NUR 2058 Exam 2 Actual Exam V2 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 2) | Rasmussen
1. A nurse is caring for a terminally ill patient who expresses a desire to discontinue
chemotherapy. The nurse supports the patient’s decision even though the family disagrees.
Which ethical principle is the nurse primarily demonstrating?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. In this scenario, the nurse respects the patient’s right to refuse
treatment despite outside pressure from the family. This principle is foundational to
patient-centered care and professional nursing ethics.
2. A nurse fails to raise the side rails for a confused elderly patient who subsequently falls and
fractures a hip. This failure to act according to the standard of care is an example of which
legal concept?
A. Battery
B. Assault
C. Negligence
D. Slander
Answer: C
Rationale: Negligence is defined as the failure to provide the care that a reasonably
prudent person would provide in a similar situation. To prove negligence, there must be a
duty, a breach of duty, causation, and actual injury or harm. In this case, the nurse had a
duty to ensure patient safety through known fall precautions, which was breached.
3. When using the SBAR communication tool, which information would the nurse include in
the ‘A’ (Assessment) section?
A. A suggestion for a specific laboratory test or medication change.
B. The patient’s medical history and admission date.
C. The patient’s current vital signs and mental status.
D. The reason for the phone call or the immediate concern.
,Answer: C
Rationale: The Assessment portion of SBAR involves the nurse sharing their professional
conclusion regarding the patient’s situation based on objective data. This includes vital
signs, physical findings, and any changes in the patient’s condition. It allows the receiving
healthcare provider to understand the severity of the clinical problem.
4. A nurse is participating in a Quality Improvement (QI) project. Which of the following
activities best describes the nurse’s role in the ‘Plan’ phase of the PDSA cycle?
A. Testing the change on a small scale.
B. Analyzing data to see if the change was successful.
C. Implementing the successful change hospital-wide.
D. Identifying a goal and determining the data to be collected.
Answer: D
Rationale: The Plan-Do-Study-Act (PDSA) cycle begins with the Plan phase, where
objectives are set and processes are defined. Identifying a specific problem and the metrics
for measuring improvement is essential before any action is taken. This structured
approach ensures that the improvement efforts are targeted and measurable.
5. Which nursing theorist is most associated with the ‘Self-Care Deficit’ theory, emphasizing
the patient’s ability to perform self-care activities?
A. Dorothea Orem
B. Jean Watson
C. Florence Nightingale
D. Sister Callista Roy
Answer: A
Rationale: Dorothea Orem developed the Self-Care Deficit Nursing Theory, which posits
that nursing is required when an individual is unable to provide self-care. The goal of
nursing according to Orem is to help patients meet their self-care requisites. This theory is
widely used in rehabilitation and chronic illness management.
6. A nurse is working in a resource-limited clinic and must decide how to distribute a small
supply of flu vaccines. Which ethical principle dictates that the nurse should distribute the
vaccines fairly across the population?
A. Fidelity
B. Justice
C. Veracity
, D. Nonmaleficence
Answer: B
Rationale: Justice in nursing ethics refers to the fair and equitable distribution of
resources and treatment. It ensures that patients in similar situations receive a similar level
of care and that resources are prioritized based on clinical need rather than social status.
This principle is critical in public health and managing healthcare disparities.
7. During a shift report, the nurse mentions that a patient is ‘demanding and difficult.’ By
labeling the patient, the nurse may be violating which professional standard regarding
objective communication?
A. Autonomy
B. Confidentiality
C. Professionalism
D. Beneficence
Answer: C
Rationale: Professionalism requires the nurse to use objective, non-judgmental language
when communicating with the healthcare team. Using subjective labels can lead to biased
care from subsequent shifts and undermines the patient-nurse relationship. Nurses should
instead focus on describing specific behaviors and the patient’s unmet needs.
8. A patient is scheduled for surgery, but the nurse notices the patient seems confused about
the risks of the procedure. What is the most appropriate action for the nurse to take
regarding the informed consent?
A. Explain the risks to the patient and have them sign the form.
B. Ask the family to explain the risks to the patient.
C. Notify the surgeon that the patient does not fully understand the procedure.
D. Proceed with the surgery as the consent was likely already discussed in the office.
Answer: C
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the patient. If the nurse identifies that the patient is confused or lacks understanding,
they must notify the surgeon who is performing the procedure to provide further
clarification. The nurse is not responsible for explaining the risks and benefits themselves;
that duty belongs to the physician.
9. Which regulatory body is responsible for defining the scope of nursing practice within a
specific state?
