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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
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.
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?
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
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.