NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX-RN PRACTICE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AZclientZisZreferredZtoZaZsurgeonZbyZtheZgeneralZpractitioner.ZAfterZmeetingZtheZsurgeon,ZtheZclientZdecidesZ
toZfindZaZdifferentZsurgeonZtoZcontinueZtreatment.ZTheZnurseZsupportsZtheZclient'sZaction,ZutilizingZwhichZe
thicalZprinciple?Z



1.ZBeneficence

2.ZVeracity

3.ZAutonomy

4.ZPrivacyZ-ZANSWERZAnswer:Z3

Rationale:ZAutonomyZisZtheZrightZofZindividualsZtoZtakeZactionZforZthemselves.ZBeneficenceZisZanZethicalZpri
ncipleZtoZdoZgoodZandZappliesZwhenZtheZnurseZhasZaZcityZtoZhelpZothersZbyZdoingZwhatZisZbestZforZthem.ZVer
acityZrefersZtoZtruthfulness.ZPrivacyZisZtheZnondisclosureZofZinformationZbyZtheZhealthZcareZteam.

CognitiveZLevel:ZApplying

ClientZNeed:ZManagementZofZCare

IntegratedZProcess:ZNursingZProcess:ZImplementation

ContentZArea:ZFundamentals

Strategy:ZTheZcoreZissueZofZtheZquestionZisZtheZabilityZtoZinterpretZwhichZethicalZprincipleZisZoperatingZinZaZs
pecificZsituation.ZEliminateZbeneficenceZandZveracityZnextZbecauseZtheyZfocusZonZtheZobligationZofZtheZnur
seZratherZthanZonZaZrightZofZtheZclient.



AZnurseZforgetsZtoZadministerZaZclient'sZdiureticZandZtheZclientZexperiencesZanZepisodeZofZpulmonaryZedem
a.ZTheZchargeZnurseZwouldZconsiderZtheZmedicationZerrorZtoZconstituteZnegligenceZbecauseZtheZsituationZc
ontainsZwhichZelement?



1.ZPurposefulZfailureZtoZperformZaZhealthZcareZprocedure

2.ZUnintentionalZfailureZtoZperformZaZhealthZcareZprocedure

3.ZActZofZsubstitutingZaZdifferentZmedicationZforZtheZoneZordered

4.ZFailureZtoZfollowZaZdirectZorderZbyZaZphysicianZ-ZANSWERZAnswer:Z2

Rationale:ZNegligenceZisZtheZunintentionalZfailureZofZanZindividualZtoZperformZorZnotZperformZanZactZthatZaZ
reasonableZpersonZwouldZorZwouldZnotZdoZinZtheZsameZorZsimilarZcircumstances.ZAZpurposefulZfailureZtoZpe
rformZaZprocedureZwouldZbeZtheZoppositeZofZnegligence,ZwhichZisZunintentional.ZSubstitutingZaZdifferentZm

,edicationZdoesZnotZfitZtheZdescriptionZofZtheZsituationZinZtheZquestion.ZFailureZtoZfollowZaZdirectZorderZdoes
ZnotZfitZtheZdescriptionZinZtheZsituationZinZtheZquestion.Z



CognitiveZLevel:ZApplying

ClientZNeed:ZManagementZofZCare

IntegratedZProcess:ZNursingZProcess:ZAssessment

ContentZArea:ZFundamentals

Strategy:ZTwoZoptionsZareZopposites,ZwhichZisZaZclueZthatZoneZofZthemZmayZbeZcorrect.ZChooseZunintention
alZfailureZtoZcarryZoutZaZprocedureZoverZpurposefulZfailureZbecauseZitZmatchesZtheZdefinitionZofZnegligence.



AZclientZasksZwhyZaZdiagnosticZtestZhasZbeenZorderedZandZtheZnurseZreplies,Z"I'mZunsureZbutZwillZfindZoutZfo
rZyou."ZWhenZtheZnurseZlaterZreturnsZandZprovidesZanZexplanation,ZtheZnurseZisZactingZunderZwhichZprincip
le?



1.ZNonmaleficence

2.ZVeracity

3.ZBeneficence

4.ZFidelityZ-ZANSWERZAnswer:Z4Z

Rationale:ZFidelityZmeansZbeingZfaithfulZtoZagreementsZandZpromises.ZThisZnurseZisZactingZonZtheZclient'sZb
ehalfZtoZobtainZneededZinformationZandZreportZitZbackZtoZtheZclient.ZNonmaleficenceZisZtheZdutyZtoZdoZnoZh
arm.ZVeracityZrefersZtoZtellingZtheZtruthZforZexample,ZnotZlyingZtoZaZclientZaboutZaZseriousZprognosis.ZBenefi
cenceZmeansZdoingZgood,ZsuchZasZbyZimplementingZactionsZ(e.g.ZkeepingZaZsaltZshakerZoutZofZsight)ZthatZbe
nefitZaZclientZ(heartZconditionZrequiringZsodium-restrictedZdiet).

