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 3 of 18
- A. Assess the airway and place the patient on cardiac monitoring
- B. Encourage the patient to walk to reduce muscle stiffness
- C. Give oral calcium without checking the prescription
- D. Document the symptoms and reassess after the next meal
Explanation: These findings suggest acute hypocalcaemia, which can progress to laryngospasm and cardiac dysrhythmias.
Correct answer: Assess the airway and place the patient on cardiac monitoring- A. Keep the patient nil by mouth and request urgent medical review
- B. Offer a meal to determine whether the pain is related to hunger
- C. Apply a warm pack and reassess the abdomen in one hour
- D. Administer an oral laxative to relieve possible constipation
Explanation: Severe pain, rigidity, and tachycardia after an invasive procedure may indicate perforation and peritonitis.
Correct answer: Keep the patient nil by mouth and request urgent medical review- A. Stop the epidural infusion and assess the patient urgently
- B. Ask the patient to stand so the weakness can be measured
- C. Give an additional analgesic and reassess the strength later
- D. Place the patient in a chair to prevent prolonged bed rest
Explanation: Rapidly increasing motor and sensory block may indicate excessive neuraxial spread or another neurological complication.
Correct answer: Stop the epidural infusion and assess the patient urgently- A. Assess airway and breathing while calling for urgent clinical support
- B. Remove the oxygen because drowsiness may indicate carbon dioxide retention
- C. Ask the patient to rest and repeat the oxygen saturation in 30 minutes
- D. Give a sedative to reduce anxiety and slow the respiratory rate
Explanation: New drowsiness with severe hypoxaemia and abnormal breathing indicates possible acute respiratory failure.
Correct answer: Assess airway and breathing while calling for urgent clinical support- A. Assess the patient promptly and notify the surgical team
- B. Apply a warm compress directly over the stoma
- C. Insert a cotton swab into the stoma to check its depth
- D. Wait until the next scheduled dressing change to reassess it
Explanation: A dusky, cool stoma with absent output may indicate impaired blood supply or obstruction.
Correct answer: Assess the patient promptly and notify the surgical team- A. Place the patient in a private room and initiate droplet precautions
- B. Give oral fluids and reduce the lighting in the room
- C. Obtain routine blood cultures before taking precautions
- D. Encourage walking to assess the patient's balance
Explanation: The findings suggest possible meningitis, so preventing respiratory transmission is an immediate priority while urgent assessment and…
Correct answer: Place the patient in a private room and initiate droplet precautions- A. Check the patient's capillary glucose and assess the patient
- B. Document the error after completing the medication round
- C. Give a carbohydrate snack without checking the glucose
- D. Wait for symptoms before informing the prescriber
Explanation: The nurse first assesses the patient's current condition and checks the glucose level because rapid-acting insulin can cause sudden…
Correct answer: Check the patient's capillary glucose and assess the patient- A. Inspect the tubing for kinks and check the suction connection
- B. Flush the tube forcefully with a large volume of water
- C. Increase the suction pressure without checking the equipment
- D. Remove the tube immediately and offer oral fluids
Explanation: The nurse first checks whether a simple equipment problem is preventing drainage, such as kinked tubing or a disconnected suction source.
Correct answer: Inspect the tubing for kinks and check the suction connection- A. Notify the provider or vascular team urgently
- B. Elevate the leg above the level of the heart
- C. Apply a heated pad to improve blood flow
- D. Encourage walking to stimulate circulation
Explanation: Sudden pain, pallor, coolness, and an absent pulse indicate possible acute limb ischaemia, which requires immediate escalation.
Correct answer: Notify the provider or vascular team urgently- A. Notify the ophthalmologist urgently and keep the patient at rest
- B. Reassure the patient that blurred vision is expected after surgery
- C. Apply an eye pad and arrange routine follow-up the next day
- D. Encourage oral fluids and reassess the symptoms after one hour
Explanation: Severe eye pain, nausea, and coloured halos may indicate a sight-threatening rise in intraocular pressure or another acute complication.
