1.

It pertains to the ability to engage in sound moral reasoning and carefully consider the
implications of alternative actions:
a. ethical competency
b. ethical awareness
c. morality
d. responsibility

2. A mother who is pregnant and has ovarian cancer has to undergo surgery to treat cancer, in
the process the fetus died. The doctrine that justifies the death of the fetus is?
a. justice
b. autonomy
c. exception to the rule
d. double effect

3. Among children candidates for organ transplant, when all selected children have appropriate
tissue matches for the same donated organ, the basis for the decision as to which child gets the
organ is given to the child who:
a. is selected by the lottery system for available organs
b. is at the top of the list and has waited the longest time
c. is most likely to die without the transplant
d. will receive the most benefit from the new organ

4. Which of the following statements is correct regarding informed consent

a. It is not with a nurse’s domain of responsibility to notify the health team if a client has not
given an informed consent for the procedure
b. It is an ethical responsibility of nurses to provide client with opportunities to give
informed consent
c. it is ethical or legal for nurse to obtained informed consent for procedures are to be performed
by a physician
d. nurse may not be legally liable if they know that informed consent was not obtained

5. The nurse is taking the blood pressure of a male client and noted a reading of 160/100. When
asked the nurse avoids telling the client that his blood pressure is elevated because she believes
that the information will upset the client and consequently further elevate his blood pressure. The
situation illustrates an example of?
a. paternalism
b. beneficence
c. self determination
d. autonomy

6. The nurse’s compassion is aroused when a severely impaired neonate under her care is
suffering and in a prolonged life sustaining machine. Many times, the nurse experiences feeling
of uneasiness and anguish. This human condition that confronts the nurse gives rise to:
a. unavoidable trust
b. moral suffering
c. ethical dilemma
d. human indignation

7. Nurse Clara shows respect to human dignity when she observes which of the following
situations when caring for clients
a. Asking the client’s priorities after assessing the client’s capabilities of in past or in
the present
b. Planning nursing care together with the client and immediate relatives
c. constant monitoring of client’s condition and reporting any usual occurrences to the health
team
d. evaluating response of client to the nursing care rendered by the health care team as planned

8. Glaiza, an operating room nurse is distressed after knowing that client are not informed that
some disposable equipment and supplies like trocars, catheters are reused on clients during
minimally invasive surgeries without their knowledge. Which ethical principle is violated?
a. autonomy
b. veracity
c. justice
d. non-maleficence

9. Beneficence Is an ethical principle that best describes which of the following nursing action?
a. providing care that maximizes health
b. providing care according to patient’s private room rate
c. Observing the social workers classification of clients
d. Following the patient’s preference

10. Nurses should be aware that the following collaborative interventions can be considered as
•passive euthanasia• Identify which one is NOT considered as ACTIVE euthanasia.
a. Administering pain medication that may lead respiratory arrest
b. Delaying oxygen administration
c. Withhold I.V. therapy inpatients whose only source of fluid is via the parenteral route
d. Withdrawing the nasogastric inpatients with nutritional requirement is administered by tube
only
e. NONE OF THE ABOVE

11. A client is referred to a surgeon by the general practitioner. After meeting the surgeon. the
client decides to find a different surgeon to continue treatment. The nurse supports the client’s
action, utilizing which ethical principle?
a. Autonomy
b. Veracity
c. privacy
d. Beneficence

12. Why is there an ethical dilemma?

a. Because morality is subjective and it differs from each individual
b. Because the patient's right coincide with the nurse’s responsibility
c. Because the nurse lacks ethical knowledge to determine what action is correct and what action
is unethical
d. Because the law do not clearly state what right from what is wrong

13. The code of ethics for nurses has an interpretative statement that provides?
a. Continuity of care for the improvement of the client
b. Standards of care in carrying out nursing responsibilities
c. Guide for carrying out nursing responsibilities that provide quality care and for the
ethical obligation of the profession
d. Identical care to all clients in any setting
14. A new graduate nurse orientee plans to show an adolescent client Video about a self-injection
technique. A staff nurse remarks, “l gave the client written literature yesterday, so the video
probably isn’t necessary”. The nurse orientee proceeds with the showing of the Video and
discussing the skill with the adolescent after engaging in decision making related to which of the
following?
a. paternalism
b. Informed consent
c. Non compliance
d. Autonomy

