1. The nurse is working with the parents of a seriously ill newborn.

Surgery has been

proposed for the infant, but the chances of success are unclear. In helping the parents
to decide and resolve this ethical conflict, the nurse knows that the first thing to do: *
1 point

Exploring reasonable courses of action

Collecting all available information about the situation
Clarifying values related to the cause of the dilemma
Identifying people who can solve the difficulty

2. In most ethical dilemmas, the solution to the dilemma requires negotiation among
members of the health care team. The nurse’s point of view is significant because: *
1 point

Nurses have a legal license that encourages their presence during ethical discussions.
The principle of autonomy guides all participants to respect their self-worth
Nurses develop a relationship with the client that is unique among all professional health care
providers
The nurse’s code of ethics recommends that a nurse be present at any ethical discussion about
client care

3. Nurse Marcoleta applied to Davao Doctors Hospital. As a nurse, he must know that
in every institution there is called institutional ethics. Which statement about an
institutional ethics committee is correct? *
1 point

The ethics committee is an additional resource for clients and healthcare professionals
The ethics committee relieves health care professionals from dealing with ethical issues
The ethics committee would be the first option in addressing an ethical dilemma
The ethics committee replaces decision making by the client and health care providers

4. Nurses aim to make decisions in line with a code of ethics. In this manner, nurses
used the process of evaluating and choosing among alternatives in a way consistent
with ethical principles. Which of the following that describe the best action of the
nurses? *
1 point

Ethical decision-making
Allocation
Conscience
Ethical issues

5. Ethical dilemmas often arise over a conflict of opinion. Once the nurse has identified
that the dilemma is ethical, a critical first step in negotiating the difference of opinion
would be to: *
1 point

Consult a professional ethicist to ensure that the steps of the process occur in full
Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma
List the ethical principles that inform the dilemma so that negotiations agree on the language of
the discussion
Ensure that the attending physician has written an order for an ethics consultation to support the
ethics process

6. Student Sahara studied bioethics, and it had taught her that to have a good
decision, she should think about choices in terms of their ability to accomplish and
understand the difference between immediate and short-term goals and longer-range
goals. What do you think, student Sahara was demonstrating? *
1 point

Ethical decisions
Effective decisions
Moral decisions
Moral discernment

7. A nurse must generate and sustain trust; demonstrate respect, responsibility,

fairness, and caring. Which of the following provides the foundation for making better
decisions by setting the ground rules for our behavior?
1 point

Ethical decisions
Effective decisions
Moral decisions
Moral discernment

8. The nurse knows that one of the processes of ethical decision-making is to be

aware to act consistently and apply moral convictions to daily behavior. *
1 point

Commitment
Conscience
Competency
Consciousness

9. Nurse Defensor is the head nurse of the ER department, he believed that judgment
according to reason, in conformity with the true good willed by the wisdom of the
creator must be informed and moral judgment is enlightened. What would be the
principle of moral decision making that nurse Defensor has been practicing in his
area? *
1 point
Principles of Moral discernment
Principles of a well-formed conscience
Moral Principles
Moral decision-making

10. It was a social practice used in a variety of relational ways to determine a pathway
for living out the summons of the gospel. *
1 point

Moral Principles
Moral discernment
Moral decision-making
Moral obligations

11. A head nurse conducted a meeting with all the staff in her department. She asked
Berlin, one of the staff nurses about the importance of moral discernment and let the
other staff nurse Tokyo enumerate the gifts of discernment. Nurse Tokyo is correct if
she would answer the following characteristics. Select all that apply. *
1 point

A keen ability to recognize inconsistencies

The tendency to spot what is wrong with an idea
Consistent with good citizenship.
A deep conviction not easily put to rest

12. Among the four principles of moral discernment, which of the following that best
describes if nurse Nairobi used this principle when faced with selecting from two
immoral options, the least immoral one should be chosen? *
1 point

Principle of Formal Cooperation

Principle of Material Cooperation
Principle of Lesser Evil
Principle of Double Effect