Correct answer: Notify the ophthalmologist urgently and keep the patient at rest- A. Assess a client who reports new chest pressure
- B. Measure urine output for a stable client with a catheter
- C. Teach a client how to use an incentive spirometer
- D. Evaluate pain relief after an opioid is given
Explanation: Measuring and recording urine output for a stable client is within the usual role of unlicensed assistive personnel.
Correct answer: Measure urine output for a stable client with a catheter- A. A client admitted 30 minutes ago with severe abdominal pain
- B. A client who needs an initial assessment after a fall
- C. A stable client receiving routine oral medications
- D. A client with new confusion and a falling blood pressure
Explanation: A licensed practical nurse can care for a stable client with predictable needs, including routine medications within the applicable scope.
Correct answer: A stable client receiving routine oral medications- A. Determine whether the client's bowel sounds are normal
- B. Assist the client to walk to the bathroom
- C. Teach the client how to splint the incision
- D. Decide whether the client is ready for discharge
Explanation: After the registered nurse assesses the client and determines that ambulation is safe, unlicensed assistive personnel may assist with…
Correct answer: Assist the client to walk to the bathroom- A. Ask the assistant to document the reading and continue rounds
- B. Ask the assistant to repeat the measurement while the nurse observes
- C. Tell the assistant to encourage the client to drink more fluids
- D. Wait until the next scheduled vital-sign check to compare readings
Explanation: The nurse should validate an unexpected finding promptly, while also assessing the client for possible deterioration.
Correct answer: Ask the assistant to repeat the measurement while the nurse observes- A. Helping a stable client with bathing
- B. Recording the amount of a client's meal
- C. Obtaining a routine temperature
- D. Assessing a newly admitted client's skin condition
Explanation: The initial assessment of a newly admitted client's skin requires nursing judgment and cannot be delegated to unlicensed assistive…
Correct answer: Assessing a newly admitted client's skin condition- A. Obtaining the client's weight before breakfast
- B. Assisting the client to walk in the hallway
- C. Teaching the client how to self-administer insulin
- D. Recording the client's food and fluid intake
Explanation: Initial teaching about self-administering insulin requires assessment, individualized education, and evaluation by the registered nurse.
Correct answer: Teaching the client how to self-administer insulin- A. Remain responsible for assessing the client and evaluating the response
- B. Ask the licensed practical nurse to change the medication if needed
- C. Transfer complete responsibility for the client's care
- D. Tell the licensed practical nurse to delegate the medication to an aide
Explanation: The registered nurse remains accountable for overall assessment, care planning, supervision, and evaluation after delegation.
Correct answer: Remain responsible for assessing the client and evaluating the response- A. A client with a healing pressure injury needing a routine dressing change
- B. A client receiving scheduled oral medications for stable hypertension
- C. A client needing reinforcement of previously taught catheter care
- D. A client with sudden shortness of breath and an oxygen saturation decrease
Explanation: Sudden shortness of breath and declining oxygen saturation indicate an acute change that requires immediate registered nurse assessment…
Correct answer: A client with sudden shortness of breath and an oxygen saturation decrease- A. Ask the assistant to return the client to bed and report later
- B. Assess the client's condition and obtain vital signs promptly
- C. Document the event after completing all scheduled medications
- D. Tell the assistant to continue ambulation more slowly
Explanation: Dizziness during ambulation may signal orthostatic hypotension or another acute problem, so the registered nurse must assess the client…
Correct answer: Assess the client's condition and obtain vital signs promptly- A. Take care of the client and tell me if anything seems wrong
- B. Measure the urine output for eight hours and report it if it is below the ordered limit
- C. Use your usual judgment about whether the client needs assistance
- D. Check the client regularly and report any concerns when convenient
Explanation: Effective delegation gives a specific task, time frame, expected result, and reporting instruction.
Correct answer: Measure the urine output for eight hours and report it if it is below the ordered limit