NUR2058 Exam 4 V3 | NUR 2058 Dimensions
of Nursing Practice Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced nursing assessments involving healthcare leadership, community nursing
systems, and complex patient management strategies. The content focuses on integrating
professional nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe nursing interventions. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
Why Use This Exam:
• Strengthens leadership and management skills
• Reinforces patient-centered nursing care
• Supports healthcare coordination strategies
• Improves clinical judgment and prioritization
• Enhances understanding of community nursing
• Encourages evidence-based decision-making
• Provides comprehensive nursing practice review
• Builds confidence for professional nursing exams
════════════════════════════════════
1. A nurse manager is encouraging staff members to participate in a new quality
improvement initiative. Which leadership style is characterized by empowering others to
reach their full potential and fostering a shared vision?
A. Transactional leadership
B. Transformational leadership
,C. Autocratic leadership
D. Laissez-faire leadership
Correct Answer: B
Expert Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and empowerment. This style encourages
employees to transcend their own self-interests for the sake of the organization. It is highly
effective in nursing for improving patient outcomes and staff satisfaction levels.
2. A registered nurse (RN) is planning care for a group of patients. Which task is most
appropriate for the RN to delegate to an unlicensed assistive personnel (UAP)?
A. Adjusting the flow rate of an oxygen nasal cannula
B. Assisting a stable patient with ambulation
C. Evaluating the effectiveness of pain medication
D. Performing a sterile dressing change on a post-operative wound
Correct Answer: B
Expert Explanation: Delegating to a UAP requires selecting tasks that are routine, non-
invasive, and do not require clinical judgment. Assisting a stable patient with ambulation
falls within the scope of practice for a UAP. Tasks such as evaluation, sterile procedures,
and medication adjustments require the clinical expertise of an RN.
,3. A nurse is caring for four patients on a medical-surgical unit. Using the principles of
prioritization, which patient should the nurse assess first?
A. A patient with a history of heart failure reporting peripheral edema
B. A patient who is 12 hours post-appendectomy reporting 5/10 pain
C. A patient with chronic obstructive pulmonary disease (COPD) with an SpO2 of 90%
D. A patient with a new onset of shortness of breath and audible wheezing
Correct Answer: D
Expert Explanation: The nurse must prioritize using the ABC (Airway, Breathing,
Circulation) framework. New onset shortness of breath and wheezing indicates a potential
acute respiratory compromise that requires immediate intervention. Other patients, while
requiring care, are currently stable or presenting with expected findings for their
conditions.
4. An elderly patient refuses a recommended life-saving surgical procedure. The nurse
supports the patient’s right to make this decision. Which ethical principle is the nurse
demonstrating?
A. Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
, Correct Answer: A
Expert Explanation: Autonomy is the ethical principle that recognizes the right of
individuals to self-determination and to make their own choices about their healthcare.
The nurse demonstrates this by respecting the patient’s refusal of treatment even if it
contradicts medical advice. This principle is a cornerstone of patient-centered care and
legal informed consent.
5. A hospital is implementing a new electronic health record (EHR) system. According to
Lewin’s Change Theory, which stage involves the actual implementation of the change and
moving toward a new level of equilibrium?
A. Refreezing
B. Unfreezing
C. Moving
D. Assessing
Correct Answer: C
Expert Explanation: Lewin’s Change Theory consists of three stages: unfreezing, moving,
and refreezing. The ‘moving’ stage is when the change is actually implemented and
participants begin to adopt new behaviors or processes. It is a transition period where
support and training are crucial for the success of the initiative.
of Nursing Practice Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced nursing assessments involving healthcare leadership, community nursing
systems, and complex patient management strategies. The content focuses on integrating
professional nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe nursing interventions. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
Why Use This Exam:
• Strengthens leadership and management skills
• Reinforces patient-centered nursing care
• Supports healthcare coordination strategies
• Improves clinical judgment and prioritization
• Enhances understanding of community nursing
• Encourages evidence-based decision-making
• Provides comprehensive nursing practice review
• Builds confidence for professional nursing exams
════════════════════════════════════
1. A nurse manager is encouraging staff members to participate in a new quality
improvement initiative. Which leadership style is characterized by empowering others to
reach their full potential and fostering a shared vision?
A. Transactional leadership
B. Transformational leadership
,C. Autocratic leadership
D. Laissez-faire leadership
Correct Answer: B
Expert Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and empowerment. This style encourages
employees to transcend their own self-interests for the sake of the organization. It is highly
effective in nursing for improving patient outcomes and staff satisfaction levels.
2. A registered nurse (RN) is planning care for a group of patients. Which task is most
appropriate for the RN to delegate to an unlicensed assistive personnel (UAP)?
A. Adjusting the flow rate of an oxygen nasal cannula
B. Assisting a stable patient with ambulation
C. Evaluating the effectiveness of pain medication
D. Performing a sterile dressing change on a post-operative wound
Correct Answer: B
Expert Explanation: Delegating to a UAP requires selecting tasks that are routine, non-
invasive, and do not require clinical judgment. Assisting a stable patient with ambulation
falls within the scope of practice for a UAP. Tasks such as evaluation, sterile procedures,
and medication adjustments require the clinical expertise of an RN.
,3. A nurse is caring for four patients on a medical-surgical unit. Using the principles of
prioritization, which patient should the nurse assess first?
A. A patient with a history of heart failure reporting peripheral edema
B. A patient who is 12 hours post-appendectomy reporting 5/10 pain
C. A patient with chronic obstructive pulmonary disease (COPD) with an SpO2 of 90%
D. A patient with a new onset of shortness of breath and audible wheezing
Correct Answer: D
Expert Explanation: The nurse must prioritize using the ABC (Airway, Breathing,
Circulation) framework. New onset shortness of breath and wheezing indicates a potential
acute respiratory compromise that requires immediate intervention. Other patients, while
requiring care, are currently stable or presenting with expected findings for their
conditions.
4. An elderly patient refuses a recommended life-saving surgical procedure. The nurse
supports the patient’s right to make this decision. Which ethical principle is the nurse
demonstrating?
A. Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
, Correct Answer: A
Expert Explanation: Autonomy is the ethical principle that recognizes the right of
individuals to self-determination and to make their own choices about their healthcare.
The nurse demonstrates this by respecting the patient’s refusal of treatment even if it
contradicts medical advice. This principle is a cornerstone of patient-centered care and
legal informed consent.
5. A hospital is implementing a new electronic health record (EHR) system. According to
Lewin’s Change Theory, which stage involves the actual implementation of the change and
moving toward a new level of equilibrium?
A. Refreezing
B. Unfreezing
C. Moving
D. Assessing
Correct Answer: C
Expert Explanation: Lewin’s Change Theory consists of three stages: unfreezing, moving,
and refreezing. The ‘moving’ stage is when the change is actually implemented and
participants begin to adopt new behaviors or processes. It is a transition period where
support and training are crucial for the success of the initiative.
