Practice Questions

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

31. A patient complains of sudden, severe, unilateral headache, blurred vision, and a stiff neck. You suspect a subarachnoid hemorrhage. What is the urgency level?

A. Routine; can wait until morning rounds
B. Moderate; can be managed with over-the-counter pain relievers
C. High; requires immediate medical evaluation and imaging
D. Low; likely a tension headache
nmdcat.online BS Nursing
Jun 6, 2026

30. During a practicum, you are asked to conduct a brief cognitive screening using the Mini-Mental State Examination (MMSE). What does this tool primarily assess?

A. Mood and affect
B. Personality traits
C. Cognitive function (e.g., orientation, memory, attention)
D. Physical dexterity
nmdcat.online BS Nursing
Jun 6, 2026

29. A patient is prescribed Warfarin (Coumadin), an anticoagulant. What dietary education is crucial to provide?

A. Encourage consumption of leafy green vegetables
B. Limit intake of foods high in Vitamin K
C. Increase intake of grapefruit juice
D. Avoid all dairy products
nmdcat.online BS Nursing
Jun 6, 2026

28. You are about to transfer a patient from the bed to a wheelchair. The patient is weak on one side. What is your critical safety consideration?

A. Ask the patient to transfer themselves
B. Ensure the wheelchair is unlocked and far from the bed
C. Use a gait belt and ensure the wheelchair is locked and positioned correctly
D. Have the patient stand up quickly
nmdcat.online BS Nursing
Jun 6, 2026

27. A client in a therapy session becomes visibly distressed, crying uncontrollably and unable to speak. What is your most appropriate therapeutic response?

A. Hand them a tissue and say nothing
B. Offer a brief, empathetic statement, and allow them space to compose themselves
C. Tell them to stop crying and pull themselves together
D. Change the subject to something lighter
nmdcat.online BS Nursing
Jun 6, 2026

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
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