Which of the following situations is a question of nursing ethics?

*
1/1

A. The hospital policy permits the use of electronic sphygmomanometer in bedside care.
However, there is literature both to support and refute the value of this practice.
B. The Nurses in the Intensive Care Unit agree to support the nurses who are on strike because
of the unfair treatment in the hospital.
C. When asked about the benefits of the treatment, Nurse Jessica responds, “Just follow the
doctor’s orders and you’ll recover.”

D. A diabetic client admits to Nurse Kat that she cheats on her diet.

2. Autonomy refers to one’s moral power or right to make decisions in directing

one’s own life. In which of the following situations should Nurse Trisha observe a
patient’s autonomy?*
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A. A 5-year old child who tells the nurse that he will not take his medication because it tastes
bad
B. A Jehova’s Witness’ mother who refuses blood transfusion for her 1-year old child

C. An unconscious patient who needs an immediate surgery to save her life

D. An extremely depressed patient who wishes to be left alone in the room

3. Nurse Alfred is caring for a patient admitted to the emergency room after he fell
from a building. Nurse Alfred must obtain consent before treatment unless the patient:*
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A. Asks him to give substituted consent
B. Refuses to give informed consent
C. Asks him to call his lawyer
D. Is in emergency situation

4. Mr. Coloma has been confined in the hospital for four (4) weeks and he was seen
most of the time in supine position. At the end of the 2nd week, the Head Nurse saw a
bedsore on the lumbosacral area of the patient. What principle is violated by Mr.
Coloma’s nurse?*
1/1

A. Nonmaleficence
B. Double Effect
C. Totality
D. Fidelity

5. While on break, two student nurses were sitting in the cafeteria and talking about
their adolescent patient who was admitted and diagnosed with threatened abortion.
What ethical principle is violated by the two student nurses?*
1/1

A. Confidentiality

B. Autonomy
C. Fidelity
D. Justice

6. Which of the following bioethical principles call for personal, social and ecological
responsibilities?*
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A. Principle of Autonomy
B. Principle of Stewardship

C. Principle of Double Effect

D. Principle of confidentiality

7. Which action shows the most important nursing responsibility in patient care?*
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A. Follow exactly the client and family wishes

B. Remain neutral and detached in ethical decisions
C. Be able to defend the morality of one’s own actions

D. Ensure that a team is responsible in deciding ethical questions

8. Which of the following statements by Nurse Rhea would be most helpful to assist
clients in clarifying their values?*
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A. “That was not a good decision. Why do you think it would work?”
B. “Some people might have made a different decision. What led you to make your decision?”

C. “The most important thing to do is to follow the plans of care. Did you follow all of the
doctor’s orders?”
D. “If you asked me, I would have given you my opinion about what to do. Now, how do you feel
about the choice?”

9. The human remains of a person should always be treated with utmost respect
during post mortem care. This is an application of the principle of:*
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A. Totality
B. Human dignity

C. Nonmaleficence
D. Informed consent

10. Kim Paul, a student nurse, asks Nurse Diana, “Why did my adviser recommend
an ethics class for me?” Which of the following is the best response by Nurse Diana?*
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A. “Oh you don’t know???!!!”
B. “You may find studying ethics interesting.”
C. “You must have misunderstood because nurses do not have to study ethics.”
D. “It is the responsibility of nurses to recognize ethical dilemmas in clinical situation.”

11. Which of the following is the best example of an ethical dilemma faced by Nurse
Mico?*
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A. Deciding whether or not to place a client in a private room

B. Deciding the order in which staff members should take their breaks
C. Deciding whether or not to tell the client about the client’s diagnosis

D. Deciding whether or not to ask another nurse to care for a very complex patient

12. Doctor Paul is asked to keep the client’s cancer progression from the family
members indefinitely. This will require him to withhold the information from the patient’s
spouse who frequently accompanies the patient to the clinic. Which of the following
actions by Doctor Paul best describes Kantianism?*
0/1

A. Doctor Paul persuades the patient to tell the family because it is the right thing to do

B. Doctor Paul remembers the ethical rule of truth telling and tells the patient’s spouse in secret
C. Doctor Paul considers the multiple ethical principles and supports the patient in telling the
family, as should be done universally in such situation
D. Doctor Paul considers multiple ethical principles and tells the family because the patient’s
confidentiality is of secondary importance

13. A nurse who has been treating a mentally incompetent patient the same way as
normal patient is acting on the principle of:*
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A. Justice