15. The nurse is participating in a seminar about legal and ethical practice of nursing for
continuing education credit. Which statement of the nurse best describes the relationship
between law and ethics for the practice of nursing?
a. “Laws dictates the ethics of nursing as they reflect societal choices about ordering of
relationship in society”
b. “Ethics represent the moral customs of an individual nurse therefore they cannot be regulated
by law”
c "The ethics of a discipline attempts to formulate and responses to moral dilemmas
and may or may not be regulated by law"
d. Ethical practice decreases the threat of a lawsuit, which is the primary source of legal influence
on nursing practice

16. The code of ethics for Nurses in the Philippines was approved by the Board of Nursing
through:
a. BON Resolution 110, series 1998
b. BON Resolution no, 99-14, series 1999
c. BON Resolution no, 633 series 1984
d. BON Resolution no. 1955 series 1989

17. When a nurse makes a decision based on the reasoning that "good consequences will
outweigh bad consequences”, she is following which theory?
a. Formalist theory
b. Utilitarian theory
c. Moralist theory
d. Deontological theory

18. Because of infiltration, Nurse Sandra discontinued the intravenous infusion of an 8 year old
girl, dehydrated due to persistent diarrhea. The mother refused the intravenous infusion
resumed. Which of the following principles would primarily guide Nurse Sandra in examining
MOST appropriate action to be taken?
a. fidelity
b. justice
c. autonomy
d. paternalism

19. Nurse Lourdes treats her clients in the ward with respect and kindness. When one of his
patients was in extreme pain and had no resources to buy prescribed medication, she used the
pain medication of another patient without asking permission anyway the patient does not know
his available medications. This is a violation of what moral principle?
a. The golden rule
b. Epikia
c. Two-fold effect
d. The end justifies the means

20. The fields of nursing are classified and nurse may choose to their interest. Nurse Jen
recognizes the advantages of the staff nursing in hospitals. All of the following are true EXCEPT:
a. There is a supervisor who can be consulted if problems exist
b. There are more staff development available
c. They have a chance to get promoted to a higher position
d. administrative concerns may motivate the nurse

22. Ethical dilemma among the client and significant others can occur when there is limitation of
“aggressive treatment” because death is imminent. Which of the following actions for the client's
significant others is LEAST appropriate?
a. Respond immediately to complaints
b. Refer to the chaplaincy
c. Provide a crying-room for relative and friends
d. Listen carefully to plans after death

23. It provided an analytical framework to guide resolution of ethical problems arising from
research involving human subjects
a. Nazi experimentation
b. Nuremburg code
c. Tuskeege experimentation
d. Belmont report

24. A formal statement of a group's ideals and values which provide a systematic guidelines for
shaping ethical behaviors that answer the normative question of what beliefs and values are
morally acceptable.
a. Ethics
b. morality
c. health care ethics
d. ethical codes

26. Abortion is the termination of pregnancy before it reaches the age of viability which is:
a. depends whether it is first pregnancy or not
b. 20 weeks
c. 22 weeks
c. 18 weeks

28. A pregnant woman decided to undergo abortion after knowing from the ultrasound and other
laboratory tests that there is a great possibility for congenital defect in the fetus. This type of
abortion is called:
a. Intentional
b. Eugenic
c. Therapeutic abortion
d. Unintentional
29. According to the World Medical Association euthanasia means: “Deliberate and intentional
action with a clear intention to end another person's life under the following conditions, EXCEPT:
a. The subject is a competent informed person with incurable illness
b. The person is acting knows about state of this person and about his wish die and is doing this
action with an intention to end life of this person;
c. Who voluntarily for ending his life
d. None of the above

30. Sometimes Called “assisted suicide”, is used in cases where the sufferer has made it clear
that s/he wishes to die and has requested help to bring this about
a. Voluntary Euthanasia
b. Passive
c. involuntary Euthanasia
d. Active

