NCLEX-RN Practice Questions For
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,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 - correct ans: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 - correct ans: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. - correct ans: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.
An adult female ambulatory care client receiving an oral anticoagulant is given aspirin for a headache
while visiting a neighbor, who is a nurse. The client subsequently has a bleeding episode because of a
drug interaction. The legal nurse consultant interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
2026 LATEST EXAM VERSION With
Expected real and comprehensive and
Revised Correct Answers Guarantee
Pass A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,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 - correct ans: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 - correct ans: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. - correct ans: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.
An adult female ambulatory care client receiving an oral anticoagulant is given aspirin for a headache
while visiting a neighbor, who is a nurse. The client subsequently has a bleeding episode because of a
drug interaction. The legal nurse consultant interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
