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NCLEX-RN Practice Exam Questions 2025 with Correct
Verified Answers GRADED
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
- 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?
**1. 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.**
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 jamesdickson3161@gmail.com. Remember our Test Bank are updated every year to accommodate changes happening at National Council of State Board of Nursing (NCSBN) and prepare student for their examination. Follow the link to my blog for more https://nclexrn2025.weebly.com/blog/top-strategies-to-pass-the-nclex-rn 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?
**1. 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.
**1. 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
processes.
**2. Share information about a client with nurses from the unit to which the client may eventually be transferred.
- Allow the client's family to review the medical record to obtain answers to their questions.
- Share information about the client with those involved in planning nursing care.** Answer: 4 Rationale: Client confidentiality is maintained when the nurse shares client information only with those currently involved in the plan of care. Staff should only access information about clients currently assigned to their care and should not access information about other clients on the unit not assigned to them. Client information should not be shared with nurses who are not currently working with the client. Family members would need approval from the client and the health care provider prior to reviewing a medical record. Cognitive Level: Applying Client Need: Management of Care Integrated Process: Communication and Documentation Content Area: Fundamentals Strategy: Select the response that protects the client's information, but allows communication necessary for the delivery of quality care. **The nurse working in an acute care environment would utilize which strategies to reduce the risk of malpractice litigation? Select all that apply.
- Discuss any errors with the client and family in detail.
- Keep incident reports on file.
- Maintain expertise in practice.
- Offer opinions to clients when the situation warrants.
- Report unsafe staffing levels to supervisor.** Answer: 3, 5 Rationale: Maintaining expertise in practice by keeping up to date in knowledge and skills aids in
reducing the risk of malpractice claims by fostering continued competence in practice. Unsafe staffing levels can result in a higher incidence rate of errors, which could later lead to charges of malpractice. Thus, reporting such situations so they can be prevented should be beneficial. Discussing errors in detail with the client and family does not reduce the risk of malpractice claim. Incident reports should be kept on file but do not decrease the risk of malpractice litigation. The nurse should not offer opinions at any time as this not part of therapeutic communication. Cognitive Level: Applying Client Need: Management of Care Integrated Process: Nursing Process: Implementation Content Area: Fundamentals Strategy: Focus on malpractice as the concept being tested. Recall that maintaining expertise is the best way to reduce personal risk and that reporting unsafe staffing situations may help reduce personal risk and that reporting unsafe staffing situations may help reduce general agency risk by preventing omissions or errors due to insufficient numbers of caregivers to do the work required during the shift. 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
- Veracity
- Autonomy
- 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.
Which task would not be appropriate for the registered nurse (RN) to delegate to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP)?
**1. Instructing the LPN to reinforce teaching of the RN's assigned clients prior to discharge
- Assigning UAPs to complete vital signs and document and report changes to the RN
- Asking the UAP to assess and evaluate the client response to IV pain medication
- Instructing the LPN to remove a dressing from a postoperative client's abdominal would** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **The charge nurse on the night shift reports that the narcotic count is incorrect. The nurse has spoken to the responsible staff nurse and believes that substance abuse by the nurse is the cause. If substance abuse proves to be the cause of the incorrect count, what is the most appropriate next step?
- Recount the narcotics with the staff nurse and take disciplinary action
- Ask the staff nurse to leave the unit and report the incident to the American Nurses Association
- Complete an incident report and report findings to the pharmacy and nursing administration
- Submit the findings to the Council on Nursing Practice** Answer: Rationale: Cognitive Level:
Client Need: Integrated Process: Content Area: Strategy: A quarterly audit is now due to evaluate implementation of an electronic medical record system on the nursing unit. As the unit representative who supervised the adaptation of this documentation system, how can the nurse best determine if nursing staff have accepted this change?
**1. Nursing staff uses the electronic medical record daily in routine documentation
- Nursing staff verbalizes the need for the electronic record but still hand-write nursing notes into the clients' charts
- Nursing staff uses the electronic record sporadically to monitor clients' progress
- Nursing staff likes the electronic record because they believe it saves them time** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **The nurse on the hospital quality improvement team has been asked to evaluate nursing care on the nurse's assigned unit. After deciding to ask the nursing staff for assistance in this effort, what would be most appropriate for the nurse to initially ask the staff to do?
- Track the number of supplies used by clients on the unit
- Document the time spent on direct client care**
A client is experiencing respiratory distress. Respirations are 32 breaths/min and shallow. The client is positioned in an orthopneic position, with a heart rate of 118/min and a blood pressure of 90/40 mmHg. The client is pale and confused. Which task should the nurse delegate to the charge nurse?
**1. Head-to-toe assessment
- Placement of a second IV site
- Application of oxygen
- Overhead page the respiratory therapist (RT)** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **A nurse is assisting a client in room 1 with lunch. The charge nurse calls the nurse and states the client in room 3 is reporting pain and requests pain medication. What is the nurse's best and first action?
