NCLEX-RN PRACTICE EXAM (2025-2026) WITH QUESTIONS
AND ANSWERS GRADED A+
A client with cancer has decided to discontinue further treatment. Although the nurse would
like the client to continue treatment, the nurse recognizes the client is competent and supports
the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality
Answer: 3
Rationale: Autonomy refers to the right make one's own decisions, which is the principle
supported in this situation. Justice refers to fairness. Fidelity refers to trust and loyalty.
Confidentiality refers to the right to privacy of personal health information.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates that only one
option is correct and that you need to select the principle that is consistent with the
circumstances in the question.
The health care provider orders a medication in a dose that is considered toxic. The nurse
administers the medication to the client, who later suffers a cardiac arrest and dies. What
consequence can the nurse expect from this situation? Select all that apply.
, 1. The health care provider can be charged with negligence, being the person who ordered the
dose.
2. As the employing agency, only the hospital can be charged with negligence.
3. The nurse and physician may be terminated from employment to prevent a charge of
negligence to the hospital.
4. Negligence will not be charged, as this event could happen to any reasonable person.
5. The nurse can be charged with negligence for administering the toxic dose.
Answer: 1, 5
Rationale: Health care providers who prescribe incorrect dosages of medications are liable for
their errors. The nurse is open to a charge of negligence for failing to verify and question the
incorrect dose. The hospital can be sued as the responsible employing agency, but the health
care provider and the nurse can also be charged with negligence. Terminating the health care
provider and nurse from employment would not stop a lawsuit charging negligence for
employee actions that have already taken place. Prescribing and administering incorrect doses
are not considered events that routinely happen to "reasonable person."
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The wording of the question indicates that more than one option is correct. Choose
the response that holds both individuals accountable, since the nurse failed to question an
incorrect dose and the health care provider ordered the incorrect dose.
A nurse and teacher are discussing legal issues related to the practice of their professions. The
teacher asks what the functions are of the Nurse Practice Act (NPA) in that state. The nurse
would include which thoughts in a response? Select all that apply.
1. Accredit schools of nursing
AND ANSWERS GRADED A+
A client with cancer has decided to discontinue further treatment. Although the nurse would
like the client to continue treatment, the nurse recognizes the client is competent and supports
the client's decision using which ethical principle?
1. Justice
2. Fidelity
3. Autonomy
4. Confidentiality
Answer: 3
Rationale: Autonomy refers to the right make one's own decisions, which is the principle
supported in this situation. Justice refers to fairness. Fidelity refers to trust and loyalty.
Confidentiality refers to the right to privacy of personal health information.
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The wording of the question indicates that only one
option is correct and that you need to select the principle that is consistent with the
circumstances in the question.
The health care provider orders a medication in a dose that is considered toxic. The nurse
administers the medication to the client, who later suffers a cardiac arrest and dies. What
consequence can the nurse expect from this situation? Select all that apply.
, 1. The health care provider can be charged with negligence, being the person who ordered the
dose.
2. As the employing agency, only the hospital can be charged with negligence.
3. The nurse and physician may be terminated from employment to prevent a charge of
negligence to the hospital.
4. Negligence will not be charged, as this event could happen to any reasonable person.
5. The nurse can be charged with negligence for administering the toxic dose.
Answer: 1, 5
Rationale: Health care providers who prescribe incorrect dosages of medications are liable for
their errors. The nurse is open to a charge of negligence for failing to verify and question the
incorrect dose. The hospital can be sued as the responsible employing agency, but the health
care provider and the nurse can also be charged with negligence. Terminating the health care
provider and nurse from employment would not stop a lawsuit charging negligence for
employee actions that have already taken place. Prescribing and administering incorrect doses
are not considered events that routinely happen to "reasonable person."
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: The wording of the question indicates that more than one option is correct. Choose
the response that holds both individuals accountable, since the nurse failed to question an
incorrect dose and the health care provider ordered the incorrect dose.
A nurse and teacher are discussing legal issues related to the practice of their professions. The
teacher asks what the functions are of the Nurse Practice Act (NPA) in that state. The nurse
would include which thoughts in a response? Select all that apply.
1. Accredit schools of nursing
