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NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (31)
Answer: 3
A client is referred to a surgeon by
the general practitioner. After Rationale: Autonomy is the right of individuals to take action for themselves.
meeting the surgeon, the client Beneficence is an ethical principle to do good and applies when the nurse has a city
decides to find a to help others by doing what is best for them. Veracity refers to truthfulness.
different surgeon to continue Privacy is the nondisclosure of information by the health care team.
treatment. The nurse supports the Cognitive Level: Applying
client's action, Client Need: Management of Care
utilizing which ethical principle?
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The core issue of the question is the ability to interpret which ethical
1. Beneficence
principle is operating in a specific situation. Eliminate beneficence and veracity next
2.Veracity
because they focus on the obligation of the nurse rather than on a right of the
3.Autonomy
client.
4. Privacy
A nurse forgets to administer a Answer: 2
client's diuretic and the client Rationale: Negligence is the unintentional failure of an individual to perform or not
experiences an perform an act that a reasonable person would or would not do in the same or
episode of pulmonary edema. The charge similar circumstances. A purposeful failure to perform a procedure would be the
nurse would consider the medication error opposite of negligence, which is unintentional. Substituting a different medication
to constitute negligence because the does not fit the description of the situation in the question. Failure to follow a direct
situation contains which element? order does not fit the description in the situation in the question.
Cognitive Level: Applying
1. Purposeful failure to perform Client Need: Management of Care
a health care procedure Integrated Process: Nursing Process: Assessment
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2.Unintentional failure to perform a Content Area: Fundamentals
health care procedure Strategy: Two options are opposites, which is a clue that one of them may be correct.
3.Act of substituting a different
Choose unintentional failure to carry out a procedure over purposeful failure
medication for the one ordered
because it matches the definition of negligence.
4. Failure to follow a direct order by
a physician
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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
A client asks why a diagnostic test has
client. Nonmaleficence is the duty to do no harm. Veracity refers to telling the
been ordered and the nurse replies, "I'm
truth for example, not lying to a client about a serious prognosis. Beneficence
unsure but will find out for you." When the
means
nurse later returns and provides an
doing good, such as by implementing actions (e.g. keeping a salt shaker out of
explanation,
sight) that benefit a client (heart condition requiring sodium-restricted diet).
the nurse is acting under which principle?
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
1. Nonmaleficence
Content Area: Fundamentals
2.Veracity
Strategy: Use the process of elimination. The correct answer is the one that
3. Beneficence matches the description in the stem; that is, the nurse made a promise to a client and
4. Fidelity kept it, which constitutes fidelity.
Answer: 1
An individual has a seizure while walking
Rationale: To be guilty of negligence, the nurse must have a relationship with the
down the street. During the seizure, a nurse
from a physician's office is noticed driving client that involves a duty to provide care. The relationship is usually a component
past without stopping to assist. The of employment. The nurse did not necessarily do what others would do in this
individual sues the nurse for negligence situation. Although the nurse did not cause the client's injuries, it does not prevent
but fails to win a judgement for which the nurse from assisting in this situation. Although the nurse was off-duty, the nurse
reason? could have assisted if motivated to do so.
Cognitive Level: Understanding
Client Need: Management of Care
1. The nurse had no duty to the
Integrated Process: Nursing Process: Implementation
individual.
Content Area: Fundamentals
2. The nurse did what most
Strategy: Use the process of elimination and nursing knowledge. The correct
nurses would do in the same
answer is the one that recognizes that the nurse was not in the role of employee at
circumstance.
the time of the incident, removing the requirement of acting on the client's behalf.
3.The nurse did not cause the
client's injuries.
4.The nurse was off-duty at the time.
Answer: 2, 5
Rationale: There was no nurse-client relationship because the nurse was acting as
An adult female ambulatory care client
a neighbor and not in an employment capacity. Thus, there can be no duty owed.
receiving an oral anticoagulant is
Intent is not a necessary element of malpractice, because malpractice can occur
given aspirin for a headache while
visiting a neighbor, who is a nurse. The because of unintended actions as well. There was no breach of duty because there
client subsequently has a bleeding was no official nurse-client relationship, which accompanies an employment
situation. There was injury experiences because of this event. The bleeding
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