NCLEX-RN Practice Questions For
2026
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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.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
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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.
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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
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
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