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Clinical Practicum

200 questions found

Practice Questions

60. A child comes to the clinic with symptoms of extreme fear of social situations, avoiding school, and physical complaints when social events are anticipated. This aligns with criteria for:

A. Separation Anxiety Disorder
B. Social Anxiety Disorder (Social Phobia)
C. Generalized Anxiety Disorder
D. Attention-Deficit/Hyperactivity Disorder
nmdcat.online BS Nursing
Jun 6, 2026

46. A patient complains of sudden, sharp, tearing chest pain radiating to the back. What life-threatening emergency should you consider?

A. Myocardial Infarction
B. Aortic Dissection
C. Pneumonia
D. Gastroesophageal Reflux Disease (GERD)
nmdcat.online BS Nursing
Jun 6, 2026

47. When documenting patient care, the principle of “SOAP” notes stands for:

A. Subjective, Objective, Assessment, Plan
B. Signs, Outcomes, Actions, Progress
C. Symptoms, Observations, Aims, Procedures
D. Standard, Objective, Analysis, Presentation
nmdcat.online BS Nursing
Jun 6, 2026

35. You are leading a group therapy session. One member repeatedly monopolizes the conversation, preventing others from participating. What is your most effective intervention?

A. Allow the member to continue, as it shows engagement
B. Politely interrupt, acknowledge their contribution, and invite others to share
C. Confront the member aggressively
D. End the group session early
nmdcat.online BS Nursing
Jun 6, 2026

36. You are performing CPR on an adult. What is the correct compression depth?

A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm)
C. No more than 1 inch (2.5 cm)
D. At least 4 inches (10 cm)
nmdcat.online BS Nursing
Jun 6, 2026

37. A patient with diabetes presents with confusion, cool and clammy skin, and tremors. What immediate condition should you suspect?

A. Hyperglycemia
B. Hypoglycemia
C. Diabetic Ketoacidosis (DKA)
D. Hypertensive crisis
nmdcat.online BS Nursing
Jun 6, 2026

38. A client reveals during a session that they have been physically abusing their child. What is your ethical and legal obligation?

A. Maintain confidentiality as per general client-therapist privilege
B. Report to the appropriate child protective services agency
C. Advise the client to seek legal counsel
D. Encourage the client to stop the behavior on their own
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

40. A patient on Lithium therapy for bipolar disorder develops nausea, vomiting, diarrhea, and coarse tremors. What is the most immediate concern?

A. Normal side effects of Lithium
B. Lithium toxicity
C. Onset of a new viral infection
D. Hypoglycemia
nmdcat.online BS Nursing
Jun 6, 2026

41. You are taking a patient’s temperature using an oral thermometer. The patient just drank hot coffee. What is your most appropriate action?

A. Take the temperature immediately
B. Wait 15-30 minutes before taking the temperature
C. Take a rectal temperature instead
D. Add 2 degrees to the reading
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

43. A practicum student is asked to conduct a “mini-mental status exam.” This is primarily a screening tool for:

A. Personality disorders
B. Cognitive impairment
C. Mood disorders
D. Substance use disorders
nmdcat.online BS Nursing
Jun 6, 2026

44. A patient with asthma is experiencing an acute exacerbation. What medicinal intervention is most commonly used as a fast-acting rescue medication?

A. Long-acting beta-agonist (LABA)
B. Inhaled corticosteroid
C. Short-acting beta-agonist (SABA)
D. Oral antibiotic
nmdcat.online BS Nursing
Jun 6, 2026

45. You are attempting to obtain a patient’s informed consent for a procedure. The patient appears confused and disoriented. What is your ethical responsibility?

A. Obtain consent from the patient anyway
B. Obtain consent from the patient's family members only
C. Ensure the patient has the capacity to understand and make a decision, or seek alternative consent from a legal guardian/proxy
D. Proceed with the procedure without consent
nmdcat.online BS Nursing
Jun 6, 2026

32. You are observing a client who appears to be hallucinating (talking to unseen figures). What is the most appropriate therapeutic communication strategy?

A. Agree with the hallucination to build rapport
B. Challenge the hallucination directly
C. Acknowledge their experience, but reorient them to reality (e.g., "I don't see anyone, but I can see you're distressed")
D. Ignore the behavior completely
nmdcat.online BS Nursing
Jun 6, 2026

33. A patient is diagnosed with Clostridium difficile (C. diff) infection. What technical infection control measure is paramount when providing care?

A. Wearing a surgical mask only
B. Using alcohol-based hand sanitizer before and after patient contact
C. Washing hands with soap and water before and after patient contact
D. Wearing a gown and gloves only
nmdcat.online BS Nursing
Jun 6, 2026

21. During a family therapy session, two family members begin to argue heatedly, and their voices escalate. What is the most appropriate initial intervention by the therapist?

A. Join one side of the argument to de-escalate
B. Allow them to continue arguing until they resolve it
C. Intervene to set boundaries, encourage respectful communication, or call a brief pause
D. Terminate the session immediately
nmdcat.online BS Nursing
Jun 6, 2026

22. A patient experiences sudden, severe shortness of breath, becomes cyanotic, and loses consciousness. You suspect a pulmonary embolism. What is your most urgent action?

A. Perform a head-to-toe assessment
B. Call for a rapid response team/code blue and initiate basic life support
C. Obtain a detailed history from the family
D. Document the event in the patient's chart
nmdcat.online BS Nursing
Jun 6, 2026
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