NCLEX-RN Practice EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
A client is referred to a surgeon by the general practitioner.
After meeting the surgeon, the client decides to find a
different surgeon to continue treatment. The nurse supports
the client's action, utilizing which ethical principle?
1. Beneficence
2. Veracity
3. Autonomy
4. Privacy - Correct Answers ✅Answer: 3
Rationale: Autonomy is the right of individuals to take action
for themselves. Beneficence is an ethical principle to do good
and applies when the nurse has a city to help others by doing
what is best for them. Veracity refers to truthfulness. Privacy
is the nondisclosure of information by the health care team.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The core issue of the question is the ability to
interpret which ethical principle is operating in a specific
situation. Eliminate beneficence and veracity next because
they focus on the obligation of the nurse rather than on a
right of the client.
,NCLEX-RN Practice EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
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
Answers ✅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
, NCLEX-RN Practice EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
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 Answers ✅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
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
A client is referred to a surgeon by the general practitioner.
After meeting the surgeon, the client decides to find a
different surgeon to continue treatment. The nurse supports
the client's action, utilizing which ethical principle?
1. Beneficence
2. Veracity
3. Autonomy
4. Privacy - Correct Answers ✅Answer: 3
Rationale: Autonomy is the right of individuals to take action
for themselves. Beneficence is an ethical principle to do good
and applies when the nurse has a city to help others by doing
what is best for them. Veracity refers to truthfulness. Privacy
is the nondisclosure of information by the health care team.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The core issue of the question is the ability to
interpret which ethical principle is operating in a specific
situation. Eliminate beneficence and veracity next because
they focus on the obligation of the nurse rather than on a
right of the client.
,NCLEX-RN Practice EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
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
Answers ✅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
, NCLEX-RN Practice EXAM SCRIPT
VERIFIED QUESTIONS WITH ACCURATE
ANSWERS
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 Answers ✅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
