NCLEX PN Actual Exam Test Bank Newest
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1. A client is referred to a surgeon by the general
practitioner. After meeting the surgeon, the client
decides to find a different surgeon to continue
treatment. The nurse supports the client's action,
utilizing which ethical principle
1. Beneficence
2.Veracity
3. Autonomy
4. Privacy - ...ANSWER...✔✔Answer 3: Autonomy is
the right of individuals to take action for themselves.
Beneficence is duty to help others by doing what is best
for them, whereas negligence is a legal term. Veracity
is truthfulness. Privacy is the nondisclosure of
information by the health care team.
2. A nurse forgets to administer a client's diuretic and
the client experiences an episode of pulmonary edema.
This medication error would be considered negligence
if it constituted which of the following?
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1. The purposeful failure to perform a health care
procedure
2. The unintentional failure to perform a health care
procedure
3. The act of substituting a different medication for the
one ordered</choice
4. Failure to follow a direct order by a physician -
...ANSWER...✔✔Answer 2: Negligence is the
unintentional failure of an individual to perform or not
perform an act that a reasonable person would or
would not do in the same or similar circumstances.
3. A new graduate nurse orientee plans to show an
adolescent client a video about self-injection technique.
A staff nurse remarks, "I gave the client written
literature yesterday, so the video probably isn't
necessary." The nurse orientee proceeds with showing
the video and discussing the skill with the adolescent
after engaging in decision making related to which of
the following?
1. Autonomy
2. Informed consent
3. Paternalism
4. Noncompliance - ...ANSWER...✔✔1 - The nurse is
exercising autonomy, the right to make one's own
decision. Nurses who follow this principle recognize
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that each client is unique. In this situation, perhaps
because of the developmental level, the nurse
assessed that a video would be a better teaching-
learning method than written literature. Paternalism
restricts the freedom of the individual because another
determines choices. Noncompliance occurs when an
individual is fully aware of the consequences yet
chooses the action anyway. Informed consent is
providing agreement to undergo treatment following a
description of a procedure with the risks, benefits, and
alternatives explained.
4.A client asks why a diagnostic test has been ordered
and the nurse replies, "I'm unsure but will find out for
you." When the nurse later returns and provides an
explanation, the nurse is acting under which principle?
1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity - ...ANSWER...✔✔4. - Fidelity means to be
faithful to agreements and promises. This nurse is
acting on the client's behalf to obtain needed
information and report it back to the client.
Nonmaleficence is duty to do no harm. Veracity refers
to telling the truth. Beneficence means doing good
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5. An individual has a seizure while walking down the
street. During the seizure, a nurse from a physician's
office is noticed driving past without stopping to assist.
The individual sues the nurse for negligence but fails to
win a judgment for which of the following reasons
1. The nurse had no duty to the individual.
2. The nurse did what most nurses would do in the
same circumstance.
3. The nurse did not cause the client's injuries.
4.The nurse was off-duty at that time -
...ANSWER...✔✔1. The nurse must have a relationship
with the client that involves providing care
6. The nurse is participating in a seminar about legal
and ethical practice of nursing for continuing education
credit. Which statement by a nurse best describes the
relationship between law and ethics for the practice of
nursing?
1. "The ethics of a discipline attempt to formulate and
justify responses to moral dilemmas and may or may
not be regulated by law."
2. "Laws dictate the ethics of nursing as they reflect
societal choices about the ordering of relationships in
society."