2025.
Answer: 2
Rationale: Negligence is the unintentional failure of an
individual
1. A nurse forgets to
adminis- ter a client's
diuretic and the
client experiences an episode to perform or not perform an act that a reasonable
person
of pulmonary edema. physician
The charge nurse would
consider the medication 2. A client asks why a diag- nostic
error to con- stitute test has been ordered and the
negligence because the nurse replies, "I'm unsure but
situation contains which will find out for you." When the
element? nurse later returns and provides
an ex- planation, the nurse is
1. Purposeful failure to acting under which principle?
per- form a health care
proce- dure 1. Nonmaleficence
2. Unintentional failure
to perform a health care
proce- dure
3. Act of substituting a
differ- ent medication
for the one ordered
4. Failure to follow a
direct or- der by a
, NCLEX-RN Practice Questions 2024-
2025.
would or would not do in the same or truth for example, not lying to a client about a serious
similar circumstances. A purposeful failure prognosis. Beneficence means doing good, such as by
to perform a procedure would be the implementing ac- tions (e.g. keeping a salt shaker out of
opposite of negligence, which is sight) that benefit a client (heart condition requiring
unintentional. Substituting a ditterent sodium-restricted diet).
medication does not fit the description of Cognitive Level: Understanding
the situation in the question. Failure to
follow a direct order does not fit the
descrip- tion 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.
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. Nonmalef- icence is the duty to
do no harm. Veracity refers to telling the
, NCLEX-RN Practice Questions 2024-
2025.
2. Veracity Client Need: Management of Care
3. Beneficence Integrated Process: Nursing Process: Implementation
4. Fidelity 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.
3. An individual has a Answer: 1
seizure while walking Rationale: To be guilty of negligence, the nurse must
down the street. During have a re- lationship with the client that involves a duty
the seizure, a nurse to provide care. The relationship is usually a component
from a physician's of- of employment. The nurse did not necessarily do what
fice is noticed driving others would do in this situation.
past without stopping to Although the nurse did not cause the client's injuries, it
assist. does not
The individual sues the nurse prevent the nurse from assisting in this situation.
Although the
for negligence but fails to win nurse was ott-duty, the nurse could have assisted if
motivated to
a judgement for which do so.
rea- son? Cognitive Level: Understanding
Client Need: Management of
1. The nurse had no Care
duty to the individual. Integrated Process: Nursing Process:
2. The nurse did what Implementation Content Area: Fundamentals
most nurses would do in Strategy: Use the process of elimination and nursing
the same circumstance. 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
3. The nurse did not cause the the requirement of acting on the client's behalf.
client's injuries.
, NCLEX-RN Practice Questions 2024-
2025.
4. The nurse was off-duty
at the time.
4. An adult female Answer: 2, 5
ambulatory care client Rationale: There was no nurse-client relationship
receiving an oral because the
anticoagulant is given aspirin nurse was acting as a neighbor and not in an
employment