NURS 242 EXAM 1- ETHICS,
LEADERSHIP, & MANAGEMENT EXAM
2025 QUESTIONS AND ANSWERS
A nurse witnesses another nurse providing care without proper hand hygiene and reports this
to the charge nurse. The charge nurse is friends with the other nurse and refuses to take action.
This is an examples of:
a) moral distress
b) moral indifference
c) ethical dilemma
d) moral conflict - ANS a) moral distress
*she knows the action is wrong but is still not doing the right thing
*occurs when you are unable to act upon what you believe is the morally appropriate action to
take or when you otherwise act in a manner contrary to your personal and professional values.
You know what to do, but believe you cannot do it due to internal or external barriers
What term occurs when you are unable to act upon what you believe is the morally appropriate
action to take or when you otherwise act in a manner contrary to your personal and
professional values. You know what to do, but believe you cannot do it due to internal or
external barriers?
*Self doubt, lack of assertiveness, and the perception of powerlessness are examples of internal
barriers. Inadequate staffing, lack of organizational support, poor relationships with colleagues,
and policies that conflict with the care needs of patients are examples of external barriers. -
ANS Moral distress
*ex: nurse witnesses another nurse providing care without proper hand hygiene and reports
this to the charge nurse. The charge nurse is friends with the other nurse and refuses to take
action
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
,A nurse-manager who makes decisions based on what will benefit the majority of the nurse
manager's subordinates is using what type of theical framework for decision making?
a) intuitionist
b) duty based
c) rights based
d) utilitarianism - ANS d) utilitarianism
Which is not an element of ethical decision making?
a) beneficence
b) utility
c) paternalism
d) pragmatism - ANS d) pragmatism
Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her. Which
principle of ethical reasoning is Nancy displaying?
a) justice
b) nonmaleficence
c) fidelity
d) beneficence - ANS c) fidelity
The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the
principle for triage due to the limited availability resources of resources. The nurse is promoting
which ethical principle?
a) fidelity
b) justice
c) confidentiality
d) veracity - ANS b) justice
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
,Nursing ethics providers the standards for professional behavior and is the study of principles of
right and wrong for nurses. The standards states the duties and obligations of the nurse should
include which of the following?
a) individual
b) client
c) community
d) all of the above - ANS d) all of the above
When does a moral issue become an ethical dilemma?
a) Health care does not have ethical dilemmas
b) When the values of a person change over time
c) There is no acceptable reason for the wrong choice
d) When forced to choose between two or more undesirable alternatives - ANS d) When
forced to choose between two or more undesirable alternatives
The nurse manager didn't hire Sally, RN for the assistant manager job. The nurse maager
informed Sally that she was a "great fit" but an internal candidate was selected instead. The
real reason Sally, RN wasn't hired was because her drug test was positive. Which of the
principles of ethical reasoning didn't the nurse manager follow?
a) utility
b) paternalism
c) autonomy
d) veracity - ANS d) veracity
*it is the obligation to tell the truth; "truth telling"
What term describes the obligation to the truth?
*"truth telling" - ANS Veracity
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
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 3
, given to him. The nurse explained the side effects of the medications. The nurse answered all
the questions of the client honestly even though the client choose not to undergo
chemotherapy. Then nurse used which principle of ethical reasoning?
a) confidentiality
b) veracity
c) justice
d) fidelity - ANS b) veracity
*it is the obligation to tell the truth; "truth telling"
*the nurse is displaying truth telling by explaining the effects of chemo
Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing
actions. The nurse is promoting which ethical principle?
a) autonomy
b) nonmaleficence
c) justice
d) beneficence - ANS b) nonmaleficence
*it directs us to act in ways that avoid harm to others, including even the risk of harm
What ethical principle directs us to act in ways that avoid harm to others, including even the
risk of harm?
a) respect for persons
b) nonmaleficence
c) beneficence
d) justice - ANS b) nonmaleficence
*ex: Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing
actions
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 4
LEADERSHIP, & MANAGEMENT EXAM
2025 QUESTIONS AND ANSWERS
A nurse witnesses another nurse providing care without proper hand hygiene and reports this
to the charge nurse. The charge nurse is friends with the other nurse and refuses to take action.
