NCLEX Practice Questions HURST REVIEW (Fundamentals) Questions And Answers Updated 2025..pdf

NCLEX Practice Questions HURST REVIEW (Fundamentals)
Questions And Answers Updated 2025.



1. C. Assessment: A nurse is caring for a patient with chronic heart failure who is
very ill. The patient has a "no code" order. The patient goes into ventricular fibrillation
and the nurse defibrillates the patient. The nurse states she was unaware of the "no
code" order. What part of the nursing process did the nurse fail to perform?


A. Planning
B. Evaluation
C. Assessment
B. Implementation
2. B. Implementation: On the morning laboratory report, the patient's potassium is
noted to be 2.5 mEq/L. The nurse does not want to "bother the physician this early."
During the change-of-shift report, the patient develops ventricular tachycardia and
has to be resuscitated. What part of the nursing process did the nurse fail to perform?


A. Evaluation
B. Implementation
C. Assessment
D. Planning
3. B. Assess and analyze the level of care needed by the patient.: A patient in the
critical care unit has an order to be transported off the unit for a diagnostic procedure.
The nurse fails to ensure that the patient is properly monitored during transport, and
the patient experiences a cardiac arrest. Which of the following actions did the nurse
fail to adequately perform?


A. Make the proper nursing diagnosis.
B. Assess and analyze the level of care needed by the patient.
C. Act as a patient advocate to postpone the examination.

,D. Communicate findings in a timely manner.
4. C. No. There were no damages associated with failure to document: The
nurse fails to record a set of vital signs on a blood transfusion report, which is against
hospital policy. The patient does not sustain any damage as a result. Can the nurse
be charged with malpractice in this case?


A. No. Documentation is not part of the duty of nurse.
B. Yes. Even though there were no damages, the nurse failed to follow hospital

, protocol.
C. No.There were no damages associated with failure to document
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D. Yes.Failuretodocumentalwaysresultsinnegligence. t t t t t t t




5. A.Beneficence t




B.Nonmaleficence t




C. Autonomy: A patient with metastatic cancer tells the nurse, "I am tired and do not want
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to be put on a breathing machine."The patient's out-of-town son wants
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"everythingdoneformymother"whenhismotherlaterdevelopsrespiratorydistress. Which
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ethical principles are involved in this dilemma? (Select all that apply.)
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A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
E. Paternalism
6. A.The hospital ethics committee
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C.The nursing supervisor
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D.The nursing ethics committee:Thenurse isconcerned that the physicianis ignoring
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the wishes of the patient and family in the care of a patient.The nurse should take these
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concerns to: (Select all that apply.)
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A. The hospital ethics committee t t t




B. The ANA (American Nurses Association) t t t t




C. The nursing supervisor t t




D. The nursing ethics committee t t t




E. he policy and procedure committee t t t t




7. C. Nonmaleficence: The nurse observes a coworker diverting narcotics by ad-
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ministering normal saline to a patient in pain.By not reporting this observation, the nurse
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is in violation of what ethical principle concerning the patients under the care of the
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impaired nurse?
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A. Autonomy
B. Justice
C. Nonmaleficence
D. Veracity
8. A.Withdrawing treatment:The familyof a patient who is receiving mechanical
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ventilation for respiratory distress associated with an inoperable brain tumor asks
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