1. You are short-staffed and need to reassign patients.

What is the best approach?

A.Assign all patients to the most experienced nurse
B.Assign patients based on each nurse's skill level and workload
C.Reassign patients randomly
D. Close admissions to avoid further strain
2. A nurse falls to complete documentation before the end of their shift. How do you address this
issue?
A.Criticize the nurse in front of their peers
B.Remind the nurse privately about the importance of timely documentation and explore barriers
C.Do the documentation for the nurse
D. Ignore it and hope it doesn't happen again
3. During a critical staffing shortage, a nurse refuses to work overtime. What should be your initial
response?
A.Force the nurse to work overtime
B.Respect the nurse's decision and seek alternative staffing solutions
C.Write up the nurse for insubordination
D.Threaten disciplinary action if they don't comply
4. A new policy requires nurses to document patient care electronically, but some staff are resistant
to the change. How do you handle this?
A.Offer training and support for staff to become comfortable with the new system
B.Ignore the resistance and force staff to comply
C.Allow staff to choose between electronic and paper documentation
D. Delay the policy until everyone is ready
5. You witness a nurse violating infection control protocols. What should you do?
A. Report the nurse immediately
B.Address the issue with the nurse privately and provide a refresher on infection control
C. Ignore the violation unless it becomes a frequent occurrence
D. Discipline the nurse without warning
Situation: Managing various challenges in an institution
6. A nurse on your team reports burnout, How do you best support them?
A.Assign fewer patients to the nurse immediately
B.Recommend the nurse use their time off for self-care and discuss strategies for reducing stress
C.Tell the nurse to manage their stress better
D.Refer the nurse to HR for counseling
7. A patient with a complex care plan is being discharged, and the primary nurse is unavailable.
What should you do?
A.Delay the discharge until the primary nurse returns
B.Ensure another nurse familiar with the care plan can handle the discharge appropriately
C.Discharge the patient without further care instructions
D. Contact the physician to cancel the discharge
8. A nursing study investigates how nurses' workload impacts the incidence of medication errors.
The incidence of medication errors is the:
A. Independent variable
B. Dependent variable
C. Confounding variable
D. Control variable
9. In a study on infection rates in two hospitals, researchers control for factors like patient age and
gender. These factors are known as:
A. Independent variables
B. Dependent variables
C. Control variables
D. Confounding variables
10. A researcher selects every 10th patient from a list of hospital admissions. This is an example of:
A. Random sampling
B. Stratified sampling
C. Systematic sampling
D. Convenience sampling
11. Which term refers to a type of qualitative research that focuses on describing cultural
phenomena within a group?
A. Grounded theory
B. Case study
C. Ethnography
D. Phenomenology
12. A nurse researcher collects data by observing nurse-patient interactions without intervening.
This type of research is:
A. Experimental
B. Descriptive
C. Quasi-experimental
D. Historical
13. In a research study, which strategy is used to minimize the impact of extraneous variables?
A. Randomization
B. Observation
C. Replication
D. Case-control matching
14. A nurse is conducting a study using grounded theory methodology. What is the primary goal
of this type of research?
A. To develop a theory based on data
B. To test an existing theory
C. To describe lived experiences
D. To study cultural phenomena
15. A researcher is testing the effect of a new patient education program on adherence to treatment.
The new program is considered the:
A. Independent variable
B. Dependent variable
C. Confounding variable
D. Extraneous variable
16. Which term refers to the use of both quantitative and qualitative methods in a single study to
provide a more comprehensive understanding of a research problem?
A. Meta-analysis
B. Mixed-methods research
C. Cross-sectional study
D. Randomized controlled trial
Situation: Research a method to improve care
17. In a study of patients with heart disease, researchers select participants based on their diagnosis.
They then assess the participants' previous lifestyle factors, This is an example of:
A. Cross-sectional study
B. Case-control study
C. Cohort study
D. Longitudinal study
18. A nurse researcher conducts a study to evaluate patient satisfaction with care. After the study,
the researcher analyzes data using inferential statistics. Which of the following is an example of
inferential statistics?
A. Mean and standard deviation central Tendencies
B. Frequency distribution
C. T-test and confidence intervals
D. Range and interquartile range
19. A patient refuses a life-saving surgery due to religious beliefs. As a nurse, what is the best
action?