13. When a couple’s joining gang’s collaboration in robbing a bank and killing all the
staff. This case is the best example of what principle of moral discernment. *
1 point

Principle of Formal Cooperation

Principle of Material Cooperation
Principle of Lesser Evil
Principle of Double Effect

14. The bedside nurse has a student nurse on duty with her. She teaches the student
nurse the strategies of the moral decision-making process, she said it is very
important in nursing practice to always have it since we are dealing with lives. The
nursing student must know how to recognize the circumstances when she tells the
bedside nurse the following. Select all that apply. *
1 point

thinking about the origins of problem

individuals involved
relevant principles, goals & values
considering one’s role in causing and/or resolving the problem
Option 5

15. As a nurse in one institution, it is very important to know where to talk to for any
ethical conflicts that may arise. Talking with a nurse supervisor, peer, or institutional
resource, or learning from others’ behaviors in similar situations describe to what one
of the strategies of moral decision-making to have a good decision? *
1 point

Seeking outside help

Questioning your own and others’ judgment
Dealing with emotions
Analyzing personal motivations

16. A health care issue not only now, but, even before, often becomes an ethical
dilemma because:
1 point

A client’s legal rights coexist with a health professionals’ obligation

Decisions must be made quickly, often under stressful conditions
Decisions must be made based on value systems
The choices involved do not appear to be right or wrong

17. The act by which we apply to our conduct our knowledge of good and evil, whether
our judgment is correct or incorrect. *
1 point

Commitment
Conscience
Certitude
Certain

18. The Director of Nursing is teaching the nurse supervisors and head nurses during
their teleconference meeting that the judgment about the goodness or evil of a
particular action that is made without fear of being mistaken is best determine to *
1 point

Certitude
Certain
Objective
Subjective

19. This principle aims to provide specific guidelines for determining when it is morally
permissible to act in pursuit of a good end in the full knowledge that the action will also
bring about bad results. *
1 point

Principle of Formal Cooperation

Principle of Material Cooperation
Principle of Lesser Evil
Principle of Double Effect

20. The Clinical instructor Ma’am Manila has been teaching Bioethics in 1st year
nursing students. Before starting the lecture-discussion, she called one student to
discuss the previous topics that have been discussed already. The nursing student is
correct if she would discuss the following qualities of moral consciousness. Select all
that apply *
1 point

Culpable
Erroneous
Objective
Subjective

21. A person always has a fear of sinning when there is no sin, or is in constant doubt,
and/or is in fear of committing a mortal sin; tends to see sins when there is none. *
1 point

Lax
Callous
Strict
Scrupulous

22. When health care is in a complex situation that often involves an apparent mental
conflict between moral imperatives, in which to obey one would result in transgressing
another, this one refers to, *
1 point

Ethical issues
Ethical dilemma
Ethical drama
Ethical-moral

23. A strategy of decision-making process considering one’s own biases, effects of

one’s values and goals, how to explain/justify one’s actions to others, and questioning
the ability to make ethical decisions *
1 point

Analyzing personal motivations

Anticipating consequences of actions
Considering the effects of actions on others
Dealing with emotions

24. In ‘’seeking outside help’’ in an institution, as one of the strategies of moral

decision-making, to whom do you think it should be addressed to? Select all that
apply. *
1 point

Supervisor
Peer
Institutional resource
Police

25. If the act and its consequences could have been controlled, the agent knows the
likely consequences and that he provides no excuse or justification for the actions. *
1 point

Culpable
Erroneous
Certain
Certitude

26. An employer might offer an in-service program to inform nurses about a new piece
of equipment, specific isolation practices, or methods of implementing nurse theorist
conceptual framework for nursing. Thus, In-service education the nurses will benefit
from what ethical-moral principle? *
1 point

Beneficence
Justice
Veracity
Fidelity

27. Continuing Professional Development (CPD) in nursing education means; a

continuous professional development wherein, it is indeed a mandatory requirement
upon renewing his/her license, *
1 point

