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Exam (elaborations)

NCLEX-RN Practice Questions

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NCLEX-RN Practice Questions

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NCLEX-RN Practice Questions
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A client is referred to a surgeon by the Answer: 3
general practitioner. After meeting the Rationale: Autonomy is the right of individuals to take action
surgeon, the client decides to find a for themselves. Beneficence is an ethical principle to do good
different surgeon to continue treatment. The and applies when the nurse has a city to help others by
doing nurse supports the client's action, utilizing what is best for them. Veracity refers to truthfulness.
Privacy is which ethical principle? the nondisclosure of information by the health care team.
Cognitive Level: Applying
1. Beneficence Client Need: Management of Care
2.Veracity Integrated Process: Nursing Process: Implementation
3.Autonomy Content Area: Fundamentals
4. Privacy 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.

, A nurse forgets to administer a client's Answer: 2
diuretic and the client experiences an Rationale: Negligence is the unintentional failure of an
episode of pulmonary edema. The charge individual to perform or not perform an act that a reasonable
nurse would consider the medication error person would or would not do in the same or similar
to constitute negligence because the circumstances. A purposeful failure to perform a
procedure situation contains which element? would be the opposite of negligence, which is
unintentional.
Substituting a different medication does not fit the description
1. Purposeful failure to perform a health care of the
situation in the question. Failure to follow a direct order procedure does not fit the description in
the situation in the question.
2.Unintentional failure to perform a health Cognitive Level: Applying
care procedure Client Need: Management of Care
3.Act of substituting a different medication Integrated Process: Nursing Process: Assessment
for the one ordered Content Area: Fundamentals
4. Failure to follow a direct order by a Strategy: Two options are opposites, which is a clue that one
physician 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 Answer: 4
ordered and the nurse replies, "I'm unsure Rationale: Fidelity means being faithful to agreements and
but will find out for you." When the nurse promises. This nurse is acting on the client's behalf to obtain
later returns and provides an explanation, needed information and report it back to the client.
the nurse is acting under which principle? Nonmaleficence is the duty to do no harm. Veracity refers to
telling the truth for example, not lying to a client about a
1. Nonmaleficence serious prognosis. Beneficence means doing
good, such as by
2.Veracity implementing actions (e.g. keeping a salt shaker out of sight)
3. Beneficence that benefit a client (heart condition requiring sodium-
4. Fidelity 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.

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