A. Persuade the patient to accept the surgery.
B. Respect the patient's decision and document it.
C. Ask the family to convince the patient.
D. Proceed with the surgery since it is life-saving.
20. You observe a colleague administering the wrong medication. What should you do first?
A. Report the incident to the hospital administrator.
B. Confront the nurse and correct the mistake immediately.
C. Document the error and submit it later.
D. Inform the patient about the mistake.
Situation: Ethical decision making
21. A family asks you to withhold a terminal diagnosis from the patient. What is your best course of
action?
A. Follow the family's wishes.
B. Inform the patient of their right to know their diagnosis.
C. Ask the physician for advice.
D. Document the family's request and withhold the information.
22. If a nurse is caught falsifying patient records, what is the best ethical response?
A. Ignore it to avoid conflict.
B. Report the incident to your supervisor.
C. Talk to the nurse privately.
D. Correct the record without reporting the incident.
23. A patient confides in you about being abused by a family member. What is your primary ethical
obligation?
A. Keep the information confidential.
B. Report the abuse to the proper authorities.
C. Speak to the family member directly.
D. Discuss the situation with your co-workers.
24. If you disagree with a physician's order, what should you do first?
A.Refuse to carry out the order.
B.Discuss your concerns with the physician.
C.Report the order to a supervisor.
D.Document your disagreement and proceed with the order
25. Which ethical principle is violated when a nurse discloses a patient's private health information
without consent?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Confidentiality
26. A colleague is frequently late, affecting patient care. What is your ethical responsibility?
A. Ignore the situation.
B. Report the issue to your supervisor.
C. Talk to the colleague privately.
D. Discuss the issue with other co-workers.
27. You are assigned to care for a patient with a contagious disease, but you feel uncomfortable.
What is the best action?
A. Refuse the assignment.
B. Request reassignment from your supervisor.
C. Wear proper protective equipment and provide care.
D. Call in sick to avoid the situation.
Situation: Professional undertakings of nurses
28. A nurse is found guilty of professional misconduct. What authority handles cases like this in the
Philippines?
A. Department of Health
B. Philippine Nurses Association
C. Professional Regulation Commission (PRC)
D. The hospital administration
29. You are caring for a patient who refuses treatment based on their cultural beliefs. What is your
role?
A. Educate the patient on why the treatment is necessary.
B. Respect their beliefs and offer alternative care options.
C. Involve the family in convincing the patient.
D. Administer treatment regardless of refusal.
30. A physician orders a dose of medication that is higher than usual. What is your first course of
action?
A. Administer the medication as ordered.
B. Contact the pharmacy for clarification.
C. Discuss the order with the physician.
D. Document your concerns in the patient's chart.
31. Which of the following is the primary ethical principle involved in obtaining informed consent?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
32. A patient refuses a blood transfusion for religious reasons. What should you do as a nurse?
A. Persuade the patient to reconsider.
B. Respect the patient's decision and document it.
C. Seek permission from the family to override the patient's wishes.
D. Report the refusal to your supervisor and proceed as ordered.
33. A nurse overhears another nurse gossiping about a patient's condition. What should you do?
A. Report the nurse to a supervisor.
B. Ignore the situation.
C. Confront the nurse and remind them of patient confidentiality.
D. Join the conversation to gather more information.
34. If a patient ask about their prognosis, but the family insists on keeping it a secret, what should
you do?
A.Respect the family's request.
B.Discuss the ethical dilemma with heir heath-care team.
C.Tell the patient the truth about their prognosis.
D.Document the family's request and avoid telling the patient.
35. A patient who is dying requests to be discharged against medical advice. What is your best
action?