Non maleficence
Autonomy
Justice
Fidelity
28. To provide nurses with information essential to nursing practice like knowing the
legalities in nursing; such as Physician Orders for Mr. Collins included Intermittent
positive pressure breathing (IPPB) TID with Mucomyst (acetylcysteine), Postural
drainage with percussion and vibration for 30 min. BID and Sputum for culture and
sensitivity. What nursing action that will facilitate the patient in terms of ethical-moral
principle in nursing? *
1 point

Veracity
Justice
Beneficence
Nonmaleficence

29. Mr. Collins a 48 years old man, is currently working at Microsoft Company at
Mountain View, California as an information technologist his job is focused on
globalization, accurate processing information, effective communication, and the
advancement of economics. *
1 point

Social Justice
Veracity
Procedural justice
Fidelity

30. A client is scheduled to be discharged from the hospital. The discharge planner
(case manager) at the hospital should acquire which of the following first before home
nursing care can be initiated? *
1 point

Beneficence
Autonomy
Veracity
Fidelity

31. After the nurse instructed the client about the rationale for sitting with feet elevated
to enhance venous return, the client refuses to perform the activity. *
1 point

Veracity
Fidelity
Autonomy
Beneficence

32. We keep a record of the health care services we provide you. You may ask us to
see and copy that record. You may also ask us to correct that record. We will not
disclose your record to others unless you direct us to do so or unless the law
authorizes or compels us to do so. You may see your record or get more information
about it. *
1 point

Veracity
Justice
Confidentiality
Nonmaleficence

33. The privilege belongs to clients and is important because physicians need to know
highly personal and private information about clients during treatment. And If the
Physician has breached the privacy of the patient, the ethical-moral principle will be;
1 point

Veracity
Fidelity
Confidentiality
Non maleficence

34. Recent advancements in genetic engineering, testing, screening, and assisted

reproduction enable us to make new choices regarding human procreation;
1 point

Autonomy
Beneficence
Justice
Non maleficence

35. In our country Republic of the Philippines, access to Universal health care usually
depends on a client’s ability to pay for health care, either through private insurance
like Maxi care or Coco life or by paying cash. The client the nurse is caring for needs a
liver transplant to survive. This client is out of work for several months and does not
have insurance or enough cash. A discussion about the ethics of this situation would
involve predominately the principle of; *
1 point

Accountability
Autonomy
Ethics of care
Justice

36. The philosophy sometimes called the ethics of care among Nursing Practice in the
clinical field (ICU Nurse) suggests that the ethical issues and dilemmas can best be
solved by attention to;
1 point

Relationships
Ethical principles
Clients
Code of ethics for nurses

37. A nurse who had undergone on in-service program for pain management
assesses the patient for pain and then offers a plan to manage the pain, the principle
that encourages the nurse to monitor the patient’s response to the plan is; *
1 point

Beneficence
Fidelity
Non maleficence
Autonomy

38. During the pandemic crisis of Coved 19, a post-In-Vitro-Fertilization child has an
immunization that may cause discomfort during the administration, but the benefits of
protection from the disease (Remdesivir vaccine for coronavirus) a prophylactic dose
is given to the child’s protection from the disease as well as for the society, outweigh
the temporary discomforts. This involves the principle of: *
1 point

Beneficence
Fidelity
Non-maleficence
Autonomy

39. It may seem redundant that health care providers including ICU Nurses in the
clinical field of nursing (Nursing Practice) or Professional Nurses agree to “do no
harm” to their patients. The point of this agreement is to reassure the public that in all
ways the health care team will not only heal patients, but they also agree to do this in
the least painful and harmful way possible. The principle that describes this agreement
is called; *
1 point

Beneficence
Accountability
Non maleficence
Autonomy

40. Medical Ward 5A Nurses (Nursing Practice) agree to be advocates for their
patients. Nursing Practice of advocacy calls for the nurse to; *
1 point
Seek out the Nursing Supervisor in conflicting situations.
Work to understand the law as it applies to the patient’s clinical condition.
Assess the patient’s point of view and prepare to articulate this point of view.
Document all clinical changes in the medical record promptly.

