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BIOETHICS IN NURSING PRACTICE SET 2 (Questions)

Prepared By: Robbie Liabres, RN


1. Nurse Samantha has accidentally given one capsule of Nifedipine
(Adalat) 10 mg instead of 5 mg. Samantha doesnt see any adverse
reaction on the patient even with the larger dose. What is the most
appropriate action should Samantha take?
a. Nothing is wrong so she should attend to her other patients.
b. Accomplish a complete incident report.
c. Document that she has given a capsule of Nifedipine (Adalat) 5
mg.
d. Call the hospitals lawyer.
2. Patient G.Q. is a bank executive who underwent surgery that affected
his sexual drive. During the assessment interview, he expresses this
concern to Nurse Leo who is assigned for his care. In planning for his
care, the most appropriate nursing intervention would be:
a. Suggest referral to sex counselor or appropriate professional.
b. Provide support for the spouse or significant other.
c. Encourage the patient to ask questions about personal sexuality.
d. Provide time for privacy, the patient needs to examine his
thoughts.
3. Rebecca is diagnosed HIV+ and she is not informed yet. When Nurse
Jasper is doing his morning care to her, she told him: Alam ko lumabas
na ang resulta ng mga test na ginawa sa akin at alam ko na alam mo
ito. Alin sa mga iyon ang nagpositive? Which of the following is the
appropriate thing for Nurse Giselle to do?
a. Deny knowledge about the patients condition and do not give
the patient any further information.
b. Make the patients chart available to her because after all, she is
entitled to see it.
c. Discuss the situation with the physician.
d. Give a detailed explanation on the disease of the patient. The
patient needs to know.
4. Nurse Quino cares for a patient who has acute myelogenous leukemia
(AML) with poor prognosis. She has been confined for over a quarter of
a year. Now, her condition is deteriorating tremendously. Until one day,
she already meets the brain-death criteria. Which nursing intervention
is the most appropriate at this time?
a. Approach the patients family for possible organ donation.
b. Make the decision to withdraw the life support.
c. Sedate the client.
d. Talk to the staff about their feelings.
5. During his lunch break, Nurse Nathan overheard a group of residents
passing by that a politician was rushed in the emergency room last
night due to extensive anal laceration. Having heard this, Nurse

Nathan spread the news to his friends in the nurses station. What
ethical principle was violated by Nurse Nathan?
a. Beneficence
b. Confidentiality
c. Informed Consent
d. Justice
6. Nurse Mickey has received her patient assignment for the afternoon
shift. She now waits for the routine laboratory result for some of the
patients. Upon the arrival of the results via the Local Area Network in
the hospital, she was surprised to receive a pornographic video. She is
alone in the station. What is her most appropriate nursing action?
a. Send a message back to the laboratory asking for the name and
person who sent the video.
b. Delete the video and keep it to her self for fun.
c. Call the nursing supervisor and report the incident.
d. Call the security and direct him to the laboratory.
7. Nurse Gina strictly adheres to the use of standard precautions through
gloving for she believes that it is necessary for the protection of
patients. She has a colleague who consistently fails to use standard
precautions or wear gloves when caring for patients. She calls the
attention of the colleague but the colleague insisted that standard
precautions and the use of gloves are not necessary until the patient is
known to have any contagious disease. What is the most appropriate
action Nurse Warren would take?
a. Discuss the issue with other staff members.
b. Document the problem in writing for the nurse supervisor.
c. Forget the problem; she has done her part for his colleague.
d. Instruct the patients to remind this colleague to wear gloves.
8. Fatima Singh is admitted to the medical unit with a diagnosis of
hepatitis B. In the Philippines, hospitals are mandated by accrediting
bodies to demonstrate respect for the patients confidentiality. Which
of the following practices uphold/s patient confidentiality?
a. Keeping the medical records in the view and care of healthcare
providers directly involved with the patient.
b. Placing a sign on the patients door stating Isolation for
Hepatitis B for others safety.
c. Nurse making sure that the patients chart is secured at the rack
in the nurses station
d. Providing the patient a copy of hospital policies and procedures
that address patient confidentiality at each unit.
a.
b.
c.
d.

1,2,3
1,2,4
1,3,4
All of the above.