A. Explain the risks of leaving the hospital.
B. Discharge the patient immediately.
C. Contact the family to persuade the patient to stay.
D. Refuse to discharge the patient.
36. If you make a medication error, what is your first ethical obligation?
A. Report the error to your supervisor.
B. Document it in the patient's chart.
C. Inform the patient about the error.
D. Wait to see if any adverse effects occur.
37. A nurse is asked to participate in an assisted suicide. What is the ethical response?
A. Follow the patient's wishes,
B. Refuse to participate, citing ethical standards.
C. Ask the family for their input.
D. Refer the case to the hospital's ethics committee.
38. What principle ensures that a nurse treats all patients fairly, regardless of their socioeconomic
status?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Fidelity
Situation: Decision making
39. Which of the following is an example of an ethical breach in patient care?
A. A nurse explains a procedure thoroughly before performing it.
B.A nurse administers medication without checking the patient’s allergies
C. A nurse maintains patient confidentiality at all times.
D. A nurse seeks the patient's consent before any intervention.
40. A terminally ill patient expresses their desire for comfort care only. What is the nurse's
responsibility?
A.Convince the patient to pursue aggressive treatment.
B.Honor the patient's wishes and ensure comfort measures are implemented.
C.Ask the family to intervene.
D.Refer the case to the physician for review.
41. When is it ethically acceptable for a nurse to break patient confidentiality?
A. When a family member asks for information.
B. When a patient's condition improves.
C. When required by law to protect the patient or others.
D. When another healthcare provider is curious.
Situation: Ethics in nursing practice
42. A nurse feels personally connected to a patient and begins to show favoritism. Which ethical
principle is compromised?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Fidelity
43. A patient request to view their medical record.
What is the nurse's appropriate response?
A.Refuse the request.
B. Allow the patient to view the record after obtaining proper authorization.
C. Tell the patient to ask the doctor.
D.Provide a copy without informing anyone.
44. What ethical principle is applied when a nurse prevents harm to a patient during care?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
45. If a nurse has personal beliefs that conflict with a patient's care plan (e.g., administering birth
control), what is the ethical course of action?
A. Refuse to care for the patient.
B. Assign the patient to another nurse.
C. Provide care without imposing personal beliefs.
D. Discuss the issue with the patient and try to change their mind.
46. A nurse manager notices a rise in medication errors on the unit. What should be the first step?
A. Reprimand the staff.
B. Conduct a root cause analysis to determine the source
C. Implement stricter policies immediately.
D. Reduce staffing levels to prevent overwork.
47. What is the main purpose of conducting a performance appraisal for nursing staff?
A. To identify staff to promote or demote.
B. To document employee behavior for legal purposes.
C. To provide feedback for professional development.
D. To increase staff workload.
48. If a nurse consistently fails to meet unit standards, what is the nurse manager's best course of
action during the performance appraisal?
A.Terminate the nurse's contract.
B.Provide specific examples of underperformance and offer a development plan.
C.Reduce the nurse's hours until performance improves.
D.Avoid discussing the issue to prevent conflict.
49. When implementing a new policy on infection control, what is the nurse manager's primary
responsibility?
A.Train staff and ensure understanding of the new policy.
B.Enforce the policy without informing staff.
C.Monitor staff closely for non-compliance.
D.Report non-compliance to higher authorities immediately.
50. A nurse receives high performance ratings but has frequent complaints from patients. What
should the nurse manager do?
A.Ignore the complaints since the ratings are good.
B.Address the complaints during the performance review and offer constructive feedback.
C. Reason the nurse publicly
Reassign the nurse to a less demanding unit.
51. A unit has experienced several patient falls recently. What is the first step for the nurse manager
in improving safety?
A.Blame staff for negligence.
B.Analyze the circumstances of each fall and implement fall-prevention measures.
C.Increase disciplinary actions.
D.Assign one nurse to monitor fall risks.
Situation: Various concepts in health care settings
52. A staff member's performance is deteriorating due to personal stress. During the performance
appraisal, the nurse manager should:
A. Focus only on the staff member's professional
performance.
B.Discuss the impact of personal issues on work performance and offer support.
C. Ignore the personal Issues to avoid awkwardness.
D. Terminate the staff member immediately.
53. A nurse consistently fails to complete documentation on time. During the performance review,
the nurse manager should:
A.Focus on other positive aspects of the nurse's performance.
B.Provide constructive feedback and discuss strategies to improve documentation habits.
C. Ignore the issue to maintain good rapport.
D. Assign documentation duties to another nurse.
54. In a 360-degree performance appraisal, feedback is collected from:
A.Only the nurse manager.
B. A combination of peers, subordinates, supervisors, and sometimes patients.
C.The nurse's self-assessment only.
