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Nursing Ethics & Professional Practice Exam Preparation Actual
Complete Real Exam Questions and Answers Practice Questions
With Solutions and Rationales Newest 2026-2027 | Already
Graded A+
A nurse witnesses a colleague administering the wrong medication but the patient shows no
immediate harm. What is the nurse’s best action?
A. Ignore it since no harm occurred
B. Report the incident through the appropriate safety channel
C. Confront the colleague aggressively in front of the patient
D. Wait until the end of the shift to mention it casually
Rationale: Patient safety and incident reporting systems require prompt documentation even
if no harm is visible to prevent future errors and uphold accountability.
A competent adult patient refuses a life-saving blood transfusion for religious reasons. What
should the nurse do?
A. Administer the transfusion anyway
B. Call security to override refusal
C. Respect the patient’s informed refusal and document it
D. Ask the physician to proceed without consent
Rationale: Autonomy allows competent patients to refuse treatment even if life-threatening
consequences may result.
A nurse shares patient details in a public elevator without naming the patient. This is:
A. Acceptable if no name is mentioned
B. A breach of confidentiality
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C. Ethical if colleagues are present
D. Required for educational discussion
Rationale: Any identifiable discussion in public spaces risks confidentiality violations.
A patient lacks capacity and no advance directive exists. Who provides consent?
A. Nurse
B. Pharmacist
C. Legally authorized surrogate decision-maker
D. Hospital receptionist
Rationale: Surrogate decision-makers provide consent when patients lack capacity.
A nurse is asked to perform a procedure beyond competence. The best response is:
A. Attempt carefully
B. Refuse without explanation
C. Decline and request supervision or training
D. Ask another nurse to sign off
Rationale: Nurses must practice within scope to ensure safe care.
A patient requests to see their medical record. The nurse should:
A. Deny access
B. Delay indefinitely
C. Facilitate access according to policy and law
D. Allow only verbal summary
Rationale: Patients have legal rights to access their health records.
A nurse falsifies documentation to cover a delayed medication. This is:
A. Acceptable if corrected later
B. Minor error
C. Professional misconduct and illegal
D. Acceptable under workload pressure
Rationale: Falsification breaches legal and ethical standards.
Nursing Ethics & Professional Practice Exam Preparation Actual
Complete Real Exam Questions and Answers Practice Questions
With Solutions and Rationales Newest 2026-2027 | Already
Graded A+
A nurse witnesses a colleague administering the wrong medication but the patient shows no
immediate harm. What is the nurse’s best action?
A. Ignore it since no harm occurred
B. Report the incident through the appropriate safety channel
C. Confront the colleague aggressively in front of the patient
D. Wait until the end of the shift to mention it casually
Rationale: Patient safety and incident reporting systems require prompt documentation even
if no harm is visible to prevent future errors and uphold accountability.
A competent adult patient refuses a life-saving blood transfusion for religious reasons. What
should the nurse do?
A. Administer the transfusion anyway
B. Call security to override refusal
C. Respect the patient’s informed refusal and document it
D. Ask the physician to proceed without consent
Rationale: Autonomy allows competent patients to refuse treatment even if life-threatening
consequences may result.
A nurse shares patient details in a public elevator without naming the patient. This is:
A. Acceptable if no name is mentioned
B. A breach of confidentiality
, 2|Page
C. Ethical if colleagues are present
D. Required for educational discussion
Rationale: Any identifiable discussion in public spaces risks confidentiality violations.
A patient lacks capacity and no advance directive exists. Who provides consent?
A. Nurse
B. Pharmacist
C. Legally authorized surrogate decision-maker
D. Hospital receptionist
Rationale: Surrogate decision-makers provide consent when patients lack capacity.
A nurse is asked to perform a procedure beyond competence. The best response is:
A. Attempt carefully
B. Refuse without explanation
C. Decline and request supervision or training
D. Ask another nurse to sign off
Rationale: Nurses must practice within scope to ensure safe care.
A patient requests to see their medical record. The nurse should:
A. Deny access
B. Delay indefinitely
C. Facilitate access according to policy and law
D. Allow only verbal summary
Rationale: Patients have legal rights to access their health records.
A nurse falsifies documentation to cover a delayed medication. This is:
A. Acceptable if corrected later
B. Minor error
C. Professional misconduct and illegal
D. Acceptable under workload pressure
Rationale: Falsification breaches legal and ethical standards.
