NCLEX-RN Practice Questions For

NCLEX-
RN Practice Questions For 2024-2025
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1.A nurse forgets to administer a client's diuretic and the client experien
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ces an episode of pulmonary edema. The charge nurse would consider t
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he med- vn

ication error to constitute negligence because the situation contains wh
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ich element?
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1. Purposeful failure to perform a health care procedure vn vn vn vn vn vn vn

2. Unintentional failure to perform a health care procedure vn vn vn vn vn vn vn

3. Act of substituting a different medication for the one ordered
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4. Failure to follow a direct order by a physician: Answer: 2
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Rationale: Negligence is the unintentional failure of an individual to p
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erform or not perform an act that a reasonable person would or would
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nnot do in the same or similar circumstances. A purposeful failure to p
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erform a procedure would be the opposite of negligence, which is uni
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ntentional. Substituting a different medication does not fit the descript
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ion of the situation in the question. Failure to follow a direct order do
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es not fit the description in the situation in the question.
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Cognitive Level: Applying vn vn

Client Need: Management of Care
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Integrated Process: Nursing Process: Assessm vn vn vn vn

ent Content Area: Fundamentals
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Strategy: Two options are opposites, which is a clue that one of them
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vnmay be correct. Choose unintentional failure to carry out a procedure
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nover purposeful failure because it matches the definition of negligenc
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e.
2.A client asks why a diagnostic test has been ordered and the nurse rep
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lies, "I'm unsure but will find out for you." When the nurse later returns
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and provides an explanation, the nurse is acting under which principle?
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1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity: Answer: 4 vn vn

Rationale: Fidelity means being faithful to agreements and promises.
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This nurse is acting on the client's behalf to obtain needed informatio
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n and report it back to the client. Nonmaleficence is the duty to do no
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harm. Veracity refers to telling the truth for example, not lying to a cl
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ient about a serious prognosis. Beneficence means doing good, such
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as by implementing actions (e.g. keeping a salt shaker out of sight) t
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, NCLEX-
RN Practice Questions For 2024-2025
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hat benefit a client (heart condition requiring sodium-restricted diet).
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Cognitive Level: Understanding
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nClient Need: Management of C
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are
Integrated Process: Nursing Process: Implementation
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, NCLEX-
RN Practice Questions For 2024-2025 vn vn vn vn


Content Area: Fundamentals vn vn

Strategy: Use the process of elimination. The correct answer is the one
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that matches the description in the stem; that is, the nurse made a
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promise to a client and kept it, which constitutes fidelity.
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3.An individual has a seizure while walking down the street. During th
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e seizure, a nurse from a physician's office is noticed driving past wit
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hout stopping to assist. The individual sues the nurse for negligence b
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ut fails to win a judgement for which reason?
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1. The nurse had no duty to the individual.
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2. The nurse did what most nurses would do in the same circumstance.
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3. The nurse did not cause the client's injuries.
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4. The nurse was off-duty at the time.: Answer: 1
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Rationale: To be guilty of negligence, the nurse must have a relations
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hip with the client that involves a duty to provide care. The relationshi
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p is usually a component of employment. The nurse did not necessaril
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y do what others would do in this situation. Although the nurse did no
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t cause the client's injuries, it does not prevent the nurse from assisti
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ng in this situation. Although the nurse was off-
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duty, the nurse could have assisted if motivated to do so.
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Cognitive Level: Understanding vn vn v

nClient Need: Management of C vn vn vn vn

are
Integrated Process: Nursing Process: Impleme vn vn vn vn

ntation Content Area: Fundamentals vn vn vn

Strategy: Use the process of elimination and nursing knowledge. The c
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orrect answer is the one that recognizes that the nurse was not in th
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e role of employee at the time of the incident, removing the require
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ment of acting on the client's behalf.
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4.An adult female ambulatory care client receiving an oral anticoagulant
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is given aspirin for a headache while visiting a neighbor, who is a nurse.
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The client subsequently has a bleeding episode because of a drug intera
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ction. The legal nurse consultant interprets that which necessary element
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s of malprac- tice are missing from this case? Select all that apply.
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1. Breech of duty vn vn

2. Duty owed vn

3. Injury experienced vn

4. Causation between nurse's action and injury vn vn vn vn vn



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