41. In most ethical dilemmas the solution to the dilemma requires negotiation among
members of the health care team. The nurse’s point of view is valuable because: *
1 point

Nurses have a legal license that encourages their presence during the ethical discussion.
The principle of autonomy guides all participants to respect their self-worth.
Nurses develop a relationship with the patients that is unique among all professional health care
providers.
The nurse’s code of ethics recommends that a nurse be present at any ethical discussion about
client care.

42. An 85 years old patient in a nursing home tells a nurse, “Because the doctor was
so insistent, I signed the papers for that research study. Also, I was afraid he would
not continue taking care of me” Which patient’s right is being violated? *
1 point

Right not to be harmed

Right to full disclosure
Right of privacy and confidentiality
The right of self-determination

43. Which of the following is an example of continuing education for nurses? *

1 point

Attending the hospital’s orientation program

Talking with the company representative about the new piece of equipment.
Completing a workshop on ethical aspects of nursing.
Obtaining information about the facility’s new computer charting system.

44. When an ethical issue and dilemma arises one of the most important nursing
responsibilities in managing patients care situations is which of the following: *
1 point

Be able to defend the morality of one’s actions.

Remain neutral and detached when making ethical decisions.
Ensure that a team is responsible for deciding ethical questions.
Follow the patient and family wishes exactly

45. Maria 23 years of age was on duty at medical 5A at 7-3 shift as a medicating
nurse (nursing practice, clinical field) which of the following situations is most clearly a
violation of the underlying principles associated with professional nursing ethics? *
1 point
The hospital policy permits the use of internal fetal monitoring during labor.
When asked, the nurse regarding the purpose of the medication. Nurse Maria responded, “Oh I
never look them up; I just give what is prescribed.’
The nurses on the unit agree to sponsor a fundraising event.
A patient report that he didn’t quite tell the doctor the truth when asked if he was following his
therapeutic diet at home.

46. Online learning, a form of education in which the main elements include physical
separation of teachers and students during instruction, and the use of various
technologies to facilitate student-teacher and student-student communication. *
1 point

Veracity
Fidelity
Accountability
Collaboration

47. Clients may be expected to make an appointment to obtain that copy from the
patient Electronic Health Record and pay reproduction fees. Access should be
withheld only when the law prohibits such access, or when, in the physician’s opinion,
great harm would be done to the patient. *
1 point

Non maleficence
Maleficence
Nonfeasance
Beneficence

48. Your physician is treating a woman of Chinese ancestry. She is elderly and has
been in this country for only a few years. She is often temperamental and angers
easily. She tells you as she waves the prescription paper in your face, “No make me
take this! Dr. Chin’s herbs much better—much cheaper, too!” You can say, “You crazy
old lady, just go see your Dr. Chin. Don’t bother us anymore. What ethical-moral
principle considering the response of the physician? *
1 point

Non maleficence
Maleficence
Nonfeasance
Beneficence

49. Following a motor vehicle accident, the parents refuse to permit the withdrawal of
the state-of-the-art ventilator machine and NGT feeding from the child with no
apparent brain function. Which moral principle provides the basis for the nurse’s
action? *
1 point

Autonomy
Non maleficence
Beneficence
Social justice

50. After recovering from her hip replacement surgery, an elderly patient wants to go
home. The family wants the patient to go to a nursing home. If the nurse was acting as
a patient advocate the nurse would perform the following: *
1 point

Inform the patient has the right to decide on her own

Ask the primary care provider to discharge the client home.
Suggest the patient hire the lawyer to protect her rights.
Help the client and family communicate their views to each other

51. A nurse was assigned to care for a young man with HIV infection. The nurse
informs the client that she is morally opposed to homosexuality and therefore cannot
take care of him. The nurse then leaves the client, which of the following is true
regarding the action of the nurse? *
1 point

the nurse must protect herself from HIV infection.

the nurse has the legal right to inform the client of any barrier to providing care.
the nurse has a right to refuse to care for any client.
the nurse must provide competent care to clients assigned to her in a non-discriminatory manner.

