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A client is referred to a surgeon by the general practitioner. After meeting the
surgeon, the client decides to find a different surgeon to continue treatment. The
nurse supports the client's action, utilizing which ethical principle?
1. Beneficence
2. Veracity
3. Autonomy
4. Privacy - Correct Answer Correct Answer : 3
Rationale: Autonomy is the right of individuals to take action for themselves.
Beneficence is an ethical principle to do good and applies when the nurse has a
city to help others by doing what is best for them. Veracity refers to truthfulness.
Privacy is the nondisclosure of information by the health care team.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The core issue of the question is the ability to interpret which ethical
principle is operating in a specific situation. Eliminate beneficence and veracity
next because they focus on the obligation of the nurse rather than on a right of
the client.
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
,NCLEX-RN Practice Questions and Answers Accurate and
Well Defined Latest Update 2023\2024
A nurse forgets to administer a client's diuretic and the client experiences an
episode of pulmonary edema. The charge nurse would consider the medication
error to constitute negligence because the situation contains which element?
1. Purposeful failure to perform a health care procedure
2. Unintentional failure to perform a health care procedure
3. Act of substituting a different medication for the one ordered
4. Failure to follow a direct order by a physician - Correct Answer Correct Answer :
2
Rationale: Negligence is the unintentional failure of an individual to perform or
not perform an act that a reasonable person would or would not do in the same
or similar circumstances. A purposeful failure to perform a procedure would be
the opposite of negligence, which is unintentional. Substituting a different
medication does not fit the description of the situation in the question. Failure to
follow a direct order does not fit the description in the situation in the question.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
Content Area: Fundamentals
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
,NCLEX-RN Practice Questions and Answers Accurate and
Well Defined Latest Update 2023\2024
Strategy: Two options are opposites, which is a clue that one of them may be
correct. Choose unintentional failure to carry out a procedure over purposeful
failure because it matches the definition of negligence.
A client asks why a diagnostic test has been ordered and the nurse replies, "I'm
unsure but will find out for you." When the nurse later returns and provides an
explanation, the nurse is acting under which principle?
1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity - Correct Answer Correct Answer : 4
Rationale: Fidelity means being faithful to agreements and promises. This nurse is
acting on the client's behalf to obtain needed information and report it back to
the client. Nonmaleficence is the duty to do no harm. Veracity refers to telling the
truth for example, not lying to a client about a serious prognosis. Beneficence
means doing good, such as by implementing actions (e.g. keeping a salt shaker out
of sight) that benefit a client (heart condition requiring sodium-restricted diet).
Cognitive Level: Understanding
Client Need: Management of Care
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
, NCLEX-RN Practice Questions and Answers Accurate and
Well Defined Latest Update 2023\2024
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The correct Correct Answer is the one
that matches the description in the stem; that is, the nurse made a promise to a
client and kept it, which constitutes fidelity.
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. - Correct Answer Correct 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.
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024
NCLEX-RN Practice Questions and Answers Accurate and Well Defined Latest Update 2023\2024