NCLEX Practice Questions HURST REVIEW
(Fundamentals) 2023 Grade A+
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NCLEX Practice Questions HURST REVIEW
(Fundamentals) 2023 Grade A+
1. 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. 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. 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.
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4. 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
D. Yes. Failure to document always results in negligence.
5. A patient with metastatic cancer tells the nurse, “I am tired and do not want to be put on a
breathing machine.” The patient’s out-of-town son wants “everything done for my
mother” when his mother later develops respiratory distress. Which ethical principles are
involved in this dilemma? (Select all that apply.)
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
E. Paternalism
6. The nurse is concerned that the physician is ignoring the wishes of the patient and family
in the care of a patient. The nurse should take these concerns to: (Select all that apply.) A.
The hospital ethics committee
B. The ANA (American Nurses Association)
C. The nursing supervisor
D. The nursing ethics committee
E. he policy and procedure committee
7. The nurse observes a coworker diverting narcotics by administering normal saline to a
patient in pain. By not reporting this observation, the nurse is in violation of what ethical
principle concerning the patients under the care of the impaired nurse?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Veracity
8. The family of a patient who is receiving mechanical ventilation for respiratory distress
associated with an inoperable brain tumor asks that the patient be extubated to "allow
natural death" to occur. This is an example of what situation?
A. Withdrawing treatment
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