EXAM 4: NUR 204/ NUR204
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A competent adult patient with terminal cancer refuses a blood transfusion that could
prolong life. The nurse supports the patient's decision and ensures the patient understands the
consequences. Which ethical principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Correct because autonomy respects the patient's right to self-determination and to
make decisions about their own healthcare, even if the choice is to refuse treatment.
Q2: A nurse double-checks a high-alert medication dose with a second nurse before
administration to prevent harm. Which ethical principle is the nurse practicing?
A. Autonomy
B. Veracity
C. Fidelity
D. Nonmaleficence
Correct Answer: D
Rationale: Correct because nonmaleficence is the commitment to "do no harm," and double-
checking high-alert medications is a direct action to prevent patient harm.
, Q3: A nurse manager is distributing limited ICU beds during a mass casualty event. The
manager uses a triage system based on clinical need and likelihood of survival, without regard to
the patient's ability to pay or social status. Which ethical principles are being applied? (Select all
that apply.)
A. Justice [CORRECT]
B. Autonomy
C. Beneficence [CORRECT]
D. Veracity
Correct Answer: A, C
Rationale: Correct because justice ensures fair and equitable distribution of resources, and
beneficence guides actions that promote the greatest good for the patient population.
Q4: A nurse accidentally administers the wrong dose of a medication to a patient. The patient is
not harmed, but the nurse immediately reports the error to the provider and the patient. Which
ethical principle is the nurse demonstrating?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: B
Rationale: Correct because veracity is the obligation to tell the truth, and admitting a medication
error honestly reflects this principle.
Q5: A nurse promises a patient that they will return within 10 minutes with their pain
medication. The nurse returns within 8 minutes with the medication. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence
Correct Answer: C
Rationale: Correct because fidelity involves keeping commitments and honoring promises made
to patients.
Q6: A patient is diagnosed with a serious infection and requires IV antibiotics. The patient is
competent and agrees to treatment. Which of the following are elements required to prove
malpractice if the nurse fails to administer the antibiotic as ordered and the patient's condition
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A competent adult patient with terminal cancer refuses a blood transfusion that could
prolong life. The nurse supports the patient's decision and ensures the patient understands the
consequences. Which ethical principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Correct because autonomy respects the patient's right to self-determination and to
make decisions about their own healthcare, even if the choice is to refuse treatment.
Q2: A nurse double-checks a high-alert medication dose with a second nurse before
administration to prevent harm. Which ethical principle is the nurse practicing?
A. Autonomy
B. Veracity
C. Fidelity
D. Nonmaleficence
Correct Answer: D
Rationale: Correct because nonmaleficence is the commitment to "do no harm," and double-
checking high-alert medications is a direct action to prevent patient harm.
, Q3: A nurse manager is distributing limited ICU beds during a mass casualty event. The
manager uses a triage system based on clinical need and likelihood of survival, without regard to
the patient's ability to pay or social status. Which ethical principles are being applied? (Select all
that apply.)
A. Justice [CORRECT]
B. Autonomy
C. Beneficence [CORRECT]
D. Veracity
Correct Answer: A, C
Rationale: Correct because justice ensures fair and equitable distribution of resources, and
beneficence guides actions that promote the greatest good for the patient population.
Q4: A nurse accidentally administers the wrong dose of a medication to a patient. The patient is
not harmed, but the nurse immediately reports the error to the provider and the patient. Which
ethical principle is the nurse demonstrating?
A. Fidelity
B. Veracity
C. Autonomy
D. Beneficence
Correct Answer: B
Rationale: Correct because veracity is the obligation to tell the truth, and admitting a medication
error honestly reflects this principle.
Q5: A nurse promises a patient that they will return within 10 minutes with their pain
medication. The nurse returns within 8 minutes with the medication. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence
Correct Answer: C
Rationale: Correct because fidelity involves keeping commitments and honoring promises made
to patients.
Q6: A patient is diagnosed with a serious infection and requires IV antibiotics. The patient is
competent and agrees to treatment. Which of the following are elements required to prove
malpractice if the nurse fails to administer the antibiotic as ordered and the patient's condition
