College of health Education

Nursing Bioethics
General Instructions:
1. This questionnaire contains __ pages. The test is composed of two sets: Identification(10items)
and Multiple Choice(40 items).
2. Read carefully the instructions for each set.
3. You can write anything on this questionnaire. No unnecessary markings should be made on
your answer sheets.
4. When you are done, submit your answer sheet only.
5. Strictly NO CHEATING, those caught cheating will be marked by the proctor.
IDENTIFICATION. Write your answers at the back of your answer sheet USING BLACK OR BLUE
BALLPEN only. Strictly NO erasures.
1. It is, according to the Code of Ethics, a fundamental right of every individual.
2. Identify the four primary responsibilities of nurses identified by the Code of Ethics for Nuses.
3.
4.
5.
6. It is defined as a profession in which a person exercises skill and judgment or provides a
service related to the preservation of the health of an individual and their treatment.
7. A mans habit to think and act correctly or follow what is right and to avoid what is evil.
8. A habitual practice which is considered immoral, depraved and degrading to society.
9. A consent which was obtained from a surrogate, such as a physician or parent, of an
incapacitated or incompetent patient.
10. (TRUE/FALSE) A minor who has children can give consent for the care of her sick child.
MULTIPLE CHOICE. Shade the box enclosing the letter of your answer. Shade properly using PENCIL
only, strictly NO erasures.
1. What should the nurse do when planning nursing care for a client with a different cultural
background? The nurse should:
A. Allow the family to provide care during the hospital stay so no rituals or customs are broken
B. Identify how these cultural variables affect the health problem
C. Speak slowly and show pictures to make sure the client always understands
D. Explain how the client must adapt to hospital routines to be effectively cared for while in the
hospital
2. Informed consent is a method that promotes:
A. Autonomy
C. Beneficence
B. Nonmaleficence
D. Justice
3. A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet signed.
This client requests information related to chemotherapy and the drugs that will be given to him.
The nurse explained the side effects of the medications, including the length of treatment and the
prognosis of the disease. The nurse answered all the questions of the client honestly even though
the client may choose not to undergo chemotherapy. The nurse in this situation is promoting:
A. Fidelity
C. Veracity
B. Justice
D. Confidentiality
4. The nurse avoids deliberate harm, risk of harm and harm that occurs during her performance of
nursing actions. The nurse is promoting which ethical principle?
A. Autonomy
C. Beneficence
B. Nonmaleficence
D. Justice
5. The nurses obligations to the client/People least like include:
A. Consider the individuality and totality of patients when administering care
B. Retain a commitment of welfare to the client
C. Actively participate in programs, projects and activities that respond to problems of society
D. None of the above
6. A wrong dose of drug is administered by the nurse. The nurse is responsible to whom?
A. Client
C. Society
B. Physician who ordered the drug
D. All of the above
7. The client on renal dialysis informs the nurse that he wants to stop the series of dialysis. The
nurse should appropriately do which action in response to the clients decision?
A. Inform the client that the doctor must decide what to do.
B. Tell the client that he must finish his series of renal dialysis.
C. Respect the clients decision and provide comfort measures.
D. Leave the client and attend other patients

8.

