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Rationales 2026 Q&A | Instant
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1. A nurse is caring for a patient who refuses life-saving treatment due to
personal beliefs. Which ethical principle is most directly upheld by honoring
the patient’s decision? ✔
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: Autonomy ✔
Rationale: Autonomy prioritizes the patient’s right to make informed decisions
about their own care, even if refusal may lead to harm.
2. A healthcare provider allocates limited ICU beds based on severity of illness
and likelihood of recovery. Which principle is demonstrated? ✔
A. Fidelity
B. Justice
C. Veracity
D. Autonomy
Answer: Justice ✔
Rationale: Justice involves fair distribution of resources, especially in situations
of scarcity.
, 3. A patient is not informed of a minor medication error to avoid distress.
Which ethical issue is most relevant? ✔
A. Paternalism
B. Veracity
C. Justice
D. Fidelity
Answer: Veracity ✔
Rationale: Veracity requires truth-telling; withholding information violates
honesty in patient care.
4. A nurse administers pain medication as promised despite being busy. Which
ethical principle is demonstrated? ✔
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
Answer: Fidelity ✔
Rationale: Fidelity refers to keeping promises and maintaining trust in
professional relationships.
5. A patient is enrolled in a research study without fully understanding risks.
Which ethical principle is violated? ✔
A. Autonomy
B. Beneficence
C. Justice
D. Nonmaleficence
Answer: Autonomy ✔
Rationale: Autonomy requires informed consent, meaning the patient must fully
understand risks and benefits.
6. A nurse advocates for pain control despite physician reluctance. Which role
is being demonstrated? ✔
, A. Caregiver
B. Advocate
C. Educator
D. Researcher
Answer: Advocate ✔
Rationale: Advocacy involves protecting patient rights and ensuring appropriate
care is delivered.
7. A patient’s confidential information is shared without consent. Which
ethical principle is breached? ✔
A. Confidentiality
B. Justice
C. Fidelity
D. Beneficence
Answer: Confidentiality ✔
Rationale: Confidentiality protects patient privacy and sensitive information.
8. A nurse prevents harm by double-checking medication dosage. Which
principle applies? ✔
A. Justice
B. Nonmaleficence
C. Autonomy
D. Veracity
Answer: Nonmaleficence ✔
Rationale: Nonmaleficence means “do no harm,” ensuring patient safety.
9. A patient receives equal treatment regardless of socioeconomic status.
Which ethical concept applies? ✔
A. Justice
B. Fidelity
C. Autonomy
D. Beneficence