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NCLEX Nursing Ethics & Decision Making

Test your knowledge of ethical principles and decision-making in nursing practice with these NCLEX-style questions.

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Mageto
Published December 15, 2025

Quiz Questions & Answers

Review every prompt, the correct responses, and helpful context to prep for your own run-through.

Question 1: A patient refuses blood transfusion due to religious beliefs, despite being in critical condition. What ethical principle is MOST relevant in this situation?

Beneficence

Autonomy

Justice

Non-maleficence

Question 2: The nurse discovers a medication error but the patient wasn't harmed. What is the MOST appropriate action?

Document the error only if harm occurred

Wait to report until the end of shift

Report immediately and document the error

Inform only the patient

Question 3: Which scenario represents a breach of patient confidentiality?

Discussing patient care in private with the healthcare team

Sharing patient information on social media without identifiers

Reporting abuse to proper authorities

Documenting in the medical record

Question 4: A family requests to withhold the diagnosis from the patient. What is the nurse's BEST response?

Agree to withhold the information

Tell the patient immediately

Explain the patient's right to know their diagnosis

Ignore the family's request without discussion

Question 5: Which situation represents an ethical dilemma requiring the nurse to advocate for the patient?

A physician ordering excessive pain medication

A patient being denied care due to inability to pay

A family bringing food from home

A patient requesting a different nurse

Question 6: What is the FIRST step in ethical decision-making?

Implement the solution

Gather relevant information

Evaluate the outcome

Choose the best option

Question 7: A terminally ill patient requests assistance in ending their life. The nurse should:

Ignore the request

Provide means to end life

Assess for depression and refer for support

Tell the family immediately

Question 8: When allocating scarce resources, which ethical principle is MOST relevant?

Beneficence

Justice

Autonomy

Fidelity

Question 9: A nurse discovers a colleague regularly comes to work impaired. The MOST appropriate action is to:

Confront the colleague directly

Report to the nurse manager

Ignore the situation

Cover the colleague's shifts

Question 10: Which statement about informed consent is correct?

Verbal consent is always sufficient

Consent can be obtained after the procedure in emergencies

Family members can always provide consent

Once given, consent cannot be withdrawn