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NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (31) 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 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. 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 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 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 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 Integrated Process: Nursing Process: Implementation Content Area: Fundamentals Strategy: Use the process of elimination. The 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. 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.

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3/21/25, 2:47 NCLEX-RN Practice Questions Flashcards |
PM




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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,3/21/25, 2:47 NCLEX-RN Practice Questions Flashcards |
PM
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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, 3/21/25, 2:47 NCLEX-RN Practice Questions Flashcards |
PM
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
3/11

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