- Finish feeding the client in room 1, then medicate the client in room 3 for pain.
- Stop feeding the client in room 1, and medicate the client in room 3 for pain.
- Finish feeding the client in room 1, and ask the charge nurse to medicate the client in room
- Ask the charge nurse to feed the client in room 1 while the nurse medicates the client in room 3 for pain.** Answer: Rationale:
Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: To get access to over 400 Questions Test Bank with correct answers email jamesdickson3161@gmail.com.Note our prediction Exams contains 97% of the questions you will find in your exam, which makes as give you 100% assurance you will pass in your Exam. After receiving the inter shift report, the registered nurse (RN) has many tasks to complete during the next 12 hours. Which tasks would the nurse delegate to an unlicensed person (UAP)? Select all that apply.
**1. Flushing a nasogastric tube on a client who has had a colectomy
- Irrigating a clogged urinary catheter on an older adult client
- Rechecking vital signs on a 30-year-old client with a BP of 100/
- Changing a dressing on a client with an infected diabetic foot ulcer
- Measuring and recording hourly ruin output for a client who underwent nephrectomy** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **The registered nurse (RN) is assigned to five clients for the shift. Which tasks are best delegated to the licensed practical/vocational nurse (LPN/LVN)? Select all that apply.
- Repositioning a nasogastric tube on a client who has had a small bowel resection**
A nurse is delegating care of clients to the certified nursing assistant (CNA) and licensed practical nurse (LPN). Which tasks should the nurse give the CNA and LPN?
**1. CNA: Measure vital signs; LPN: Give oral medications on assigned clients
- CNA: Change a non-infected dressing; LPN: Administer IV piggyback medications
- CNA: Ambulate a client who had a CVA; LPN: Assess two clients
- CNA: Measure vital sign; LPN: Complete a head-to-toe assessment on a newly admitted client** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **A nurse is preparing for the shift, and makes a list of delegated tasks for the unlicensed assistive person (UAP). Which task should the nurse delegate to the UAP?
- Feeding a client who was admitted with dysphasia from cerebrovascular accident
- Monitoring drainage from a chest tube on a client with a hemothorax
- Rechecking vital signs on a client whose blood pressure is 190/
- Repositioning a client with severe weakness caused by multiple sclerosis** Answer: Rationale: Cognitive Level: Client Need: Integrated Process:
Content Area: Strategy: A registered nurse (RN) who is the charge nurse for the shift is making assignments for the day. Which client should be assigned to the licensed practical nurse (LPN)?
**1. A client with sickle-cell anemia requiring pain medications every three hours
- A three-day postoperative client who will be discharged tomorrow morning
- A 76-year-old client who will be discharged tomorrow morning
- A client who received chemotherapy for leukemia and has a hemoglobin of 6.4 grams/dL** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **The staff nurse who is in charge of the medical-surgical unit for the shift is receiving four admissions. The emergency department is sending a client with hypertension and an exacerbation of heart failure, and a client who has pneumonia and a history of diabetes mellitus. The post-anesthesia care unit (PACU) is transferring a client who had a total abdominal hysterectomy and a client who underwent hip replacement. If the staff consists of two RNs (one on orientation) and two LPNs, what assignment would be appropriate?
- The RN on orientation will be assigned the postoperative client who underwent hip replacement
- The experienced RN will be assigned the postoperative client who underwent hip replacement**
A nurse plans to delegate some responsibilities of client care to a licensed practical nurse (LPN). Which task should the nurse delegate to the LPN?
**1. Assessment of a newly admitted client
- Admission of a postoperative client
- Dressing changes for a client with wounds
- Assist a client with ambulation and AM care** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **A nurse has delegated a venipuncture to an unlicensed assistant (UA) who has been off orientation for five days. The UA reports, " This client has a large, raised red area where the need was inserted." The nurse's subsequent assessment reveals a hematoma in the venipuncture area. What elements of delegation have been breached? Select all that apply.
- Task
- Circumstance
- Communication
- Supervision
- Skill** Answer: Rationale: Cognitive Level: Client Need:
Integrated Process: Content Area: Strategy: Upon calling the health care provider regarding a client with "heartburn," diaphoresis, and irregular pulse, the nurse receives stat orders for the following: electrocardiogram, cardiac panel, morphine 2 mg IV push, nitroglycerin 0.4 mg sublingual, and aspirin 325 mg p.o. chew and swallow. Which tasks should the nurse delegate? Select all that apply.
**1. Administration of medications
- Reassessment of the client's condition
- Venipuncture for the cardiac panel
- Electrocardiogram
- Oxygen saturation** Answer: Rationale: Cognitive Level: Client Need: Integrated Process: Content Area: Strategy: **A registered nurse (RN) working on the medical unit arrives at work 15 minutes late. The nurse is assigned five clients, and an admission is on the way. Place in order of priority how the nurse should complete the following activities at the beginning of the work shift. Place the options in order. All options must be used.
- Listen to report
- Check the medication administration record (MAR)**
