ESTUDYR
NURS 242- EXAM 1 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1. A nurse witnesses another nurse failing to perform hand hygiene and reports it. The charge nurse
(who is friends with the offending nurse) refuses to act. This is an example of:
A. Moral outrage
B. Moral distress
C. Ethical conflict
D. Beneficence
Answer: B
Rationale: Moral distress occurs when a nurse knows the right action but is constrained from taking it
(e.g., due to hierarchy or institutional barriers).
2. A nurse manager makes decisions based on what benefits the majority of staff. This reflects which
ethical framework?
A. Deontology
B. Utilitarianism
C. Virtue ethics
D. Paternalism
Answer: B
Rationale: Utilitarianism prioritizes the greatest good for the greatest number.
3. Which is NOT an element of ethical decision-making?
A. Beneficence
B. Utility
C. Paternalism
D. Pragmatism
Answer: D
Rationale: Core ethical principles include beneficence, utility, and paternalism. Pragmatism (practicality)
is not a formal ethical principle.
,ESTUDYR
4. Nurse Nancy is loyal and fulfills expected duties. Which ethical principle is she demonstrating?
A. Autonomy
B. Fidelity
C. Justice
D. Veracity
Answer: B
Rationale: Fidelity means keeping promises and maintaining trust in professional relationships.
5. A nurse uses triage to allocate limited resources. Which ethical principle is prioritized?
A. Nonmaleficence
B. Justice
C. Beneficence
D. Autonomy
Answer: B
Rationale: Justice involves fair distribution of resources based on need.
6. Nursing ethics standards apply to which groups?
A. Individual clients
B. Communities
C. Both A and B
D. All of them
Answer: D
Rationale: Nurses have duties to individuals, families, communities, and populations.
7. When does a moral issue become an ethical dilemma?
A. When laws conflict
B. When forced to choose between two undesirable alternatives
C. When personal beliefs are challenged
D. When resources are unlimited
Answer: B
Rationale: An ethical dilemma involves conflicting moral imperatives (e.g., truth-telling vs. preventing
harm).
,ESTUDYR
8. A nurse manager lies about why Sally wasn’t hired. Which principle was violated?
A. Justice
B. Veracity
C. Fidelity
D. Utility
Answer: B
Rationale: Veracity requires honesty. The manager withheld the true reason (failed drug test).
9. A nurse thoroughly explains chemo side effects, even if the patient refuses treatment. This
demonstrates:
A. Paternalism
B. Veracity
C. Nonmaleficence
D. Autonomy
Answer: B
Rationale: Veracity means providing complete, truthful information to support informed decisions.
10. Nurse Bobby avoids harming patients during care. Which principle is he upholding?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Autonomy
Answer: A
Rationale: Nonmaleficence means "do no harm."
11. Provision 1 of the ANA Code of Ethics emphasizes:
A. Compassion and respect for patient dignity
B. Cost-effective care
C. Physician authority
D. Institutional policies
, ESTUDYR
Answer: A
Rationale: Provision 1 states nurses must respect inherent dignity and autonomy of every person.
12. Provision 2 states the nurse’s primary commitment is to the:
A. Hospital administration
B. Patient (individual, family, or community)
C. Nursing team
D. Government regulations
Answer: B
Rationale: Nurses must prioritize the patient’s needs above other interests.
13. Provision 3 requires nurses to:
A. Advocate for patient rights and safety
B. Follow physician orders without question
C. Minimize healthcare costs
D. Avoid controversial cases
Answer: A
Rationale: Nurses must protect patient health, safety, and rights.
14. Provision 4 highlights the nurse’s:
A. Accountability for practice decisions
B. Right to refuse assignments
C. Duty to supervisors
D. Role in hospital marketing
Answer: A
Rationale: Nurses have authority and accountability for their practice.
