NCLEX-RN Practice Questions For

NCLEX-RNPracticeQuestionsFor2024-2025

1. Anurseforgetstoadministeraclient'sdiureticandtheclientexperiencesanepi
sodeofpulmonaryedema.Thechargenursewouldconsiderthemed-
icationerrortoconstitutenegligencebecausethesituationcontainswhicheleme
nt?

1. Purposefulfailuretoperformahealthcareprocedure
2. Unintentionalfailuretoperformahealthcareprocedure
3. Actofsubstitutingadifferentmedicationfortheoneordered
4. Failuretofollowadirectorderbyaphysician:Answer:2
Rationale:Negligenceistheunintentionalfailureofanindividualtoperformornotperform
anactthatareasonablepersonwouldorwouldnotdointhesameorsimilarcircumstances.
Apurposefulfailuretoperformaprocedurewouldbetheoppositeofnegligence,whichisu
nintentional.Substitutingadifferentmedicationdoesnotfitthedescriptionofthesituationi
nthequestion.Failuretofollowadirectorderdoesnotfitthedescriptioninthesituationinthe
question.
CognitiveLevel:Applying
ClientNeed:ManagementofCare
IntegratedProcess:NursingProcess:AssessmentConte
ntArea:Fundamentals
Strategy:Twooptionsareopposites,whichisacluethatoneofthemmaybecorrect.Choos
eunintentionalfailuretocarryoutaprocedureoverpurposefulfailurebecauseitmatchest
hedefinitionofnegligence.
2. Aclientaskswhyadiagnostictesthasbeenorderedandthenursereplies,"I'mun
surebutwillfindoutforyou."Whenthenurselaterreturnsandprovidesanexplanati
on,thenurseisactingunderwhichprinciple?

1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity:Answer:4
Rationale:Fidelitymeansbeingfaithfultoagreementsandpromises.Thisnurseisactingo
ntheclient'sbehalftoobtainneededinformationandreportitbacktotheclient.Nonmalefic
enceisthedutytodonoharm.Veracityreferstotellingthetruthforexample,notlyingtoaclien
taboutaseriousprognosis.Beneficencemeansdoinggood,suchasbyimplementingacti
ons(e.g.keepingasaltshakeroutofsight)thatbenefitaclient(heartconditionrequiringsod
ium-restricteddiet).
CognitiveLevel:UnderstandingClient
Need:ManagementofCare
IntegratedProcess:NursingProcess:Implementation
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, NCLEX-RNPracticeQuestionsFor2024-2025

ContentArea:Fundamentals
Strategy:Usetheprocessofelimination.Thecorrectansweristheonethatmatchesthedes
criptioninthestem;thatis,thenursemadeapromisetoaclientandkeptit,whichconstitutes
fidelity.
3. Anindividualhasaseizurewhilewalkingdownthestreet.Duringtheseizure,a
nursefromaphysician'sofficeisnoticeddrivingpastwithoutstoppingtoassist.
Theindividualsuesthenursefornegligencebutfailstowinajudgementforwhic
hreason?

1. Thenursehadnodutytotheindividual.
2. Thenursedidwhatmostnurseswoulddointhesamecircumstance.
3. Thenursedidnotcausetheclient'sinjuries.
4. Thenursewasoff-dutyatthetime.:Answer:1
Rationale:Tobeguiltyofnegligence,thenursemusthavearelationshipwiththeclientthati
nvolvesadutytoprovidecare.Therelationshipisusuallyacomponentofemployment.Th
enursedidnotnecessarilydowhatotherswoulddointhissituation.Althoughthenursedidn
otcausetheclient'sinjuries,itdoesnotpreventthenursefromassistinginthissituation.Alth
oughthenursewasoff-duty,thenursecouldhaveassistedifmotivatedtodoso.
CognitiveLevel:UnderstandingClient
Need:ManagementofCare
IntegratedProcess:NursingProcess:ImplementationCo
ntentArea:Fundamentals
Strategy:Usetheprocessofeliminationandnursingknowledge.Thecorrectansweristhe
onethatrecognizesthatthenursewasnotintheroleofemployeeatthetimeoftheincident,r
emovingtherequirementofactingontheclient'sbehalf.
4. Anadultfemaleambulatorycareclientreceivinganoralanticoagulantisgivena
spirinforaheadachewhilevisitinganeighbor,whoisanurse.Theclientsubsequen
tlyhasableedingepisodebecauseofadruginteraction.Thelegalnurseconsultant
interpretsthatwhichnecessaryelementsofmalprac-
ticearemissingfromthiscase?Selectallthatapply.

1. Breechofduty
2. Dutyowed
3. Injuryexperienced
4. Causationbetweennurse'sactionandinjury
5. Intenttocauseharmorinjury:Answer:2,5
Rationale:Therewasnonurse-
clientrelationshipbecausethenursewasactingasaneighborandnotinanemploymentcap
acity.Thus,therecanbenodutyowed.Intent
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, NCLEX-RNPracticeQuestionsFor2024-2025

isnotanecessaryelementofmalpractice,becausemalpracticecanoccurbecauseofuni
ntendedactionsaswell.Therewasnobreachofdutybecausetherewas
noofficialnurse-
clientrelationship,whichaccompaniesanemploymentsituation.Therewasinjuryexpe
riencesbecauseofthisevent.Thebleedingwascausedbytheinteractionoftheaspirinw
iththeanticoagulant.
CognitiveLevel:Analyzing
ClientNeed:ManagementofCare
IntegratedProcess:NursingProcess:EvaluationContent
Area:Fundamentals
Strategy:Usetheprocessofelimination.Thewordingofthequestionindicatesmorethano
neoptioniscorrect,andthefocusisonnecessaryelementsthatmustbepresent.Firstelimi
natetheintenttocauseharmorinjury,sincethisisnotnecessarytoachargeofmalpractice.
Nextnotethatthereisnodutyowed,andbecauseofthis,therecanbenobreachofduty,toch
oosethesetwooptionsasthenecessarymissingelements.
5.
estBankareupdatedeveryyeartoaccommodatechangeshappeningatNationalC
ouncilofStateBoardofNursing(NCSBN)andpreparestudentfortheirexaminatio
n.Followthelinktomyblogformorehttps://nclexrn2025.wee-bly.com/blog/top-
strategies-to-pass-the-nclex-rn:
6. Aclientwithcancerhasdecidedtodiscontinuefurthertreatment.Althoughthen
ursewouldliketheclienttocontinuetreatment,thenurserecognizestheclientisco
mpetentandsupportstheclient'sdecisionusingwhichethicalprinciple?

1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality:Answer:3
Rationale:Autonomyreferstotherightmakeone'sowndecisions,whichistheprinciples
upportedinthissituation.Justicereferstofairness.Fidelityreferstotrustandloyalty.Confi
dentialityreferstotherighttoprivacyofpersonalhealthinformation.
CognitiveLevel:UnderstandingClient
Need:ManagementofCare
IntegratedProcess:NursingProcess:ImplementationCo
ntentArea:Fundamentals
Strategy:Usetheprocessofelimination.Thewordingofthequestionindicatesthat




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