3/21/25, 2:47 NCLEX-RN Practice Questions For 2024-2025 Flashcards |
PM
NCLEX-RN PRACTICE QUESTIONS FOR 2024-2025 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (33)
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 similar circumstances. A purposeful failure to perform a procedure would be the
charge nurse would consider the opposite of negligence, which is unintentional. Substituting a different medication
medication error to constitute negligence does not fit the description of the situation in the question. Failure to follow a direct
because the order does not fit the description in the situation in the question.
situation contains which element? Cognitive Level: Applying
Client Need: Management of Care
1. Purposeful failure to perform Integrated Process: Nursing Process: Assessment
a health care procedure Content Area: Fundamentals
2.Unintentional failure to perform a Strategy: Two options are opposites, which is a clue that one of them may be
health care procedure correct. Choose unintentional failure to carry out a procedure over purposeful
3.Act of substituting a different failure because it matches the definition of negligence.
medication for the one ordered
4. Failure to follow a direct order by
a physician
Answer: 4
Rationale: Fidelity means being faithful to agreements and promises. This nurse is
A client asks why a diagnostic test has acting on the client's behalf to obtain needed information and report it back to the
been ordered and the nurse replies, "I'm client. Nonmaleficence is the duty to do no harm. Veracity refers to telling the
unsure but will find out for you." When truth for example, not lying to a client about a serious prognosis. Beneficence
the nurse later returns and provides an means
explanation, the nurse is acting under doing good, such as by implementing actions (e.g. keeping a salt shaker out of
which principle? sight) that benefit a client (heart condition requiring sodium-restricted diet).
Cognitive Level: Understanding
1. Nonmaleficence Client Need: Management of Care
2.Veracity Integrated Process: Nursing Process: Implementation
3. Beneficence Content Area: Fundamentals
4. Fidelity 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.
Answer: 1
An individual has a seizure while
Rationale: To be guilty of negligence, the nurse must have a relationship with the
walking down the street. During the
client that involves a duty to provide care. The relationship is usually a component
seizure, a nurse from a physician's office
of employment. The nurse did not necessarily do what others would do in this
is noticed driving past without stopping
situation.
to assist. The
Although the nurse did not cause the client's injuries, it does not prevent the nurse
individual sues the nurse for negligence
from assisting in this situation. Although the nurse was off-duty, the nurse could have
but fails to win a judgement for which
assisted if motivated to do so.
reason?
Cognitive Level: Understanding
Client Need: Management of Care
1. The nurse had no duty to the
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. The correct
circumstance. answer is the one that recognizes that the nurse was not in the role of employee at
3.The nurse did not cause the the time of the incident, removing the requirement of acting on the client's
client's injuries. behalf.
4.The nurse was off-duty at the time.
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, 3/21/25, 2:47 NCLEX-RN Practice Questions For 2024-2025 Flashcards |
PM
Answer: 2, 5
An adult female ambulatory care client Rationale: There was no nurse-client relationship because the nurse was acting as a
receiving an oral anticoagulant is given neighbor and not in an employment capacity. Thus, there can be no duty owed.
aspirin for a headache while visiting a Intent is not a necessary element of malpractice, because malpractice can occur
neighbor, who is a nurse. The client because of unintended actions as well. There was no breach of duty because there
subsequently has a bleeding episode was no official nurse-client relationship, which accompanies an employment
because of a drug interaction. The legal situation. There was injury experiences because of this event. The bleeding was
nurse consultant interprets that which caused by the interaction of the aspirin with the anticoagulant.
necessary elements of malpractice are Cognitive Level: Analyzing
missing from this case? Select all that apply. Client Need: Management of Care
Integrated Process: Nursing Process: Evaluation
1. Breech of duty Content Area: Fundamentals
2.Duty owed Strategy: Use the process of elimination. The wording of the question indicates more
3.Injury experienced than one option is correct, and the focus is on necessary elements that must be
4.Causation between nurse's action present. First eliminate the intent to cause harm or injury, since this is not necessary
and injury to a charge of malpractice. Next note that there is no duty owed, and
5. Intent to cause harm or injury 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
Answer: 3
A client with cancer has decided to
Rationale: Autonomy refers to the right make one's own decisions, which is the
discontinue further treatment. Although the
principle supported in this situation. Justice refers to fairness. Fidelity refers to trust
nurse would like the client to continue
and loyalty. Confidentiality refers to the right to privacy of personal health
treatment, the nurse recognizes the client is
information.
competent and supports the client's
Cognitive Level: Understanding
decision using which ethical principle?