D. Patients exclusively.
55. A nurse manager wants to improve staff engagement in decision-making. What is the most
effective strategy?
A. Hold regular staff meetings to gather input on unit decisions.
B. Make decisions independently and inform staff afterward.
C. Create a suggestion box for anonymous feedback.
D.Delegate all decisions to the nurse supervisor.
56. A nurse manager identifies an increase in patient complaints regarding care. What is the first
step in addressing this quality issue?
A. Investigate the root causes of the complaints.
B. Blame staff and reprimand them immediately.
C. Change all protocols without staff input.
D. Ignore the complaints and hope they decrease.
57. What is the most appropriate action for a nurse manager to take when a staff member makes a
medication error?
A.Issue a formal reprimand without further discussion.
B. Conduct a non-punitive discussion to understand the error and prevent future occurrences.
C.Report the staff member to the regulatory body.
D.Ignore the error if no harm occurred.
58. During a staff meeting, a nurse manager presents new safety protocols. What is the best way to
ensure adherence to the protocols?
A.Provide thorough training and offer opportunities for staff to ask questions.
B.Mandate compliance without explanation.
C.Monitor staff closely and reprimand non-compliance.
D.Give staff minimal information to avoid confusion.
59. A nurse manager receives feedback from multiple sources indicating that a nurse struggles with
communication. What is the best way to address this during a performance review?
A. Provide constructive feedback and suggest communication training.
B. Focus on the nurse's strengths and avoid mentioning communication.
С.Issue a formal warning without discussion.
D. Transfer the nurse to a less interactive role.
Situation: Various challenges involving managerial
skills
60. Which of the following is the most effective way to improve staff retention in a nursing unit?
A. Increase salaries without changing working conditions.
B.Offer professional development opportunities and recognize staff achievements.
C. Reduce staff workload without additional support.
Decrease paid time off to cut costs.
61. A nurse manager notices a decrease in team morale. What is the best approach to address this?
A. Ignore the issue as morale usually fluctuates.
B. Hold a staff meeting to discuss concerns and potential solutions.
C.Increase workload to push staff to perform better.
D.Individually reprimand team members who seem disengaged.
62. A nurse manager is conducting a performance appraisal and the nurse becomes defensive. What
should the nurse manager do?
A.Postpone the appraisal.
B. Continue the appraisal and remain focused on constructive, evidence-based feedback.
C.Argue with the nurse to clarify points.
D.Terminate the appraisal and report the behavior.
63. A nurse manager wants to introduce a new electronic record system. What is the best approach
to ensure a smooth transition?
A.Implement the system without staff input.
B. Provide comprehensive training and offer technical support during implementation.
C.Allow staff to use both the old and new systems.
D. Increase patient load to encourage staff efficiency.
Situation: Performance appraisal
64. In a performance appraisal, a nurse's peers note a lack of teamwork. What is the most
appropriate feedback for the nurse manager to give?
A."Your teamwork skills need improvement, and we will work on that together."
B."Ignore your peers, just focus on your individual tasks."
C."Teamwork doesn't matter as much as individual performance."
D."You're doing fine, don't worry about it."
65. A nurse manager is creating a performance improvement plan for a nurse with frequent
absences. What should the plan focus on?
A.Providing punishment for past behavior.
B.Setting clear attendance expectations and offering support.
C.Threatening termination if absences continue.
D.Reducing the nurse's hours to avoid further absences.
66. Which of the following is a key component of performance appraisals?
A.Highlighting only negative behaviors.
B.Evaluating both strengths and areas for development.
C.Focusing solely on clinical skills.
D. Ignoring peer feedback.
67. During a performance appraisal, a nurse asks for feedback on leadership skills. What is the most
appropriate response by the nurse manager?
A."You are not in a leadership position, so this doesn't apply."
B."You've demonstrated leadership by mentoring junior nurses."
C."Leadership is not something we evaluate during appraisals."
D."I'll discuss this with higher management."
68. A nurse manager notices that staff morale is declining due to workload stress. What is the best
course of action?
A.Ignore the issue as staff should adjust ,
B.Acknowledge the Issue and discuss workload management strategies with staff,
C.Increase workload further to test resilience.