CognitiveZLevel:ZUnderstanding

ClientZNeed:ZManagementZofZCare

IntegratedZProcess:ZNursingZProcess:ZImplementation

ContentZArea:ZFundamentals

Strategy:ZUseZtheZprocessZofZelimination.ZTheZcorrectZanswerZisZtheZoneZthatZmatchesZtheZdescriptionZinZth
eZstem;ZthatZis,ZtheZnurseZmadeZaZpromiseZtoZaZclientZandZkeptZit,ZwhichZconstitutesZfidelity.



AnZindividualZhasZaZseizureZwhileZwalkingZdownZtheZstreet.ZDuringZtheZseizure,ZaZnurseZfromZaZphysician'sZo
fficeZisZnoticedZdrivingZpastZwithoutZstoppingZtoZassist.ZTheZindividualZsuesZtheZnurseZforZnegligenceZbutZfai
lsZtoZwinZaZjudgementZforZwhichZreason?

, 1.ZTheZnurseZhadZnoZdutyZtoZtheZindividual.

2.ZTheZnurseZdidZwhatZmostZnursesZwouldZdoZinZtheZsameZcircumstance.Z

3.ZTheZnurseZdidZnotZcauseZtheZclient'sZinjuries.

4.ZTheZnurseZwasZoff-dutyZatZtheZtime.Z-ZANSWERZAnswer:Z1Z

Rationale:ZToZbeZguiltyZofZnegligence,ZtheZnurseZmustZhaveZaZrelationshipZwithZtheZclientZthatZinvolvesZaZdu
tyZtoZprovideZcare.ZTheZrelationshipZisZusuallyZaZcomponentZofZemployment.ZTheZnurseZdidZnotZnecessarilyZ
doZwhatZothersZwouldZdoZinZthisZsituation.ZAlthoughZtheZnurseZdidZnotZcauseZtheZclient'sZinjuries,ZitZdoesZn
otZpreventZtheZnurseZfromZassistingZinZthisZsituation.ZAlthoughZtheZnurseZwasZoff-
duty,ZtheZnurseZcouldZhaveZassistedZifZmotivatedZtoZdoZso.

CognitiveZLevel:ZUnderstanding

ClientZNeed:ZManagementZofZCare

IntegratedZProcess:ZNursingZProcess:ZImplementation

ContentZArea:ZFundamentals

Strategy:ZUseZtheZprocessZofZeliminationZandZnursingZknowledge.ZTheZcorrectZanswerZisZtheZoneZthatZrecog
nizesZthatZtheZnurseZwasZnotZinZtheZroleZofZemployeeZatZtheZtimeZofZtheZincident,ZremovingZtheZrequireme
ntZofZactingZonZtheZclient'sZbehalf.



AnZadultZfemaleZambulatoryZcareZclientZreceivingZanZoralZanticoagulantZisZgivenZaspirinZforZaZheadacheZwhi
leZvisitingZaZneighbor,ZwhoZisZaZnurse.ZTheZclientZsubsequentlyZhasZaZbleedingZepisodeZbecauseZofZaZdrugZin
teraction.ZTheZlegalZnurseZconsultantZinterpretsZthatZwhichZnecessaryZelementsZofZmalpracticeZareZmissing
ZfromZthisZcase?ZSelectZallZthatZapply.




1.ZBreechZofZduty

2.ZDutyZowed

3.ZInjuryZexperienced

4.ZCausationZbetweenZnurse'sZactionZandZinjury

5.ZIntentZtoZcauseZharmZorZinjuryZ-ZANSWERZAnswer:Z2,Z5

Rationale:ZThereZwasZnoZnurse-
clientZrelationshipZbecauseZtheZnurseZwasZactingZasZaZneighborZandZnotZinZanZemploymentZcapacity.ZThus,Zt
hereZcanZbeZnoZdutyZowed.ZIntentZisZnotZaZnecessaryZelementZofZmalpractice,ZbecauseZmalpracticeZcanZocc
urZbecauseZofZunintendedZactionsZasZwell.ZThereZwasZnoZbreachZofZdutyZbecauseZthereZwasZnoZofficialZnurs
e-
clientZrelationship,ZwhichZaccompaniesZanZemploymentZsituation.ZThereZwasZinjuryZexperiencesZbecauseZo
fZthisZevent.ZTheZbleedingZwasZcausedZbyZtheZinteractionZofZtheZaspirinZwithZtheZanticoagulant.Z