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Exam (elaborations)

NCLEX-RN Practice Questions WITH Correct Answers 100% PASS

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NCLEX-RN Practice Questions WITH Correct Answers 100% PASS

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January 22, 2026
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NCLEX-RN Practice Questions
WITH Correct Answers 100%
PASS

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 - CORRECT ANSWER-Answer: 3

Rationale: 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 city

to help others by doing what is best for them. Veracity refers to truthfulness.

Privacy is the nondisclosure of information by the health care team.

Cognitive Level: Applying

,Client Need: Management of Care

Integrated Process: Nursing Process: Implementation

Content Area: Fundamentals

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 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 - CORRECT 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


© 2026 Copyright. All Rights Reserved. This document is
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,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 - CORRECT ANSWER-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.
© 2026 Copyright. All Rights Reserved. This document is
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