All Free International Nursing Practice MCQs with Answers
Every International Nursing Practice question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
350 questions · page 16 of 18
- A. Ask the patient to sign the form again
- B. Explain the surgical procedure in detail
- C. Notify the surgeon that clarification is needed
- D. Witness the signature and continue preparation
Explanation: The provider performing the procedure is responsible for explaining its nature, risks, benefits, and alternatives.
Correct answer: Notify the surgeon that clarification is needed- A. Ask the family to persuade the patient
- B. Arrange the transfusion before the patient changes position
- C. Assess the refusal and document the informed decision
- D. Request a court order for immediate treatment
Explanation: A competent adult has the right to refuse treatment, even when the refusal may result in serious harm.
Correct answer: Assess the refusal and document the informed decision- A. Assess a newly reported change in pain
- B. Teach the patient how to use a walker
- C. Obtain routine vital signs and report findings
- D. Evaluate whether a treatment relieved symptoms
Explanation: Routine vital signs for a stable patient are within the usual role of unlicensed assistive personnel when the nurse provides instructions…
Correct answer: Obtain routine vital signs and report findings- A. Provide only the patient's current temperature
- B. Confirm that the patient is receiving hospital care
- C. Ask the child to obtain information from another relative
- D. Explain that information cannot be shared without authorization
Explanation: HIPAA generally requires the nurse to protect individually identifiable health information and disclose it only when permitted.
Correct answer: Explain that information cannot be shared without authorization- A. Complete an incident report before assessing the patient
- B. Assess the patient and notify the provider promptly
- C. Document that another nurse caused the error
- D. Wait for symptoms before taking further action
Explanation: The nurse's first responsibility is to assess the patient for actual or potential harm and promptly notify the provider according to…
Correct answer: Assess the patient and notify the provider promptly- A. Apply restraints without assessing the immediate danger
- B. Use the least restrictive intervention that protects everyone
- C. Ask the family to hold the patient's arms in bed
- D. Leave the patient alone until the behavior stops
Explanation: Restraints may be used only when necessary to prevent harm and after less restrictive measures are ineffective, following facility policy…
Correct answer: Use the least restrictive intervention that protects everyone- A. Follow the valid directive and notify the provider
- B. Follow the family's request because they are next of kin
- C. Ask the family to sign a temporary treatment agreement
- D. Begin resuscitation until the directive is reviewed later
Explanation: A valid advance directive represents the patient's legally expressed treatment preferences and should be followed according to applicable…
Correct answer: Follow the valid directive and notify the provider- A. Perform it once while the supervisor watches
- B. Ask a nursing assistant to perform the procedure
- C. Decline the assignment and explain the competency concern
- D. Perform it after reviewing an online demonstration
Explanation: A nurse must practice within personal education, training, competence, and the applicable scope of practice.
Correct answer: Decline the assignment and explain the competency concern- A. Apply wrist restraints to prevent the patient leaving
- B. Ask security to return the patient to the room
- C. Assess the cause of the confusion and use safety measures
- D. Tell the patient that leaving will cause loss of treatment
Explanation: The nurse should assess reversible causes of confusion and use the least restrictive safety measures, such as observation and…
Correct answer: Assess the cause of the confusion and use safety measures- A. The patient was careless and ignored instructions
- B. An incident report was completed after the fall
- C. The patient was found seated on the floor beside the bathroom
- D. The nurse believes the patient fell because of poor judgment
Explanation: The health record should contain objective observations, assessment findings, interventions, notifications, and the patient's response.
Correct answer: The patient was found seated on the floor beside the bathroom- A. Use the daughter because she knows the patient's history
- B. Ask a qualified medical interpreter to assist the discussion
- C. Give the patient written information in English only
- D. Ask another bilingual patient to interpret the discussion
Explanation: The nurse should use a qualified medical interpreter to support accurate communication and informed decision-making.
Correct answer: Ask a qualified medical interpreter to assist the discussion- A. Ask the coworker to delete the photograph immediately
- B. Report the concern through the facility's privacy process
- C. Ignore the action because teaching is a clinical purpose
- D. Post the photograph in the staff education group
Explanation: A patient image is protected health information and must be handled through approved systems and permissions.
Correct answer: Report the concern through the facility's privacy process- A. Wait until the caregiver confirms the explanation
- B. Ask the child to provide proof of the abuse
- C. Make a report according to the state's mandatory reporting law
- D. Promise the child that the information will remain private
Explanation: Nurses are mandated reporters of suspected child abuse under applicable state law.
Correct answer: Make a report according to the state's mandatory reporting law- A. Tell the patient only the physician can release records
- B. Follow the facility process for the patient's access request
- C. Refuse because nursing notes are never available
- D. Provide another patient's record for comparison
Explanation: The HIPAA Privacy Rule generally gives patients a right to inspect and obtain copies of their protected health information.
Correct answer: Follow the facility process for the patient's access request- A. Document that the prescribed medication was ineffective
- B. Reassess the patient and notify the provider of inadequate relief
- C. Tell the patient that discomfort is expected after procedures
- D. Give an additional dose without checking the prescription
Explanation: The nurse must reassess the patient and communicate an unresolved problem to the provider for further evaluation.
Correct answer: Reassess the patient and notify the provider of inadequate relief- A. Explain all risks and obtain the patient's signature
- B. Tell the patient that the provider must discuss the procedure
- C. Ask a family member to decide which option is safest
- D. Tell the patient to sign because the procedure is routine
Explanation: The provider performing or ordering the procedure is responsible for explaining its nature, risks, benefits, and alternatives for informed…
Correct answer: Tell the patient that the provider must discuss the procedure- A. Leave the unit after telling the charge nurse again
- B. Continue essential care while escalating through the chain of command
- C. Ask the patient to wait until another nurse becomes available
- D. Document the concern after the shift and take no further action
Explanation: The nurse must continue protecting the patient while promptly escalating the unsafe situation through the chain of command.
Correct answer: Continue essential care while escalating through the chain of command- A. Share the diagnosis because both people are nurses
- B. Share only the diagnosis and not the treatment plan
- C. Decline because the disclosure is unrelated to patient care
- D. Ask the patient later whether the disclosure was acceptable
Explanation: HIPAA permits access and disclosure for legitimate treatment, payment, and health care operations purposes, subject to the minimum…
Correct answer: Decline because the disclosure is unrelated to patient care- A. Administer the prescription because the provider wrote it
- B. Hold the prescription and escalate the concern through the chain of command
- C. Ask the patient whether the allergy is severe enough to matter
- D. Remove the allergy from the record to prevent confusion
Explanation: The nurse should withhold an apparently unsafe prescription and escalate the concern until it is resolved.
Correct answer: Hold the prescription and escalate the concern through the chain of command- A. Proceed because the signed form is legally sufficient
- B. Notify the provider and delay the procedure until capacity is reassessed
- C. Ask the patient's friend to confirm the consent
- D. Witness the signature again after the patient rests briefly
Explanation: Valid consent requires decision-making capacity and adequate understanding at the time of consent.
Correct answer: Notify the provider and delay the procedure until capacity is reassessed