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BS Nursing

5385 questions found

Practice Questions

7. You are documenting patient care in an electronic health record (EHR). You accidentally open the chart of another patient who is not assigned to your care. What is your immediate action to maintain confidentiality?

A. Continue to view the chart to understand EHR navigation
B. Close the incorrect chart immediately and report the incident to your supervisor
C. Inform your peer about the error
D. Ignore the mistake, as no information was processed
nmdcat.online BS Nursing
Jun 6, 2026

8. A patient on your ward begins to yell loudly, throwing objects and threatening staff. What is the first step in de-escalation when a patient becomes agitated?

A. Call for immediate physical restraint
B. Engage in active listening and attempt to identify the trigger
C. Yell back at the patient to gain control
D. Administer a sedative without verbal interaction
nmdcat.online BS Nursing
Jun 6, 2026

9. You are performing wound care on a diabetic patient. You notice purulent drainage and increased redness around the incision site, accompanied by a foul odor. What is your most appropriate action?

A. Continue with routine dressing change and monitor
B. Immediately notify the attending physician and document findings
C. Apply more antibiotic ointment and reassess later
D. Advise the patient to increase sugar intake to promote healing
nmdcat.online BS Nursing
Jun 6, 2026

10. A practicum student is tasked with educating a patient about their newly prescribed medication, a selective serotonin reuptake inhibitor (SSRI) for depression. What is a key teaching point regarding the onset of therapeutic effects?

A. The medication will immediately alleviate all symptoms
B. It may take several weeks (e.g., 2-4 weeks) to experience the full antidepressant effect
C. The medication will only work if taken with food
D. It will only work if combined with sedative medications
nmdcat.online BS Nursing
Jun 6, 2026

11. You are preparing to draw blood from a patient. The patient states they have a strong fear of needles and are starting to hyperventilate. What is your best initial response?

A. Tell them to calm down and just get it over with
B. Explain the procedure quickly and proceed with the venipuncture
C. Pause, acknowledge their fear, and teach/guide them through deep breathing exercises
D. Walk away and ask another colleague to draw the blood
nmdcat.online BS Nursing
Jun 6, 2026

12. A patient with a severe penicillin allergy is inadvertently given penicillin. What is your immediate priority?

A. Document the error meticulously
B. Notify the physician, prepare emergency medications (e.g., epinephrine), and monitor the patient for anaphylaxis
C. Monitor the patient for a few hours before reporting
D. Inform the patient that it was a minor mistake
nmdcat.online BS Nursing
Jun 6, 2026

13. During a counseling session, a client who identifies as LGBTQ+ expresses concerns about discrimination in their workplace. What is the most appropriate response demonstrating cultural competence?

A. Advise them to ignore the discrimination
B. Suggest they find a new job immediately
C. Acknowledge their experience, validate their feelings, and explore support systems or advocacy options
D. Tell them that everyone faces challenges at work
nmdcat.online BS Nursing
Jun 6, 2026

14. A patient’s electronic health record indicates a DNR (Do Not Resuscitate) order. The patient suddenly collapses and stops breathing. What is your immediate action?

A. Initiate CPR until a physician arrives
B. Respect the DNR order and provide comfort care
C. Call a code blue and begin resuscitation
D. Ask the family for clarification on the DNR order
nmdcat.online BS Nursing
Jun 6, 2026

15. You are taking a patient’s vital signs and notice their respiratory rate is 6 breaths per minute, and they are difficult to arouse. They recently received an opioid analgesic. What is your immediate concern and action?

A. The patient is sleeping soundly; continue to monitor
B. Respiratory depression; administer naloxone as per protocol/order and notify physician
C. The patient has a viral infection; provide fluids
D. The patient is experiencing a pain flare; administer more opioid
nmdcat.online BS Nursing
Jun 6, 2026

16. A patient asks you to keep a secret about their intent to self-harm. What is your ethical obligation in this situation?

A. Maintain confidentiality as requested
B. Inform your supervisor immediately, as client safety overrides confidentiality in this case
C. Advise the patient to tell someone else
D. Document the secret in a separate, locked file
nmdcat.online BS Nursing
Jun 6, 2026

17. When initiating therapeutic communication with a new patient, what is the most important aspect to establish?

A. Your educational background
B. A clear power dynamic
C. Trust and rapport
D. The patient's financial status
nmdcat.online BS Nursing
Jun 6, 2026

2. During a mental health practicum, your client, who has a history of major depressive disorder, confides that they have been having persistent thoughts of self-harm with a specific plan and means. What is your immediate ethical and clinical responsibility?

A. Document the statement in the chart for the supervisor to review later
B. Encourage the client to distract themselves from these thoughts
C. Assess the lethality of the plan and implement a safety protocol (e.g., hospitalization, constant observation)
D. Refer the client to a support group
nmdcat.online BS Nursing
Jun 6, 2026

5. You are assisting a physician with a sterile procedure. You notice that a sterile glove has touched the non-sterile bed rail. What is your immediate action?

A. Continue with the procedure, being careful not to touch it again
B. Inform the physician to proceed, as it's a minor contamination
C. Remove the contaminated glove, perform hand hygiene, and don a new sterile glove
D. Cover the contaminated area with a sterile towel
nmdcat.online BS Nursing
Jun 6, 2026

1. A 68-year-old male patient with a history of hypertension and diabetes is admitted to the emergency department complaining of sudden onset chest pain, shortness of breath, and diaphoresis. His blood pressure is 90/60 mmHg, and heart rate is 110 bpm. What is the immediate nursing priority?

A. Administer pain medication as ordered
B. Obtain a detailed medical history
C. Initiate continuous cardiac monitoring and prepare for oxygen administration
D. Educate the patient on lifestyle modifications
nmdcat.online BS Nursing
Jun 6, 2026

196. A community health nurse is providing education about sexually transmitted infections (STIs). What is a critical teaching point regarding STI testing?

A. Testing is only for symptomatic individuals
B. Regular testing is important for sexually active individuals, even if asymptomatic
C. Testing is not necessary
D. Testing can be done only in hospitals
nmdcat.online BS Nursing
Jun 6, 2026

197. A community health nurse is working with a pregnant woman who has limited access to prenatal care. What is a critical intervention?

A. Advising her to skip prenatal appointments
B. Connecting her with free or low-cost prenatal clinics and transportation assistance
C. Telling her to rely on self-care
D. Ignoring the lack of access
nmdcat.online BS Nursing
Jun 6, 2026

198. A home care patient with chronic pain is prescribed a non-opioid analgesic (e.g., NSAID). They report stomach upset. What medicinal advice should the nurse provide?

A. Stop the medication immediately
B. Take the medication with food or milk, and report persistent side effects to the physician
C. Take on an empty stomach
D. Take a larger dose
nmdcat.online BS Nursing
Jun 6, 2026
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