NCLEX-RN Practice Questions For 2024-2025

NCLEX-RN Practice Questions For 2024-2025 ScienceMedicineNursing TutorDkTeacher Save 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview NCLEX RN Test 1 2024-2025 Teacher 312 terms TutorDkPreview NCLEX Question Bank with Rational...77 terms Haley_Malzac Preview PEARS 199 term Can A nurse forgets to administer a client's diuretic and the client experiences an episode of pulmonary edema. The charge nurse would consider the medication error to constitute negligence because the situation contains which element?

• Purposeful failure to perform a health care procedure
• Unintentional failure to perform a health care procedure
• Act of substituting a different medication for the one ordered
• Failure to follow a direct order by a physician

Answer: 2

Rationale: 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. A purposeful failure to perform a procedure would be the opposite of negligence, which is unintentional. Substituting a different medication does not fit the description of the situation in the question. Failure to follow a direct order does not fit the description in the situation in the question.

Cognitive Level: Applying

Client Need: Management of Care

Integrated Process: Nursing Process: Assessment

Content Area: Fundamentals

Strategy: Two options are opposites, which is a clue that one of them may be correct. Choose unintentional failure to carry out a procedure over purposeful failure because it matches the definition of negligence.

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?

• Nonmaleficence
• Veracity
• Beneficence
• Fidelity

Answer: 4

Rationale: Fidelity means being 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 the duty to do no harm. Veracity refers to telling the truth for example, not lying to a client about a serious prognosis. Beneficence means doing good, such as by implementing actions (e.g. keeping a salt shaker out of sight) that benefit a client (heart condition requiring sodium-restricted diet).

Cognitive Level: Understanding

Client Need: Management of Care

Integrated Process: Nursing Process: Implementation

Content Area: Fundamentals

Strategy: Use the process of elimination. The correct 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 constitutes fidelity.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 judgement for which reason?

• The nurse had no duty to the individual.
• The nurse did what most nurses would do in the same circumstance.
• The nurse did not cause the client's injuries.
• The nurse was off-duty at the time.

Answer: 1

Rationale: To be guilty of negligence, the nurse must have a relationship with the client that involves a duty to provide care. The relationship is usually a component of employment. The nurse did not necessarily do what others would do in this situation. Although the nurse did not cause the client's injuries, 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.

Cognitive Level: Understanding

Client Need: Management of Care

Integrated Process: Nursing Process: Implementation

Content Area: Fundamentals

Strategy: Use the process of elimination and nursing knowledge. The correct answer is the one that recognizes that the nurse was not in the role of employee at the time of the incident, removing the requirement of acting on the client's behalf.

An adult female ambulatory care client receiving an oral anticoagulant is given aspirin for a headache while visiting a neighbor, who is a nurse.The client subsequently has a bleeding episode because of a drug interaction. The legal nurse consultant interprets that which necessary elements of malpractice are missing from this case? Select all that apply.

• Breech of duty
• Duty owed
• Injury experienced
• Causation between nurse's action and injury
• Intent to cause harm or injury

Answer: 2, 5

Rationale: There was no nurse-client relationship because the nurse was acting as a neighbor and not in an employment capacity. Thus, there can be no duty owed. Intent is not a necessary element of malpractice, because malpractice can occur because of unintended actions as well.There was no breach of duty because there was no official nurse-client relationship, which accompanies an employment situation. There was injury experiences because of this event. The bleeding was caused by the interaction of the aspirin with the anticoagulant.

Cognitive Level: Analyzing

Client Need: Management of Care

Integrated Process: Nursing Process: Evaluation

Content Area: Fundamentals

Strategy: Use the process of elimination. The wording of the question indicates more than one option is correct, and the focus is on necessary elements that must be present. First eliminate the intent to cause harm or injury, since this is not necessary to a charge of malpractice. Next note that there is no duty owed, and because of this, there can be no breach of duty, to choose these two options as the necessary missing elements.To get the full Test Bank Email [email protected]. Remember our Test Bank are updated every year to accommodate changes done by National Council of State Board of Nursing (NCSBN) and prepare student for their examination. to get actual exam questions copy the link below

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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?

• Justice
• Fidelity
• Autonomy
• 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.

• The health care provider can be charged with negligence, being the person who ordered the dose.
• As the employing agency, only the hospital can be charged with negligence.
• The nurse and physician may be terminated from employment to prevent a charge of negligence to the hospital.
• Negligence will not be charged, as this event could happen to any reasonable person.
• 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.

• Accredit schools of nursing
• Enforce ethical standards of behavior
• Protect the public
• Define the scope of nursing practice
• Determine liability insurance rates

Answer: 3, 4

Rationale: A state's NPA serves to protect the public by setting minimum qualifications for nursing in relation to skills and competencies. One way it fulfills responsibility to protect the public is by defining the scope of nursing practice in that state. The state board of nursing approves schools to operate but does not enforce ethical standards. A state NPA has no role in setting liability insurance rates for nurses.

Cognitive Level: Applying

Client Need: Management of Care

Integrated Process: Nursing Process: Implementation

Content Area: Fundamentals

Strategy: Use the process of elimination and basic nursing knowledge to answer the question. The wording of the question indicates that more than one option is correct and that the correct responses are worded as true statements.