NR599 Final Exam Practice Questions with
Verified Answers & Detailed Solutions |
2026/2027 Study Guide
1. Question: A nurse is faced with a complex situation involving a client's
refusal of life-saving treatment. The nurse utilizes a structured process to
balance scientific facts with moral principles. This is best described as:
Options:
A) Legal risk management.
B) Ethical decision making.
C) Clinical pathway implementation.
D) Policy adherence.
CORRECT ANSWER: B
Rationale: Ethical decision making is a systematic process that involves
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applying moral principles and professional standards to resolve dilemmas
where values conflict, balancing scientific knowledge with what is morally
right.
2. Question: A nurse is unsure how to proceed when a family requests
withholding a terminal diagnosis from the client. Which resource provides
the profession's foundational ethical guidance?
Options:
A) Hospital policy manual.
B) The state's Nurse Practice Act.
C) American Nurses Association Code of Ethics.
D) The Joint Commission standards.
CORRECT ANSWER: C
Rationale: The ANA Code of Ethics for Nurses with Interpretive Statements is
the profession's authoritative framework for ethical analysis and decision
making, providing guidance on moral obligations.
3. Question: When planning care, a nurse respects a client's right to self-
determination and choice. This nurse is upholding which bioethical standard?
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Options:
A) Beneficence
B) Fidelity
C) Autonomy
D) Veracity
CORRECT ANSWER: C
Rationale: Autonomy is the ethical principle that acknowledges a person's
right to make their own decisions based on their values and beliefs, free from
controlling interference.
4. Question: A nurse supports a client's right to act independently and make
their own healthcare decisions without pressure. This demonstrates the
ethical principle of:
Options:
A) Privacy.
B) Freedom.
C) Justice.
D) Fidelity.
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CORRECT ANSWER: B
Rationale: Freedom, in a bioethical context, refers to the capacity and right
of an individual to act according to their own choices, without coercion or
undue influence from others.
5. Question: A client asks for full disclosure about a poor prognosis. The
nurse believes in being completely honest. This aligns with the principle of:
Options:
A) Beneficence.
B) Veracity.
C) Fidelity.
D) Privacy.
CORRECT ANSWER: B
Rationale: Veracity is the ethical duty to be truthful and honest. It upholds
the patient's right to accurate information, which is essential for informed
consent and autonomy.
6. Question: A nurse ensures that a client's curtain is closed during a bed
bath and knocks before entering the room. These actions primarily support