NCLEX-RN Practice Questions For 2024-2025
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1. A nurse forgets to administer a client's diuretic and Answer: 2
the client experiences an episode of pulmonary ede- Rationale: Negligence is
ma. The charge nurse would consider the medication the unintentional failure of
error to constitute negligence because the situation an individual to perform or
contains which element? not perform an act that a
reasonable person would
1. Purposeful failure to perform a health care proce- or would not do in the
dure same or similar circum-
2. Unintentional failure to perform a health care proce- stances. A purposeful fail-
dure ure to perform a proce-
3. Act of substituting a different medication for the one dure would be the oppo-
ordered site of negligence, which
4. Failure to follow a direct order by a physician is unintentional. Substitut-
ing a different medication
does not fit the descrip-
tion of the situation in the
question. Failure to follow
a direct order does not fit
the description in the situ-
ation in the question.
Cognitive Level: Applying
Client Need: Management
of Care
Integrated Process: Nurs-
ing Process: Assessment
Content Area: Fundamen-
tals
Strategy: Two options are
opposites, which is a clue
that one of them may
be correct. Choose unin-
, NCLEX-RN Practice Questions For 2024-2025
Study online at https://quizlet.com/_fhpxse
tentional failure to carry
out a procedure over pur-
poseful failure because it
matches the definition of
negligence.
2. A client asks why a diagnostic test has been ordered Answer: 4
and the nurse replies, "I'm unsure but will find out for Rationale: Fidelity means
you." When the nurse later returns and provides an ex- being faithful to agree-
planation, the nurse is acting under which principle? ments and promises. This
nurse is acting on the
1. Nonmaleficence client's behalf to obtain
2. Veracity needed information and
3. Beneficence report it back to the
4. Fidelity 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. Benefi-
cence means doing good,
such as by implement-
ing actions (e.g. keeping
a salt shaker out of sight)
that benefit a client (heart
condition requiring sodi-
um-restricted diet).
Cognitive Level: Under-
standing
Client Need: Management
of Care
Integrated Process: Nurs-
, NCLEX-RN Practice Questions For 2024-2025
Study online at https://quizlet.com/_fhpxse
ing Process: Implementa-
tion
Content Area: Fundamen-
tals
Strategy: Use the process
of elimination. The cor-
rect answer is the one that
matches the description in
the stem; that is, the nurse
made a promise to a client
and kept it, which consti-
tutes fidelity.
3. An individual has a seizure while walking down the Answer: 1
street. During the seizure, a nurse from a physician's Rationale: To be guilty
office is noticed driving past without stopping to assist. of negligence, the nurse
The individual sues the nurse for negligence but fails must have a relationship
to win a judgement for which reason? with the client that involves
a duty to provide care.
1. The nurse had no duty to the individual. The relationship is usually
2. The nurse did what most nurses would do in the a component of employ-
same circumstance. ment. The nurse did not
3. The nurse did not cause the client's injuries. necessarily do what others
4. The nurse was off-duty at the time. would do in this situation.
Although the nurse did
not cause the client's in-
juries, it does not prevent
the nurse from assisting
in this situation. Although
the nurse was off-duty, the
nurse could have assisted
if motivated to do so.
Study online at https://quizlet.com/_fhpxse
1. A nurse forgets to administer a client's diuretic and Answer: 2
the client experiences an episode of pulmonary ede- Rationale: Negligence is
ma. The charge nurse would consider the medication the unintentional failure of
error to constitute negligence because the situation an individual to perform or
contains which element? not perform an act that a
reasonable person would
1. Purposeful failure to perform a health care proce- or would not do in the
dure same or similar circum-
2. Unintentional failure to perform a health care proce- stances. A purposeful fail-
dure ure to perform a proce-
3. Act of substituting a different medication for the one dure would be the oppo-
ordered site of negligence, which
4. Failure to follow a direct order by a physician is unintentional. Substitut-
ing a different medication
does not fit the descrip-
tion of the situation in the
question. Failure to follow
a direct order does not fit
the description in the situ-
ation in the question.
Cognitive Level: Applying
Client Need: Management
of Care
Integrated Process: Nurs-
ing Process: Assessment
Content Area: Fundamen-
tals
Strategy: Two options are
opposites, which is a clue
that one of them may
be correct. Choose unin-
, NCLEX-RN Practice Questions For 2024-2025
Study online at https://quizlet.com/_fhpxse
tentional failure to carry
out a procedure over pur-
poseful failure because it
matches the definition of
negligence.
2. A client asks why a diagnostic test has been ordered Answer: 4
and the nurse replies, "I'm unsure but will find out for Rationale: Fidelity means
you." When the nurse later returns and provides an ex- being faithful to agree-
planation, the nurse is acting under which principle? ments and promises. This
nurse is acting on the
1. Nonmaleficence client's behalf to obtain
2. Veracity needed information and
3. Beneficence report it back to the
4. Fidelity 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. Benefi-
cence means doing good,
such as by implement-
ing actions (e.g. keeping
a salt shaker out of sight)
that benefit a client (heart
condition requiring sodi-
um-restricted diet).
Cognitive Level: Under-
standing
Client Need: Management
of Care
Integrated Process: Nurs-
, NCLEX-RN Practice Questions For 2024-2025
Study online at https://quizlet.com/_fhpxse
ing Process: Implementa-
tion
Content Area: Fundamen-
tals
Strategy: Use the process
of elimination. The cor-
rect answer is the one that
matches the description in
the stem; that is, the nurse
made a promise to a client
and kept it, which consti-
tutes fidelity.
3. An individual has a seizure while walking down the Answer: 1
street. During the seizure, a nurse from a physician's Rationale: To be guilty
office is noticed driving past without stopping to assist. of negligence, the nurse
The individual sues the nurse for negligence but fails must have a relationship
to win a judgement for which reason? with the client that involves
a duty to provide care.
1. The nurse had no duty to the individual. The relationship is usually
2. The nurse did what most nurses would do in the a component of employ-
same circumstance. ment. The nurse did not
3. The nurse did not cause the client's injuries. necessarily do what others
4. The nurse was off-duty at the time. would do in this situation.
Although the nurse did
not cause the client's in-
juries, it does not prevent
the nurse from assisting
in this situation. Although
the nurse was off-duty, the
nurse could have assisted
if motivated to do so.