9. Nurse Ellen thinks that Nurse Peter has been drinking alcohol before
their shift. She smells alcohol on Gilberts breath and notes slurred
speech. What is the best course of action Nurse Ellen should take?
a. Call the police and have Nurse Peter detained because he
endangers the lives of the patients.
b. Cover up for Nurse Peter because the profession depends on
loyalty from colleagues.
c. Immediately notify the nursing supervisor.
d. Tell Nurse Peter that he has one last chance, but if he drinks
before another shift, he will be reported.
10.Nurse Martha is handling a 40 year-old patient who refuses a
procedure to be done because of religious reasons. Which of the
following is the most appropriate action to take?
a. Ignore the behavior and continue with the procedure.
b. Convince the patient that the procedure is for her own good.
c. Note that the patient refuses and inform the attending
physician.
d. Put restraints on the patient because the procedure has to be
done.
11.A patient is rushed in the emergency room unconscious and is bleeding
profusely. The attending physician decides in behalf of the patient for
he believes that he knows what is best for the patient. Which of the
following is this belief?
a. Paternalism
b. Brotherhood
c. Camaraderie
d. Intrusion for the Good
12.When a patient tells you that he is planning to hurt himself and asked
you to keep it as a secret, what is the most appropriate response?
a. You have my word sir, I will keep it.
b. You are planning to hurt yourself? Can I tell that to your
doctor?
c. No. I cant promise. I have to inform your doctor.
d. You seem bothered. You may have to take a rest.
13.Nurse Chelsea works as a staff nurse in the Newborn Unit. Whenever
she carries the babies for feeding, she handles them with utmost care
in order to prevent harming the babies. Which of the following
principles is observed by Chelsea?
a. Autonomy
b. Beneficence
c. Non-maleficence
d. Human Dignity
14.Dr. Ferrero ordered Nurse Sally to give a placebo medication to a
patient complaining of stomach pain. Which of the following principles
is being violated?
a. Beneficence
b. Non-maleficence

c. Double Effect
d. Veracity
15.Nurse Joseph is assigned to a 43 year-old patient for modified radical
mastectomy of the right breast tomorrow at 7:30 in the morning.
Which of the following should not be done by Joseph on the morning of
the surgery
a. Obtain and accomplish the preoperative checklist
b. Give preoperative teachings for the patient
c. Instruct the patient to demonstrate some post-operative
exercises like incentive spirometry.
d. Let the husband of the patient sign the consent if the patient is
still asleep.
16.When a nurse utilizes the belief that social justice is needed for quality
healthcare, which of the following statements supports this?
a. Proper communication between the patient and the nurse and
the members of the health team
b. Healthcare and healthcare facility is universally accessible.
c. Provide a good environment where the patient can hasten his
recovery
d. Competent, committed and compassionate care for the patient
17.Which of the following statements does not show manipulation of the
patient in giving his or her consent?
a. Would I leave you for a while so that you can think well?
b. There are many people wanting your donors liver.
c. Do you want to see your daughter on her wedding day?
d. The child in your womb is a gift to your family.
18.Nurse Lucy attends to Kelly who is a victim of gang rape two days ago.
Her mother had no idea until she noticed her daughters uneasiness
and screaming at night. The mother wants something to be done to her
daughter that could prevent conception. Nurse Lucy knows that by
doing what is requested, it could either prevent conception or it could
induce abortion if there is already a union between egg cell and sperm
cell. This scenario is a direct involvement of this ethical principle:
a. Veracity
b. Justice
c. Beneficence
d. Human Dignity
19.Mrs. Rebecca Guerra, 48 years old, is brought to the operating room for
her scheduled total abdominal hysterectomy with bilateral salphingo
oophorectomy (TAHBSO). Which of the following is the most important
nursing intervention before she is given general anesthesia?
a. The surgeon has talked to Mrs. Guerra
b. Obtain the informed consent from Mrs. Guerra
c. Maintain Mrs. Guerra on NPO
d. Proper preparation of the operative site
20.Mr. Iigo is scheduled for thoracotomy with bullectomy at 10 in the
morning. When Nurse Sheila arrived to give him preoperative

