Management and Leadership/Ethical and Legal nursing Nclex questions
2024/2025
A charge nurse knows that drug and alcohol use by nurses is a reason for the increasing numbers of disciplinary
cares by the Board of Nursing. The charge nurse understands that when dealing with a nurse with such an
illness, it is most important to assess the impaired nurse to determine:
a) the magnitude of drug diversion over time
b) if falsification of clients records occurred
c) the types of illegal activities related to the abuse
d) the physiological impact of the illness on practice - ansD
- A nurse must be able to function at a level that does not affect the ability to provide safe, quality care. The
highest priority is to determine how the illness affects the nurse's ability to practice. The other options will be
addressed if an investigation is carried out.
A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not
problem-solve situations, and does not prioritize nursing care. The charge nurse has the responsibility to:
a) supervise the staff nurse more closely so that tasks are completed
b) ask other staff members to help the staff nurse get the work done
c) provide support and identify the underlying cause of the staff nurse's problem
d) report the staff nurse to the supervisor so that something is done to resolve the problem - ansC
Option C empowers the charge nurse to assist the staff nurse while trying to identify and reduce the behaviors
that make it difficult for the staff nurse to function. Options A, B, and D are punitive actions, shift the burden to
other workers, and do not solve the problem.
A client asks why a dx test has been ordered and the nurse replies, "I'm unsure but I 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 - ans4.
*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)
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 - ans3.
*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 duty to help others by doing what is best for them. *Veracity* refers to
truthfullness. *Privacy* is the nondisclosure of information by the health care team.
A client is scheduled for bronchoscopy, and the registered nurse reviews the plan of care written by a nursing
student. The registered nurse discusses revision of the plan with the nursing student if which incorrect
intervention was documented?
a) removing any dentures
b) removing contact lenses
c) letting the client eat or drink
d) obtaining a signed informed consent - ansC
- The client is not allowed to eat or drink for usually 6 to 8 hours (or as specified by the physician) before the
procedure. The client must sign an informed consent, because the procedure is invasive. If the client has any
contact lenses, dentures, or other prostheses, they are removed before sedation is administered to the client.
A client with active tuberculosis (TB) is to be admitted to a medical-surgical unit. When planning a bed
assignment, the nurse:
, a) plans to transfer the client to the intensive care unit
b) places the client in a private, well-ventilated room
c) assigns the client to a double room because intravenous antibiotics will be administered
d) assigns the client to a double room and places a "strict handwashing" sign outside the door - ansB
- According to category-specific (respiratory) isolation precautions, a client with TB requires a private room. The
room needs to be well-ventilated and should have at least six exchanges of fresh air per hour and should be
ventilated to the outside if possible. Therefore, option 2 is the only correct option.
A client with cancer has decided to discontinue further tx. Although the nurse would like the client to continue
tx, the nurse recognizes the client is competent and supports the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality - ans3.
*Autonomy* refers to the right to make one's own decisions, which is the principle supported in this situation.
*Justice* refers to fairness. *Fidelity* refers to trust and loyalty. *Confidentiality* refers to privacy of personal
health information
A clinical nurse manager conducts an inservice educational session for the staff nurses about case
management. The clinical nurse manager determines that a review of the material needs to be done if a staff
nurse stated that case management:
a) manages client care by managing the client care environment
b) maximizes hospital revenues while providing for optimal client care
c) is designed to promote appropriate use of hospital personnel and material resources
d) represents a primary health prevention focus managed by a single case manager - ansD
- Case management represents an interdisciplinary health care delivery system to promote appropriate use of
hospital personnel and material resources to maximize hospital revenues while providing for optimal client
care. It manages client care by managing the client care environment.
2024/2025
A charge nurse knows that drug and alcohol use by nurses is a reason for the increasing numbers of disciplinary
cares by the Board of Nursing. The charge nurse understands that when dealing with a nurse with such an
illness, it is most important to assess the impaired nurse to determine:
a) the magnitude of drug diversion over time
b) if falsification of clients records occurred
c) the types of illegal activities related to the abuse
d) the physiological impact of the illness on practice - ansD
- A nurse must be able to function at a level that does not affect the ability to provide safe, quality care. The
highest priority is to determine how the illness affects the nurse's ability to practice. The other options will be
addressed if an investigation is carried out.
A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not
problem-solve situations, and does not prioritize nursing care. The charge nurse has the responsibility to:
a) supervise the staff nurse more closely so that tasks are completed
b) ask other staff members to help the staff nurse get the work done
c) provide support and identify the underlying cause of the staff nurse's problem
d) report the staff nurse to the supervisor so that something is done to resolve the problem - ansC
Option C empowers the charge nurse to assist the staff nurse while trying to identify and reduce the behaviors
that make it difficult for the staff nurse to function. Options A, B, and D are punitive actions, shift the burden to
other workers, and do not solve the problem.
A client asks why a dx test has been ordered and the nurse replies, "I'm unsure but I 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 - ans4.
*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)
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 - ans3.
*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 duty to help others by doing what is best for them. *Veracity* refers to
truthfullness. *Privacy* is the nondisclosure of information by the health care team.
A client is scheduled for bronchoscopy, and the registered nurse reviews the plan of care written by a nursing
student. The registered nurse discusses revision of the plan with the nursing student if which incorrect
intervention was documented?
a) removing any dentures
b) removing contact lenses
c) letting the client eat or drink
d) obtaining a signed informed consent - ansC
- The client is not allowed to eat or drink for usually 6 to 8 hours (or as specified by the physician) before the
procedure. The client must sign an informed consent, because the procedure is invasive. If the client has any
contact lenses, dentures, or other prostheses, they are removed before sedation is administered to the client.
A client with active tuberculosis (TB) is to be admitted to a medical-surgical unit. When planning a bed
assignment, the nurse:
, a) plans to transfer the client to the intensive care unit
b) places the client in a private, well-ventilated room
c) assigns the client to a double room because intravenous antibiotics will be administered
d) assigns the client to a double room and places a "strict handwashing" sign outside the door - ansB
- According to category-specific (respiratory) isolation precautions, a client with TB requires a private room. The
room needs to be well-ventilated and should have at least six exchanges of fresh air per hour and should be
ventilated to the outside if possible. Therefore, option 2 is the only correct option.
A client with cancer has decided to discontinue further tx. Although the nurse would like the client to continue
tx, the nurse recognizes the client is competent and supports the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality - ans3.
*Autonomy* refers to the right to make one's own decisions, which is the principle supported in this situation.
*Justice* refers to fairness. *Fidelity* refers to trust and loyalty. *Confidentiality* refers to privacy of personal
health information
A clinical nurse manager conducts an inservice educational session for the staff nurses about case
management. The clinical nurse manager determines that a review of the material needs to be done if a staff
nurse stated that case management:
a) manages client care by managing the client care environment
b) maximizes hospital revenues while providing for optimal client care
c) is designed to promote appropriate use of hospital personnel and material resources
d) represents a primary health prevention focus managed by a single case manager - ansD
- Case management represents an interdisciplinary health care delivery system to promote appropriate use of
hospital personnel and material resources to maximize hospital revenues while providing for optimal client
care. It manages client care by managing the client care environment.
