All Free Nursing Management and Ethics MCQs with Answers

• A. Collect baseline data on current pressure injuries
• B. Purchase pressure-relieving mattresses for every bed
• C. Assign each nurse an additional patient
• D. Prepare a final report for hospital administration

Explanation: Planning begins with assessing the current situation and collecting relevant baseline information.

• A. Formal authority
• B. Expert authority
• C. Referent authority
• D. Personal authority

Explanation: Formal authority comes from an official position within the organisation.

• A. Unity of command
• B. Span of control
• C. Equity of treatment
• D. Division of work

Explanation: Unity of command means that a worker should receive orders from one designated supervisor.

• A. Transactional leadership
• B. Laissez-faire leadership
• C. Bureaucratic leadership
• D. Servant leadership

Explanation: Transactional leadership uses agreed goals, performance expectations and rewards or corrective actions.

• A. Giving nurses meaningful responsibility for a ward project
• B. Offering overtime pay for an extra night shift
• C. Issuing a warning after a late attendance record
• D. Changing the duty roster without staff discussion

Explanation: Intrinsic motivation comes from interest, achievement, responsibility and satisfaction in the work itself.

• A. Closed-loop communication
• B. One-way communication
• C. Informal communication
• D. Written communication

Explanation: Closed-loop communication requires the receiver to acknowledge or repeat the message and the sender to confirm its accuracy.

• A. Collaboration
• B. Avoidance
• C. Accommodation
• D. Competition

Explanation: Collaboration seeks a solution by considering the needs of all parties and using objective information.

• A. Span of control
• B. Unity of direction
• C. Scalar chain
• D. Authority gradient

Explanation: Span of control is the number of workers directly supervised by one manager.

• A. Observe the nurse's work and provide specific guidance
• B. Remove the nurse from all patient-care duties permanently
• C. Ignore the omissions until the annual appraisal
• D. Ask another nurse to complete every observation indefinitely

Explanation: Direct observation followed by specific guidance identifies the performance gap and supports improvement.

• A. Implement corrective measures and reassess compliance
• B. Write a general statement about improving patient safety
• C. Increase the number of beds in the ward
• D. Allow each nurse to choose a different checking method

Explanation: Controlling includes comparing performance with standards, correcting deviations and evaluating the results again.

• A. Perform it quickly under indirect supervision
• B. Refuse the task and notify the responsible supervisor
• C. Ask an untrained attendant to perform it
• D. Perform it and document that training was unavailable

Explanation: The nurse must practise within documented competence and authorized scope.

• A. Administer the injection because it is prescribed
• B. Ask a relative to give permission for the patient
• C. Explore the reason, inform the prescriber and document refusal
• D. Withhold all treatment until the patient changes the decision

Explanation: A capable adult has the legal right to refuse treatment after receiving appropriate information.

• A. Assault
• B. Battery
• C. Negligence
• D. False imprisonment

Explanation: Assault is a threat or action that creates reasonable fear of unwanted physical contact.

• A. A patient dislikes the taste of a prescribed medicine
• B. A nurse fails to raise side rails and a confused patient falls
• C. A patient refuses a treatment after informed discussion
• D. A nurse asks a colleague to verify an unclear order

Explanation: Negligence is a failure to provide the reasonable standard of care, resulting in possible harm.

• A. Insert it into the earlier note without identification
• B. Erase the earlier note and write a replacement
• C. Record a dated and timed late entry with factual details
• D. Ask another nurse to add the finding to the record

Explanation: A late entry should be clearly identified, dated and timed, and linked to the relevant assessment or event.

• A. Share the information because the staff member is employed there
• B. Share only the diagnosis and not the treatment plan
• C. Decline to disclose the information and protect confidentiality
• D. Give the information if the patient’s family is not nearby

Explanation: Patient information should be shared only with authorized persons who need it for care or another lawful purpose.

• A. It replaces the need for clinical competence
• B. It permits practice only within authorized professional limits
• C. It allows the nurse to prescribe every hospital medicine
• D. It prevents disciplinary action for documentation errors

Explanation: PNMC registration or licensing establishes professional authorization, but the nurse must still maintain competence and follow the scope…

• A. Allow the assistant to interpret every abnormal result
• B. Ensure the assistant is competent and review the findings
• C. Transfer all accountability to the assistant
• D. Avoid checking the result because the task was delegated

Explanation: Safe delegation requires selecting a competent person, giving clear instructions and supervising the task.

• A. Destroy informal notes to prevent confusion
• B. Discuss the complaint with uninvolved patients
• C. Preserve the records and report through the proper procedure
• D. Contact the complainant and argue about the allegation

Explanation: A complaint should be handled through the hospital’s reporting and investigation process, with records preserved and facts documented…

• A. Explain every surgical risk in place of the surgeon
• B. Witness the signature after checking that consent is voluntary
• C. Sign the form for a patient who is anxious
• D. Tell the patient that signing is required for all treatment

Explanation: The practitioner performing the procedure is responsible for explaining its nature, risks, benefits and alternatives.