All International Nursing Practice MCQs

Question 1

In the UK, a 9-year-old tells a nurse that a parent hits them at home and asks the nurse not to tell anyone. What should the nurse do first?

Accepted Answer

Listen calmly, explain that the concern must be shared, and report it

Answer

Promise to keep the disclosure completely confidential

Answer

Ask the child to provide detailed proof before reporting it

Answer

Contact the parent immediately to discuss the allegation

Question 2

In the UK, a nurse sees a colleague roughly handling a confused patient during personal care. What is the nurse’s most appropriate action?

Accepted Answer

Ensure the patient is safe and report the concern promptly

Answer

Wait until the next staff meeting to raise the concern

Answer

Tell the patient to make a complaint about the colleague

Answer

Discuss the colleague’s behaviour with other staff first

Question 3

In the UK, an adult patient with capacity says that their relative is taking their money but refuses consent for a safeguarding referral. There is no immediate risk of serious harm. What should the nurse do?

Accepted Answer

Respect the refusal, offer support, and document the concern

Answer

Make the referral without discussing the patient’s wishes

Answer

Ask the relative to explain the financial transactions

Answer

Discharge the patient to prevent further family conflict

Question 4

In the UK, a patient develops harm after a medicines administration error. The nurse has informed the nurse in charge. Which action best reflects the duty of candour?

Accepted Answer

Tell the patient what is known, apologise, and explain the next steps

Answer

Wait for the investigation before telling the patient anything

Answer

Ask the patient not to discuss the error until the review is complete

Answer

Record the error internally but avoid mentioning it to the patient

Question 5

In the UK, a nurse discovers that a patient received the wrong medicine, but no harm is currently apparent. What is the most appropriate initial action?

Accepted Answer

Assess the patient, seek clinical advice, and report the incident

Answer

Hide the error because the patient has no symptoms

Answer

Tell the patient that the medicine was probably harmless

Answer

Wait to see whether the patient develops an adverse reaction

Question 6

In the UK, a patient tells a nurse that a care worker has made unwanted sexual comments and asks the nurse to do nothing. What should the nurse do?

Accepted Answer

Record the patient’s words and follow the safeguarding process

Answer

Agree to keep the allegation private from all staff

Answer

Ask the care worker whether the allegation is accurate

Answer

Tell the patient that comments are not a safeguarding issue

Question 7

In the UK, a patient with a learning disability arrives with an unexplained injury, and a carer gives inconsistent explanations. What should the nurse do first?

Accepted Answer

Separate the patient where possible and assess immediate safety

Answer

Accept the carer’s explanation and complete routine observations

Answer

Question the patient repeatedly until the full story is clear

Answer

Ask the carer to investigate how the injury occurred

Question 8

In the UK, a nurse believes a senior clinician is discouraging staff from reporting repeated neglect of patients. What should the nurse do?

Accepted Answer

Raise the concern through safeguarding and speaking-up procedures

Answer

Remain silent because the person is more senior

Answer

Post the details on social media to gain public attention

Answer

Discuss the concern only with the colleagues who agree

Question 9

In the UK, after a procedure a patient experiences avoidable harm, and the facts are still being reviewed. Which communication is most appropriate?

Accepted Answer

Explain what is known, acknowledge the harm, and apologise

Answer

Say that nobody knows what happened and end the discussion

Answer

State that the clinician responsible will certainly be dismissed

Answer

Avoid discussing the event until every detail has been confirmed

Question 10

In the UK, a nurse receives a disclosure of possible domestic abuse from an adult who is frightened but has capacity. Which response is most appropriate?

Accepted Answer

Offer a private conversation, assess immediate risk, and discuss support

Answer

Tell the person to leave immediately without assessing their wishes

Answer

Contact the alleged abuser to obtain their account

Answer

Insist that the person report the matter to the police

Question 11

In the UK, a patient discloses possible neglect but cannot recall the exact date. Which documentation is most appropriate?

Accepted Answer

Record the patient's exact words and observed facts

Answer

Record that the family probably caused the neglect

Answer

Wait until the patient remembers the exact date

Answer

Ask the family to confirm what the patient reported

Question 12

In the UK, an adult who lacks capacity has unexplained bruising and may be experiencing physical abuse in a care home. What should the nurse do first?

Accepted Answer

Make a safeguarding referral through the local procedure

Answer

Accept the care home's explanation without further action

Answer

Wait for the adult to regain capacity before acting

Answer

Ask the suspected perpetrator to investigate the bruising

Question 13

In the UK, a 15-year-old asks a nurse for contraception and says they do not want their parents informed. The nurse assesses that the young person understands the advice and can consider the consequences. What should the nurse do?

Accepted Answer

Assess confidentiality limits and provide appropriate care

Answer

Refuse care until a parent attends

Answer

Tell the school before discussing the request

Answer

Inform the parents because the patient is under 16

Question 14

In the UK, a patient says their adult child is preventing them from leaving the house and controls all visitors. The patient is frightened and asks for help. What should the nurse do?

Accepted Answer

Arrange a private conversation and assess immediate safety

Answer

Ask the adult child to explain the restriction

Answer

Tell the patient to confront the adult child

Answer

Record the concern but take no further action

Question 15

In the UK, a patient experiences moderate harm after a treatment error in an NHS service. The facts have been checked, but the review is not complete. Which action best meets the duty of candour?

Accepted Answer

Give a prompt apology and explain the known facts

Answer

Wait until the full investigation is finished

Answer

Ask the patient not to discuss the incident publicly

Answer

Tell the patient that no one can comment on errors

Question 16

In the UK, a patient is harmed by a care incident and asks whether the nurse is sorry. Which response is most appropriate?

Accepted Answer

Offer a sincere apology and explain what is known

Answer

Say that apologies are prohibited during investigations

Answer

Say that the patient accepted the risk of treatment

Answer

Say that the incident was caused by another staff member

Question 17

In the UK, a nurse suspects that a colleague is diverting a patient's opioid medicines. The colleague asks the nurse to keep it between them. What should the nurse do?

Accepted Answer

Report the concern promptly through the safeguarding procedure

Answer

Confront the colleague and settle the matter privately

Answer

Wait for the patient to make a formal complaint

Answer

Record the suspicion in the colleague's personal file

Question 18

In the UK, a patient with capacity says staff have left them without food as punishment. The patient declines a safeguarding referral but agrees that the nurse may speak to the ward manager. What should the nurse do?

Accepted Answer

Discuss the concern with the ward manager as agreed

Answer

Respect the refusal and take no action

Answer

Contact the patient's relatives without permission

Answer

Tell the patient that a referral is legally unavoidable

Question 19

In the UK, a nurse hears a colleague make a humiliating joke about a patient's disability in front of visitors. What is the most appropriate action?

Accepted Answer

Challenge the behaviour and report the concern

Answer

Ignore it because no physical harm occurred

Answer

Join the conversation to reduce tension

Answer

Discuss the patient with visitors after the joke

Question 20

In the UK, a patient harmed by a care incident asks for a copy of the written duty of candour communication. What should the nurse do?

Accepted Answer

Refer the request to the responsible senior or provider process

Answer

Refuse because only the regulator may see it

Answer

Rewrite the letter personally without checking the facts

Answer

Tell the patient that verbal communication is sufficient

All Free International Nursing Practice MCQs with Answers