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Saunders NCLEX RN NGN Newest 2025/2026 Version 2
Complete All 160 Questions And Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Latest Version!!!
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-
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
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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-Answer: 4
Rationale: Fidelity means being faithful to agreements and
promises. This nurse is acting on the client's behalf to
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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.
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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-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.
Saunders NCLEX RN NGN Newest 2025/2026 Version 2
Complete All 160 Questions And Correct Detailed
Answers (Verified Answers) |Already Graded
A+||Latest Version!!!
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-
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
,2|Page
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-Answer: 4
Rationale: Fidelity means being faithful to agreements and
promises. This nurse is acting on the client's behalf to
,3|Page
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.
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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-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.
