MCQs

11212 questions found

Practice Questions

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

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

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

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

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

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A. "Patient seems sad and withdrawn."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

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

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

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

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

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

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

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

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

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

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

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

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
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