31. Active Euthanasia is legal but unethical in the Philippines.

a. False
b. True

32. A form of suicide among the Japanese wherein they believe that “To die for the sake of
honor”
a. Irishment
b. Shintoist
c. HArakiri
d. passion Suicide

33. According to Socrates, life is a property of God. But for him one is accepted to commit suicide
if:
a. Inevitable turn of future
b. ALL of the above
c. Extraordinary problems
d. Shame, distress, impoverishment

34. The most important nursing responsibility where ethical situations emerge in patient care is
to:
a. Be accountable for his or her own actions
b. Not takes sides. remain neutral and fair
c. Act only when advised that the action is ethically sound
d. Assume that ethical questions are the responsibility of the health team

35. Who said that, “It is unjust to compel a person to labor for society he no longer consents to
be a member. The act of suicide does not disturb the order of Providence, nor does any other
human act alter the modifications of matter. Thought the soul is separated from body, the order
or regularity in the universe is never changes"
a. Baron de Montesquieu
b. Epicurus
c. Socrates
d. St. Augustine

36. Who Said that, “The removal of misery makes suicide morally justifiable and permissible. To
bear unbearable pain is in no way part of a natural inclination.
Moral duty is reciprocal.”
a. St. Augustine
b. David Hume
c. Epicurus
d. Socrates

37. All of the following are against the commission of suicide except:
a. St. Thomas Aquinas
b. Flavius Josephus
c. Baron de Montesquieu
d. St. Augustine

38. The Utilitarian principle regarding suicide is that whenever one has become a burden and
liability to the greatest of people, its justifiable to commit suicide.
a. False
b. True

39. When is an act freely done?

Select one:
a. under the control of the WILL - It is the power tending toward, choosing, adhering to &
taking pleasure in a GOOD KNOWN BY THE INTELLECT- voluntary
b. We do things because we want to, we own the decision or the action
c. All of the above
d. We face the consequence of our actions/decisions – we face it with full responsibility Will Soul
Body Thinking/ knowing the TRUTH choosing the GOOD

40. Which of the following is NOT a criterion for personhood?

a. Consciousness
b. Reasoning
c. Self-motivated activity
d. Capacity to communicate
e. Self-awareness
f. None of the Above

41. Modify acts either by increasing or diminishing of the moral goodness or evilness of an
act/responsibility of the agent
a. Circumstances
b. Intentions
c. Situations
d. Emotions

42. Good intention doesn’t make an intrinsically disordered act right

a. True
b. False

43. The circumstances do not change the specific nature of the human act.
a. True
b. False

44. When can acts of man be considered Human acts?

a. When the act is good
b. When the person who committed the act is unconscious
c. When the act is done deliberately
d. When it is done without consent

45. The principles that govern right and proper conduct of a person regarding life, biology and
the health professionals is referred to as:
a. Values
b. Bioethics
c. Religion
d. Morality

46. When an act is committed in response to a serious physical violence, such act can be
considered not morally accountable.
a. True
b. False

47. It is the attachment of the sperm to the egg:

a. Fertilization
b. Adhesion
c. Implantation
d. Conception

48. Undifferentiated cells that can be differentiate into specialized cells and can divide to produce
more stem cells.
a. Matured cells
b. None of the above
c. Stem cells
d. Embryonic cells

49. Absence of receptivity, responsiveness and absence of movement or breathing and absence
of reflexes
a. Physiological definition of death
b. Death according to religion
c. Brain death
d. Cellular definition of death

50. According to Martin Heidegger:

a. We should not fear death but be happy about death
b. Death is an equalizer of men
c. Death is eminent
d. Only death can give meaning to life.

51. A health care issue often becomes an ethical dilemma because:

a. A clients legal rights coexist with a health professionals obligation
b. Decisions must be made quickly, often under stressful conditions.
c. The choices involved do not appear to be clearly right or wrong.
d. Decisions must be made based on value systems.