The nurse in a unit is caring for several clients. To distribute nursing care the nurse utilized the
principle of triage(prioritization in terms of care of patients when resources are limited) due to the
limited availability of resources. The nurse is promoting which ethical principle?
A. Fidelity
C. Veracity
B. Justice
D. Confidentiality
9. These are systematic guides for developing ethical behaviour.
A. Code of ethics
C. Code of Professionalism
B. Bioethical issues
D. None of the above
10. The duty to respect privileged information is called:
A. Fidelity
C. Veracity
B. Justice
D. Confidentiality
11. When caring for a terminally ill client, it is important for the nurse maintain the clients dignity.
This can be facilitated by:
A. Spending time to let clients share their life experiences
B. Decreasing emphasis on attending to the clients appearance because it only increases their
fatigue
C. Making decisions for clients so they do not have to make them
D. Placing the client in a private room to provide privacy at all times
12. One of the patients assigned to Nurse Farah is a terminally ill patient who experiences severe
pain. Nurse Farah knows that if she gives the patient analgesics, it may shorten the life of the
patient. Which of the following principles apply to this situation?
A. Totality
C. Inviolability of life
B. Double effect
D. Justice
13. The importance of having a nurses code of ethics is:
A. Delineate the scope and areas of nursing practice
B. Identify nursing action recommended for specific health care situations
C. To help the public understand professional conduct expected of nurses
D. To define the roles and functions of the health care givers, nurses, clients
14. Before any invasive procedure such as an operation on an adult client, the legal consideration you
must check is:
A. Consent is signed by client
C. Position of the client is correct
B. Medication preparation is correct
D. Consent is signed by the physician
15. The Code of Ethics for Filipino Nurses was formulated by:
A. Philippine Nurses Association
C. American Nurses Association
B. Board of Nursing
D. Professional Regulation Commission
16. The nurse is to give a medication she has not given before. When checking the drug handbook,
she reads that the ordered amount is an unusually large dose. A nurse who is aware of nursing
liability would do which of the following actions?
A. Give the medication
C. Call the pharmacist
B. Call the physician
D. Do not give the medication
17. Patient R.Q. who was rushed to the emergency room two hours ago is now declared brain dead.
Nurse Raffy has been with the patient since admission. Now, he must talk to the family about
organ donation. Which of the following should be done by Nurse Raffy?
A. Take the family to the chapel.
B. Discuss life support systems.
C. When discussing organ donation, include as many family members as possible.
D. Clarify the familys understanding and perception about brain death.
18. Nurse Giselle is caring for a woman who is pregnant and is terminally ill with inoperable cancer.
The woman has not been informed about her status by the physician. The woman states to Nurse
Giselle: I know I am terribly sick. I think you know what it is. I want you to tell me right now.
Which of the following is the appropriate thing for Nurse Giselle to do?
A. Give a detailed explanation on the disease of the patient. The patient needs to know.
B. Deny knowledge about the patients condition and do not give the patient any further
information.
C. Make the patients chart available to her because after all, she is entitled to see it.
D. Discuss the situation with the physician.
19. Leslie is a 27 year-old patient with lower gastrointestinal tract bleeding. She is a Jehovahs
Witness. The physician
ordered 2 units of packed RBC to be administered over 2 hours
each. Upon knowing this, Leslie strongly refused and tells Nurse Kim she wont have it. Which of
the following is the most appropriate response of Nurse Kim?
A. Maam the physicians order overrides your decision. We have to do this.
B. Maam, are you crazy? Youll die if you wont have this
C. Kim approaches her supervisor and wishes to change patient assignment
D. Maam I understand your concern, Ill inform your physician about this.