52. Ms. Park decides to have an abortion and asks the nurse if there are any
restrictions on this procedure. Being informed of legal issues allows the nurse to
discuss the decision that a state cannot interfere with a client’s right to have an
abortion if she wants one and if she. *
1 point

is not married.
has had previous children.
has the consent of the father.
is not in violation of permissible state restriction.

53. A female patient at 12 weeks gestation opted to have an abortion at a primary care
facility. Which one of the following reasons in the application of morality the right of the
unborn is violated? *
1 point

Need for the control of the population

Potential human and life is a divine creation
Access to the safe care of a pregnant woman
Rights of the mother to be is supported

54. The nurse’s moral obligations on the issue of abortion should be based on which
one of the following principles? *
1 point

Protecting the Attending physician

Promoting the life of every human
Responsibility of the Job
Safe care to the pregnant woman

55. Which one of the following cell tissues as part of genetic engineering is the most
versatile and considered most controversial in stem cell technology? *
1 point

Umbilical cord cells

Embryonic cells
Adult cells
All of the above

56. Caloy and Kiray have been trying to have a baby for over a year. They just found
out that Caloy has a very low sperm count. What fertility method are they candidates
for?
1 point

In Vitro Fertilization
Artificial Insemination
Adoption
Surrogate Fatherhood

57. In human sexuality, many situations arise present problems requiring moral
decision making. Which one of the following reasons allows a woman on terminating
its pregnancy? *
1 point

Access to contraception use

Unintended conception
Emergency - a medical situation
Unplanned number of pregnancies

58. Marriage should be a sexually monogamous relationship, and married people have
a right to a sexually satisfying relationship. If one person in a married couple was not
sexually satisfied; which one exists?
1 point

Ethical Rule
Conflict of Interest
Ethical Principle
Ethical Dilemma

59. Genetic therapy is a delicate topic for any health care professionals, and it is
continually evolving. It is imperative that any health care practitioners remain
knowledgeable and updated with the issue. Which one of the following bases must be
prioritized and take into consideration in the client’s autonomy? *
1 point

Trained experts’ technician will do the services

Updated steps in carrying out the procedure
Informed consent and confidentiality conducted
Avert harmful effect to the client

60. Sexually active individuals should understand that contraceptives purpose is; *
1 point

Can be relied upon only if they have a high theoretical failure rate.
Updated steps in carrying out the procedure
Informed consent and confidentiality conducted
Avert harmful effect to the client

61. Which one of the following is the most accurate predictor of who is likely to
contract an STD (Sexually Transmitted Disease) and should be a motive of every
individual to think carefully in the morals of sexuality? *
1 point

Sexual Orientation
Level of Formal Education
Number of sex partners
Sexual Identity

62. During the discussion on human sexuality, one student asks about attraction and
affection exhibit by a certain individual. Which one of the following best describes what
heterosexuality is; *
1 point

Having an inner sense of sexual satisfaction

Having erotic, affectionate attraction toward the same gender.
Having erotic, affectionate attraction toward both sexes.
Option 4
Having erotic, affectionate attraction toward the opposite sex.

63. An aspect of fundamentals of marriage emphasizes the ability of the spouse to

admit that he/she is not perfect, made mistakes, and asks forgiveness. *
1 point
Time
Humility
Sexual Faithfulness
Love

64. An operating room nurse is opposed to abortion based on moral principles. When
assigned to circulate for a pregnancy termination case, the nurse should take which
one of the following actions? *
1 point

Discuss her beliefs with the patient.

Request an ethics panel to convened to review the case
Ask the supervisor to assign another nurse to care
Leave the room during the time that the fetus is aborted.

