NCLEX CRUSADE ACADEMY TEST - 5 ETHICAL PRINCIPLES + Q&A

1. An ethical dilemma occurs when: A nurse disagrees with a physician. Two or more ethical principles conflict. Hospital policy is unclear. A patient files a complaint.

2. In the infected wound case study, the conflict was between: Justice and Fidelity. Veracity and Justice. Beneficence and Autonomy. Confidentiality and Non-maleficence.

3. Autonomy refers to: Acting in the best interest of the hospital. The right of a competent individual to make decisions. Fair distribution of resources. Avoiding harm at all costs.

4. Non-maleficence requires the nurse to: Promote happiness. Ensure fairness. Do no harm. Tell the truth.

5. When a patient lacks capacity, which principle becomes priority?. Autonomy. Justice. Non-maleficence. Fidelity.

6. Justice in nursing practice primarily concerns: Loyalty to colleagues. Equality and fairness in treatment. Respecting refusals. Documentation accuracy.

7. Fidelity requires the nurse to: Tell the truth. Avoid harm. Keep promises. Follow hospital policy strictly.

8. Veracity requires: Loyalty. Truth-telling. Fair allocation. Avoiding confrontation.

9. Posting false accusations about a colleague online constitutes: Slander. Libel. Assault. Fidelity.

10. Spoken defamation is known as: Libel. Battery. Slander. Assault.

11. Leaving a computer logged in and visible in a hallway is a: Justice issue. HIPAA violation. Assault. Good Samaritan protection.

12. Only individuals directly involved in care have a right to know patient information. This reflects: Justice. Veracity. HIPAA confidentiality rule. Autonomy.

13. Malpractice differs from negligence because malpractice: Occurs without harm. Is criminal. Results in injury or harm. Involves intentional harm only.

14. Assault is defined as: Physical contact. Threat without physical contact. Written defamation. False imprisonment.

15. Administering medication without consent is considered: Assault. Libel. Battery. Negligence.

16. Blocking a competent patient from leaving AMA constitutes: Assault. False imprisonment. Battery. Negligence.

17. Good Samaritan Law applies when: On hospital duty. Off-duty providing emergency care outside hospital. During malpractice cases. During documentation errors.

18. Good Samaritan protection requires actions to be: Aggressive. Experimental. Reasonable and within scope. Physician-directed only.

19. The correct first step above the RN is: Director of Nursing. Charge Nurse. Nursing Supervisor. CNO.

20. Skipping a level in the chain of command may result in: Promotion. License upgrade. Job loss. Legal immunity.

21. If a Living Will conflicts with a Durable Power of Attorney (POA), priority goes to: Living Will. Physician. POA. Hospital ethics board.

22. A DNR order must be: Verbal only. Tattooed on body. Written original legal order. Family-approved verbally.

23. The provider is responsible for explaining: Only procedure name. Risks, benefits, alternatives. Signature verification. Witnessing only.

24. The nurses role in consent is to: Explain surgery details. Obtain signature independently. Witness and ensure competency. Provide sedation.

25. If a patient asks detailed risk questions during signing, the nurse should: Answer fully. Ignore question. Stop and call provider. Ask family.

26. Consent must be obtained before: Discharge. Sedation. Documentation. Physician rounds.

27. Patients under 18 generally require: RN consent. Parent/guardian consent. Verbal consent only. Case manager approval.

28. Emancipated minors include those who are: Students. Married or military. Over 16 only. Hospitalized.

29. Suspicion of child abuse requires: Assessment only. Documentation only. Mandatory reporting. Family discussion first.

30. Signs of an impaired colleague must be: Ignored. Privately discussed only. Reported immediately. Documented only.