15. Provision 5 states nurses must:
A. Promote their own health and competence
B. Work unlimited overtime
C. Avoid personal relationships
D. Prioritize administrative tasks
NURS 242- EXAM 1 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1. A nurse witnesses another nurse failing to perform hand hygiene and reports it. The charge nurse
(who is friends with the offending nurse) refuses to act. This is an example of:
A. Moral outrage
B. Moral distress
C. Ethical conflict
D. Beneficence
Answer: B
Rationale: Moral distress occurs when a nurse knows the right action but is constrained from taking it
(e.g., due to hierarchy or institutional barriers).
2. A nurse manager makes decisions based on what benefits the majority of staff. This reflects which
ethical framework?
A. Deontology
B. Utilitarianism
C. Virtue ethics
D. Paternalism
Answer: B
Rationale: Utilitarianism prioritizes the greatest good for the greatest number.
3. Which is NOT an element of ethical decision-making?
A. Beneficence
B. Utility
C. Paternalism
D. Pragmatism
Answer: D
Rationale: Core ethical principles include beneficence, utility, and paternalism. Pragmatism (practicality)
is not a formal ethical principle.
,ESTUDYR
4. Nurse Nancy is loyal and fulfills expected duties. Which ethical principle is she demonstrating?
A. Autonomy
B. Fidelity
C. Justice
D. Veracity
Answer: B
Rationale: Fidelity means keeping promises and maintaining trust in professional relationships.
5. A nurse uses triage to allocate limited resources. Which ethical principle is prioritized?
A. Nonmaleficence
B. Justice
C. Beneficence
D. Autonomy
Answer: B
Rationale: Justice involves fair distribution of resources based on need.
6. Nursing ethics standards apply to which groups?
A. Individual clients
B. Communities
C. Both A and B
D. All of them
Answer: D
Rationale: Nurses have duties to individuals, families, communities, and populations.
7. When does a moral issue become an ethical dilemma?
A. When laws conflict
B. When forced to choose between two undesirable alternatives
C. When personal beliefs are challenged
D. When resources are unlimited
Answer: B
Rationale: An ethical dilemma involves conflicting moral imperatives (e.g., truth-telling vs. preventing
harm).
,ESTUDYR
8. A nurse manager lies about why Sally wasn’t hired. Which principle was violated?
A. Justice
B. Veracity
C. Fidelity
D. Utility
Answer: B
Rationale: Veracity requires honesty. The manager withheld the true reason (failed drug test).
9. A nurse thoroughly explains chemo side effects, even if the patient refuses treatment. This
demonstrates:
A. Paternalism
B. Veracity
C. Nonmaleficence
D. Autonomy
Answer: B
Rationale: Veracity means providing complete, truthful information to support informed decisions.
10. Nurse Bobby avoids harming patients during care. Which principle is he upholding?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Autonomy
Answer: A
Rationale: Nonmaleficence means "do no harm."
11. Provision 1 of the ANA Code of Ethics emphasizes:
A. Compassion and respect for patient dignity
B. Cost-effective care
C. Physician authority
D. Institutional policies
, ESTUDYR
Answer: A
Rationale: Provision 1 states nurses must respect inherent dignity and autonomy of every person.
12. Provision 2 states the nurse’s primary commitment is to the:
A. Hospital administration
B. Patient (individual, family, or community)
C. Nursing team
D. Government regulations
Answer: B
Rationale: Nurses must prioritize the patient’s needs above other interests.
13. Provision 3 requires nurses to:
A. Advocate for patient rights and safety
B. Follow physician orders without question
C. Minimize healthcare costs
D. Avoid controversial cases
Answer: A
Rationale: Nurses must protect patient health, safety, and rights.
14. Provision 4 highlights the nurse’s:
A. Accountability for practice decisions
B. Right to refuse assignments
C. Duty to supervisors
D. Role in hospital marketing
Answer: A
Rationale: Nurses have authority and accountability for their practice.
15. Provision 5 states nurses must:
A. Promote their own health and competence
B. Work unlimited overtime
C. Avoid personal relationships
D. Prioritize administrative tasks