52. Successful ethical discussion depends on people who have a clear sense of personal values.
When many people share the same values it may be possible to identify a philosophy of
utilitarianism, with proposes that;
a. The best way to determine the solution to an ethical dilemma is to refer the case to the
attending physician.
b. The value of something is determined by its usefulness to society.
c. The decision to perform a liver transplant depends on a, measure of the moral life that the
client has led so far.
d. The value of people is determined solely by leaders in the Unitarian church.

53. In vitro fertilization involves harvesting egg cells and sperm cells and facilitating fertilization
inside another woman's womb.
a. FALSE
b. TRUE

54. A bioethical issue should be described as:

a. After the client gives permission, the physician's disclosing all information to the family for
their support in the management of the client.
b. A research project that included treating all the white men and not treating all the
black men to compare the outcomes of a specific drug therapy.
c. The physician's making all decisions of client management without getting input from the client
d. The withholding of food and treatment at the request of the client in a written advance
directive given before a client acquired permanent brain damage from an accident.

55. What principal bioethical principle should a nurse carry when caring for a handicapped child?
a. Beneficence
b. Respect
c. Justice
d. Non-maleficence

57. According to the Natural Law in ethics, when all vital functions of the brain completely
disappear or stop, extraordinary medical measures may not be necessary, but in fact. USELESS
a. FALSE
b. TRUE

58. Which of the following are source of stem cells?

a. Bone marrow
b. Umbilical cord
c. All of the above
d. Placenta

59. To be effective in meeting various ethnic needs, the nurse should:

a. Be aware of clients' cultural differences.
b. Treat all clients alike.
c. Act as if he or she is comfortable with the client's behavior.
d. Avoid asking questions about the client's cultural background.

61. What is the nursing ethical guiding principle during invasive procedures being done to
children?
A. Respect
b. Non maleficence
c. Justice
d. Beneficence
62. In appropriating candies and other nice goodies among children, what bioethical should a
nurse observe?
a. Justice
b. beneficence
c. Respect
d. Non maleficence

63. The goal or objective of an action can be verified through its.

a. None of the above
b. Intention
c. Circumstances
d. Object of the art

64. When does a moral issue become an ethical issue?

a. When there is no acceptable reason for the wrong choice once it is done
b. When values of a person develops and changes over time
c. When the choice is no longer clear between right and wrong
d. When the choices are clearly denoting which is right and wrong

65. The one that promotes the philosophical and theological study of morality, moral judgements
and problems is called:
a. Values
b. Ethics
c. Morals
d. Standards of practices

66. The personal conviction that something right or wrong in all situations is called:
a. Ethics
b. Values
c. Morals
d. Standards of practice

68. Nursing ethics provides the standard for professional’s behavior and is study of principles of
right and wrong for nurses. This set of standards states the duties and obligation of nurses to;
a. All of these
b. Client
c. other health professionals
d. Community

69. Regarding idiosyncrasies of handicapped child, how should a nurse deal with tantrums?
a. Non maleficence
b. Beneficence
c. Respect
d. Justice

70. Informed consent is a method that promotes:

a. Non maleficence
b. Autonomy
c. Beneficence
 d. Justice

71. Nurse Janine 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
b. Beneficence
c. Non maleficence
d. Justice

72. Nurse’s code of ethic is a set of ethical principles generally accepted by members of the
profession. The standard or principles that a nurse must observe in the practice should promote
which duty?
a. Uses judgement in relation to individual competence when accepting and
delegating responsibilities
b. Active in developing a core or professional knowledge
c. Acts through professional organization and participates in establishing and maintaining
equitable social and economic working conditions in nursing.
d. Plays a major role in determining and implementation of desirable standards of nursing
practice

73. The nurse’s obligation to the client least like include:

a. Retains a commitment of welfare to the client
b. Work towards securing and maintaining conditions of employment that
satisfy the goals of nursing
c. Considers the dignity of clients
d. Old confidential all information about a client learned in a health care setting.