medication, Mr. Iigo is with his charismatic partners and singing songs
of praise. Which of the following should Nurse Sheila do?
a. Leave the room and allow the patient to finish his rituals and just
inform the operating room
b. Interrupt and inform the patient that the schedule of surgery
should be strictly followed.
c. Report the charismatic partners to the supervisor so that they
will be asked to leave.
d. Stay in the room until the ritual is done and then immediately
give the preoperative medication.
21.Nurse Myka entered together with Dr. Llarena in the newly admitted
patients room. Dr. Llarena informs the patient of her condition, her
treatment protocol and the possible alternative treatments and
possible prognosis. This proper disclosure of information to the patient
demonstrates which of the following?
a. Totality
b. Autonomy
c. Double Effect
d. Confidentiality
22.In cases of emergency, which of the following professionals can make a
decision for the patient in case the patient is unconscious and is in lifeand-death situation?
a. Nurse
b. Attending Physician
c. Chaplain
d. Hospitals lawyer
23.Which of the following patients are capable of giving an informed
consent
1. Married emancipated minor
2. Blind adult
3. A manic-depressive patient
4. 25 year old mute patient
a. 1,2,3
b. 1,2,4
c. 1 only
d. None of the above.
24.Nurse Rupert knows that an informed consent is important because it
protects both the patient and the hospital for potential lawsuit. Which
of the following are exceptions to informed consent?
1. Compulsory treatment is mandated by a court order
2. If patient relinquishes the right to consent
3. Emergency cases
4. The patient is an emancipated minor
a. 1 and 3
b. 1,2,3
c. 2,3,4
d. 1,3,4

25.The following scenarios show the application of the principle of justice


except one. Which one is it?
a. Properly disclosing of information regarding the procedure and
maintaining anonymity of research subjects on abortion
b. Providing accessible quality health care service for all patients
c. Make available the health resources according to the needs
regardless of social status
d. None of the above
26.Dr. Zamora ordered a medication to be given intramuscularly on the
right deltoid of Mrs. Nolasco. Nurse Rowena knows that Mrs. Nolasco is
post right MRM. Which of the following should Nurse Rowena do?
a. Follow the order. It is not contraindicated.
b. Give the medication on the left deltoid.
c. Give the medication on the left deltoid and document it on the
patients chart.
d. Inform Dr. Zamora that Mrs. Nolasco is post right MRM and
clarify the order.
27. A patient is scheduled for open reduction internal fixation of the right
arm. He has to sign an informed before proceeding with the operation.
The following statements are true regarding informed consent except:
1. After signing the informed consent, the patient can not turn back
2. The wife can consent for the patient who is in the bathroom.
3. The alternatives should be explained well to the patient and his
wife
4. If the patient refuses to give consent, the attending physician
should persuade him to push through with it.
a. 1,2,3
b. 1,3,4
c. 1,2,4
d. 2,3,4
28.Nurse Leslie works in the surgical wing of a big tertiary hospital. Every
time each of her assigned patients is brought for surgery, she is asked
to witness an informed consent for surgery. Leslie knows that what she
is witnessing is that the
a. Patient signs the consent form
b. Informed consent took place.
c. Family consented to the procedure.
d. Patient was fully informed about the procedure
29.Nurse Baby works on the pediatric unit and is giving medications at
10:00 am. She enters the room of a patient, calls the patient by name,
checks the name band for accuracy and administers an oral vitamin.
After the patient swallows the pill, the mother states that another
nurse has also given her this same pill an hour ago. Nurse Baby checks
the medication record and finds that another nurse has signed off on
the drug entry. The most appropriate action by the nurse is to:
a. Submit an incident report describing the circumstances of the
medication error.

