NCLEX-RN Practice
A nurse forgets to administer a patron's diuretic and the consumer studies an episode of
pulmonary edema. The charge nurse would keep in mind the medication mistakes to
represent negligence due to the fact the situation carries which detail?
1. Purposeful failure to perform a health care method
2. Unintentional failure to perform a health care system
3. Act of substituting a one of a kind remedy for the one ordered
four. Failure to comply with an instantaneous order by means of a health practitioner
Answer: 2
Rationale: Negligence is the accidental failure of an person to perform or no longer perform
an act that a reasonable individual could or could no longer do in the identical or comparable
circumstances. A useful failure to perform a method will be the opposite of negligence, which
is unintended. Substituting a unique medicinal drug does not fit the outline of the scenario in
the question. Failure to follow an instantaneous order does now not match the outline within
the scenario in the question.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
Content Area: Fundamentals
Strategy: Two alternatives are opposites, which is a clue that one in every of them can be
accurate. Choose unintended failure to carry out a method over useful failure because it fits
the definition of negligence.
A customer asks why a diagnostic take a look at has been ordered and the nurse replies,
"I'm unsure however will find out for you." When the nurse later returns and presents an
explanation, the nurse is performing beneath which principle?
1. Nonmaleficence
2. Veracity
three. Beneficence
4. Fidelity
Answer: four
Rationale: Fidelity way being faithful to agreements and guarantees. This nurse is appearing
at the client's behalf to attain needed information and file it returned to the customer.
Nonmaleficence is the responsibility to do no harm. Veracity refers to telling the truth for
example, not mendacity to a customer about a critical analysis. Beneficence approach doing
suitable, including through imposing actions (e.G. Retaining a salt shaker out of sight) that
advantage a purchaser (coronary heart situation requiring sodium-constrained food
regimen).
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
, Strategy: Use the manner of removal. The accurate answer is the one that suits the
description within the stem; that is, the nurse made a promise to a customer and saved it,
which constitutes fidelity.
An person has a seizure whilst strolling down the street. During the seizure, a nurse from a
health practitioner's workplace is observed using beyond with out preventing to help. The
individual sues the nurse for negligence but fails to win a judgement for which purpose?
1. The nurse had no obligation to the individual.
2. The nurse did what maximum nurses could do inside the identical circumstance.
Three. The nurse did not reason the patron's accidents.
Four. The nurse changed into off-duty on the time.
Answer: 1
Rationale: To be responsible of negligence, the nurse should have a relationship with the
client that includes a obligation to offer care. The relationship is usually a aspect of
employment. The nurse did now not necessarily do what others might do in this situation.
Although the nurse did no longer motive the customer's injuries, it does not prevent the
nurse from assisting in this example. Although the nurse changed into off-responsibility, the
nurse should have assisted if influenced 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 information. The accurate answer is the
only that acknowledges that the nurse turned into now not inside the role of employee at the
time of the incident, eliminating the requirement of performing at the patron's behalf.
An adult female ambulatory care purchaser receiving an oral anticoagulant is given aspirin
for a headache at the same time as visiting a neighbor, who's a nurse. The customer finally
has a bleeding episode due to a drug interplay. The criminal nurse consultant translates that
which important factors of malpractice are missing from this example? Select all that apply.
1. Breech of duty
2. Duty owed
three. Injury experienced
4. Causation between nurse's movement and injury
5. Intent to purpose harm or injury
Answer: 2, five
Rationale: There become no nurse-purchaser dating because the nurse become acting as a
neighbor and not in an employment potential. Thus, there may be no obligation owed. Intent
isn't a essential detail of malpractice, due to the fact malpractice can arise because of
unintended moves as nicely. There turned into no breach of responsibility because there was
no legitimate nurse-client dating, which accompanies an employment state of affairs. There
turned into damage experiences because of this event. The bleeding was resulting from the
interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
A nurse forgets to administer a patron's diuretic and the consumer studies an episode of
pulmonary edema. The charge nurse would keep in mind the medication mistakes to
represent negligence due to the fact the situation carries which detail?
1. Purposeful failure to perform a health care method
2. Unintentional failure to perform a health care system
3. Act of substituting a one of a kind remedy for the one ordered
four. Failure to comply with an instantaneous order by means of a health practitioner
Answer: 2
Rationale: Negligence is the accidental failure of an person to perform or no longer perform
an act that a reasonable individual could or could no longer do in the identical or comparable
circumstances. A useful failure to perform a method will be the opposite of negligence, which
is unintended. Substituting a unique medicinal drug does not fit the outline of the scenario in
the question. Failure to follow an instantaneous order does now not match the outline within
the scenario in the question.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
Content Area: Fundamentals
Strategy: Two alternatives are opposites, which is a clue that one in every of them can be
accurate. Choose unintended failure to carry out a method over useful failure because it fits
the definition of negligence.
A customer asks why a diagnostic take a look at has been ordered and the nurse replies,
"I'm unsure however will find out for you." When the nurse later returns and presents an
explanation, the nurse is performing beneath which principle?
1. Nonmaleficence
2. Veracity
three. Beneficence
4. Fidelity
Answer: four
Rationale: Fidelity way being faithful to agreements and guarantees. This nurse is appearing
at the client's behalf to attain needed information and file it returned to the customer.
Nonmaleficence is the responsibility to do no harm. Veracity refers to telling the truth for
example, not mendacity to a customer about a critical analysis. Beneficence approach doing
suitable, including through imposing actions (e.G. Retaining a salt shaker out of sight) that
advantage a purchaser (coronary heart situation requiring sodium-constrained food
regimen).
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
, Strategy: Use the manner of removal. The accurate answer is the one that suits the
description within the stem; that is, the nurse made a promise to a customer and saved it,
which constitutes fidelity.
An person has a seizure whilst strolling down the street. During the seizure, a nurse from a
health practitioner's workplace is observed using beyond with out preventing to help. The
individual sues the nurse for negligence but fails to win a judgement for which purpose?
1. The nurse had no obligation to the individual.
2. The nurse did what maximum nurses could do inside the identical circumstance.
Three. The nurse did not reason the patron's accidents.
Four. The nurse changed into off-duty on the time.
Answer: 1
Rationale: To be responsible of negligence, the nurse should have a relationship with the
client that includes a obligation to offer care. The relationship is usually a aspect of
employment. The nurse did now not necessarily do what others might do in this situation.
Although the nurse did no longer motive the customer's injuries, it does not prevent the
nurse from assisting in this example. Although the nurse changed into off-responsibility, the
nurse should have assisted if influenced 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 information. The accurate answer is the
only that acknowledges that the nurse turned into now not inside the role of employee at the
time of the incident, eliminating the requirement of performing at the patron's behalf.
An adult female ambulatory care purchaser receiving an oral anticoagulant is given aspirin
for a headache at the same time as visiting a neighbor, who's a nurse. The customer finally
has a bleeding episode due to a drug interplay. The criminal nurse consultant translates that
which important factors of malpractice are missing from this example? Select all that apply.
1. Breech of duty
2. Duty owed
three. Injury experienced
4. Causation between nurse's movement and injury
5. Intent to purpose harm or injury
Answer: 2, five
Rationale: There become no nurse-purchaser dating because the nurse become acting as a
neighbor and not in an employment potential. Thus, there may be no obligation owed. Intent
isn't a essential detail of malpractice, due to the fact malpractice can arise because of
unintended moves as nicely. There turned into no breach of responsibility because there was
no legitimate nurse-client dating, which accompanies an employment state of affairs. There
turned into damage experiences because of this event. The bleeding was resulting from the
interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
