NCLEX-RN PRACTICE QUESTIONS FOR 2026 EXAM WITH
MULTIPLE CHOICE OF QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ AND 100% GUARANTEE PASS
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
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 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
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
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.
An individual has a seizure while walking down the street. During
the seizure, a nurse from a physician's office is noticed driving
past without stopping to assist. The individual sues the nurse for
negligence but fails to win a judgement for which reason?
1. The nurse had no duty to the individual.
2. The nurse did what most nurses would do in the same
circumstance.
3. The nurse did not cause the client's injuries.
4. The nurse was off-duty at the time.
Answer: 1
Rationale: To be guilty of negligence, the nurse must have a
relationship with the client that involves a duty to provide care.
The relationship is usually a component of employment. The
nurse did not necessarily do what others would do in this
, situation. Although the nurse did not cause the client's injuries, it
does not prevent the nurse from assisting in this situation.
Although the nurse was off-duty, the nurse could have assisted if
motivated 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 knowledge.
The correct answer is the one that recognizes that the nurse was
not in the role of employee at the time of the incident, removing
the requirement of acting on the client's behalf.
An adult female ambulatory care client receiving an oral
anticoagulant is given aspirin for a headache while visiting a
neighbor, who is a nurse. The client subsequently has a bleeding
episode because of a drug interaction. The legal nurse consultant
interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
1. Breech of duty
2. Duty owed
3. Injury experienced
4. Causation between nurse's action and injury
5. Intent to cause harm or injury
Answer: 2, 5
Rationale: There was no nurse-client relationship because the
nurse was acting as a neighbor and not in an employment
capacity. Thus, there can be no duty owed. Intent is not a
necessary element of malpractice, because malpractice can occur
because of unintended actions as well. There was no breach of
duty because there was no official nurse-client relationship, which
accompanies an employment situation. There was injury
experiences because of this event. The bleeding was caused by
the interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
MULTIPLE CHOICE OF QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ AND 100% GUARANTEE PASS
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
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 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
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
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.
An individual has a seizure while walking down the street. During
the seizure, a nurse from a physician's office is noticed driving
past without stopping to assist. The individual sues the nurse for
negligence but fails to win a judgement for which reason?
1. The nurse had no duty to the individual.
2. The nurse did what most nurses would do in the same
circumstance.
3. The nurse did not cause the client's injuries.
4. The nurse was off-duty at the time.
Answer: 1
Rationale: To be guilty of negligence, the nurse must have a
relationship with the client that involves a duty to provide care.
The relationship is usually a component of employment. The
nurse did not necessarily do what others would do in this
, situation. Although the nurse did not cause the client's injuries, it
does not prevent the nurse from assisting in this situation.
Although the nurse was off-duty, the nurse could have assisted if
motivated 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 knowledge.
The correct answer is the one that recognizes that the nurse was
not in the role of employee at the time of the incident, removing
the requirement of acting on the client's behalf.
An adult female ambulatory care client receiving an oral
anticoagulant is given aspirin for a headache while visiting a
neighbor, who is a nurse. The client subsequently has a bleeding
episode because of a drug interaction. The legal nurse consultant
interprets that which necessary elements of malpractice are
missing from this case? Select all that apply.
1. Breech of duty
2. Duty owed
3. Injury experienced
4. Causation between nurse's action and injury
5. Intent to cause harm or injury
Answer: 2, 5
Rationale: There was no nurse-client relationship because the
nurse was acting as a neighbor and not in an employment
capacity. Thus, there can be no duty owed. Intent is not a
necessary element of malpractice, because malpractice can occur
because of unintended actions as well. There was no breach of
duty because there was no official nurse-client relationship, which
accompanies an employment situation. There was injury
experiences because of this event. The bleeding was caused by
the interaction of the aspirin with the anticoagulant.
Cognitive Level: Analyzing