B. Fidelity
C. Veracity
D. Legitimate cooperation

14. If Nurse Rizza will use a deontological approach to ethics, she believes that
behavior should be guided by*
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A. One’s duty
B. One’s character
C. Individual cases
D. Achieving good consequences

15. Elaine is a nursing student and she enrolled in the Ethics class. She
understands that as a branch of philosophy, ethics is*
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A. A set of moral truths

B. A process or an analysis
C. A relatively new discipline
D. Easily distinguished from morals

16. It provides guidance for carrying out nursing responsibilities consistent with the
ethical obligations of the profession*
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A. Research
B. School Policies
C. Asian Civilization
D. Code of Ethics for Nurses
17. In updating herself about commonly used drugs in her field of practice, the nurse
is fulfilling which ethical principle?*
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A. Justice
B. Fidelity
C. Veracity

D. Confidentiality

18. The following are reasons for studying bioethics 1. Legal dimension
2. Emergence of ethical practice in health care 3. To provide awareness to the
health team of the “do’s” and “don’ts” of nursing practice 4. To enrich one’s
competence by understanding that the patient is a person and a holistic individual
*
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A. 1, 2, 3
B. 1, 2, 4
C. 2, 3, 4
D. 1, 2, 3, 4

19. Organ Donation Act of 1991*

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A. R.A. 7170

B. R.A. 7600
C. R.A. 9165
D. R.A. 9288

20. It is a systematic study of human behavior, specifically, in the fields of life

sciences and health care, as examined in the light of moral values and principles*
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A. Nutrition
B. Bioethics

C. Psychiatric Nursing
D. Maternal and Child health

21. Which among the following procedures is justified under the Principle of
Totality?*
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A. Social Sterilization
B. Punitive Sterilization
C. Eugenic Sterilization
D. Therapeutic Sterilization

22. Removal of a reproductive organ or a portion thereof in order to save one’s life is
justified under this principle*
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A. Principle of Justice
B. Principle of Sexuality
C. Principle of Totality and Integrity

D. Principle of Legitimate Cooperation

23. The death of a prospective donor can be declared only by the*

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A. Nurse in charge
B. Medical director
C. Transplant doctor
D. Attending physician

24. As a registered nurse, Micca is covered by the Code of Ethics for Nurses in the
Philippines which is promulgated in*
1/1

A. EO 220
B. RA 7170
C. BON 220

D. Art.11 Sec.12 of the Constitution

25. The following are violations of the Principle of Stewardship except:*

1/1

A. Child labor
B. Dynamite fishing
C. Induced abortion
D. Amputation of gangrenous foot

26. Student nurse Gibo accidentally contaminated the sterile field before an
operation. Nurse Gloria saw this but the surgeon was not aware of what
happened. The surgery is about to begin. Which of the following is the ethical thing to
do?*
1/1

A. Pray and ask for forgiveness

B. Inform the surgeon and replace the surgical set up

C. Refuse to participate in the procedure and ask for a reliever

D. Allow the procedure to begin since nobody else is aware of the violation

27. All of the following should be observed by Dr. Bayani in disclosing sensitive
information to the patient except*
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A. Allow an open-minded amount of time for the patient

B. Give as much information needed in the manner understood by the doctor

C. Encourage family participation by allowing members to stay with the patient

D. Use a personalized approach done in a private comfortable place for the patient

28. A patient’s refusal of treatment is an exercise of which of the following? The

nurse must respect this after providing him full information and understanding of the
consequences of refusal.*
1/1

A. Sexuality
B. Autonomy

C. Beneficence
D. Nonmaleficence
29. Nurse Allan arrives at work and is told to report to another unit because they are
understaffed. He has never worked in that unit. Which of the following is the most
appropriate nursing action?*
1/1

A. Call her lawyer

B. Call the hospital lawyer
C. Refuse to report to the other unit
D. Report to the other unit and identify tasks that can be performed independently and safely

30. In the case of a pregnant woman who is bleeding from a MVA, which of the
following statements will not violate the Principle of double effect in deciding to subject
the woman to possible surgery and thereby risking the life of the fetus?*
1/1
A. The death of the fetus is foreseen but not intended

B. The surgeon thinks that surgery is the best decision

C. Husband chose the life of the mother than the fetus
D. The life of the mother is more important than that of the fetus

31. According to the Principle of Justice, each individual should receive what is due
by right such as*
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A. Life
B. Confidentiality of private information
C. Information needed for decision making
D. All of these

32. If it is an emergency, the doctor can decide for the patient if there are no relatives
around. This is an application of the*
1/1