b. Report the first nurse to the nurse manager for not informing the
medication nurse that a drug had been given.
c. Notify the patients physician and ask for advice.
d. Do nothing, because the patient was not harmed by the second
vitamin.
30.Nurse, Jacqueline plans to work in a hospice after four (4) years
working in the hospital. It is important for her to know the
characteristics of a hospice care. Which of the following is it?
a. Caring for the patient stops as soon as they die.
b. Hospice care and service is accessible only at specified times.
c. Most of the patients are terminally ill and have more or less 6
months to live.
d. The provider of care and comfort are all licensed personnel
31.Albert Santos, RN is a nurse manager and has requested a social
worker see the following patients. Which one requires assistance first?
a. A 31-year-old woman who is homeless and newly diagnosed with
diabetes.
b. A 74-year-old man with heart failure and no insurance coverage.
c. A 52-year-old man with a history of recent myocardial infarction
(MI), who is in a midst of a divorce.
d. A 63-year-old woman, after a stroke, who has been living alone.
32.As Nurse Philip browses through the medications ordered by the
physician he notes a medication with a dose that is three times greater
than the customary amount. Which of the following should Nurse Phillip
do?
a. Check with the nurses from the previous shift to see if the
medication was given as ordered.
b. Understand that there may be special circumstances in which
additional medication is needed and give the medication as
ordered.
c. Discuss the question about the drug with the physician who
ordered it and record the results of the discussion.
d. Ask the patient if he or she has been receiving the dose of
medication as ordered.
33.Nurse Judith does her first rounds for the shilft. Which of the following
patients should Judith attend to first?
a. A patient who is two (2) days postoperative with right calf pain.
b. A patient who is newly admitted with chest pain
c. A patient who is complaining of pain following surgery for hip
replacement.
d. A patient with diabetes who has a glucose reading of 178.
34.You are caring for Carmen with Hepatitis B. Carmen calls you and said,
Come here nurse. There is something I want to tell you but first, you
have to keep it a secret. The most appropriate reply of William would
be:
a. I am responsible for the health of other people as well so Im
sorry but I cant keep your secret.

b.

No problem, you can tell me. Our code of ethics prevents me


from telling anyone.
c. I will not tell anyone who does not need to know. But if it is
important to your health or to someone elses health, I may
have to tell another person.
d. Why not. You can tell me anything, you know.
35.Helen Tamayo, RN received her education from a catholic nursing
school. She knows that a nurse is morally opposed to abortion at any
time during pregnancy. Which statement best describes the nurses
responsibility related to this belief?
a. She may decline to participate in abortions, but must care for
women after the procedure.
b. She must make this position known before being employed at an
agency that provides abortions.
c. She must provide the same care for women undergoing abortion
procedures as for any other woman.
d. She cannot accept employment in any agency that may provide
abortion services.
36.Nurse Malou is one of the nurses for the night shift in the emergency
room. She evaluates several patients who have come into the
emergency department. Which of the following patients should Malou
give highest priority?
a. An elderly woman who is complaining of a loss of appetite and
fatigue for the past week.
b. A mother with her 4-year-old son who has been complaining of
nausea and has vomited once since 6 in the evening.
c. A football player, limping and complaining of pain and swelling
on his right ankle.
d. A 40 year-old man, diaphoretic and complaining of severe chest
pain radiating to his jaw.
37.A nurse knows that in times of emergency and disaster, in order to
prevent mass hysteria and frenzy, the nurse should care first for those
who show signs of:
a. Euphoria
b. Panic
c. Depression
d. Addiction
38.When caring for patients either for organ donation or reception, what
should be included in nurses response when the patient asks for
factual information about becoming an organ donor?
a. There are some contraindications for being an organ donor.
b. A donor can be of any age.
c. Family members must also give their consent.
d. Verbal consent would be enough.
39.Nurse Jose works in a hospital which caters to patients with a variety of
religious and cultural beliefs. As a healthcare provider It is important to
consider the cultural and religious beliefs of patient. Which of the

following is the best reason to include favorite or culturally required


food in the diets of patients from cultures other than the dominant
one?
a. So that patient will not be easily agitated..
b. In order to make the patient feel the acceptance of his religious
or cultural beliefs
c. In order to get the cooperation of the patient
d. So that malnutrition will be prevented
40.You are caring for Hindu patient with a severe necrotizing ulcer of the
lower right leg. He refuses to undergo surgery because of religious
beliefs regarding reincarnation. The physician will schedule a below
knee amputation of the right leg. Which of the following is the most
appropriate nursing intervention?
a. Meet with the family and discuss the issue.
b. Encourage the patient to have the surgery because it is for his
own good.
c. Inform the patient of the other options available.
d. Discuss the religious beliefs and concerns of the patient with the
physician.
41.Nurse Jaclyn is regularly assigned to the newborn nursery. On a
particular shift, two of the regularly assigned staff members are on sick
leave and no new staff is available for assistance. Which of the
following should Nurse Jaclyn do?
a. Provide quality nursing care only to those patients regularly
assigned to her.
b. Prioritize patient care so that all patients receive reasonably safe
quality care.
c. Refuse the nursing assignment because the increased number of
patients makes it unsafe.
d. Take all of the infants out to their mothers to take care of them.
42.Nurse Dennis is caring for Ms. Samaniego who has Stage IV Breast
Cancer and is in its final stages. In one of their private conversations,
Ms. Samaniego told Dennis, I am continuing undergoing
chemotherapy just because my family wants to. I wish I could just be
allowed to die. Im tired of fighting. My life was food. I just want to
rest. What is Nurse Dennis best response?
a. Would you like to talk to your minister about the significance of
death?
b. I know you are tired of fighting this illness, but death will come
in due time.
c. Would you like to talk to a psychologist about your thoughts
and feelings?
d. Would you like to meet with your family and your physician
about this matter?
43.Nurse Jeremy works in a medical ward. Mr. Gomez, one of the patients,
is very mad and dissatisfied with his hospitalization. He then decides to