D.Reassign staff members without informing them.
69. What is the most important aspect of a performance improvement plan (PIP) for a nurse
struggling with clinical skills?
A.Punitive actions to prevent further mistakes.
B.Setting clear goals and providing ongoing mentorship.
C.Immediate dismissal from clinical duties.
D.Reducing the nurse's responsibilities indefinitely.
70. When preparing for a staff performance appraisal, a nurse manager should:
A.Base the appraisal solely on recent performance.
B.Review the entire year's performance, including feedback from various sources.
C.Use only patient feedback for evaluation.
D.Focus on personal relationships with the staff member.
71. A new nurse is overwhelmed by patient assignments. What is the best response from the nurse
manager during a performance review?
A."This job is stressful for everyone; you need to adjust."
B."Let's discuss time management strategies and provide additional support."
C."You should request fewer patients to manage your workload."
D."You need to take time off to reflect on your performance."
Situation: Legal and ethical issues among nurses
72. A nurse documents a patient's care in a public forum online. Which legal principle has the nurse
violated?
A. Autonomy
B. Confidentiality
C. Beneficence
D. Nonmaleficence
73. A nurse fails to perform a safety check on a medication dosage, and the patient suffers harm.
Which legal principle is in question?
A. Negligence
B. Informed Consent
C. Scope of Practice
D. Patient Abandonment
74. A patient refuses surgery, but the surgeon proceeds without consent. What is the surgeon liable
for?
A. Battery
B. Negligence
C. Assault
D. Malpractice
75. A nurse administers the wrong medication, leading to patient harm. Which of the following
could the nurse be accused of?
A. Defamation
B. Invasion of Privacy
C. Malpractice
D. Slander
76. A nurse refuses to care for a patient because of the patient's cultural background. This is an
example of:
A. Negligence
B. Discrimination
C. Beneficence
D. Defamation
77. In which of the following scenarios would a nurse be legally protected under the Good
Samaritan law?
A. Providing CPR to a stranger in a shopping mall
B. Administering a medication without physician's orders in a hospital
C. Refusing to help in an emergency
D. Performing a medical procedure they are not trained for
Situation: Critical thinking among nurses
78. A nurse notices a colleague consistently arrives to work under the influence of alcohol. The
nurse's legal responsibility is to:
A. Confront the colleague directly
B. Notify the nursing supervisor
C. Ignore the situation
D. Report the colleague to the patient
79. Which of the following actions could result in a charge of patient abandonment?
A. Leaving the patient without notifying the charge nurse
B. Asking for a transfer to another unit
C. Taking a scheduled break during shift
D. Documenting incomplete information
80. What is the nurse's duty when a patient refuses treatment?
A. Administer treatment regardless of refusal
B. Inform the patient of the consequences of refusal
C. Ignore the refusal and report it later
D. Discharge the patient immediately
81. A nurse delegates a task to an NA. The NA performs the task incorrectly and the patient is
harmed. Who is liable?
A. The NA
B. The patient
C. The nurse
D. The charge nurse
82. A nurse falsely documents care they did not provide.
This could be considered:
A. Slander
B. Fraud
C. Malpractice
D. Negligence
83. A nurse discusses a patient's health condition in an elevator. This violates:
A. Negligence
B. Defamation
C. Code of Ethics
D. Assault
Situation: Legal liabilities among nurses
84. What is the first action a nurse should take when witnessing unethical behavior by another
nurse?
A. Report it to the charge nurse
B. Directly confront the nurse involved
C. Document the behavior
D. Discuss it with the patient
85. A patient is to sign an informed consent form. Who is responsible for explaining the procedure
and obtaining the consent?