74. Ethical dilemma often arise over a conflict of opinion. Once the nurse has determined that the
dilemma is ethical, a critical first step in negotiating the difference of option would be to:
a. List the ethical principles that inform the dilemma so that negotiations agree on the
language of the discussion
b. Gather all relevant information regarding the clinical, social, and spiritual
aspects of the dilemma
c. Consult a professional ethicist to ensure that the type of the process occur in full.
d. Ensure that the attending physician has written and order for an ethics consultation to
support the ethics process.

75. In most ethical dilemmas, the solution to the dilemma requires among members of the health
care team. The nurse’s point of view is valuable because:
a. The principle of autonomy guides all to respect their own self-worth.
b. The nurse’s code of ethics recommendations that a nurse be present at any ethical
discussion about client care.
c. Nurses develop relationship to the client that is unique among all
professional’s health care providers.
d. Nurses have a legal license that encourages their presence during ethical discussions.

1. The modern nurse is a vast and multi-faceted person, holistically made to perform and adopt
to different scenarios. Which of the following best supports the function of a nurse as a change
agent.
Select one:
a. The nurse assesses the client-IBk-s learning needs and readiness to learn, sets specific
learning goals in conjunction with the client, enacts teaching strategies and measures learning
b. The nurse works with the multidisciplinary health care team to measure the effectiveness of
the case management plan and to monitor outcomes
c. The nurse assisting the others, that is, clients to make modification in their own behavior
d. The nurse delegates nursing activities to ancillary workers and other nurses, and supervises
and evaluates their performance

2. The nurse reported immediately her error in administering medication to the head nurse and
attending physician
Select one:
a. Loyalty
b. Reliability
c. Honesty
d. Prudence
e. Resourcefulness

3. The nurse agreed to work overtime because the nurses for the next shift could not report on
duty due to floods
Select one:
a. Reliability
b. Honesty
c. Loyalty
d. Prudence
e. Resourcefulness

4. The nurse speaks well of her superiors, doctors and institution where she works
Select one:
a. Loyalty
b. Honesty
c. Reliability
d. Resourcefulness
e. Prudence

5. The nurse uses the wrapper of sterile gloves as sterile field in the absence of sterile towel
lining
Select one:
a. Prudence
b. Honesty
c. Reliability
d. Resourcefulness
e. Loyalty

6. Nurse Patrick has been consistent in going to work on time and has not committed any
absences in the past. Nurse Patrick exhibits what attribute of a nurse?
Select one:
a. Loyalty
b. Resourceful
c. Honesty
d. Caring
7. When a nurse approach a doctor for an unclear order to a patient, the nurse has the quality
of:
Select one:
a. Tolerance
b. Honesty
c. Moderation C
d. Judgement

8. An example of veracity is?

Select one:
a. Volunteering to work overtime
b. Being first in line
c. Admitting mistakes promptly
d. Having a great deal to do

9. A nurse manager at a home health care agency who ensures that all contracts have been
completed and payments are timely is displaying the principle of
Select one:
a. Fidelity
b. autonomy
c. Respect for others
d. Veracity

10. One of the initial communication skills necessary in a nurse-patient relationship is the
establishment of mutual confidence and trust between the nurse and the patient. This condition
is called:
Select one:
a. Empathy
b. Transference
c. Rapport
d. Contract

11. This is a statement, sometimes written, that declares a nurse+IBk-s beliefs, values, and
ethics regarding their care and treatment of patients while they are in the nursing profession.
Select one:
a. Objectives
b. Philosophy
c. Vision
d. Nature of the profession

12. Many roles and functions should a nurse possesses in order to be competent in the field.
When a nurse is helping a client learn about their health and the health care procedures they
need to perform to restore or to maintain health, she is a:
Select one:
a. Nurse Advocate
b. Nurse Communicator
c. Nurse Teacher
d. Nurse Counselor

13. Which of the following is NOT an objective of nursing profession?

Select one:
a. Maintain and promote wellness, prevent illness, care for and rehabilitate the sick of disabled
through the human science of nursing
b. Reduce stress. Provide comfort to the client during diseases process. Provide service to
individual families and societies.
c. All are objectives of Nursing
d. Work independently with other health workers assisting the client to gain independence as
quickly as possible.