leave against medical advice and refuses to sign the paperwork. Which
of the following actions is the next thing Jeremy should do?
a. Let Mr. Gomez leave.
b. Detain him until he signs the paperwork.
c. Call the security office for assistance.
d. Detain him until his physician arrives.
44.An 89 year old patient with lung cancer and multiple metastases is in
respiratory distress and is admitted to the medical ward from a skilled
nursing facility. One thing mentioned in his advance directive states
that he doesnt want to be places on a ventilator or receive
cardiopulmonary resuscitation (CPR). Based on the patients advance
directive, the nursing care plan for the patient should include which of
the following?
a. Provide mouth and skin care only if Mr. Jones family requests it.
b. Provide emotional support and pain relief.
c. Monitor patients status once per shift.
d. Turn the patient only if hes uncomfortable.
45.Which of the following would be held liable when a patient becomes
seriously ill due to administration of the wrong medication?
a. The hospital
b. The nurse who gave the wrong drug
c. Both the hospital and the nurse who gave the wrong medication
d. None of the above
46.Winston Marquez is a 57 yea-old patient with end-stage colon cancer.
He tells the nurse he doesnt want extraordinary measures used to
prolong his life. He wants to know what can be done in order to make
these wishes legal. How should the nurse respond to the patient?
a. Show a copy of the patients bill of rights
b. Orient the patient on active euthanasia
c. Talk about documenting his wishes in an advance directive.
d. Tell the patient he cant help him because that it is beyond the
scope of nursing practice
47.Ms. Flores, a 29-year-old bank employer, is admitted to the psychiatric
unit. One week after, the employer of Ms. Flores calls the nursing
station inquiring about the patients progress. The nurse doesnt know
if the patient has given consent to allow the staff to give information
out to callers on the phone. Which of the following would be the
nurses best response?
a. Im sorry sir. I am not permitted to discuss her progress.
b. Hold on for a moment, Ill get the name and telephone number
of her physician.
c. Ill just tell her to call you.
d. Im sorry I can not confirm whether your employee is a patient
here.
48.Nurse Joshua cares for a patient who wishes to be allowed to go home
from the health care facility against medical advice. Which of the
following should Nurse Joshua do?

