NUR 2058 Exam 1 Actual Exam V3 | NUR 2058 Dimensions of Nursing
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want this procedure anymore, but my doctor says it is the only way.’ Which ethical principle
is the nurse upholding by discussing the client’s right to refuse with the surgeon?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without coercion. By advocating for the client’s hesitation, the nurse respects their self-
determination. This is a fundamental component of the patient-centered care model.
2. Which element is necessary to prove nursing malpractice in a court of law?
A. A breach of duty occurred that directly caused injury.
B. The client did not like the nurse’s bedside manner.
C. The nurse was working overtime during the shift.
D. The nurse failed to document the patient’s lunch intake.
Answer: A
Rationale: To establish malpractice, four elements must be present: duty, breach of duty,
causation, and damages. A breach of duty implies the nurse failed to meet the standard of
care. Without a direct link to injury, a claim of malpractice cannot be substantiated.
3. A nurse manager is explaining the ‘Nurse Practice Act’ to a new hire. What is the primary
purpose of this legislation?
A. To protect the public by defining the scope of nursing practice.
B. To ensure nurses receive fair wages and benefits.
C. To provide a framework for nursing education curriculum.
D. To protect the hospital from legal liability.
Answer: A
,Rationale: The Nurse Practice Act is state-specific legislation that regulates nursing to
protect the public’s health and safety. It defines what a nurse can and cannot do within
their professional role. Each state’s Board of Nursing oversees the enforcement of this act.
4. According to Benner’s stages of nursing proficiency, a nurse who has been in the same
clinical position for 2 to 3 years and begins to rely on long-range goals is at which level?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Rationale: The Competent nurse typically has 2 to 3 years of experience in the same area.
They are able to plan and organize tasks while focusing on efficient delivery of care. This
stage marks the beginning of the ability to prioritize based on conscious, deliberate
planning.
5. Which nursing theorist is credited with the ‘Environmental Theory’ which emphasizes the
importance of light, cleanliness, and fresh air?
A. Dorothea Orem
B. Florence Nightingale
C. Jean Watson
D. Virginia Henderson
Answer: B
Rationale: Florence Nightingale believed that the environment significantly impacted a
patient’s recovery. Her theory focused on clean water, fresh air, and light as essential
components of nursing care. She is widely considered the founder of modern nursing.
6. The nurse is using the SBAR tool to communicate with a physician. Which statement
represents the ‘B’ in SBAR?
A. The patient’s oxygen saturation is 88% on room air.
B. I suggest we start the patient on 2 liters of oxygen.
C. I am calling because the patient is experiencing shortness of breath.
D. The patient has a history of chronic obstructive pulmonary disease.
Answer: D
, Rationale: The ‘B’ in SBAR stands for Background, which provides context regarding the
patient’s medical history or previous status. This helps the receiver understand the clinical
situation more clearly. It follows the Situation and precedes the Assessment.
7. A nurse provides the same quality of care to a homeless individual as they do to a wealthy
business owner. Which ethical principle is being demonstrated?
A. Fidelity
B. Veracity
C. Confidentiality
D. Justice
Answer: D
Rationale: Justice involves the fair and equitable distribution of resources and care. It
dictates that all patients should be treated equally regardless of their socioeconomic status.
This principle ensures that bias does not dictate the quality of nursing interventions.
8. While documenting in a patient’s chart, a nurse realizes they made an error. How should
the nurse correct the paper record according to professional standards?
A. Draw a single line through the error, write ‘error’, and initial it.
B. Scribble over the entry until it is unreadable.
C. Use white-out to cover the error completely.
D. Discard the page and rewrite the entire nursing note.
Answer: A
Rationale: Professional documentation standards require that errors remain visible to
prove that the record was not tampered with. Drawing a single line allows the original text
to be seen while signaling a correction. This protects the nurse legally and ensures the
integrity of the medical record.
9. A nurse threatens to insert a nasogastric tube in a client who refuses to eat. Which legal
tort has the nurse committed?
