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Exam (elaborations)

NCLEX-RN Practice Exam Questions and Answers 100% Solved

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  • NCLEX-RN

NCLEX-RN Practice Exam Questions and Answers 100% Solved 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...

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  • October 12, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX-RN
  • NCLEX-RN
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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
NCLEX-RN Practice Exam Questions

and Answers 100% Solved


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: 3

Rationale: Autonomy is the right of individuals to take action for

themselves. Beneficence is an ethical principle to do good and applies

when the nurse has a city to help others by doing what is best for them.

Veracity refers to truthfulness. Privacy is the nondisclosure of information

by the health care team.

Cognitive Level: Applying

Client Need: Management of Care

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Integrated Process: Nursing Process: Implementation

Content Area: Fundamentals

Strategy: The core issue of the question is the ability to interpret which

ethical principle is operating in a specific situation. Eliminate beneficence

and veracity next because they focus on the obligation of the nurse rather

than on a right of the client.

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?



1. Purposeful failure to perform a health care procedure

2. Unintentional failure to perform a health care procedure

3. Act of substituting a different medication for the one ordered

4. 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

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
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?



1. Nonmaleficence

2. Veracity

3. Beneficence

4. 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.

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
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?



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 the time. - ✔✔Answer: 1

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