A. The American Nurses Association (ANA)
Practice (NUR2058 Exam 2) | Rasmussen
1. A nurse is caring for a terminally ill patient who expresses a desire to discontinue
chemotherapy. The nurse supports the patient’s decision even though the family disagrees.
Which ethical principle is the nurse primarily demonstrating?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. In this scenario, the nurse respects the patient’s right to refuse
treatment despite outside pressure from the family. This principle is foundational to
patient-centered care and professional nursing ethics.
2. A nurse fails to raise the side rails for a confused elderly patient who subsequently falls and
fractures a hip. This failure to act according to the standard of care is an example of which
legal concept?
A. Battery
B. Assault
C. Negligence
D. Slander
Answer: C
Rationale: Negligence is defined as the failure to provide the care that a reasonably
prudent person would provide in a similar situation. To prove negligence, there must be a
duty, a breach of duty, causation, and actual injury or harm. In this case, the nurse had a
duty to ensure patient safety through known fall precautions, which was breached.
3. When using the SBAR communication tool, which information would the nurse include in
the ‘A’ (Assessment) section?
A. A suggestion for a specific laboratory test or medication change.
B. The patient’s medical history and admission date.
C. The patient’s current vital signs and mental status.
D. The reason for the phone call or the immediate concern.
,Answer: C
Rationale: The Assessment portion of SBAR involves the nurse sharing their professional
conclusion regarding the patient’s situation based on objective data. This includes vital
signs, physical findings, and any changes in the patient’s condition. It allows the receiving
healthcare provider to understand the severity of the clinical problem.
4. A nurse is participating in a Quality Improvement (QI) project. Which of the following
activities best describes the nurse’s role in the ‘Plan’ phase of the PDSA cycle?
A. Testing the change on a small scale.
B. Analyzing data to see if the change was successful.
C. Implementing the successful change hospital-wide.
D. Identifying a goal and determining the data to be collected.
Answer: D
Rationale: The Plan-Do-Study-Act (PDSA) cycle begins with the Plan phase, where
objectives are set and processes are defined. Identifying a specific problem and the metrics
for measuring improvement is essential before any action is taken. This structured
approach ensures that the improvement efforts are targeted and measurable.
5. Which nursing theorist is most associated with the ‘Self-Care Deficit’ theory, emphasizing
the patient’s ability to perform self-care activities?
A. Dorothea Orem
B. Jean Watson
C. Florence Nightingale
D. Sister Callista Roy
Answer: A
Rationale: Dorothea Orem developed the Self-Care Deficit Nursing Theory, which posits
that nursing is required when an individual is unable to provide self-care. The goal of
nursing according to Orem is to help patients meet their self-care requisites. This theory is
widely used in rehabilitation and chronic illness management.
6. A nurse is working in a resource-limited clinic and must decide how to distribute a small
supply of flu vaccines. Which ethical principle dictates that the nurse should distribute the
vaccines fairly across the population?
A. Fidelity
B. Justice
C. Veracity
, D. Nonmaleficence
Answer: B
Rationale: Justice in nursing ethics refers to the fair and equitable distribution of
resources and treatment. It ensures that patients in similar situations receive a similar level
of care and that resources are prioritized based on clinical need rather than social status.
This principle is critical in public health and managing healthcare disparities.
7. During a shift report, the nurse mentions that a patient is ‘demanding and difficult.’ By
labeling the patient, the nurse may be violating which professional standard regarding
objective communication?
A. Autonomy
B. Confidentiality
C. Professionalism
D. Beneficence
Answer: C
Rationale: Professionalism requires the nurse to use objective, non-judgmental language
when communicating with the healthcare team. Using subjective labels can lead to biased
care from subsequent shifts and undermines the patient-nurse relationship. Nurses should
instead focus on describing specific behaviors and the patient’s unmet needs.
8. A patient is scheduled for surgery, but the nurse notices the patient seems confused about
the risks of the procedure. What is the most appropriate action for the nurse to take
regarding the informed consent?
A. Explain the risks to the patient and have them sign the form.
B. Ask the family to explain the risks to the patient.
C. Notify the surgeon that the patient does not fully understand the procedure.
D. Proceed with the surgery as the consent was likely already discussed in the office.
Answer: C
Rationale: The nurse’s role in informed consent is to witness the signature and advocate
for the patient. If the nurse identifies that the patient is confused or lacks understanding,
they must notify the surgeon who is performing the procedure to provide further
clarification. The nurse is not responsible for explaining the risks and benefits themselves;
that duty belongs to the physician.
9. Which regulatory body is responsible for defining the scope of nursing practice within a
specific state?
A. The American Nurses Association (ANA)