A. The nurse
B. The physician
C. The charge nurse
D. The hospital administrator
86. A nurse is assigned to a procedure outside their scope of practice. The nurse should:
A. Attempt the procedure
B. Refuse the assignment
C. Delegate the task to a colleague
D. Perform the procedure under supervision
87. A patient threatens to sue a nurse for improper care. The nurse's best defense would be:
A. Following hospital policies
B. Documenting the care accurately
C. Asking for legal representation
D. Denying the claims
88. A nurse assists in a minor procedure without obtaining verbal or written consent. This is an
example of:
A. Assault
B. Battery
C. Malpractice
D. Negligence
89. A nurse leaves a postoperative patient in severe pain without providing pain medication. This is
an example Of:
A. Negligence
B. Malpractice
C. Assault
D. Patient abandonment
90. A nurse gives a medication despite the patient's refusal. This could be legally defined as:
A.Assault
B. Battery
C. Negligence
D. Slander
91. When must a nurse complete an incident report?
A. When the patient experiences no harm
B. Only if the patient files a complaint
C. When an unexpected event occurs
D. Only if instructed by a physician
Situation: Laws and liabilities among nurses
92. A nurse is found providing patient information to a family member without consent. This
violates which law?
A. Tort Law
B. Statutory Law
C. Code of Ethics
D. Nurse Practice Act
93. A patient demands their medical record. The nurse should:
A. Refuse access
B. Direct the patient to medical records
C. Provide a copy immediately
D. Inform the patient they need a lawyer
94. A nurse accidentally administers the wrong medication. The nurse should:
A. Report the error immediately
B. Ignore the error if there are no effects
C. Hide the error from colleagues
D. Inform the patient's family
95. A nurse witnesses a colleague verbally abuse a patient. What is the nurse's legal obligation?
A. Ignore the situation
B. Report the incident
C. Confront the colleague
D. File a police report
96. A nurse's personal opinion about a patient's lifestyle interferes with care. This violates the
principle of:
A. Autonomy
B. Nonmaleficence
C. Justice
D. Beneficence
97. A nurse follows a physician's order to administer a medication without questioning the dosage.
The patient suffers an adverse effect. The nurse could be found guilty of:
A. Patient abandonment
B. Failure to question an inappropriate order
C. Failure to delegate
D. Fraud
98. A nurse discharges a patient without a proper assessment, leading to complications. This is an
example of:
A. Malpractice
B. Battery
C. Assault
D. Fraud
99. A nurse provides care to a patient while under the influence of alcohol. This is considered:
A. Negligence
B. Malpractice
C. Impaired practice
D. Fraud
100. A nurse witnesses an accident on the street and helps provide care. This action is covered
under:
A. Tort law
B. Good Samaritan Principle
C. Nurse Practice Act
D. Code of Ethics
101. A nurse forgets to inform the patients of the risks of a procedure. This could be a violation of:
A. Autonomy
B. Informed Consent
C. Scope of Practice
D. Confidentiality
102. A nurse documents a patient's care in a public forum online. Which legal principle has the
nurse violated?
A. Autonomy
B. Confidentiality
C. Beneficence
D. Nonmaleficence
103. A nurse fails to perform a safety check on a medication dosage, and the patient suffers harm.
Which legal principle is in question?
A. Negligence
B. Informed Consent
C. Scope of Practice
D. Patient Abandonment
104. A patient refuses surgery, but the surgeon proceeds without consent. What is the surgeon liable
for?
A. Battery
B. Negligence
C. Assault
D. Malpractice
105. A nurse administers the wrong medication, leading to patient harm. Which of the following
could the nurse be accused of?
A. Defamation
B. Invasion of Privacy
C. Malpractice
D. Slander
106. A nurse refuses to care for a patient because of the patient's cultural background. This is an
example of:
A. Negligence
B. Discrimination
C. Beneficence
D. Defamation
107. In which of the following scenarios would a nurse be legally protected under the Good
Samaritan law?
A.Providing CPR to a stranger in a shopping mall
B. Administering a medication without physician's orders in a hospital
C.Refusing to help in an emergency
D. Performing a medical procedure they are not trained for
108. A nurse notices a colleague consistently arrives to work under the influence of alcohol. The
nurse's legal responsibility is to:
A. Confront the colleague directly
B. Notify the nursing supervisor
C. Ignore the situation
D. Report the colleague to the patient
109. Which of the following actions could result in a charge of patient abandonment?
A. Leaving the patient without notifying the charge nurse
B. Asking for a transfer to another unit
C. Taking a scheduled break during shift
D. Documenting incomplete information
110. What is the nurse's duty when a patient refuses treatment?
A. Administer treatment regardless of refusal
B, Inform the patient of the consequences of refusal
C. Ignore the refusal and report it later
D. Discharge the patient immediately