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Clinical Practicum

200 questions found

Practice Questions

23. You are discharging a patient on a new medication. The patient has limited English proficiency. What is the most effective strategy to ensure proper medication education?

A. Speak louder and slower in English
B. Use a professional medical interpreter to translate instructions
C. Provide written instructions only in English
D. Ask the patient's child to translate
nmdcat.online BS Nursing
Jun 6, 2026

24. A client expresses suicidal ideation during an intake session but denies having a plan. They agree to a safety plan. What is the most important next step after developing the safety plan?

A. Schedule their next appointment for a month later
B. Follow up frequently to assess for escalating risk and plan adherence, and involve supervisor/team
C. Assume the safety plan has eliminated all risk
D. Disclose the information to all their friends and family
nmdcat.online BS Nursing
Jun 6, 2026

25. You are about to administer medication through a nasogastric (NG) tube. After checking placement, what is the next technical step before administering the medication?

A. Flush the tube with 60 mL of sterile water
B. Crush all medications together and mix with juice
C. Elevate the head of the bed to at least 30-45 degrees
D. Clamp the tube immediately after medication administration
nmdcat.online BS Nursing
Jun 6, 2026

27. A client in a therapy session becomes visibly distressed, crying uncontrollably and unable to speak. What is your most appropriate therapeutic response?

A. Hand them a tissue and say nothing
B. Offer a brief, empathetic statement, and allow them space to compose themselves
C. Tell them to stop crying and pull themselves together
D. Change the subject to something lighter
nmdcat.online BS Nursing
Jun 6, 2026

28. You are about to transfer a patient from the bed to a wheelchair. The patient is weak on one side. What is your critical safety consideration?

A. Ask the patient to transfer themselves
B. Ensure the wheelchair is unlocked and far from the bed
C. Use a gait belt and ensure the wheelchair is locked and positioned correctly
D. Have the patient stand up quickly
nmdcat.online BS Nursing
Jun 6, 2026

29. A patient is prescribed Warfarin (Coumadin), an anticoagulant. What dietary education is crucial to provide?

A. Encourage consumption of leafy green vegetables
B. Limit intake of foods high in Vitamin K
C. Increase intake of grapefruit juice
D. Avoid all dairy products
nmdcat.online BS Nursing
Jun 6, 2026

30. During a practicum, you are asked to conduct a brief cognitive screening using the Mini-Mental State Examination (MMSE). What does this tool primarily assess?

A. Mood and affect
B. Personality traits
C. Cognitive function (e.g., orientation, memory, attention)
D. Physical dexterity
nmdcat.online BS Nursing
Jun 6, 2026

31. A patient complains of sudden, severe, unilateral headache, blurred vision, and a stiff neck. You suspect a subarachnoid hemorrhage. What is the urgency level?

A. Routine; can wait until morning rounds
B. Moderate; can be managed with over-the-counter pain relievers
C. High; requires immediate medical evaluation and imaging
D. Low; likely a tension headache
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

18. You are observing a patient with a severe allergy to peanuts. They accidentally consume food containing peanuts and begin to develop hives, swelling of the lips, and difficulty breathing. What is the first immediate intervention?

A. Administer an oral antihistamine
B. Monitor for further symptoms
C. Administer epinephrine via auto-injector (if available and trained) or call for immediate medical assistance
D. Provide a glass of water
nmdcat.online BS Nursing
Jun 6, 2026

20. A practicum student is asked to document a patient’s emotional state. Which description is most objective and appropriate?

A. "Patient seems sad and withdrawn."
B. "Patient states, 'I feel like crying,' and maintains minimal eye contact."
C. "Patient has a negative attitude."
D. "Patient is experiencing melancholia."
nmdcat.online BS Nursing
Jun 6, 2026

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
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