14. Nursing is committed to personalized services for all persons without regard to color, creed,
social or economic status.
Select one:
a. False
b. True

15. The role of the nurse is constantly changing and developing

Select one:
a. False
b. True

17. Nurse Minda, an ICU nurse is caring for a 3-year-old patient diagnosed with leukemia. During
her shift, the patient suddenly had an arrest which led to his death. Nurse Minda started crying
as she remembers her son who is of the same age as the boy. In this situation, which quality of
the nurse was not exhibited by Nurse Linda.
Select one:
a. Resourcefulness
b. Emotional Stability
c. Compassion
d. Honesty

18. Patient Mark was transported to the Operating room for his upcoming surgery, Nurse Ana,
the operating room nurse ensured that prior to any procedure done to the patient, it was
explained properly to the patient and an informed consent was signed by him. What role of a
nurse does nurse Ara exhibits?
Select one:
a. Counselor
b. Change Agent
c. Teacher
d. Ethical Decision Maker

19. A student nurse introduced herself as a Registered Nurse in the community and provides
nursing services among people. What vice has been committed?
Select one:
a. None because she will become a registered nurse later on in life anyway
b. Pride
C. Greed
d. Fraud

20. A practice or habit that is considered immoral, depraved and/ degrading in the associated
society.
Select one:
a. Crime
b. Dilemma
c. Vice
d. NOTA

21. During the wrath of a typhoon, Nurse Mina, together with the members of the RESCUE team
bravely endured the strong winds to save the lives of the victims of flood. Which of the cardinal
virtues was exemplified by them?
Select one:
a. Temperance
b. Justice
c. Prudence
d. Fortitude

22. The moral virtue that consists in the constant and firm will to give their due to God and
neighbor
Select one:
a. Fortitude
b. Temperance
c. Prudence
d. Justice

23. As a caregiver, the nurse is aware of his or her duties and responsibilities in taking care of
varied patients. The following falls under the expectations of the functions of a nurse caregiver
EXCEPT:
Select one:
a. Requires knowledge about organizational structures and dynamics, authority and
accountability
b. The nursing process provides nurses with a framework for providing care
c. Encompasses the physical, psychosocial, developmental, cultural and spiritual levels
d. Traditionally included those activities that assists the client physically and psychologically while
preserving the client+IBk-s integrity

24. The moral virtue that moderates the attraction of pleasures and provides balance in the use
of material goods.
Select one:
a. Temperance
b. Fortitude
c. Prudence
d. Justice

25. When a nurse has an advanced education, employed in health care agencies or community-
based settings, and usually deals with non-emergency acute or chronic illness and provide
primary ambulatory care, he/she is functioning as a:
Select one:
a. Nurse Midwife
b. Clinical Nurse Specialist
c. Nurse Educator
d. Nurse Practitioner

26. The caregiver role of the nurse emphasizes:

Select one:
a. Recognition of needs of clients
b. Providing direct nursing care
c. Observation of the client-IBk-s response to illness
d. Implementing nursing care measures

27. The nurse takes the patient+1Bk-s advocate role when she:
Select one:
a. Defends the rights of the patient
b. Works with the significant others
c. Intercedes on behalf of the patient
d. Refers the patient to other services

28. The manager role of the nurse is best demonstrated when she:
Select one:
a. Initiate nursing action with co-workers
b. Speaks in behalf of her patients
c. Works together with the nursing team
d. Plans nursing care with the patient

29. All of the following are the primary responsibilities of the nurse manager EXCEPT:
Select one:
a. Coordinating and delegating patient care
b. Setting standard of performance
c. Performing bedside nursing
d. Designating staff schedules

30. What quality of a nurse is exemplified when he puts up the siderails of the bed of a restless
client to prevent falls?
Select one:
a. Loyalty
b. Resourcefulness
c. Reliability
d. Prudence
e. Honesty

43. The distribution of nurses to areas of most need" in the time of a nursing shortage is an example of:
Select one:
a. Justice
b. Beneficence
c. Deontological theory
d. Utilitarianism theory