Saudi Prometric Nursing Patient Safety and Ethics 3

Question 1

A patient refuses a blood transfusion on religious grounds despite a life-threatening hemorrhage. What is the nurse's primary ethical obligation?

Accepted Answer

Respect the patient's autonomy and document the refusal

Answer

Respecting autonomy means honoring a competent adult's informed refusal even when the nurse disagrees with the choice.

Question 2

Which action by a nurse BEST demonstrates the ethical principle of justice in patient care?

Accepted Answer

Allocating care based on severity of need regardless of social status

Answer

Justice requires fair distribution of care based on clinical need, not social or financial factors.

Question 3

A nurse discovers that a colleague administered the wrong medication dose but the patient appears unharmed. What should the nurse do FIRST?

Accepted Answer

Report the incident to the charge nurse and complete an incident report

Answer

Near-miss and adverse events must be reported through official channels to prevent recurrence, regardless of patient outcome.

Question 4

Under the SCFHS code of conduct, a nurse is ethically required to maintain patient confidentiality EXCEPT when:

Accepted Answer

There is a duty to warn about imminent danger to others

Answer

Confidentiality may be breached when there is a serious and credible threat to the safety of others.

Question 5

Which element is ESSENTIAL for obtaining valid informed consent from a patient?

Accepted Answer

Patient's voluntary agreement after receiving adequate information

Answer

Valid informed consent requires that the patient is competent, adequately informed, and agrees voluntarily without coercion.

Saudi Prometric Nursing Practice Test