Exam (elaborations)
NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-RN PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-RN PRACTICE QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
AZclientZisZreferredZtoZaZsurgeonZbyZtheZgeneralZpractitioner.ZAfterZmeetingZtheZsurgeon,ZtheZclientZdecidesZ
toZfindZaZdifferentZsurgeonZtoZcontinueZtreatment.ZTheZnurseZsupportsZtheZclient'sZaction,ZutilizingZwhichZe
thicalZprinciple?Z
1.ZBeneficence
2.ZVeracity
3.ZAutonomy
4.ZPrivacyZ-ZANSWERZAnswer:Z3
Rationale:ZAutonomyZisZtheZrightZofZindividualsZtoZtakeZactionZforZthemselves.ZBeneficenceZisZanZethicalZpri
ncipleZtoZdoZgoodZandZappliesZwhenZtheZnurseZhasZaZcityZtoZhelpZothersZbyZdoingZwhatZisZbestZforZthem.ZVer
acityZrefersZtoZtruthfulness.ZPrivacyZisZtheZnondisclosureZofZinformationZbyZtheZhealthZcareZteam.
CognitiveZLevel:ZApplying
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZImplementation
ContentZArea:ZFundamentals
Strategy:ZTheZcoreZissueZofZtheZquestionZisZtheZabilityZtoZinterpretZwhichZethicalZprincipleZisZoperatingZinZaZs
pecificZsituation.ZEliminateZbeneficenceZandZveracityZnextZbecauseZtheyZfocusZonZtheZobligationZofZtheZnur
seZratherZthanZonZaZrightZofZtheZclient.
AZnurseZforgetsZtoZadministerZaZclient'sZdiureticZandZtheZclientZexperiencesZanZepisodeZofZpulmonaryZedem
a.ZTheZchargeZnurseZwouldZconsiderZtheZmedicationZerrorZtoZconstituteZnegligenceZbecauseZtheZsituationZc
ontainsZwhichZelement?
1.ZPurposefulZfailureZtoZperformZaZhealthZcareZprocedure
2.ZUnintentionalZfailureZtoZperformZaZhealthZcareZprocedure
3.ZActZofZsubstitutingZaZdifferentZmedicationZforZtheZoneZordered
4.ZFailureZtoZfollowZaZdirectZorderZbyZaZphysicianZ-ZANSWERZAnswer:Z2
Rationale:ZNegligenceZisZtheZunintentionalZfailureZofZanZindividualZtoZperformZorZnotZperformZanZactZthatZaZ
reasonableZpersonZwouldZorZwouldZnotZdoZinZtheZsameZorZsimilarZcircumstances.ZAZpurposefulZfailureZtoZpe
rformZaZprocedureZwouldZbeZtheZoppositeZofZnegligence,ZwhichZisZunintentional.ZSubstitutingZaZdifferentZm
,edicationZdoesZnotZfitZtheZdescriptionZofZtheZsituationZinZtheZquestion.ZFailureZtoZfollowZaZdirectZorderZdoes
ZnotZfitZtheZdescriptionZinZtheZsituationZinZtheZquestion.Z
CognitiveZLevel:ZApplying
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZAssessment
ContentZArea:ZFundamentals
Strategy:ZTwoZoptionsZareZopposites,ZwhichZisZaZclueZthatZoneZofZthemZmayZbeZcorrect.ZChooseZunintention
alZfailureZtoZcarryZoutZaZprocedureZoverZpurposefulZfailureZbecauseZitZmatchesZtheZdefinitionZofZnegligence.
AZclientZasksZwhyZaZdiagnosticZtestZhasZbeenZorderedZandZtheZnurseZreplies,Z"I'mZunsureZbutZwillZfindZoutZfo
rZyou."ZWhenZtheZnurseZlaterZreturnsZandZprovidesZanZexplanation,ZtheZnurseZisZactingZunderZwhichZprincip
le?
1.ZNonmaleficence
2.ZVeracity
3.ZBeneficence
4.ZFidelityZ-ZANSWERZAnswer:Z4Z
Rationale:ZFidelityZmeansZbeingZfaithfulZtoZagreementsZandZpromises.ZThisZnurseZisZactingZonZtheZclient'sZb
ehalfZtoZobtainZneededZinformationZandZreportZitZbackZtoZtheZclient.ZNonmaleficenceZisZtheZdutyZtoZdoZnoZh
arm.ZVeracityZrefersZtoZtellingZtheZtruthZforZexample,ZnotZlyingZtoZaZclientZaboutZaZseriousZprognosis.ZBenefi
cenceZmeansZdoingZgood,ZsuchZasZbyZimplementingZactionsZ(e.g.ZkeepingZaZsaltZshakerZoutZofZsight)ZthatZbe
nefitZaZclientZ(heartZconditionZrequiringZsodium-restrictedZdiet).