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
1. Justice
Content Area: Fundamentals
2.Fidelity
Strategy: Use the process of elimination. The wording of the question indicates that
3.Autonomy
only one option is correct and that you need to select the principle that is consistent
4. Confidentiality
with the circumstances in the question.
The health care provider orders a Answer: 1, 5
medication in a dose that is considered Rationale: Health care providers who prescribe incorrect dosages of medications
toxic. The nurse administers the medication are liable for their errors. The nurse is open to a charge of negligence for failing to
to the client, who later suffers a cardiac verify and question the incorrect dose. The hospital can be sued as the responsible
arrest and dies. What consequence can the employing agency, but the health care provider and the nurse can also be charged
nurse expect from this situation? Select all with negligence. Terminating the health care provider and nurse from employment
that apply. would not stop a lawsuit charging negligence for employee actions that have
already taken place. Prescribing and administering incorrect doses are not
1. The health care provider can be considered events that routinely happen to "reasonable person."
charged with negligence, being the Cognitive Level: Applying
person who Client Need: Management of Care
ordered the dose. Integrated Process: Nursing Process: Implementation
2. As the employing agency, only the Content Area: Fundamentals
hospital can be charged with negligence. Strategy: The wording of the question indicates that more than one option is correct.
3.The nurse and physician may be Choose the response that holds both individuals accountable, since the nurse failed
terminated from employment to prevent a to question an incorrect dose and the health care provider ordered the
2/11
PM
NCLEX-RN PRACTICE QUESTIONS FOR 2024-2025 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (33)
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 similar circumstances. A purposeful failure to perform a procedure would be the
charge nurse would consider the opposite of negligence, which is unintentional. Substituting a different medication
medication error to constitute negligence does not fit the description of the situation in the question. Failure to follow a direct
because the order does not fit the description in the situation in the question.
situation contains which element? Cognitive Level: Applying
Client Need: Management of Care
1. Purposeful failure to perform Integrated Process: Nursing Process: Assessment
a health care procedure Content Area: Fundamentals
2.Unintentional failure to perform a Strategy: Two options are opposites, which is a clue that one of them may be
health care procedure correct. Choose unintentional failure to carry out a procedure over purposeful
3.Act of substituting a different failure because it matches the definition of negligence.
medication for the one ordered
4. Failure to follow a direct order by
a physician
Answer: 4
Rationale: Fidelity means being faithful to agreements and promises. This nurse is
A client asks why a diagnostic test has acting on the client's behalf to obtain needed information and report it back to the
been ordered and the nurse replies, "I'm client. Nonmaleficence is the duty to do no harm. Veracity refers to telling the
unsure but will find out for you." When truth for example, not lying to a client about a serious prognosis. Beneficence
the nurse later returns and provides an means
explanation, the nurse is acting under doing good, such as by implementing actions (e.g. keeping a salt shaker out of
which principle? sight) that benefit a client (heart condition requiring sodium-restricted diet).
Cognitive Level: Understanding
1. Nonmaleficence Client Need: Management of Care
2.Veracity Integrated Process: Nursing Process: Implementation
3. Beneficence Content Area: Fundamentals
4. Fidelity 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.
Answer: 1
An individual has a seizure while
Rationale: To be guilty of negligence, the nurse must have a relationship with the
walking down the street. During the
client that involves a duty to provide care. The relationship is usually a component
seizure, a nurse from a physician's office
of employment. The nurse did not necessarily do what others would do in this
is noticed driving past without stopping
situation.
to assist. The
Although the nurse did not cause the client's injuries, it does not prevent the nurse
individual sues the nurse for negligence
from assisting in this situation. Although the nurse was off-duty, the nurse could have
but fails to win a judgement for which
assisted if motivated to do so.
reason?
