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 17 of 18
- A. Leave the diagnosis in a return voicemail
- B. Confirm the patient's admission to the employer
- C. Return the call without confirming patient information
- D. Send the employer a copy of the discharge summary
Explanation: The nurse should return the call without confirming that the person is a patient or disclosing health information.
Correct answer: Return the call without confirming patient information- A. Ask the caregiver to explain the bruises
- B. Report suspected abuse according to state law and policy
- C. Wait until the patient provides proof of abuse
- D. Tell the patient to confront the caregiver at home
Explanation: The nurse should report reasonable suspicion of elder abuse through the required protective services or institutional process.
Correct answer: Report suspected abuse according to state law and policy- A. Ask security to prevent the patient from leaving
- B. Explain risks, notify the provider, and document the discussion
- C. Tell the patient that insurance will not pay for the stay
- D. Have a family member sign the discharge papers
Explanation: A competent adult may refuse continued treatment and leave against medical advice.
Correct answer: Explain risks, notify the provider, and document the discussion- A. Ignore the smell unless an error occurs
- B. Privately ask the coworker to finish the medication pass
- C. Prevent immediate patient risk and notify the supervisor
- D. Post a warning about the coworker on social media
Explanation: The nurse must protect patients from immediate harm and promptly report suspected impairment through the appropriate chain of command.
Correct answer: Prevent immediate patient risk and notify the supervisor- A. Accept it because the patient offered it freely
- B. Accept it but avoid documenting the gift
- C. Politely decline it and follow facility policy
- D. Give it to another patient on the unit
Explanation: The nurse should maintain professional boundaries by politely declining an expensive personal gift and following the facility's policy.
Correct answer: Politely decline it and follow facility policy- A. Join the discussion because both nurses are clinicians
- B. Ask them to continue after leaving the public area
- C. Record the discussion for a possible privacy complaint
- D. Repeat the diagnosis only to the patient's family
Explanation: Patient information should be discussed only in a private setting with staff who have a legitimate need to know.
Correct answer: Ask them to continue after leaving the public area- A. Whether the employer has called before
- B. A valid patient authorization or another legal basis
- C. Whether the results are considered serious
- D. Whether the patient's family agrees with disclosure
Explanation: The nurse must verify a valid authorization or another recognized legal basis before releasing laboratory results.
Correct answer: A valid patient authorization or another legal basis- A. Refuse abruptly and leave the patient without help
- B. Provide safe care while promptly seeking an appropriate replacement
- C. Tell the patient that the treatment is morally wrong
- D. Delay the treatment until the patient changes the request
Explanation: The nurse should not abandon the patient or impose personal beliefs. The nurse provides safe care, informs the supervisor promptly, and…
Correct answer: Provide safe care while promptly seeking an appropriate replacement- A. Accept the request but avoid discussing diagnosis
- B. Accept it after the patient's discharge
- C. Decline the request and maintain the professional boundary
- D. Ask the patient to send private messages instead
Explanation: The nurse should decline the social media request and maintain a professional therapeutic boundary.
Correct answer: Decline the request and maintain the professional boundary- A. Discuss the concern only with friends after the shift
- B. Use the facility's chain of command and document the safety concern
- C. Refuse all care until staffing levels improve
- D. Post the staffing problem on a public website
Explanation: The nurse should escalate the concern through the established chain of command and document objective facts and actions taken.
Correct answer: Use the facility's chain of command and document the safety concern- A. Send the record directly to the requesting attorney
- B. Give the record to the patient for personal delivery
- C. Forward the subpoena to the health information department
- D. Ignore the subpoena because records are confidential
Explanation: The nurse should promptly refer the subpoena to the health information or legal department.
Correct answer: Forward the subpoena to the health information department- A. The nurse's personal preference for treatment
- B. Implied consent in a life-threatening emergency
- C. The family's presumed refusal of treatment
- D. The patient's previous verbal complaint
Explanation: In an emergency, an unconscious patient who cannot consent is generally presumed to consent to necessary life-saving treatment when no…
Correct answer: Implied consent in a life-threatening emergency- A. Give access without documenting the request
- B. Tell the spouse to use the nurse's login
- C. Follow the facility process to document authorization
- D. Refuse because spouses can never receive access
Explanation: The nurse should use the facility's approved process to document the patient's authorization and arrange access.
Correct answer: Follow the facility process to document authorization- A. Delete the entry to prevent an inaccurate record
- B. Ask the colleague to correct the record through policy
- C. Document the dose as given based on the colleague's entry
- D. Wait until discharge before mentioning the concern
Explanation: The nurse should address the falsified or inaccurate documentation promptly through the facility's correction and reporting process.
Correct answer: Ask the colleague to correct the record through policy- A. Ask the nurse to choose the treatment
- B. Identify the legally authorized decision maker
- C. Allow the loudest family member to decide
- D. Proceed without consent because the patient lacks capacity
Explanation: The team must identify the legally authorized surrogate under applicable law and facility policy before proceeding with nonemergency…
Correct answer: Identify the legally authorized decision maker- A. Promise that participation will improve the outcome
- B. Explain that the investigator must discuss study risks and benefits
- C. Tell the patient that refusal could delay usual care
- D. Ask the patient to sign before discussing the study
Explanation: The investigator or research team must provide the study information needed for informed consent, including risks, benefits, alternatives…
Correct answer: Explain that the investigator must discuss study risks and benefits- A. Provide the information because police requests always permit disclosure
- B. Verify the request and follow the facility's privacy procedure
- C. Ask another patient whether the officer seems trustworthy
- D. Post the information at the nurses' station for pickup
Explanation: The nurse should verify the request and follow the facility's authorized process before disclosing protected information.
Correct answer: Verify the request and follow the facility's privacy procedure- A. Document understanding because the patient nodded
- B. Use a qualified medical interpreter and reassess understanding
- C. Ask a nearby visitor to translate the instructions
- D. Give written instructions only and end the teaching
Explanation: A qualified medical interpreter supports accurate communication and informed decision-making.
Correct answer: Use a qualified medical interpreter and reassess understanding- A. Leave it visible because no one has complained
- B. Close or secure the screen and report the privacy concern
- C. Photograph the screen for personal documentation
- D. Announce the patient's name so visitors can identify the record
Explanation: The nurse should immediately limit the exposure by securing the screen, then notify the appropriate privacy or supervisory department…
Correct answer: Close or secure the screen and report the privacy concern- A. Witness the signature because the form is already completed
- B. Ask the family to confirm the patient's decision
- C. Stop the witnessing process and report possible coercion
- D. Tell the patient to sign quickly before changing the decision
Explanation: A signature must be voluntary and free from coercion for consent to be valid.
Correct answer: Stop the witnessing process and report possible coercion