Nursing Ethics & Decision Making Quiz
Test your knowledge of ethical principles and decision-making in nursing practice through real-world scenarios.
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Quiz Questions & Answers
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Question 1: A competent 72-year-old client with gangrene of the foot refuses the recommended amputation surgery. The nurse explains that without surgery, the infection will likely be fatal. The client states, 'I understand, but I want to die with my body intact.' Which action should the nurse take next?
Call the hospital ethics committee to intervene
Ask the client's family to persuade the client to have the surgery
Document the client's refusal and their understanding of the risks
Administer a sedative to calm the client before discussing it again
Question 2: A nurse is caring for a client who is in severe pain. The nurse promises to return with pain medication in 10 minutes. The nurse gets busy with another emergency and returns 45 minutes later. Which ethical principle has the nurse violated?
Justice
Fidelity
Veracity
Nonmaleficence
Question 3: A nurse is reviewing medication orders for a client and notices a dosage that is three times higher than the standard recommended dose. The nurse calls the provider to clarify the order before administering it. This action best demonstrates which ethical principle?
Autonomy
Justice
Nonmaleficence
Fidelity
Question 4: A nurse finds a coworker preparing to administer a chemotherapy drug without wearing the required personal protective equipment (PPE). The nurse intervenes and insists the coworker put on a gown and double gloves. This intervention is motivated by:
Beneficence
Nonmaleficence
Justice
Veracity
Question 5: There is only one ICU bed available in the hospital. Two clients arrive simultaneously: a 65-year-old homeless man with a treatable massive heart attack and a 65-year-old city council member with the same condition. The charge nurse assigns the bed to the homeless man because he arrived two minutes earlier. Which principle guided this decision?
Beneficence
Fidelity
Justice
Autonomy
Question 6: A client with a new cancer diagnosis asks the nurse, 'Am I going to die?' The family has previously asked the nurse not to tell the client the diagnosis is terminal. How should the nurse respond to uphold the principle of Veracity?
You should ask your doctor about your prognosis
Don't worry, we are doing everything we can to help you
Why do you think you are going to die?
Answer the client's question honestly and gently, or arrange for the provider to have the conversation immediately
Question 7: A nurse advocates for a client to receive an expensive, new treatment that is not fully covered by insurance because the nurse believes it offers the best chance for a cure. This advocacy is an example of:
Beneficence
Nonmaleficence
Fidelity
Veracity
Question 8: An older adult client is admitted with a urinary tract infection and is currently confused and disoriented. The client is trying to leave the hospital. The nurse prevents the client from leaving until the provider can assess the client's decision-making capacity. This action is justified because:
The principle of Beneficence overrides Autonomy when safety is at risk due to altered mental status
The principle of Justice requires the client to stay
The nurse is violating the principle of Autonomy and could be sued for false imprisonment
The principle of Fidelity requires the nurse to be faithful to the hospital policy
Question 9: A nurse accidentally administers the wrong medication to a client. The client suffers no adverse effects. The nurse decides to report the error to the nurse manager and document it in an incident report. This action demonstrates:
Autonomy
Veracity
Justice
Beneficence
Question 10: Which of the following scenarios best represents a violation of the principle of Autonomy?
A nurse refuses to administer a medication that the client is allergic to
A nurse hides a sedative in a client's applesauce because the client refuses to take pills
A nurse provides education to a client about the side effects of a new drug
A nurse allows a client to pray before a procedure, delaying the start time by 5 minutes