NCLEX-RN EXAM REVIEW 2025/2026 ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+.
What is nursing negligence - ANSWER-Negligence is
malpractice that is NOT intentional. It is the failure to exercise
the proper degree of care required by the circumstances that a
reasonably prudent person would exercise under the
circumstances to avoid harming others. It is a careless act of
omission or commission that results in injury to another.
What is nursing malpractice? - ANSWER-Malpractice is not
always negligence. It is often referred to as professional
negligence, it is a type of negligence. It is the failure to use that
degree of care that a reasonable nurse would use under the
same or similar circumstances. Malpractice is found when:
*The nurse owed a duty to the patient
*The nurse did NOT carry out the duty/breached that duty
*The patient was at a high risk of injury
* The nurse's failure to carry out that duty caused the patients
injury
Where do Standards of Care originate? - ANSWER-Nurses are
required to follow standards of care, which originate in the
,Nurse Practice Acts, state and federal laws, accreditation
recommendations, the guidelines of professional
organizations, and the written policies and procedures of the
healthcare agency
What are nurses responsible for related to the standards of
care? – ANSWER-Nurses are responsible for performing
procedures correctly and exercising professional judgment
when implementing healthcare providers prescriptions.
When can the nurse NOT follow the healthcare provider's
prescription and what must they do about it? - ANSWER-Nurses
MUST follow the healthcare provider's prescription unless the
nurse believes that it is in error; that it violates hospital policy;
or that it is harmful to the patient. The nurse makes a formal
report explaining the refusal. The nurse should file an incident
(occurrence) report for any situation that may result in harm to
the patient.
What should the nurse do related to advanced medical directives
(ADs) - ANSWER-Assess the patients knowledge of advance
directives.
Integrate them into the patients plan of care
Provide the patient with information about advanced directives
or review ADs on admission.
,Have the knowledge that ADs can limit life-prolonging measures
when there is little or no chance of recovery
What is documented in a living will? - ANSWER-A person
documents his or her wishes regarding future care in the event
of terminal illness
What is a durable power of attorney for healthcare? - ANSWER-
The person appoints a representative (healthcare proxy) to make
healthcare decisions in a document
When should you use NS IV fluids - ANSWER-Use NS when you
are trying to replace volume (plasma)
What are the 5 stages of grief - ANSWER-Denial, anger,
bargaining, depression, and acceptance
What should you remember when someone is dealing with death
and grief -
ANSWER-- Encourage expression of anger
- Do not take away the defense mechanism or coping
mechanism the person uses in a crisis.
- Customs surrounding death and dying vary among cultures.
Make every attempt to understand and accommodate the
family's cultural traditions when caring for a dying patient.
, What are nosocomial infections - ANSWER-Infections acquired
as a result of exposure to a microorganism in the hospital
setting
What routes of transmission are related to HIV
exposure - ANSWER-- unprotected sexual contact
(most common) - exposure to blood through drug
using equipment
- perinatal transmission - most common for children
- can occur during pregnancy, at the time of delivery, or after
birth through breast feeding
Nursing assessment r/t HIV - ANSWER--Positive result on
enzyme-linked immunosorbed assay (ELISA)
- CONFIRMED WITH WESTERN BLOT TEST
-Polymerase chain reaction (PCR) - used with neonate
- OraQuick In-Home HIV Test: positive result is only preliminary;
it must be confirmed by a healthcare professional.
**Ongoing assessment, interaction with the client, and client
education and support are required.***
- NCLEX testing - never choose abstinence, choose educate!
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+.
What is nursing negligence - ANSWER-Negligence is
malpractice that is NOT intentional. It is the failure to exercise
the proper degree of care required by the circumstances that a
reasonably prudent person would exercise under the
circumstances to avoid harming others. It is a careless act of
omission or commission that results in injury to another.
What is nursing malpractice? - ANSWER-Malpractice is not
always negligence. It is often referred to as professional
negligence, it is a type of negligence. It is the failure to use that
degree of care that a reasonable nurse would use under the
same or similar circumstances. Malpractice is found when:
*The nurse owed a duty to the patient
*The nurse did NOT carry out the duty/breached that duty
*The patient was at a high risk of injury
* The nurse's failure to carry out that duty caused the patients
injury
Where do Standards of Care originate? - ANSWER-Nurses are
required to follow standards of care, which originate in the
,Nurse Practice Acts, state and federal laws, accreditation
recommendations, the guidelines of professional
organizations, and the written policies and procedures of the
healthcare agency
What are nurses responsible for related to the standards of
care? – ANSWER-Nurses are responsible for performing
procedures correctly and exercising professional judgment
when implementing healthcare providers prescriptions.
When can the nurse NOT follow the healthcare provider's
prescription and what must they do about it? - ANSWER-Nurses
MUST follow the healthcare provider's prescription unless the
nurse believes that it is in error; that it violates hospital policy;
or that it is harmful to the patient. The nurse makes a formal
report explaining the refusal. The nurse should file an incident
(occurrence) report for any situation that may result in harm to
the patient.
What should the nurse do related to advanced medical directives
(ADs) - ANSWER-Assess the patients knowledge of advance
directives.
Integrate them into the patients plan of care
Provide the patient with information about advanced directives
or review ADs on admission.
,Have the knowledge that ADs can limit life-prolonging measures
when there is little or no chance of recovery
What is documented in a living will? - ANSWER-A person
documents his or her wishes regarding future care in the event
of terminal illness
What is a durable power of attorney for healthcare? - ANSWER-
The person appoints a representative (healthcare proxy) to make
healthcare decisions in a document
When should you use NS IV fluids - ANSWER-Use NS when you
are trying to replace volume (plasma)
What are the 5 stages of grief - ANSWER-Denial, anger,
bargaining, depression, and acceptance
What should you remember when someone is dealing with death
and grief -
ANSWER-- Encourage expression of anger
- Do not take away the defense mechanism or coping
mechanism the person uses in a crisis.
- Customs surrounding death and dying vary among cultures.
Make every attempt to understand and accommodate the
family's cultural traditions when caring for a dying patient.
, What are nosocomial infections - ANSWER-Infections acquired
as a result of exposure to a microorganism in the hospital
setting
What routes of transmission are related to HIV
exposure - ANSWER-- unprotected sexual contact
(most common) - exposure to blood through drug
using equipment
- perinatal transmission - most common for children
- can occur during pregnancy, at the time of delivery, or after
birth through breast feeding
Nursing assessment r/t HIV - ANSWER--Positive result on
enzyme-linked immunosorbed assay (ELISA)
- CONFIRMED WITH WESTERN BLOT TEST
-Polymerase chain reaction (PCR) - used with neonate
- OraQuick In-Home HIV Test: positive result is only preliminary;
it must be confirmed by a healthcare professional.
**Ongoing assessment, interaction with the client, and client
education and support are required.***
- NCLEX testing - never choose abstinence, choose educate!