65. Genetic therapy (stem cell) is a delicate topic for any health care professionals. It
is continually evolving; it is imperative that health care professionals remain
knowledgeable and updated with the issue. Which one of the following bases must be
prioritized involving the patient’s self –determination on this case? *
1 point

Trained experts and technician

Updated procedure and facilities
Securing voluntary consent and confidentiality
Competent practitioner

66. Refers to the behaviors, values, and attitudes that a society considers appropriate
for both male and female. *
1 point

Gender
Gender Identity
Gender roles
Biologic sex

67. Another assisted reproductive technology is through artificial insemination,

wherein deliberately a sperm is introduced into a female’s uterine cavity using a
syringe or tube. Which of the following realization of the nurse regarding moral
concern on religious theory is true? *
1 point

Control of population
Access to contraception
Rights of the woman to determination
The object for biological laboratory
68. A group of staff nurses assigned in the delivery room talked about abortion issues.
Which of the following is true of induced abortion in the Philippines and is considered
morally acceptable? *
1 point

It is moral because the fetus is just an extension of the mother in utero.

It is considered a criminal act because the unborn child has the right to life.
It is ethical because our laws do not grant the unborn child the legal right to life.
It is allowed because the mother has the right to decide about the right of her unborn child.

69. Two middle-aged women were discussing surrogacy. One of them plans to be a
surrogate mother and would like to bear her children without involving in any
relationship. Which of the following is true on the issues of a gestational surrogate
concerning parenthood duties? *
1 point

Commodities of women’s bodies

Trade for a low-income woman
Contracting parent denies the claim to the gestational carrier
Access to birth mother bearing children

70. A 25-year-old female who recently experienced date rape reports feeling irritable
all the time, and inability to fall asleep due to fear of dreaming. Which of the following
nursing interventions based on moral obligation most appropriate for the woman? *
1 point

Establish a contract that she will attend school classes regularly

Facilitate the exploration of primary and secondary gains related to the rape.
Review risk related to denial of a traumatic event.
Explore defensive response to physical attack.

71. Premarital sex among teenagers plays an impact on the issues of sex outside
marriage and sexuality especially in areas where social norms are expected. Which of
the following is true about natural law theory and is morally acceptable? *
1 point

Its usefulness outweighs its negative effect

The result of unwanted pregnancy
Right of an individual to conception
The sexual act meant in the sanctity of the marriage bond

72. Any embryonic stem cells can be used for research in some U.S. states. Which of
the following is true to the principle of autonomy regarding human embryonic cells
used for research? *
1 point
Consent and privacy are imperative.
The professional expertise of the procedure
Pushing science further in the future
Enhance curing therapy

73. Best friends Jill and Joy eagerly gazed towards random individuals passing by the
school canteen. Both noticed the similarity and form of ways being presented. Which
one of the following attributes defines and describes being bisexual? It is being: *
1 point

Erotic, romantic, and affectionate attraction toward the opposite sex.

Erotic, romantic, and affectionate attraction toward same sex.
Erotic, romantic, and affectionate attraction toward both genders.
Sexual attraction to animals.

74. A patient is admitted to the emergency department following sexual assault. Which
one of the following moral responsibilities of the nurse should be acknowledged as
most pertinent to crisis intervention? *
1 point

Provide patient information about sexually transmitted diseases

Understanding the patient’s perception of the incident
Recognize the patient’s history of relationships
Patient’s behavior before the assault

75. In the context of sexuality, sexual assault is an act in which unwanted sexual
touching is intended for another person without consent. Which one of the following is
NOT the role of the nurse in the care of a sexual assault victim? *
1 point

Obtain written, informed consent

Keep records confidential
Seek legal counsel when indicated
Be judgmental on circumstances
None of the above.

