NUR2058 Exam 4 V2 | NUR 2058 Dimensions
of Nursing Practice Exam Q&A | Rasmussen
University
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This study guide is intended to help students strengthen their understanding of professional
nursing responsibilities, leadership in healthcare, and advanced nursing management
strategies. The content reflects practical nursing concepts frequently tested in nursing
examinations.
The questions are designed to simulate actual exam conditions while reinforcing leadership
prioritization, professional accountability, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
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Why Use This Exam:
• Improves nursing leadership knowledge
• Reinforces delegation and accountability principles
• Strengthens interdisciplinary collaboration skills
• Supports healthcare management learning
• Enhances professional communication abilities
• Provides realistic nursing exam practice
• Encourages strategic nursing thinking
• Helps prepare for advanced nursing coursework
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1. A nurse is caring for a patient who has just returned from surgery and has a respiratory
rate of 8 breaths per minute. Which action should the nurse take first?
A. Document the findings in the medical record.
B. Assess the patient’s level of consciousness and oxygen saturation.
,C. Notify the surgeon immediately about the patient’s condition.
D. Administer a scheduled dose of pain medication.
Correct Answer: B
Expert Explanation: The nurse must first assess the physiological status of the patient
using the ABC prioritization framework. Assessing oxygenation and consciousness
provides critical data before taking further intervention steps. This immediate evaluation
allows the nurse to determine if emergency measures like naloxone or oxygen support are
required.
2. When delegating a task to an unlicensed assistive personnel (UAP), which factor is the
nurse primarily responsible for?
A. Teaching the UAP how to perform the specific task.
B. Ensuring the UAP has the correct credentials for the unit.
C. Updating the facility policies regarding delegation.
D. Evaluating the outcome of the delegated task.
Correct Answer: D
Expert Explanation: The nurse retains professional accountability for the outcome of any
delegated task regardless of who performs it. While the UAP is responsible for the
performance, the nurse must ensure the task was completed correctly and the results are
interpreted. This is a core component of the five rights of delegation.
, 3. A nurse manager encourages staff to participate in decision-making and values the input of
every team member. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Correct Answer: D
Expert Explanation: The democratic leadership style focuses on group participation and
collaborative decision-making processes. This approach fosters a sense of ownership
among staff and improves morale within the healthcare environment. It contrasts with
autocratic leadership, where the manager makes decisions independently without staff
input.
4. Which patient should the charge nurse assign to a newly licensed nurse who has just
completed orientation?
A. A patient requiring complex dressing changes for a stage IV pressure ulcer.
B. A patient who is being admitted with an unstable cardiac rhythm.
C. A patient with stable chronic obstructive pulmonary disease (COPD) awaiting discharge.
D. A patient scheduled for an emergency exploratory laparotomy.
Correct Answer: C
of Nursing Practice Exam Q&A | Rasmussen
University
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of professional
nursing responsibilities, leadership in healthcare, and advanced nursing management
strategies. The content reflects practical nursing concepts frequently tested in nursing
examinations.
The questions are designed to simulate actual exam conditions while reinforcing leadership
prioritization, professional accountability, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
Why Use This Exam:
• Improves nursing leadership knowledge
• Reinforces delegation and accountability principles
• Strengthens interdisciplinary collaboration skills
• Supports healthcare management learning
• Enhances professional communication abilities
• Provides realistic nursing exam practice
• Encourages strategic nursing thinking
• Helps prepare for advanced nursing coursework
════════════════════════════════════
1. A nurse is caring for a patient who has just returned from surgery and has a respiratory
rate of 8 breaths per minute. Which action should the nurse take first?
A. Document the findings in the medical record.
B. Assess the patient’s level of consciousness and oxygen saturation.
,C. Notify the surgeon immediately about the patient’s condition.
D. Administer a scheduled dose of pain medication.
Correct Answer: B
Expert Explanation: The nurse must first assess the physiological status of the patient
using the ABC prioritization framework. Assessing oxygenation and consciousness
provides critical data before taking further intervention steps. This immediate evaluation
allows the nurse to determine if emergency measures like naloxone or oxygen support are
required.
2. When delegating a task to an unlicensed assistive personnel (UAP), which factor is the
nurse primarily responsible for?
A. Teaching the UAP how to perform the specific task.
B. Ensuring the UAP has the correct credentials for the unit.
C. Updating the facility policies regarding delegation.
D. Evaluating the outcome of the delegated task.
Correct Answer: D
Expert Explanation: The nurse retains professional accountability for the outcome of any
delegated task regardless of who performs it. While the UAP is responsible for the
performance, the nurse must ensure the task was completed correctly and the results are
interpreted. This is a core component of the five rights of delegation.
, 3. A nurse manager encourages staff to participate in decision-making and values the input of
every team member. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Correct Answer: D
Expert Explanation: The democratic leadership style focuses on group participation and
collaborative decision-making processes. This approach fosters a sense of ownership
among staff and improves morale within the healthcare environment. It contrasts with
autocratic leadership, where the manager makes decisions independently without staff
input.
4. Which patient should the charge nurse assign to a newly licensed nurse who has just
completed orientation?
A. A patient requiring complex dressing changes for a stage IV pressure ulcer.
B. A patient who is being admitted with an unstable cardiac rhythm.
C. A patient with stable chronic obstructive pulmonary disease (COPD) awaiting discharge.
D. A patient scheduled for an emergency exploratory laparotomy.
Correct Answer: C
