1. A nurse respects a patient’s decision to refuse chemotherapy despite knowing
the treatment could prolong the patient’s life. Which ethical principle is the
nurse primarily demonstrating?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care without being influenced by their healthcare providers.
2. When a nurse ensures that all patients on a unit receive the same level of
care regardless of their socioeconomic status, the nurse is applying which
principle?
A. Fidelity
B. Autonomy
C. Veracity
D. Justice
Answer: D
Rationale: Justice in nursing refers to fairness in care delivery and the equitable
distribution of healthcare resources.
,3. A nurse accidentally administers the wrong dosage of medication and
immediately notifies the provider and documents the incident. This action
reflects which professional value?
A. Accountability
B. Responsibility
C. Advocacy
D. Confidentiality
Answer: A
Rationale: Accountability involves being answerable for one’s own actions and accepting
the consequences of those actions.
4. Which ANA Provision specifically addresses the nurse’s responsibility to
maintain their own health and safety while providing care to others?
A. Provision 2
B. Provision 5
C. Provision 8
D. Provision 3
Answer: B
Rationale: Provision 5 states that the nurse owes the same duties to self as to others,
including the responsibility to promote health and safety and preserve integrity.
5. A nurse is faced with an ethical dilemma regarding end-of-life care. What is
the first step the nurse should take in the ethical decision-making process?
A. Negotiate a plan
B. Identify the options
C. Gather all relevant information
D. Ask: Is this an ethical dilemma?
Answer: D
, Rationale: The first step in any decision-making process, including ethics, is determining if
the situation actually poses an ethical dilemma.
6. Which philosophical theory determines the ‘rightness’ or ‘wrongness’ of an
action based solely on the outcomes or consequences?
A. Utilitarianism
B. Deontology
C. Feminist Ethics
D. Casuistry
Answer: A
Rationale: Utilitarianism (consequentialism) proposes that the value of something is
determined by its usefulness, focusing on the greatest good for the greatest number.
7. The Nurse Practice Act is an example of which type of law?
A. Statutory Law
B. Constitutional Law
C. Common Law
D. Administrative Law
Answer: A
Rationale: Nurse Practice Acts are statutes enacted by state legislatures to regulate the
practice of nursing within that state.
8. A nurse is sued for malpractice. Which element must be proven to establish
that the nurse was negligent?
A. Intent to harm
B. Employment at a Magnet hospital
C. A signed informed consent form
D. A breach of the duty of care
Answer: D