76. A nurse assists the physician in an abortion. The nurse may not perform the
abortion but is so closely involved (without providing support services, the abortion
likely would not occur) as to effectively intend it. This situation reflects the principle
of: *
1 point

Formal cooperation
Double effect
Utilitarianism
Stewardship
77. The decision of a mother to abort her pregnancy due to pathological tube or
ectopic pregnancy can be dominantly supported by the principle of? *
1 point

Formal cooperation
Double effect
Utilitarianism
Contractarianism
Stewardship

78. The daughter of a 90-year old vehicular accident is confused about whether to put
her father on a DNR order or proceed with medical treatment. She asked the nurse's
professional opinion. Which principle do you think can be most helpful? *
1 point

Double effect
Ordinary and extraordinary means
Utilitarianism
Autonomy

79. Nurse Jill is admitting a patient to her ward due to a suicide attempt. Jill knows that
there are ethical issues from what the patient had just experienced, and she is aware
that ethical principles should be observed. In discerning principles to prioritize, Jill
must observe and interpret the moral situation at hand and the least principle to mind
is: *
1 point

Autonomy
Non-maleficence
Beneficence
Fidelity

80. An 85-year-old man was met head-on by a Range Rover in a hit and run while
riding his bicycle home. At the hospital ICU, the doctor found out that the old man has
a fractured skull, a punctured lung, and a fractured femur. There is the possibility of
being brain dead. The relatives have no money to pay for the hospital expenses, so
the doctor offered the family options that the patient may no longer survive without life
support and he may not live a quality life. Soon the patient died without the provision
of life-saving measures and devices. This is a case of: *
1 point

Voluntary euthanasia
Active Euthanasia
Assisted suicide
Dysthanasia
Orthonasia

Miriam a 65-year-old brain cancer patient is at the fourth stage of her condition and
extremely in pain. She has undergone several procedures from brain surgery to
chemotherapy, she expressed to the health care team that she would like to die than
suffer. Miriam called the night shift nurse and told her feebly that her pain medication
no longer works. The nurse, in turn, referred it to the attending physician and ordered
triple the normal dose of narcotic pain medication. The nurse knows that the dose can
be fatal, but she administered it anyway for the reason that she cannot bear Miriam’s
suffering. Four hours later with the DNR order in place, Miriam died of respiratory
arrest possibly due to overdose. 81. In response to Miriam’s desire to end her life, as
an advocate, what best moral option(s) can the nurse advise avoiding unethical
resolutions? *
1 point

Spiritual counseling
Palliative care
Proxy agent
Living will
Advance directive

82. In Miriam’s case, the attending physician might be guilty of: *

1 point

Voluntary euthanasia
Active Euthanasia
Assisted suicide
Dysthanasia
Orthonasia

83. What principle might justify the nurse’s action to administer narcotic pain
medication? *
1 point

Beneficence
Common good
Legitimate cooperation
Double effect
Ordinary and extraordinary means

84. What advance directive do you think Miriam prepared before her death? *
1 point

A durable power of attorney

A medical power of attorney
Living will
Proxy agent

85. Miriam at her death bed died due to pulmonary arrest with DNR in place, it can
also be considered *
1 point

Suicide
Dysthanasia
Termination of Life-Sustaining Treatment
Orthonasia
Euthanasia

Ubec General Hospital’s ICU is overflowing with new patients, mostly COVID cases. A
patient recently died, hence provided a vacant bed, but the waiting list is immense, the
head nurse must make a difficult decision on which patient to admit. She requested
the waiting list’s patient information and assess each candidate, then decided that the
sickest should get in first. 86. The UBEC GH head nurse’s decision is an example of: *
1 point
Management of personal information
Allocation of scarce health resources
Ethico-moral responsibility of a nurse
Preserving dignity in death and dying
Exercising her responsibility and accountability

87. As part of her decision-making, the UBEC GH head nurse prominently applied the
principle of: *
1 point

Autonomy
Veracity
Non maleficence
Justice
Fidelity

88. If legally possible, when is it justifiable to discontinue life-sustaining treatments?  *

1 point

If the patient can make decisions

If the patient is mentally incompetent
When the family no longer cannot support the patient financially
When the patient terminally ill and heavily medicated with a narcotic pain reliever