A. Principle of Sexuality
B. Principle of Autonomy
C. Principle of Paternalism

D. Principle of Double Effect

33. Which of the following statements indicate a violation of informed consent?*
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A. The subject must be able to make decisions based on rational reasons

B. Decisions by a proxy should be based on what the patient would have chosen had he been
competent
C. Information must be given in words and manner that is easily understood by the health care
practitioner

D. The truth of the proposed action, its nature, probable benefits, possible risks and other
alternative options should be given to the patient

34. Nurse Alejandro is hesitant to go inside the room of Mrs. Gaga, a patient
diagnosed of having Alzheimer’s disease. No relatives are usually present and the
patient is incontinent of stools and urine. Mrs. Gaga has to be changed frequently and
Alejandro tries to avoid doing the dirty work. Instead, he attends to the needs of other
patients who require less care. What ethical principle is violated by Nurse Alejandro?*
1/1

A. Justice

B. Veracity
C. Autonomy
D. Professional Communication

35. This is achieved when the patient knows the procedure, its alternatives and its
potential effects*
1/1

A. Goal
B. Consent
C. Health beliefs
D. Informed consent

36. The following are elements of an informed consent, except:*

1/1

A. Force

B. Consent
C. Competence
D. Understanding
37. Who among the following people can give proxy consent when a patient is
considered to be incompetent?*
1/1

A. Parent

B. Siblings below 18 years old

C. Nurses in cases of emergency
D. Chief of Bioethics Committee

38. Hand washing before and after patient contact to prevent the spread of infection
and disease is an example of application of the Principle of*
1/1
A. Justice
B. Veracity
C. Sexuality
D. Nonmaleficence

39. The following are the advantages of organ donation except*

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A. It saves life
B. It is cost effective
C. It improves the quality of life
D. It can be abused and exploited

40. Nurse Lisette hears a client calling for help. She hurries down the hallway to the
client’s room and found a client lying on the floor. Nurse Lisette performs a thorough
assessment and assists the client back to bed. She notifies the physician of the incident
and completes an incident report. Which of the following would Nurse Lisette document
on the incident report?*
1/1
A. The client fell out of the bed.
B. The client climbed of the side rails.
C. The client was found lying on the floor.

D. The client became restless and tried to get out of bed.

41. Three nursing aids are sitting in the pantry and talking about a patient who was
admitted and diagnosed with AIDS. What ethical principle is violated by the nursing
aids?*
1/1

A. Fidelity
B. Beneficence
C. Confidentiality

D. Respect for autonomy

42. Nurses take beneficent actions when they administer pain medication, perform
dressing changes to promote wound healing and provide emotional supports to those
who are anxious or depressed. This is an application of:*
1/1
A. Principle of Fidelity
B. Principle of Totality
C. Principle of Autonomy
D. Principle of Beneficence

43. The doctor can decide for the patient in emergency situations and if there are no
relatives around. This is an application of the doctor’s*
1/1
A. Sexuality
B. Autonomy
C. Double Effect
D. Therapeutic Privilege

44. Loren, the nurse in the emergency room, is assigned to care for an adult patient
who has been identified as a victim of physical abuse. In planning care for this patient,
Nurse Loren’s priority is focused toward:*
1/1

A. Referring the abusing family for treatment

B. Wait for the supervisor’s decision on what to do
C. Removing the patient from any immediate danger
D. Encouraging the patient to file charges against the abuser

45. In order to manage and regulate the act of organ donation as well as the conduct
of non-related kidney transplantation, DOH issued this to prevent commercializing and
profiteering from selling of organs*
1/1

A. AO 124

B. EO 220
C. BON 124
D. BON 220

46. It is a non-profit organ donation program created to manage all cadaver organ
donations for transplantation*
1/1

A. Coleman
B. Red Cross
C. Kelvinator refrigerator
D. Human Organ Preservation Effort

47. It authorizes the legacy or donation of all or part of a human body after death for
specified purposes.*
1/1

A. EO 220
B. RA 7170

C. RA 9173
D. BON 220

48. This approach represents maximizing strategies to achieve the greatest amount
of good for the greatest number of people.*
1/1

A. Teleology
B. Utilitarian

C. Egalitarian
D. Deontology
49. Under what circumstances can a nurse divulge confidential information revealed
by her patient?*
0/1

A. If the patient is under suspicion of abuse

B. If the patient is has a communicable disease
C. If the patient poses a danger to himself and others

D. All of these

50. The nurse is bound not to inflict harm to the patient. This action is an example of*
1/1
A. Veracity
B. Totality
C. Double Effect
D. Nonmaleficence