CognitiveZLevel:ZUnderstanding
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZImplementation
ContentZArea:ZFundamentals
Strategy:ZUseZtheZprocessZofZelimination.ZTheZcorrectZanswerZisZtheZoneZthatZmatchesZtheZdescriptionZinZth
eZstem;ZthatZis,ZtheZnurseZmadeZaZpromiseZtoZaZclientZandZkeptZit,ZwhichZconstitutesZfidelity.
AnZindividualZhasZaZseizureZwhileZwalkingZdownZtheZstreet.ZDuringZtheZseizure,ZaZnurseZfromZaZphysician'sZo
fficeZisZnoticedZdrivingZpastZwithoutZstoppingZtoZassist.ZTheZindividualZsuesZtheZnurseZforZnegligenceZbutZfai
lsZtoZwinZaZjudgementZforZwhichZreason?
, 1.ZTheZnurseZhadZnoZdutyZtoZtheZindividual.
2.ZTheZnurseZdidZwhatZmostZnursesZwouldZdoZinZtheZsameZcircumstance.Z
3.ZTheZnurseZdidZnotZcauseZtheZclient'sZinjuries.
4.ZTheZnurseZwasZoff-dutyZatZtheZtime.Z-ZANSWERZAnswer:Z1Z
Rationale:ZToZbeZguiltyZofZnegligence,ZtheZnurseZmustZhaveZaZrelationshipZwithZtheZclientZthatZinvolvesZaZdu
tyZtoZprovideZcare.ZTheZrelationshipZisZusuallyZaZcomponentZofZemployment.ZTheZnurseZdidZnotZnecessarilyZ
doZwhatZothersZwouldZdoZinZthisZsituation.ZAlthoughZtheZnurseZdidZnotZcauseZtheZclient'sZinjuries,ZitZdoesZn
otZpreventZtheZnurseZfromZassistingZinZthisZsituation.ZAlthoughZtheZnurseZwasZoff-
duty,ZtheZnurseZcouldZhaveZassistedZifZmotivatedZtoZdoZso.
CognitiveZLevel:ZUnderstanding
ClientZNeed:ZManagementZofZCare
IntegratedZProcess:ZNursingZProcess:ZImplementation
ContentZArea:ZFundamentals
Strategy:ZUseZtheZprocessZofZeliminationZandZnursingZknowledge.ZTheZcorrectZanswerZisZtheZoneZthatZrecog
nizesZthatZtheZnurseZwasZnotZinZtheZroleZofZemployeeZatZtheZtimeZofZtheZincident,ZremovingZtheZrequireme
ntZofZactingZonZtheZclient'sZbehalf.
AnZadultZfemaleZambulatoryZcareZclientZreceivingZanZoralZanticoagulantZisZgivenZaspirinZforZaZheadacheZwhi
leZvisitingZaZneighbor,ZwhoZisZaZnurse.ZTheZclientZsubsequentlyZhasZaZbleedingZepisodeZbecauseZofZaZdrugZin
teraction.ZTheZlegalZnurseZconsultantZinterpretsZthatZwhichZnecessaryZelementsZofZmalpracticeZareZmissing
ZfromZthisZcase?ZSelectZallZthatZapply.
1.ZBreechZofZduty
2.ZDutyZowed
3.ZInjuryZexperienced
4.ZCausationZbetweenZnurse'sZactionZandZinjury
5.ZIntentZtoZcauseZharmZorZinjuryZ-ZANSWERZAnswer:Z2,Z5
Rationale:ZThereZwasZnoZnurse-
clientZrelationshipZbecauseZtheZnurseZwasZactingZasZaZneighborZandZnotZinZanZemploymentZcapacity.ZThus,Zt
hereZcanZbeZnoZdutyZowed.ZIntentZisZnotZaZnecessaryZelementZofZmalpractice,ZbecauseZmalpracticeZcanZocc
urZbecauseZofZunintendedZactionsZasZwell.ZThereZwasZnoZbreachZofZdutyZbecauseZthereZwasZnoZofficialZnurs
e-
clientZrelationship,ZwhichZaccompaniesZanZemploymentZsituation.ZThereZwasZinjuryZexperiencesZbecauseZo
fZthisZevent.ZTheZbleedingZwasZcausedZbyZtheZinteractionZofZtheZaspirinZwithZtheZanticoagulant.Z
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