NCLEX-RN Practice Exam Prep
NCLEX-RN PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An individual has a seizure while walking down the street. During the seizure, a
nurse from a physician's office is noticed driving past without stopping to assist.
The individual sues the nurse for negligence but fails to win a judgement for which
reason?
1. The nurse had no duty to the individual.
2. The nurse did what most nurses would do in the same circumstance.
3. The nurse did not cause the client's injuries.
4. The nurse was off-duty at the time.
Answer: 1
Rationale: To be guilty of negligence, the nurse must have a relationship with the
client that involves a duty to provide care. The relationship is usually a component
of employment. The nurse did not necessarily do what others would do in this
situation. Although the nurse did not cause the client's injuries, it does not prevent
the nurse from assisting in this situation. Although the nurse was off-duty, the
nurse could have assisted if motivated to do so.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination and nursing knowledge. The correct
answer is the one that recognizes that the nurse was not in the role of employee at
the time of the incident, removing the requirement of acting on the client's behalf.
1|Page
, NCLEX-RN Practice Exam Prep
An adult female ambulatory care client receiving an oral anticoagulant is given
aspirin for a headache while visiting a neighbor, who is a nurse. The client
subsequently has a bleeding episode because of a drug interaction. The legal
nurse consultant interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
1. Breech of duty
2. Duty owed
3. Injury experienced
4. Causation between nurse's action and injury
5. Intent to cause harm or injury
Answer: 2, 5
Rationale: There was no nurse-client relationship because the nurse was acting as
a neighbor and not in an employment capacity. Thus, there can be no duty owed.
Intent is not a necessary element of malpractice, because malpractice can occur
because of unintended actions as well. There was no breach of duty because there
was no official nurse-client relationship, which accompanies an employment
situation. There was injury experiences because of this event. The bleeding was
caused by the interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
Client Need: Management of Care
Integrated Process: Nursing Process: Evaluation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates
more than one option is correct, and the focus is on necessary elements that must
be present. First eliminate the intent to cause harm or injury, since this is not
necessary to a charge of malpractice. Next note that there is no duty owed, and
because of this, there can be no breach of duty, to choose these two options as the
necessary missing elements.
2|Page
, NCLEX-RN Practice Exam Prep
A client with cancer has decided to discontinue further treatment. Although the
nurse would like the client to continue treatment, the nurse recognizes the client
is competent and supports the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality
Answer: 3
Rationale: Autonomy refers to the right make one's own decisions, which is the
principle supported in this situation. Justice refers to fairness. Fidelity refers to
trust and loyalty. Confidentiality refers to the right to privacy of personal health
information.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates
that only one option is correct and that you need to select the principle that is
consistent with the circumstances in the question.
The health care provider orders a medication in a dose that is considered toxic.
The nurse administers the medication to the client, who later suffers a cardiac
arrest and dies. What consequence can the nurse expect from this situation?
Select all that apply.
1. The health care provider can be charged with negligence, being the person who
ordered the dose.
2. As the employing agency, only the hospital can be charged with negligence.
3. The nurse and physician may be terminated from employment to prevent a
charge of negligence to the hospital.
3|Page
NCLEX-RN PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
An individual has a seizure while walking down the street. During the seizure, a
nurse from a physician's office is noticed driving past without stopping to assist.
The individual sues the nurse for negligence but fails to win a judgement for which
reason?
1. The nurse had no duty to the individual.
2. The nurse did what most nurses would do in the same circumstance.
3. The nurse did not cause the client's injuries.
4. The nurse was off-duty at the time.
Answer: 1
Rationale: To be guilty of negligence, the nurse must have a relationship with the
client that involves a duty to provide care. The relationship is usually a component
of employment. The nurse did not necessarily do what others would do in this
situation. Although the nurse did not cause the client's injuries, it does not prevent
the nurse from assisting in this situation. Although the nurse was off-duty, the
nurse could have assisted if motivated to do so.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination and nursing knowledge. The correct
answer is the one that recognizes that the nurse was not in the role of employee at
the time of the incident, removing the requirement of acting on the client's behalf.
1|Page
, NCLEX-RN Practice Exam Prep
An adult female ambulatory care client receiving an oral anticoagulant is given
aspirin for a headache while visiting a neighbor, who is a nurse. The client
subsequently has a bleeding episode because of a drug interaction. The legal
nurse consultant interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
1. Breech of duty
2. Duty owed
3. Injury experienced
4. Causation between nurse's action and injury
5. Intent to cause harm or injury
Answer: 2, 5
Rationale: There was no nurse-client relationship because the nurse was acting as
a neighbor and not in an employment capacity. Thus, there can be no duty owed.
Intent is not a necessary element of malpractice, because malpractice can occur
because of unintended actions as well. There was no breach of duty because there
was no official nurse-client relationship, which accompanies an employment
situation. There was injury experiences because of this event. The bleeding was
caused by the interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
Client Need: Management of Care
Integrated Process: Nursing Process: Evaluation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates
more than one option is correct, and the focus is on necessary elements that must
be present. First eliminate the intent to cause harm or injury, since this is not
necessary to a charge of malpractice. Next note that there is no duty owed, and
because of this, there can be no breach of duty, to choose these two options as the
necessary missing elements.
2|Page
, NCLEX-RN Practice Exam Prep
A client with cancer has decided to discontinue further treatment. Although the
nurse would like the client to continue treatment, the nurse recognizes the client
is competent and supports the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality
Answer: 3
Rationale: Autonomy refers to the right make one's own decisions, which is the
principle supported in this situation. Justice refers to fairness. Fidelity refers to
trust and loyalty. Confidentiality refers to the right to privacy of personal health
information.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates
that only one option is correct and that you need to select the principle that is
consistent with the circumstances in the question.
The health care provider orders a medication in a dose that is considered toxic.
The nurse administers the medication to the client, who later suffers a cardiac
arrest and dies. What consequence can the nurse expect from this situation?
Select all that apply.
1. The health care provider can be charged with negligence, being the person who
ordered the dose.
2. As the employing agency, only the hospital can be charged with negligence.
3. The nurse and physician may be terminated from employment to prevent a
charge of negligence to the hospital.
3|Page
