NUR 250 NCLEX-RN Practice Questions For
2026 | Expert Strategies, Review of Key Quizzes,
and Practice Questions for Guaranteed
Success.
This NCLEX-RN practice questions with rationales are designed
to bridge the gap between theoretical nursing knowledge and
clinical judgment. They provide not just the correct answer, but
also a detailed explanation of the nursing logic required for the
2026 exam.
Core Components of NCLEX Questions
Case Studies: Detailed clinical scenarios that test your ability
to recognize cues and prioritize patient care.
Standard Multiple Choice: Questions covering essential
nursing topics like pharmacology, safety, and infection control.
Next Gen NCLEX (NGN) Items: Items that focus on
"clinical judgment" through interactive formats like drag-and-
drop or select-all-that-apply.
Structure of Rationales
Rationales are arguably more important than the questions
themselves as they provide:
Evidence-Based Logic: Explains why the correct option is
the priority or the safest choice.
1
, Distractor Analysis: Clarifies why other options are incorrect
or lower-priority.
Quiz_________________?
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.
2
, 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.
Quiz_________________?
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
3
, 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.
Quiz_________________?
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?
4
2026 | Expert Strategies, Review of Key Quizzes,
and Practice Questions for Guaranteed
Success.
This NCLEX-RN practice questions with rationales are designed
to bridge the gap between theoretical nursing knowledge and
clinical judgment. They provide not just the correct answer, but
also a detailed explanation of the nursing logic required for the
2026 exam.
Core Components of NCLEX Questions
Case Studies: Detailed clinical scenarios that test your ability
to recognize cues and prioritize patient care.
Standard Multiple Choice: Questions covering essential
nursing topics like pharmacology, safety, and infection control.
Next Gen NCLEX (NGN) Items: Items that focus on
"clinical judgment" through interactive formats like drag-and-
drop or select-all-that-apply.
Structure of Rationales
Rationales are arguably more important than the questions
themselves as they provide:
Evidence-Based Logic: Explains why the correct option is
the priority or the safest choice.
1
, Distractor Analysis: Clarifies why other options are incorrect
or lower-priority.
Quiz_________________?
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.
2
, 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.
Quiz_________________?
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
3
, 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.
Quiz_________________?
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?
4
