NCLEX-RN Practice Questions For 2024-2025
Save
Students also studied
Flashcard sets Study guides
NCLEX Question Bank with Rational... NCLEX-RN : mark kilmek 2025 NGN HESI EXIT EXA
77 terms 385 terms Teacher 94 terms
Haley_Malzac Preview Wawiye Preview Nelly__Mwangi
A nurse forgets to administer a Answer: 2
client's diuretic and the client Rationale: Negligence is the unintentional failure of an individual
experiences an episode of to perform or not perform an act that a reasonable person
pulmonary edema. The charge would or would not do in the same or similar circumstances. A
nurse would consider the purposeful failure to perform a procedure would be the
medication error to constitute opposite of negligence, which is unintentional. Substituting a
negligence because the different medication does not fit the description of the situation
situation contains which in the question. Failure to follow a direct order does not fit the
element? description in the situation in the question.
Cognitive Level: Applying
1. Purposeful failure to perform a Client Need: Management of Care
health care procedure Integrated Process: Nursing Process: Assessment
2. Unintentional failure to Content Area: Fundamentals
perform a health care Strategy: Two options are opposites, which is a clue that one of
procedure them may be correct. Choose unintentional failure to carry out a
3. Act of substituting a different procedure over purposeful failure because it matches the
medication for the one ordered definition of negligence.
4. Failure to follow a direct order
by a physician
, Answer: 4
Rationale: Fidelity means being faithful to agreements and
promises. This nurse is acting on the client's behalf to obtain
A client asks why a diagnostic
needed information and report it back to the client.
test has been ordered and the
Nonmaleficence is the duty to do no harm. Veracity refers to
nurse replies, "I'm unsure but will
telling the truth for example, not lying to a client about a serious
find out for you." When the
prognosis. Beneficence means doing good, such as by
nurse later returns and provides
implementing actions (e.g. keeping a salt shaker out of sight) that
an explanation, the nurse is
benefit a client (heart condition requiring sodium-restricted diet).
acting under which principle?
Cognitive Level: Understanding
Client Need: Management of Care
1. Nonmaleficence
Integrated Process: Nursing Process: Implementation
2. Veracity
Content Area: Fundamentals
3. Beneficence
Strategy: Use the process of elimination. The correct answer is
4. Fidelity
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 Answer: 1
walking down the street. During Rationale: To be guilty of negligence, the nurse must have a
the seizure, a nurse from a relationship with the client that involves a duty to provide care.
physician's office is noticed The relationship is usually a component of employment. The
driving past without stopping to nurse did not necessarily do what others would do in this
assist. The individual sues the situation. Although the nurse did not cause the client's injuries, it
nurse for negligence but fails to does not prevent the nurse from assisting in this situation.
win a judgement for which Although the nurse was off-duty, the nurse could have assisted if
reason? motivated to do so.
Cognitive Level: Understanding
1. The nurse had no duty to the Client Need: Management of Care
individual. Integrated Process: Nursing Process: Implementation
2. The nurse did what most Content Area: Fundamentals
nurses would do in the same Strategy: Use the process of elimination and nursing knowledge.
circumstance. The correct answer is the one that recognizes that the nurse was
3. The nurse did not cause the not in the role of employee at the time of the incident, removing
client's injuries. the requirement of acting on the client's behalf.
4. The nurse was off-duty at the
time.
, Answer: 2, 5
An adult female ambulatory care Rationale: There was no nurse-client relationship because the
client receiving an oral nurse was acting as a neighbor and not in an employment
anticoagulant is given aspirin for capacity. Thus, there can be no duty owed. Intent is not a
a headache while visiting a necessary element of malpractice, because malpractice can
neighbor, who is a nurse. The occur because of unintended actions as well. There was no
client subsequently has a breach of duty because there was no official nurse-client
bleeding episode because of a relationship, which accompanies an employment situation. There
drug interaction. The legal nurse was injury experiences because of this event. The bleeding was
consultant interprets that which caused by the interaction of the aspirin with the anticoagulant.
necessary elements of Cognitive Level: Analyzing
malpractice are missing from this Client Need: Management of Care
case? Select all that apply. Integrated Process: Nursing Process: Evaluation
Content Area: Fundamentals
1. Breech of duty Strategy: Use the process of elimination. The wording of the
2. Duty owed question indicates more than one option is correct, and the
3. Injury experienced focus is on necessary elements that must be present. First
4. Causation between nurse's eliminate the intent to cause harm or injury, since this is not
action and injury necessary to a charge of malpractice. Next note that there is no
5. Intent to cause harm or injury duty owed, and because of this, there can be no breach of duty,
to choose these two options as the necessary missing elements.
To get the full Test Bank Email
.
Remember our Test Bank are
updated every year to
accommodate changes
happening at National Council of
State Board of Nursing (NCSBN)
and prepare student for their
examination. Follow the link to
my blog for more
https://nclexrn2025.weebly.com/
blog/top-strategies-to-pass-
the-nclex-rn
Answer: 3
A client with cancer has decided
Rationale: Autonomy refers to the right make one's own
to discontinue further treatment.
decisions, which is the principle supported in this situation.
Although the nurse would like
Justice refers to fairness. Fidelity refers to trust and loyalty.
the client to continue treatment,
Confidentiality refers to the right to privacy of personal health
the nurse recognizes the client
information.
is competent and supports the
Cognitive Level: Understanding
client's decision using which
Client Need: Management of Care
ethical principle?
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
1. Justice
Strategy: Use the process of elimination. The wording of the
2. Fidelity
question indicates that only one option is correct and that you
3. Autonomy
need to select the principle that is consistent with the
4. Confidentiality
circumstances in the question.
See an expert-written answer!