a. Take measures to prevent the patient from leaving


b. Notify the physician of the patient.
c. Request the patient to sign a DAMA form.
d. Call the security to help detain the patient
49.Nurse Jimmy works in the pediatric unit of San Bernardino General
Hospital. As she finishes charting, she hears parents arguing in
Beverlys room. They start to hit each other and the Beverly is crying.
Which of the following should Nurse Rachelle do?
a. Ask either the father or the mother to leave the room
b. Try to reason with both family members.
c. Remove Beverly from the room
d. Call the security to come and intervene.
50.A confused, lethargic patient is to be transferred from wheelchair to
bed. The nurse left the patient to find a nursing aide to assist him in
transferring the big patient. While the nurse is gone, the big patient
falls and bruised himself. The nurse is at fault because of which of the
following?
a. He did not arrange for continual care of the patient.
b. He failed to properly document that he left the patient.
c. He forgot to restrain the patient before leaving him alone
d. He has not properly instructed the patient about the safety
measures.
51.Nurse Billy is a nurse in the out-patient department. He is performing
an admission assessment for a patient scheduled for excision of breast
mass. Which of the following questions would be least important for
Nurse Billy to ask on an initial assessment?
a. Do you have a close family relationship?
b. Do you have frequent episodes of headache?
c. Do you ever experience chest pain?
d. Do you have any difficulty in breathing?
52.Nurse Leda is assigned to a patient who is recently diagnosed with
colorectal cancer. The physicians treatment protocol for the patient is
bowel resection and 12 cycles of chemotherapy. The patient asks
Nurse Leda if she could try some complementary therapies. Which of
the following is the appropriate response of Nurse Leda?
a. There are many different forms of complementary therapies.
Lets talk about these therapies.
b. I am sorry but no, because it will interact with the
chemotherapy.
c. I would try anything that I could if I had cancer.
d. You need to ask your physician about it.
53.A nurse in the station hears a patient calling out for help. When the
nurse arrives, she saw that the patient in lying on the floor. She helped
the patient get up and went back to bed. Which of the following entries
should be written in the incident report?
a. The patient slid from the bed
b. The patient climbed the raised side rails and fell on her butt.

c. The patient was found lying on the floor.


d. The patient sleepwalked and slipped in his beddings down to the
floor.
54.When a nurse writes legibly and completely into the patients chart,
she observes which of the following ethical principles?
a. Privacy
b. Veracity
c. Informed Consent
d. Autonomy
55.When a nurse takes beneficent actions in the performance of any
nursing procedure and provides the needed emotional support of the
patient, he upholds which of the following?
a. Privacy
b. Autonomy
c. Non-maleficence
d. Beneficence
56.Prudence is very important during medication administration to avoid
or lessen errors which results to unfavorable reactions of the
medication. Lack of prudence in drug administration violates which of
the following ideas?
a. I will be faithful to the patients care.
b. I will avoid anything harmful to the patient.
c. I will avoid doing good to the patient.
d. I will be honest in my patient care.
57.As Nurse Grace reports to the nursing supervisor that Nurse Molly has
been drinking alcohol before their shift, she applies which of the
following principles?
a. Autonomy
b. Informed Consent
c. Non-maleficence
d. Confidentiality
58.As the nurse face ethical dilemmas, the principle of nonmaleficence
should be remembered for it means:
a. Do good
b. Be truthful
c. Be discreet
d. Do no harm
59.Which of the following professionals has the right to call the death of a
potential organ donor?
a. The hospital lawyer
b. Attending Physician
c. Medico-legal
d. Transplant Surgeon
60.The following are the qualities of a fully mature and responsible
conscience. Which one is not?
a. Callous
b. Clear
c. Certain

d. Free
61.Which of the following should be considered by the nurse in his ethical
practice?
1. Own values
2. Values of others
3. Nursing Code of Ethics
4. Importance of Freedom
a. 1,2,3
b. 2,3,4
c. 1,3,4
d. All of the above
62.The basis for Human Dignity is summarized in the Holy Scriptures and
is known as:
a. Nativity of the Lord
b. Salvation History
c. Flight to Egypt
d. Genesis encounter
63.Which of the following is not a condition that applies for the Principle of
Totality?
a. That the damage being avoided to the whole be proportional to
that which is caused by the mutilation of the part.
b. That the part potentially involves the patient into medical risks
in the future
c. That there is no other way than taking the indicated action
against it of obtaining the desired good result.
d. That such organ or part, by its deterioration in function, may
cause damage to the whole organism or at least pose a serious
threat to it.
64.If the surgery did not push through as stated in the consent, which of
the following should be done?
a. Report the surgeon to the hospital legal counsel
b. Use the same consent form. It lasts until the procedure is done.
c. Obtain another consent for another day
d. Put a line across the date and time of the signed consent of the
postponed surgery, right the new date and time and affix your
signature
65.When a patient does not intend to eat food or take medications, a
violation is committed against which ethical principle?
a. Beneficence
b. Double Effect
c. Stewardship and Creativity
d. Autonomy
66.Nurse Gina refrains from discussing the information regarding her
patient with AIDS with those who are not directly involved with the
patients care. Which of the following principles is applied by Nurse
Gina?
a. Beneficence
b. Totality