This is an examples of:
a) moral distress
b) moral indifference
c) ethical dilemma
d) moral conflict - ANS a) moral distress
*she knows the action is wrong but is still not doing the right thing
*occurs when you are unable to act upon what you believe is the morally appropriate action to
take or when you otherwise act in a manner contrary to your personal and professional values.
You know what to do, but believe you cannot do it due to internal or external barriers
What term occurs when you are unable to act upon what you believe is the morally appropriate
action to take or when you otherwise act in a manner contrary to your personal and
professional values. You know what to do, but believe you cannot do it due to internal or
external barriers?
*Self doubt, lack of assertiveness, and the perception of powerlessness are examples of internal
barriers. Inadequate staffing, lack of organizational support, poor relationships with colleagues,
and policies that conflict with the care needs of patients are examples of external barriers. -
ANS Moral distress
*ex: nurse witnesses another nurse providing care without proper hand hygiene and reports
this to the charge nurse. The charge nurse is friends with the other nurse and refuses to take
action
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
,A nurse-manager who makes decisions based on what will benefit the majority of the nurse
manager's subordinates is using what type of theical framework for decision making?
a) intuitionist
b) duty based
c) rights based
d) utilitarianism - ANS d) utilitarianism
Which is not an element of ethical decision making?
a) beneficence
b) utility
c) paternalism
d) pragmatism - ANS d) pragmatism
Nancy is a loyal and trustworthy nurse that performs the duties that are expected of her. Which
principle of ethical reasoning is Nancy displaying?
a) justice
b) nonmaleficence
c) fidelity
d) beneficence - ANS c) fidelity
The nurse in a unit is caring for several clients. To distribute nursing care the nurse used the
principle for triage due to the limited availability resources of resources. The nurse is promoting
which ethical principle?
a) fidelity
b) justice
c) confidentiality
d) veracity - ANS b) justice
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
,Nursing ethics providers the standards for professional behavior and is the study of principles of
right and wrong for nurses. The standards states the duties and obligations of the nurse should
include which of the following?
a) individual
b) client
c) community
d) all of the above - ANS d) all of the above
When does a moral issue become an ethical dilemma?
a) Health care does not have ethical dilemmas
b) When the values of a person change over time
c) There is no acceptable reason for the wrong choice
d) When forced to choose between two or more undesirable alternatives - ANS d) When
forced to choose between two or more undesirable alternatives
The nurse manager didn't hire Sally, RN for the assistant manager job. The nurse maager
informed Sally that she was a "great fit" but an internal candidate was selected instead. The
real reason Sally, RN wasn't hired was because her drug test was positive. Which of the
principles of ethical reasoning didn't the nurse manager follow?
a) utility
b) paternalism
c) autonomy
d) veracity - ANS d) veracity
*it is the obligation to tell the truth; "truth telling"
What term describes the obligation to the truth?
*"truth telling" - ANS Veracity
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
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 3
, given to him. The nurse explained the side effects of the medications. The nurse answered all
the questions of the client honestly even though the client choose not to undergo
chemotherapy. Then nurse used which principle of ethical reasoning?
a) confidentiality
b) veracity
c) justice
d) fidelity - ANS b) veracity
*it is the obligation to tell the truth; "truth telling"
*the nurse is displaying truth telling by explaining the effects of chemo
Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing
actions. The nurse is promoting which ethical principle?
a) autonomy
b) nonmaleficence
c) justice
d) beneficence - ANS b) nonmaleficence
*it directs us to act in ways that avoid harm to others, including even the risk of harm
What ethical principle directs us to act in ways that avoid harm to others, including even the
risk of harm?
a) respect for persons
b) nonmaleficence
c) beneficence
d) justice - ANS b) nonmaleficence
*ex: Nurse Bobby avoids deliberate harm and risk of harm during his performance of nursing
actions
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 4