A young woman, Amanda, is pregnant. She attends the antenatal clinic, where a nurse
takes her health history and runs a series of tests, such as blood, urine, and blood
pressure. She is counseled by the nurse on, among other things, the implications of
the human immunodeficiency virus (HIV) and of being tested for it. Although the nurse
has no reason to believe that Amanda has been exposed to HIV, she offers her an
HIV test. Amanda declines, as there seems to be no need for one. She is also aware
of the difficulties in paying for rent if she has this test. The blood sample taken by the
nurse is sent to a laboratory for analysis for hemoglobin content, rubella antibodies,
and syphilis. At the same time, a small amount of blood from this sample is placed in
an unnamed test tube which is then sent to a central laboratory to be tested for HIV.
The nurse is completely unaware that this has occurred so cannot inform Amanda.The
next time that Amanda visits the antenatal clinic the other blood results are returned to
her and, as they are normal, she continues with her pregnancy uneventfully. Unknown
to her the anonymous blood sample has been tested and found to be HIV antibody
positive and this is recorded at the DOH immunodeficiency syndrome (AIDS). The
information includes Amanda’s age range, her gender, and the geographical origin of
the sample. National surveillance center, where data on HIV and acquired
accompanying this sample; 89. What principle do you think applies to the implication
of the nurse’s action? *
1 point
Stewardship
Double effect
Legitimate cooperation
Subsidiary
Accountability and Responsibility

90. Having the sample recorded at the DOH national surveillance center violates: *
1 point

Non maleficence
Autonomy
Fidelity
Beneficence

91. The incident of subjecting Amanda’s blood sample for HIV testing without the
agreement of both client and nurse violates: *
1 point

Fidelity
Totality
Stewardship
Ordinary and extraordinary means
Justice

92. What do you think justifies the DOH National Surveillance center’s action? *
1 point

Autonomy
Beneficence
Veracity
Fidelity

93. In contrast to traditionalist moral righteousness, abortion may be ethically

permissible if: *
1 point

the woman is severely mentally defective

the woman already has more children than she can manage
the woman miscarriage and hemorrhagic
the fetus is believed to be defective

94. A bioethical issue should be described as: *

1 point

a. After patient consent, the physician’s disclosing all information to the family for their support in
the management of the client
b. Withdrawing of food and fluids as per request through advance directive made before being
incapacitated
c. A research project that includes treating men and women and not treating LGBT to compare
outcomes of COVID drug therapy.
d. Physician’s making all decision of client management without getting input from the client

95. A document that lists the medical treatment a person chooses to refuse if unable
to make decisions is the: *
1 point

A durable power of attorney

Living will
Advance directives
Informed consent

96. Nurse Matarlo noticed that patient Dela Cruz’s chart has a DNR directive attached
to it. One of nurse Matarlo’s responsibility is to: *
1 point

Withhold all treatments

Review and document goals of care with patient and family
Disable emergency call button of patient
Offer spiritual counseling
Discuss postmortem plan with family

97. A patient that is holding on to his life by a ventilator and weekly dialysis without the
possibility of a quality life is an example of: *
1 point

Advance directive
Orthonasia
End of life issue
Dythanasia
End-of-life care plan

98. Acquired immunodeficiency syndrome (AIDS) is considered an ethical dilemma,

the primary reason is that: *
1 point

AIDS does not have a cure

The manner which AIDS is acquired
Public health issue worldwide
It creates a societal stigma

99. A terminally ill patient expresses his wish to end his life believing it would
unburden his family. He asks the nurse to help him, the nurse declines but later gave
the patient a book describing what pills to use, writing a prescription, handing the
patient lethal drugs. The patient was able to get hold of a drug lethal enough that
brought to his death. This is an example of: *
1 point
Voluntary euthanasia
Passive euthanasia
Dysthanasia
Suicide
Orthonasia

100. When is it morally permissible to withdraw treatment? *

1 point

Patient’s prognosis is poor

Patient’s possibility of quality of life is poor
Patient’s proxy agent’s decision
Patients’ treatment is futile
Patient’s advance directive