c. Non-maleficence
d. Informed Consent
67.Nurse Paul is caring for a patient who is for admission due to acute
myocardial infarction. The patient ardently refuses to be admitted and
wishes to be transferred to the charity division of the same hospital. In
making the right response, Nurse Paul should utilize which of the
following principles?
a. Privacy
b. Autonomy
c. Beneficence
d. Stewardship and Creativity
68.Nurse Wesley is caring for a patient in isolation in the psychiatric unit
of a hospital. During the vital signs taking, the patient refuses to be
touched. Nurse Wesley shouts at the patient and tells her that she will
be restrained if she does not cooperate. Which of the following can
Nurse Wesley be charged with?
a. Negligence
b. Malpractice
c. Assault
d. Battery
69.A person from the pharmacy was caught browsing over the charts of
some patients. The most appropriate nursing action would be:
a. Ignore it because pharmacists are part of the health team.
b. Inform the security office of the incident.
c. Nag at the pharmacist because reading patients chart is
unethical.
d. Tell the pharmacist that what he is doing is inappropriate
because only those persons in direct involvement to the patient
care are authorized to read the charts.
70.In a first class hospital in Makati, nurses from Africa were allowed to
practice due to reciprocity. A group of nurses were having their coffee
break when one of them opened the issue that blacks shouldnt be
allowed to work here because they do not have much knowledge and
skills as they do. Hearing that, what should be the proper response?
a. I think ethnicity has nothing to do with a persons performance
of quality health care.
b. Hahaha, you are so right. They should study more here in our
country.
c. Hey, dont be that mean. Those creatures might hear you.
Haha.
d. Shut up! They are better because Africa is home to thousands
of diseases.
71.Nurse Abraham knows that the ultimate destiny of human beings is:
a. World Peace
b. Internal and External Tranquility
c. Living in peace and harmony with the society
d. Reuniting with the Creator

72.The following situations exhibit incoherence with the Principle of


Stewardship and Creativity but one. Which one is it?
a. Planned amputation of a diabetic foot
b. A celebrity undergoing abortion to preserve her image
c. Burning down the forest to hasten subdivision development
d. Smuggling stray dog meat for aphrodisiac delicacy.
73.When dealing with an emergency case where there are no relatives
present, who will decide for the patient?
a. Nurse in-charge of the patient
b. Hospitals Legal Counsel
c. Attending Physician
d. Anyone competent enough
74.Which of the following parameters makes a written consent valid and
legal?
a. The patient is in the legal age.
b. The patient is did not take any alcohol and illegal drugs
c. The patients consent should not be acquired with duress and
coercion
d. All of the above.
75.The written consent for invasive procedures like surgeries is good for
how many days?
a. 1 day
b. 2 days
c. 5 days
d. It depends on the circumstances.
76.A 14-year old teenager has undergone emergency appendectomy. Her
nurse, Toni, who accurately and punctually documents her care on his
chart, exhibits which of the following?
a. Prudence
b. Veracity
c. Confidentiality
d. Generosity
77.A dying 67-year-old male requests to be sedated so that he wont feel
the pain all over his body. Nurse Glenda knows that whenever
sedatives are given, the patients condition deteriorates further thus
shortens his life. Which ethical principle responds to this situation?
a. Non-maleficence
b. Beneficence
c. Totality
d. Double Effect
78.When Nurse Barbara informs her supervisor that she saw Nurse Prince
taking ecstasy right before their shift, she exhibits which of the
following?
a. Totality
b. Autonomy
c. Non-maleficence
d. Sexuality Awareness
79.Which of the following situations shows promotion of good to patients?

1. Administering analgesics
2. Providing holistic care to the patient
3. Allowing the patient to read greeting cards from friends
4. Giving medication hours earlier than the schedule to save time.
a. 1,2,3
b. 1,2,4
c. 1,3,4
d. All of the above.
80.Nurse Cynthia was asked to float in the pediatric intensive care unit
(PICU) because the unit is understaffed. Nurse Cynthia is not familiar
with the setting and procedures done in the PICU. Which of the
following is the most appropriate action of Nurse Cynthia?
a. Be assertive and report to the PICU and perform their usual
tasks for patient care is general in all types of units.
b. Courteously refuse the assignment to the unit
c. Look for the Nursing Supervisor and submit an incident report
d. Report to the PICU and inform the charge nurse of the
procedures she can safely perform.
81.

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