NUR2058 Exam 3 V2 | NUR 2058 Dimensions
of Nursing Practice Exam Q&A | Rasmussen
University
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for nursing assessments
related to adult health nursing, acute care interventions, and complex patient care
management. The content reflects practical nursing concepts commonly tested in nursing
examinations.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, patient assessment findings, and therapeutic nursing interventions. Detailed
expert explanations support concept mastery and practical nursing application.
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Why Use This Exam:
• Improves understanding of acute care nursing
• Reinforces patient assessment techniques
• Strengthens therapeutic intervention knowledge
• Supports practical nursing application
• Enhances nursing decision-making skills
• Provides detailed expert explanations
• Encourages evidence-based clinical thinking
• Helps students prepare for complex nursing exams
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1. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient with pneumonia who has become increasingly restless and confused.
B. A patient post-op day 1 from abdominal surgery reporting pain of 6/10.
,C. A patient with a history of heart failure reporting a 2-pound weight gain overnight.
D. A patient with diabetes whose pre-meal blood glucose is 140 mg/dL.
Correct Answer: A
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) and safety framework,
restlessness and confusion in a patient with pneumonia are early signs of hypoxia. This
patient requires immediate assessment of respiratory status and oxygenation. The other
patients are stable or experiencing expected findings that can be addressed after the
priority patient.
2. The nurse is planning care for a group of patients and needs to delegate tasks. Which task
is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Changing the sterile dressing on a central venous line.
B. Assisting a stable patient with ambulation for the first time post-surgery.
C. Assessing the breath sounds of a patient complaining of shortness of breath.
D. Performing a finger-stick glucose check on a patient with stable diabetes.
Correct Answer: D
Expert Explanation: A finger-stick glucose check is a routine, standardized procedure that
can be delegated to a UAP for a stable patient. Sterile dressing changes, first-time
ambulation assessments, and clinical assessments are within the scope of practice for the
RN and require professional judgment.
, 3. Which ethical principle is the nurse practicing when they advocate for a patient’s right to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
about their healthcare, even if those decisions conflict with the medical team’s
recommendations. Advocating for this right is a direct application of respecting patient
autonomy.
4. A nurse accidentally administers the wrong dose of a medication but the patient suffers no
ill effects. Which element of malpractice is missing if a lawsuit were to be filed?
A. Duty
B. Breach of duty
C. Injury or damages
D. Causation
Correct Answer: C
of Nursing Practice Exam Q&A | Rasmussen
University
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for nursing assessments
related to adult health nursing, acute care interventions, and complex patient care
management. The content reflects practical nursing concepts commonly tested in nursing
examinations.
This version contains realistic exam-style questions designed to strengthen understanding of
nursing priorities, patient assessment findings, and therapeutic nursing interventions. Detailed
expert explanations support concept mastery and practical nursing application.
════════════════════════════════════
Why Use This Exam:
• Improves understanding of acute care nursing
• Reinforces patient assessment techniques
• Strengthens therapeutic intervention knowledge
• Supports practical nursing application
• Enhances nursing decision-making skills
• Provides detailed expert explanations
• Encourages evidence-based clinical thinking
• Helps students prepare for complex nursing exams
════════════════════════════════════
1. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient with pneumonia who has become increasingly restless and confused.
B. A patient post-op day 1 from abdominal surgery reporting pain of 6/10.
,C. A patient with a history of heart failure reporting a 2-pound weight gain overnight.
D. A patient with diabetes whose pre-meal blood glucose is 140 mg/dL.
Correct Answer: A
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) and safety framework,
restlessness and confusion in a patient with pneumonia are early signs of hypoxia. This
patient requires immediate assessment of respiratory status and oxygenation. The other
patients are stable or experiencing expected findings that can be addressed after the
priority patient.
2. The nurse is planning care for a group of patients and needs to delegate tasks. Which task
is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Changing the sterile dressing on a central venous line.
B. Assisting a stable patient with ambulation for the first time post-surgery.
C. Assessing the breath sounds of a patient complaining of shortness of breath.
D. Performing a finger-stick glucose check on a patient with stable diabetes.
Correct Answer: D
Expert Explanation: A finger-stick glucose check is a routine, standardized procedure that
can be delegated to a UAP for a stable patient. Sterile dressing changes, first-time
ambulation assessments, and clinical assessments are within the scope of practice for the
RN and require professional judgment.
, 3. Which ethical principle is the nurse practicing when they advocate for a patient’s right to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy refers to the patient’s right to make their own decisions
about their healthcare, even if those decisions conflict with the medical team’s
recommendations. Advocating for this right is a direct application of respecting patient
autonomy.
4. A nurse accidentally administers the wrong dose of a medication but the patient suffers no
ill effects. Which element of malpractice is missing if a lawsuit were to be filed?
A. Duty
B. Breach of duty
C. Injury or damages
D. Causation
Correct Answer: C