20. Cynthia has been the patient assigned to Nurse Jeff for one week now. She reveals to Nurse Jeff
that she is planning to commit suicide and asked him to keep this as a secret. Which of the
following statements can guide you in making a decision in response to Cynthias plead?
A. Information may be revealed with the permission of the patient.
B. It is improper to reveal this type of information because it will destroy the trust which is
important in any nurse-patient relationship
C. Confidentiality should never be violated at all times.
D. Confidential information may be revealed in serious harm is deemed to happen
21. Nurse Celine is reviewing the medications in the physicians order and notes a medication with a
dose that is two times greater than the usual dose. Which of the following is the most appropriate
nursing action of Nurse Celine?
A. Understand that there may be special circumstances in which additional medication is needed
and give the medication as ordered.
B. Discuss the question about the drug with the physician who ordered it and record the results of
the discussion.
C. Check with the nurses from the previous shift to see if the medication was given as ordered.
D. Ask the patient if he or she has been receiving the dose of medication as ordered.
22. Under the Code of Ethics, the hallmark of nursing accountability is:
A. Considering the individuality and totality of patients when administering care.
B. Respect the patients bill of rights
C. Maintaining professionalism at all times
D. Accurate documentation of actions and outcomes of delivered care
23. The goals of nursing practice according to the code of ethics are:
A. Quality and excellence in the care of patients
B. Accurate documentation of actions and outcomes
C. Maintaining professionalism at all times
D. Considering the dignity of the patients
24. All of the following, as enumerated by the Code of Ethics, are guidelines to be observed by nurses
in the conduct of their profession, EXCEPT:
A. Be members of the accredited professional organization which is the PNA
B. Strictly adhere to the nursing standards
C. Participate actively in the growth and development of the nursing profession
D. None of the above
25. Which of the following addresses the nurses responsibilities when working with his colleagues or
co-workers?
A. The nurse verifies from the physician the dose of an unusual medication the physician
prescribed for the patient.
B. The nurse informs the pharmacist that the physician prescribed the wrong drug to the patient
and asks the pharmacist to give the nurse a different medication.
C. The nurse gives appropriate and effective nursing interventions to the client
D. All of the above
26. A wealthy patient was very satisfied with the care his nurse gave him, in return, he decided to
give her a very expensive watch. The nurse should:
A. Accept the gift since it was for the services rendered by the nurse
B. Accept the gift to show respect to the patient
C. Decline because you cannot receive expensive gifts but inform him that the nurse can receive
simple gifts such as food.
D. Decline because you know that this is against the ethics for nursing practice
27. A nurse made sure that the patients records are only available to those who are professionally
and directly involved in the care of the patient. This act is guided by the Code of Ethics principles
on:
A. Nurse and practice
C. Nurse and profession
B. Nurse and co-workers
D. Nurse and people
28. After doing your rounds, a patient requests that he be given the chart for his fianc, who is a
nurse, to check. The most appropriate response of the nurse is:
A. Do not give the chart because it is not owned by the patient
B. Tell them that they can get a copy of some parts of the document so long as a request is made
in accordance with the hospitals policies
C. Show the chart to the patients fianc but do not let her tough it.
D. Give the chart to the patients fianc since she is also involved in the care of the patient
29. From the situation above, you know that the chart is:
A. A legal document owned by the patient
C. A legal document owned by the
B. A legal document owned by the hospital
physician
D. A document for recording purposes only
30. Engaging ones self to continuing education or trainings is an example of an obligation under:
A. Nurse and the people
C. Nurse and co-workers
B. Nurse and society and environment
D. Nurse and the profession

31. A nurse is starts telling all her co-nurses that the physician in charge of one of her patients was
very rude and incompetent because he made abusive remarks about the patient. This is a
violation of what obligation of the nurse under the code of ethics?
A. Nurse and the people
C. Nurse and co-workers
B. Nurse and profession
D. Nurse and practice
32. A hospital refuses to provide care for a patient who is unable to give a deposit before treatment.
This exhibits which example of a vice?
A. Fraud
C. Greed
B. Pride
D. Anger
33. The nurse told the patient that she will come back to the patients room to assist him in changing
his wound dressing after 15mins but fails to do so is a violation of what virtue?
A. Humility
C. Fidelity
B. Integrity
D. Prudence
34. Critical decision making is very essential before a nurse will decide to take action or give his/her
interventions. This is an example of what virtue?
A. Prudence
C. Integrity
B. Humility
D. Compassion
35. A nurse who is caring for a terminally client who suddenly had a breakdown and started shouting
and crying after learning of her incurable disease. The nurse understands the situation of the
patient and allows her to express her feelings. The nurse exhibited:
A. Sympathy
C. Humility
B. Empathy
D. Fidelity
36. A nurse keeps bragging about her accomplishments in her practice without being asked. This is
an example of:
A. Humility
C. Pride
B. Fraud
D. Greed
37. The primary purpose of informed consent is the protection of the patients right to:
A. Have an advance directive
C. Confidentiality
B. Self-determination
D. All of the above
38. When a patient refuses a treatment, the nurse should:
A. Inform the patient of the advantages and disadvantages of refusing the treatment and the
alternatives
B. Inform the patient the purposes of the treatment and its risks, the repercussions when refused
and other alternatives and inform physician
C. Respect the decision of the client and discontinue treatment
D. None of the above
39. A terminally ill patient confined in the hospital executes a document containing his last wishes.
You know that this document should be acknowledge because this conforms to the right of the
patient to:
A. Confidentiality
C. Have an advance directive
B. Obtain medical records
D. Review records pertaining care
40. As Nurse Sheila accurately and legibly in the patients chart, she upholds which of the following
ethical principle?
A. Veracity
C. Solidarity
B. Justice
D. Totality

E.
F.
G.
H. Believe in yourself and all that you are. Know that there is something inside you that is
greater than any obstacle.
I.