NCLEX-RN Practice Questions For 2026

NCLEX-RN Practice Questions For 2026
AZnurseZforgetsZtoZadministerZaZclient'sZdiureticZandZtheZclientZexperiencesZanZepi
sodeZofZpulmonaryZedema.ZTheZchargeZnurseZwouldZconsiderZtheZmedicationZerro
rZtoZconstituteZnegligenceZbecauseZtheZsituationZcontainsZwhichZelement?


1.ZPurposefulZfailureZtoZperformZaZhealthZcareZprocedure
2.ZUnintentionalZfailureZtoZperformZaZhealthZcareZprocedure
3.ZActZofZsubstitutingZaZdifferentZmedicationZforZtheZoneZordered
4.ZFailureZtoZfollowZaZdirectZorderZbyZaZphysicianZ-ZAnswer:Z2
Rationale:ZNegligenceZisZtheZunintentionalZfailureZofZanZindividualZtoZperformZorZ
notZperformZanZactZthatZaZreasonableZpersonZwouldZorZwouldZnotZdoZinZtheZsameZ
orZsimilarZcircumstances.ZAZpurposefulZfailureZtoZperformZaZprocedureZwouldZbeZ
theZoppositeZofZnegligence,ZwhichZisZunintentional.ZSubstitutingZaZdifferentZmedic
ationZdoesZnotZfitZtheZdescriptionZofZtheZsituationZinZtheZquestion.ZFailureZtoZfollo
wZaZdirectZorderZdoesZnotZfitZtheZdescriptionZinZtheZsituationZinZtheZquestion.Z
CognitiveZLevel:ZApplying
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZAssessment
ContentZArea:ZFundamentals
Strategy:ZTwoZoptionsZareZopposites,ZwhichZisZaZclueZthatZoneZofZthemZmayZbeZc
orrect.ZChooseZunintentionalZfailureZtoZcarryZoutZaZprocedureZoverZpurposefulZfail
ureZbecauseZitZmatchesZtheZdefinitionZofZnegligence.


AZclientZasksZwhyZaZdiagnosticZtestZhasZbeenZorderedZandZtheZnurseZreplies,Z"I'mZ
unsureZbutZwillZfindZoutZforZyou."ZWhenZtheZnurseZlaterZreturnsZandZprovidesZanZ
explanation,ZtheZnurseZisZactingZunderZwhichZprinciple?


1.ZNonmaleficence

,2.ZVeracity
3.ZBeneficence
4.ZFidelityZ-ZAnswer:Z4Z
Rationale:ZFidelityZmeansZbeingZfaithfulZtoZagreementsZandZpromises.ZThisZnurseZ
isZactingZonZtheZclient'sZbehalfZtoZobtainZneededZinformationZandZreportZitZbackZto
ZtheZclient.ZNonmaleficenceZisZtheZdutyZtoZdoZnoZharm.ZVeracityZrefersZtoZtellingZ

theZtruthZforZexample,ZnotZlyingZtoZaZclientZaboutZaZseriousZprognosis.ZBeneficenc
eZmeansZdoingZgood,ZsuchZasZbyZimplementingZactionsZ(e.g.ZkeepingZaZsaltZshake
rZoutZofZsight)ZthatZbenefitZaZclientZ(heartZconditionZrequiringZsodium-
restrictedZdiet).
CognitiveZLevel:ZUnderstanding
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZImplementation
ContentZArea:ZFundamentals
Strategy:ZUseZtheZprocessZofZelimination.ZTheZcorrectZanswerZisZtheZoneZthatZmat
chesZtheZdescriptionZinZtheZstem;ZthatZis,ZtheZnurseZmadeZaZpromiseZtoZaZclientZan
dZkeptZit,ZwhichZconstitutesZfidelity.
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AnZindividualZhasZaZseizureZwhileZwalkingZdownZtheZstreet.ZDuringZtheZseizure,Za
ZnurseZfromZaZphysician'sZofficeZisZnoticedZdrivingZpastZwithoutZstoppingZtoZassist

.ZTheZindividualZsuesZtheZnurseZforZnegligenceZbutZfailsZtoZwinZaZjudgementZforZ
whichZreason?


1.ZTheZnurseZhadZnoZdutyZtoZtheZindividual.

, 2.ZTheZnurseZdidZwhatZmostZnursesZwouldZdoZinZtheZsameZcircumstance.Z
3.ZTheZnurseZdidZnotZcauseZtheZclient'sZinjuries.
4.ZTheZnurseZwasZoff-dutyZatZtheZtime.Z-ZAnswer:Z1Z
Rationale:ZToZbeZguiltyZofZnegligence,ZtheZnurseZmustZhaveZaZrelationshipZwithZth
eZclientZthatZinvolvesZaZdutyZtoZprovideZcare.ZTheZrelationshipZisZusuallyZaZcompo
nentZofZemployment.ZTheZnurseZdidZnotZnecessarilyZdoZwhatZothersZwouldZdoZinZt
hisZsituation.ZAlthoughZtheZnurseZdidZnotZcauseZtheZclient'sZinjuries,ZitZdoesZnotZp
reventZtheZnurseZfromZassistingZinZthisZsituation.ZAlthoughZtheZnurseZwasZoff-
duty,ZtheZnurseZcouldZhaveZassistedZifZmotivatedZtoZdoZso.
CognitiveZLevel:ZUnderstanding
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZImplementation
ContentZArea:ZFundamentals
Strategy:ZUseZtheZprocessZofZeliminationZandZnursingZknowledge.ZTheZcorrectZans
werZisZtheZoneZthatZrecognizesZthatZtheZnurseZwasZnotZinZtheZroleZofZemployeeZatZ
theZtimeZofZtheZincident,ZremovingZtheZrequirementZofZactingZonZtheZclient'sZbehal
f.


AnZadultZfemaleZambulatoryZcareZclientZreceivingZanZoralZanticoagulantZisZgivenZ
aspirinZforZaZheadacheZwhileZvisitingZaZneighbor,ZwhoZisZaZnurse.ZTheZclientZsubs
equentlyZhasZaZbleedingZepisodeZbecauseZofZaZdrugZinteraction.ZTheZlegalZnurseZc
onsultantZinterpretsZthatZwhichZnecessaryZelementsZofZmalpracticeZareZmissingZfro
mZthisZcase?ZSelectZallZthatZapply.


1.ZBreechZofZduty
2.ZDutyZowed
3.ZInjuryZexperienced
4.ZCausationZbetweenZnurse'sZactionZandZinjury
5.ZIntentZtoZcauseZharmZorZinjuryZ-ZAnswer:Z2,Z5