WCU
1. A nurse is caring for a patient who refuses a blood transfusion based on
religious beliefs. The nurse supports the patient’s decision even though they
disagree. Which ethical principle is being demonstrated?
A. Fidelity
B. Beneficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, even if the healthcare provider disagrees.
2. The nurse is checking on a post-operative patient to ensure their pain is
managed as promised during the shift change. This represents which ethical
principle?
A. Veracity
B. Autonomy
C. Non-maleficence
D. Fidelity
Answer: D
Rationale: Fidelity involves being faithful to agreements and promises made to patients,
such as returning to check on pain levels.
,3. Which ethical principle is defined as ‘doing good’ and acting in the best
interest of the patient?
A. Justice
B. Non-maleficence
C. Beneficence
D. Veracity
Answer: C
Rationale: Beneficence is the duty to do good and to take positive actions to help others.
4. A nurse accidentally administers the wrong medication but immediately
reports the error to the provider and the patient. Which principle is the nurse
practicing?
A. Fidelity
B. Justice
C. Autonomy
D. Veracity
Answer: D
Rationale: Veracity is the obligation to tell the truth and be honest with patients and
colleagues.
5. A hospital implements a policy to ensure that all patients receive the same
quality of care regardless of their socio-economic status. This reflects which
principle?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
Answer: C
, Rationale: Justice refers to fairness in care delivery and the equitable distribution of
healthcare resources.
6. When a nurse ensures that a procedure does not cause unnecessary pain or
harm to a patient, they are adhering to which principle?
A. Non-maleficence
B. Autonomy
C. Fidelity
D. Veracity
Answer: A
Rationale: Non-maleficence is the commitment to ‘do no harm’ and avoid hurting the
patient.
7. Which document provides a foundation for professional nursing ethical
behavior in the United States?
A. The ANA Code of Ethics
B. The Nurse Practice Act
C. The Patient’s Bill of Rights
D. The HIPAA Privacy Rule
Answer: A
Rationale: The American Nurses Association (ANA) Code of Ethics establishes the ethical
standard for the nursing profession.
8. A nurse identifies that a patient is not receiving adequate information to
make an informed decision and intervenes to help. This is an example of:
A. Malpractice
B. Advocacy
C. Informatics
D. Paternalism
Answer: B