A. Battery
B. Assault
C. Invasion of Privacy
D. Slander
Answer: B
Rationale: Assault is the threat of an intentional act that causes the victim to fear harmful
or offensive contact. Since the nurse threatened a procedure against the client’s will, it
Practice (NUR2058 Exam 1) | Rasmussen
1. A nurse is caring for a client who is scheduled for surgery. The client states, ‘I am not sure if
I want this procedure anymore, but my doctor says it is the only way.’ Which ethical principle
is the nurse upholding by discussing the client’s right to refuse with the surgeon?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without coercion. By advocating for the client’s hesitation, the nurse respects their self-
determination. This is a fundamental component of the patient-centered care model.
2. Which element is necessary to prove nursing malpractice in a court of law?
A. A breach of duty occurred that directly caused injury.
B. The client did not like the nurse’s bedside manner.
C. The nurse was working overtime during the shift.
D. The nurse failed to document the patient’s lunch intake.
Answer: A
Rationale: To establish malpractice, four elements must be present: duty, breach of duty,
causation, and damages. A breach of duty implies the nurse failed to meet the standard of
care. Without a direct link to injury, a claim of malpractice cannot be substantiated.
3. A nurse manager is explaining the ‘Nurse Practice Act’ to a new hire. What is the primary
purpose of this legislation?
A. To protect the public by defining the scope of nursing practice.
B. To ensure nurses receive fair wages and benefits.
C. To provide a framework for nursing education curriculum.
D. To protect the hospital from legal liability.
Answer: A
,Rationale: The Nurse Practice Act is state-specific legislation that regulates nursing to
protect the public’s health and safety. It defines what a nurse can and cannot do within
their professional role. Each state’s Board of Nursing oversees the enforcement of this act.
4. According to Benner’s stages of nursing proficiency, a nurse who has been in the same
clinical position for 2 to 3 years and begins to rely on long-range goals is at which level?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Rationale: The Competent nurse typically has 2 to 3 years of experience in the same area.
They are able to plan and organize tasks while focusing on efficient delivery of care. This
stage marks the beginning of the ability to prioritize based on conscious, deliberate
planning.
5. Which nursing theorist is credited with the ‘Environmental Theory’ which emphasizes the
importance of light, cleanliness, and fresh air?
A. Dorothea Orem
B. Florence Nightingale
C. Jean Watson
D. Virginia Henderson
Answer: B
Rationale: Florence Nightingale believed that the environment significantly impacted a
patient’s recovery. Her theory focused on clean water, fresh air, and light as essential
components of nursing care. She is widely considered the founder of modern nursing.
6. The nurse is using the SBAR tool to communicate with a physician. Which statement
represents the ‘B’ in SBAR?
A. The patient’s oxygen saturation is 88% on room air.
B. I suggest we start the patient on 2 liters of oxygen.
C. I am calling because the patient is experiencing shortness of breath.
D. The patient has a history of chronic obstructive pulmonary disease.
Answer: D
, Rationale: The ‘B’ in SBAR stands for Background, which provides context regarding the
patient’s medical history or previous status. This helps the receiver understand the clinical
situation more clearly. It follows the Situation and precedes the Assessment.
7. A nurse provides the same quality of care to a homeless individual as they do to a wealthy
business owner. Which ethical principle is being demonstrated?
A. Fidelity
B. Veracity
C. Confidentiality
D. Justice
Answer: D
Rationale: Justice involves the fair and equitable distribution of resources and care. It
dictates that all patients should be treated equally regardless of their socioeconomic status.
This principle ensures that bias does not dictate the quality of nursing interventions.
8. While documenting in a patient’s chart, a nurse realizes they made an error. How should
the nurse correct the paper record according to professional standards?
A. Draw a single line through the error, write ‘error’, and initial it.
B. Scribble over the entry until it is unreadable.
C. Use white-out to cover the error completely.
D. Discard the page and rewrite the entire nursing note.
Answer: A
Rationale: Professional documentation standards require that errors remain visible to
prove that the record was not tampered with. Drawing a single line allows the original text
to be seen while signaling a correction. This protects the nurse legally and ensures the
integrity of the medical record.
9. A nurse threatens to insert a nasogastric tube in a client who refuses to eat. Which legal
tort has the nurse committed?
A. Battery
B. Assault
C. Invasion of Privacy
D. Slander
Answer: B
Rationale: Assault is the threat of an intentional act that causes the victim to fear harmful
or offensive contact. Since the nurse threatened a procedure against the client’s will, it
