Practice Questions

162. You are preparing to administer an insulin injection. You notice the insulin appears cloudy. What is your technical understanding?

A. This is normal for all insulins
B. This indicates contamination, discard it
C. This indicates it is NPH or a mixed insulin, which can be cloudy ✓
D. This indicates it is expired
nmdcat.online BS Nursing
Jun 6, 2026

161. A client in a counseling session expresses anger towards a family member. What is the most appropriate therapeutic response?

A. Tell them to forgive the family member
B. Validate their feelings and explore the source and impact of the anger ✓
C. Tell them anger is a negative emotion
D. Advise them to cut off contact with the family member
nmdcat.online BS Nursing
Jun 6, 2026

160. A patient with a history of heart failure is experiencing sudden, severe shortness of breath and frothy sputum. What is your immediate concern and action?

A. Pneumonia; administer antibiotics
B. Pulmonary edema; elevate head of bed, administer oxygen, and notify physician ✓
C. Asthma attack; administer bronchodilator
D. Dehydration; increase fluid intake
nmdcat.online BS Nursing
Jun 6, 2026

159. When performing chest compressions during CPR on an adult, what is the recommended rate?

A. 60-80 compressions/minute
B. 80-100 compressions/minute
C. 100-120 compressions/minute ✓
D. 120-140 compressions/minute
nmdcat.online BS Nursing
Jun 6, 2026

158. A patient is prescribed a selective serotonin reuptake inhibitor (SSRI). What is a common sexual side effect associated with SSRIs?

A. Increased libido
B. Erectile dysfunction or delayed ejaculation ✓
C. Priapism
D. Hypersexuality
nmdcat.online BS Nursing
Jun 6, 2026

157. You are administering medication intravenously. What is the critical step to ensure you are in the vein before pushing the medication?

A. Aspirate for blood return ✓
B. Flush with medication
C. Pinch the tubing
D. Observe for swelling only
nmdcat.online BS Nursing
Jun 6, 2026

156. A client expresses concern about their therapy sessions being confidential. What is your ethical response?

A. Assure them that nothing will ever be shared
B. Explain the limits of confidentiality, including duty to warn/protect exceptions ✓
C. Tell them it's not their business
D. Say that everything is recorded and shared with everyone
nmdcat.online BS Nursing
Jun 6, 2026

155. A patient with a history of fall risk states they feel dizzy when standing up. What is your immediate action?

A. Tell them to stand up slowly
B. Assist them to a sitting or lying position and assess orthostatic vital signs ✓
C. Ignore their complaint
D. Encourage them to walk around
nmdcat.online BS Nursing
Jun 6, 2026

154. You are providing post-operative care. What is the most common early sign of hemorrhage?

A. Bradypnea
B. Bradycardia
C. Tachycardia and hypotension ✓
D. Hypertension
nmdcat.online BS Nursing
Jun 6, 2026

153. A client reports that their antidepressant medication is causing significant nausea and gastrointestinal upset. What is the most appropriate initial advice you can provide as a practicum student (under supervision)?

A. Tell them to stop the medication immediately
B. Suggest taking the medication with food or at a different time, and advise them to discuss with their prescriber ✓
C. Tell them to double the dose
D. Inform them that these side effects are unavoidable
nmdcat.online BS Nursing
Jun 6, 2026
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