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Clinical Practicum

200 questions found

Practice Questions

80. You are performing a neurological assessment on a patient. When testing pupillary response, what is a normal finding?

A. Pupils are dilated and fixed
B. Pupils are constricted and non-reactive
C. Pupils are equal, round, and reactive to light and accommodation
D. Pupils are unequal and non-reactive
nmdcat.online BS Nursing
Jun 6, 2026

81. A patient with a history of seizures suddenly experiences an aura, indicating an impending seizure. What is your immediate action?

A. Ask them to stand up
B. Restrain them tightly to prevent injury
C. Guide them to a safe position (e.g., lying down on their side) and protect their head
D. Insert a tongue blade into their mouth
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

85. You are helping a visually impaired patient navigate the hallway. What is the most appropriate technique?

A. Push them gently from behind
B. Walk slightly ahead of them, offering your arm, and describe obstacles
C. Shout directions from a distance
D. Let them navigate on their own to promote independence
nmdcat.online BS Nursing
Jun 6, 2026

76. A patient on an atypical antipsychotic (e.g., Olanzapine) is at risk for which metabolic side effects?

A. Weight loss and hyperglycemia
B. Weight gain, hyperglycemia, and dyslipidemia
C. Hypoglycemia and hyperlipidemia
D. Hair loss and anemia
nmdcat.online BS Nursing
Jun 6, 2026

77. You are interacting with a patient who is expressing anger towards the healthcare system. What is the most therapeutic communication technique?

A. Tell them their anger is irrational
B. Listen actively and validate their feelings, even if you don't agree with their specific complaints
C. Defend the healthcare system vigorously
D. Change the topic to a more positive subject
nmdcat.online BS Nursing
Jun 6, 2026

78. A patient is experiencing severe dyspnea and wheezing. What is the immediate action to manage their airway?

A. Offer a glass of water
B. Place them in a supine position
C. Position them in high-Fowler's and prepare for oxygen administration
D. Encourage shallow breathing
nmdcat.online BS Nursing
Jun 6, 2026

79. A client in a therapy session repeatedly expresses feelings of worthlessness and hopelessness, stating, “There’s no point in anything.” What is your critical next step in assessment?

A. Assume they are just seeking attention
B. Explore for suicidal ideation, plan, and intent
C. Encourage them to think positively
D. Refer them to a spiritual advisor
nmdcat.online BS Nursing
Jun 6, 2026

64. You are observing a surgical incision. What is a critical sign of wound infection?

A. Minimal pain
B. Clean, dry edges
C. Redness, warmth, swelling, and purulent drainage
D. Absence of discharge
nmdcat.online BS Nursing
Jun 6, 2026

65. A patient on a psychiatric unit becomes increasingly agitated and is pacing rapidly. Staff are present and attempting verbal de-escalation. What should be done to prevent escalation in the environment?

A. Clear the immediate area of other patients and potential weapons
B. Confront the patient with a large group of staff
C. Engage in a power struggle with the patient
D. Lock the patient in a separate room
nmdcat.online BS Nursing
Jun 6, 2026

66. A patient is prescribed Metformin for Type 2 Diabetes. What is a critical patient teaching point regarding this medication?

A. It causes hypoglycemia when taken alone
B. It should be taken only when blood sugar is high
C. It can cause gastrointestinal side effects and should be taken with food
D. It is an insulin replacement
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

70. You are responding to a patient who has collapsed on the floor. After ensuring scene safety, what is your immediate next step in emergency assessment?

A. Check for a pulse and breathing
B. Call the patient's family
C. Move the patient to a bed
D. Obtain a detailed medical history
nmdcat.online BS Nursing
Jun 6, 2026

71. A patient requires a sterile dressing change. You have assembled your supplies. What is the first step before opening any sterile packages?

A. Don sterile gloves
B. Clean the patient's wound
C. Perform hand hygiene
D. Place the patient in a comfortable position
nmdcat.online BS Nursing
Jun 6, 2026
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