Florida NCLEX Exam Ethical Decision-Making Updated Exam 2026
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1. A nurse is caring for a competent adult client who refuses a life-saving blood transfusion
due to religious beliefs. What is the nurse's best action?
A. Administer the transfusion without consent
B. Respect the client's decision and notify the provider
C. Ask the family to override the client's decision
D. Obtain a court order immediately
Answer: B. Respect the client's decision and notify the provider
Rationale: A competent adult has the legal and ethical right to refuse medical treatment, even if
the refusal may result in death. Respecting autonomy is a fundamental ethical principle. The
nurse should document the refusal, ensure the client understands the consequences, and notify
the healthcare provider.
2. Which ethical principle is demonstrated when a nurse respects a client's right to make
personal healthcare decisions?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C. Autonomy
Rationale: Autonomy refers to respecting an individual's right to make informed decisions
regarding their own healthcare. Nurses support this principle by providing accurate information
and honoring the client's choices.
3. A nurse administers pain medication to relieve severe postoperative discomfort. Which
ethical principle is illustrated?
,A. Nonmaleficence
B. Beneficence
C. Veracity
D. Justice
Answer: B. Beneficence
Rationale: Beneficence involves promoting the well-being of clients by taking actions that benefit
them. Providing pain relief is a direct example of acting in the client's best interest.
4. Which action best demonstrates the ethical principle of nonmaleficence?
A. Providing equal treatment to all clients
B. Avoiding actions that may cause harm
C. Keeping client information confidential
D. Respecting client choices
Answer: B. Avoiding actions that may cause harm
Rationale: Nonmaleficence means "do no harm." Nurses have an ethical obligation to avoid
causing injury or unnecessary risk to clients during care.
5. A nurse distributes limited influenza vaccines based on established public health
guidelines. Which ethical principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Veracity
Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of healthcare resources.
Following evidence-based allocation guidelines ensures fair treatment of all eligible individuals.
6. Which nursing action best reflects fidelity?
A. Respecting informed refusal
B. Keeping a promise made to a client
, C. Preventing medication errors
D. Reporting unsafe practice
Answer: B. Keeping a promise made to a client
Rationale: Fidelity involves faithfulness, loyalty, and keeping commitments. Nurses build trust by
fulfilling promises and maintaining professional responsibilities.
7. A nurse honestly informs a client about a medication error that occurred. Which ethical
principle is demonstrated?
A. Justice
B. Veracity
C. Autonomy
D. Beneficence
Answer: B. Veracity
Rationale: Veracity requires truthfulness and honesty in professional relationships. Clients have
the right to receive accurate information regarding their care.
8. Which action by a nurse best protects client confidentiality?
A. Discussing the client's condition in the cafeteria
B. Logging off the electronic health record after use
C. Sharing information with a neighbor
D. Posting clinical experiences online
Answer: B. Logging off the electronic health record after use
Rationale: Protecting confidential information includes securing electronic records and
preventing unauthorized access. Confidentiality is both an ethical and legal obligation.
9. A client asks whether a recommended surgery is mandatory. What is the nurse's best
response?
A. "Yes, you have no choice."
B. "You may accept or refuse treatment after receiving adequate information."
C. "Only your family can decide."
D. "The physician will decide for you."
WITH Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee Pass!!
1. A nurse is caring for a competent adult client who refuses a life-saving blood transfusion
due to religious beliefs. What is the nurse's best action?
A. Administer the transfusion without consent
B. Respect the client's decision and notify the provider
C. Ask the family to override the client's decision
D. Obtain a court order immediately
Answer: B. Respect the client's decision and notify the provider
Rationale: A competent adult has the legal and ethical right to refuse medical treatment, even if
the refusal may result in death. Respecting autonomy is a fundamental ethical principle. The
nurse should document the refusal, ensure the client understands the consequences, and notify
the healthcare provider.
2. Which ethical principle is demonstrated when a nurse respects a client's right to make
personal healthcare decisions?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: C. Autonomy
Rationale: Autonomy refers to respecting an individual's right to make informed decisions
regarding their own healthcare. Nurses support this principle by providing accurate information
and honoring the client's choices.
3. A nurse administers pain medication to relieve severe postoperative discomfort. Which
ethical principle is illustrated?
,A. Nonmaleficence
B. Beneficence
C. Veracity
D. Justice
Answer: B. Beneficence
Rationale: Beneficence involves promoting the well-being of clients by taking actions that benefit
them. Providing pain relief is a direct example of acting in the client's best interest.
4. Which action best demonstrates the ethical principle of nonmaleficence?
A. Providing equal treatment to all clients
B. Avoiding actions that may cause harm
C. Keeping client information confidential
D. Respecting client choices
Answer: B. Avoiding actions that may cause harm
Rationale: Nonmaleficence means "do no harm." Nurses have an ethical obligation to avoid
causing injury or unnecessary risk to clients during care.
5. A nurse distributes limited influenza vaccines based on established public health
guidelines. Which ethical principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Veracity
Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of healthcare resources.
Following evidence-based allocation guidelines ensures fair treatment of all eligible individuals.
6. Which nursing action best reflects fidelity?
A. Respecting informed refusal
B. Keeping a promise made to a client
, C. Preventing medication errors
D. Reporting unsafe practice
Answer: B. Keeping a promise made to a client
Rationale: Fidelity involves faithfulness, loyalty, and keeping commitments. Nurses build trust by
fulfilling promises and maintaining professional responsibilities.
7. A nurse honestly informs a client about a medication error that occurred. Which ethical
principle is demonstrated?
A. Justice
B. Veracity
C. Autonomy
D. Beneficence
Answer: B. Veracity
Rationale: Veracity requires truthfulness and honesty in professional relationships. Clients have
the right to receive accurate information regarding their care.
8. Which action by a nurse best protects client confidentiality?
A. Discussing the client's condition in the cafeteria
B. Logging off the electronic health record after use
C. Sharing information with a neighbor
D. Posting clinical experiences online
Answer: B. Logging off the electronic health record after use
Rationale: Protecting confidential information includes securing electronic records and
preventing unauthorized access. Confidentiality is both an ethical and legal obligation.
9. A client asks whether a recommended surgery is mandatory. What is the nurse's best
response?
A. "Yes, you have no choice."
B. "You may accept or refuse treatment after receiving adequate information."
C. "Only your family can decide."
D. "The physician will decide for you."
