. Which ethical principle is primary when a nurse ensures that healthcare resources are
distributed fairly among all patients regardless of their socio-economic status?
A. Justice
B. Veracity
C. Fidelity
D. Beneficence
Answer: A
Rationale: The principle of justice refers to the fair and equitable distribution of resources
and treatment. In nursing, this means providing the same quality of care to all individuals
regardless of their background or ability to pay. This principle guides policy-making and
bedside care to prevent discrimination in the healthcare system.
6. A patient is scheduled for surgery, but when the nurse enters the room, the patient states,
‘I don’t really understand what they are going to do to me.’ What is the nurse’s most
appropriate action?
A. Explain the surgical procedure and its risks to the patient.
B. Ask the patient to sign the consent form and then call the doctor.
, C. Notify the surgeon that the patient needs further explanation.
D. Tell the patient that the surgery is routine and they have nothing to worry about.
Answer: C
Rationale: While the nurse often witnesses the signing of a consent form, the primary
responsibility for explaining the procedure, risks, and benefits lies with the provider
performing the procedure. If the patient expresses a lack of understanding, the nurse must
advocate for the patient by ensuring the provider returns to clarify. Proceeding with
consent when a patient is confused is a violation of ethical and legal standards.
7. A nurse is caring for a patient who is unconscious and has no family present. The nurse
provides care that minimizes pain and promotes comfort. Which ethical principle is being
applied?
A. Non-maleficence
B. Beneficence
C. Veracity
D. Autonomy
Answer: B
Rationale: Beneficence is the duty to act in the best interest of the patient and to do good.
By focusing on comfort and pain management for a vulnerable patient, the nurse is actively
promoting the patient’s well-being. This principle often requires the nurse to balance the
benefits of treatment against the risks and burdens to the patient.
8. A nurse is sued for malpractice after failing to side-rail a bed, leading to a patient fall and
hip fracture. Which element of negligence is represented by the hip fracture?
A. Duty
B. Breach of Duty
C. Damages
D. Causation
Answer: C
Rationale: In a malpractice case, damages refer to the actual injury or harm suffered by the
patient as a result of the nurse’s actions or omissions. For negligence to be proven, there
must be a clear link between the breach of duty and the physical or emotional injury.
Without evidence of damages, a legal claim for negligence cannot be sustained.
9. A nurse is participating in a Root Cause Analysis (RCA) after a medication error occurred on
the unit. What is the primary purpose of this process?
A. To identify the individual nurse who made the mistake for disciplinary action.