Cognitive Level: Understanding
Client Need: Management of Care
1. The nurse had no duty to the
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. The correct
circumstance. answer is the one that recognizes that the nurse was not in the role of employee at
3.The nurse did not cause the the time of the incident, removing the requirement of acting on the client's
client's injuries. behalf.
4.The nurse was off-duty at the time.
1/11
, 3/21/25, 2:47 NCLEX-RN Practice Questions For 2024-2025 Flashcards |
PM
Answer: 2, 5
An adult female ambulatory care client Rationale: There was no nurse-client relationship because the nurse was acting as a
receiving an oral anticoagulant is given neighbor and not in an employment capacity. Thus, there can be no duty owed.
aspirin for a headache while visiting a Intent is not a necessary element of malpractice, because malpractice can occur
neighbor, who is a nurse. The client because of unintended actions as well. There was no breach of duty because there
subsequently has a bleeding episode was no official nurse-client relationship, which accompanies an employment
because of a drug interaction. The legal situation. There was injury experiences because of this event. The bleeding was
nurse consultant interprets that which caused by the interaction of the aspirin with the anticoagulant.
necessary elements of malpractice are Cognitive Level: Analyzing
missing from this case? Select all that apply. Client Need: Management of Care
Integrated Process: Nursing Process: Evaluation
1. Breech of duty Content Area: Fundamentals
2.Duty owed Strategy: Use the process of elimination. The wording of the question indicates more
3.Injury experienced than one option is correct, and the focus is on necessary elements that must be
4.Causation between nurse's action present. First eliminate the intent to cause harm or injury, since this is not necessary
and injury to a charge of malpractice. Next note that there is no duty owed, and
5. Intent to cause harm or injury 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
Answer: 3
A client with cancer has decided to
Rationale: Autonomy refers to the right make one's own decisions, which is the
discontinue further treatment. Although the
principle supported in this situation. Justice refers to fairness. Fidelity refers to trust
nurse would like the client to continue
and loyalty. Confidentiality refers to the right to privacy of personal health
treatment, the nurse recognizes the client is
information.
competent and supports the client's
Cognitive Level: Understanding
decision using which ethical principle?
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
1. Justice
Content Area: Fundamentals
2.Fidelity
Strategy: Use the process of elimination. The wording of the question indicates that
3.Autonomy
only one option is correct and that you need to select the principle that is consistent
4. Confidentiality
with the circumstances in the question.
The health care provider orders a Answer: 1, 5
medication in a dose that is considered Rationale: Health care providers who prescribe incorrect dosages of medications
toxic. The nurse administers the medication are liable for their errors. The nurse is open to a charge of negligence for failing to
to the client, who later suffers a cardiac verify and question the incorrect dose. The hospital can be sued as the responsible
arrest and dies. What consequence can the employing agency, but the health care provider and the nurse can also be charged
nurse expect from this situation? Select all with negligence. Terminating the health care provider and nurse from employment
that apply. would not stop a lawsuit charging negligence for employee actions that have
already taken place. Prescribing and administering incorrect doses are not
1. The health care provider can be considered events that routinely happen to "reasonable person."
charged with negligence, being the Cognitive Level: Applying
person who Client Need: Management of Care
ordered the dose. Integrated Process: Nursing Process: Implementation
2. As the employing agency, only the Content Area: Fundamentals
hospital can be charged with negligence. Strategy: The wording of the question indicates that more than one option is correct.
3.The nurse and physician may be Choose the response that holds both individuals accountable, since the nurse failed
terminated from employment to prevent a to question an incorrect dose and the health care provider ordered the
2/11
