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Clinical Practicum

200 questions found

Practice Questions

119. A patient is on telemetry monitoring. You observe a sudden change in their cardiac rhythm to ventricular fibrillation. What is your immediate action?

A. Call the patient's family
B. Begin chest compressions and call for a defibrillator
C. Monitor the rhythm for a few minutes
D. Document the rhythm change only
nmdcat.online BS Nursing
Jun 6, 2026

120. When performing a sterile procedure, maintaining a 1-inch border around the edge of a sterile field is considered:

A. A contaminated area
B. A safe area for non-sterile items
C. Part of the sterile field
D. An area for discarded supplies
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

123. A patient is experiencing severe anxiety and agitation. What is the least restrictive initial de-escalation technique?

A. Physical restraint
B. Seclusion
C. Verbal de-escalation and offering PRN medication
D. Yelling at the patient
nmdcat.online BS Nursing
Jun 6, 2026

124. You are providing care to a patient who requires oxygen therapy. What is the critical safety precaution for oxygen use?

A. Allow smoking in the room
B. Ensure no open flames or smoking is near the oxygen
C. Keep oxygen tanks upright and unsecured
D. Store oxygen in direct sunlight
nmdcat.online BS Nursing
Jun 6, 2026

125. A practicum student is tasked with performing a basic physical assessment. What is the correct order of traditional physical assessment techniques?

A. Palpation, inspection, percussion, auscultation
B. Inspection, palpation, percussion, auscultation
C. Auscultation, percussion, palpation, inspection
D. Percussion, auscultation, inspection, palpation
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

112. You are preparing to administer subcutaneous (SQ) insulin. What is the appropriate needle angle for injection?

A. 15 degrees
B. 30 degrees
C. 45 or 90 degrees, depending on fat thickness
D. 90 degrees only
nmdcat.online BS Nursing
Jun 6, 2026

113. A patient suddenly experiences loss of motor function on one side of their body, facial drooping, and slurred speech. What is your immediate suspicion and action?

A. Myocardial Infarction; administer oxygen
B. Stroke; activate stroke team and prepare for rapid assessment/imaging
C. Seizure; protect from injury
D. Hypoglycemia; administer glucose
nmdcat.online BS Nursing
Jun 6, 2026

114. In mental health, the concept of “duty to warn” (Tarasoff ruling) refers to:

A. The obligation to report all client secrets
B. The obligation to warn an identifiable third party if a client expresses a serious threat of violence against them
C. The obligation to warn clients about the risks of therapy
D. The obligation to warn families about client's financial issues
nmdcat.online BS Nursing
Jun 6, 2026

115. A patient with asthma is prescribed an inhaled corticosteroid. What is a critical teaching point for this medication?

A. It is a rescue inhaler for acute attacks
B. It should be used for immediate symptom relief
C. It is a preventative medication and should be taken daily, even without symptoms
D. It can be discontinued once symptoms improve
nmdcat.online BS Nursing
Jun 6, 2026

101. A patient with a severe psychiatric illness refuses medication, citing religious beliefs. What is your ethical approach, assuming they have decision-making capacity?

A. Force the medication
B. Respect their autonomy and engage in shared decision-making, exploring alternatives and concerns
C. Tell them their religious beliefs are wrong
D. Document refusal and take no further action
nmdcat.online BS Nursing
Jun 6, 2026

102. You are preparing to insert a peripheral IV. What is the correct order of steps after gathering supplies and performing hand hygiene?

A. Select site, apply tourniquet, clean skin, insert catheter
B. Clean skin, select site, apply tourniquet, insert catheter
C. Apply tourniquet, clean skin, select site, insert catheter
D. Insert catheter, apply tourniquet, clean skin, select site
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

104. A client in a therapy session begins to cry after discussing a painful memory. What is the most appropriate non-verbal therapeutic response?

A. Look away to give them privacy
B. Maintain empathetic eye contact, offer a tissue, and remain present
C. Start writing notes rapidly
D. Leave the room
nmdcat.online BS Nursing
Jun 6, 2026

105. A patient with diabetes suddenly loses consciousness. What is the immediate action to manage their airway?

A. Tilt head, lift chin, and check for breathing
B. Force food into their mouth
C. Place a pillow under their head
D. Begin chest compressions immediately
nmdcat.online BS Nursing
Jun 6, 2026

106. You are preparing to administer medication to a patient via a gastrostomy (G-tube). After checking tube placement, what is the next step to prevent aspiration?

A. Leave the head of the bed flat
B. Elevate the head of the bed to at least 30-45 degrees
C. Immediately unclamp the tube
D. Administer medication quickly
nmdcat.online BS Nursing
Jun 6, 2026
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