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 4 of 18
- A. Perform an initial assessment of a client with chest pain
- B. Reinforce diet teaching for a client with newly diagnosed diabetes
- C. Develop discharge teaching for a client after surgery
- D. Evaluate whether pain treatment relieved a client's pain
Explanation: A licensed practical nurse may reinforce teaching that has already been provided by the registered nurse.
Correct answer: Reinforce diet teaching for a client with newly diagnosed diabetes- A. The client with a healed pressure injury needing a dressing change
- B. The client with a new tracheostomy and changing respiratory status
- C. The client needing assistance with bathing before breakfast
- D. The client waiting for routine removal of an intravenous catheter
Explanation: A newly inserted tracheostomy with changing respiratory status requires ongoing assessment and clinical judgement.
Correct answer: The client with a new tracheostomy and changing respiratory status- A. Determine whether the client is ready to walk independently
- B. Measure and record the client's fluid intake and urine output
- C. Teach the client how to use a walker safely
- D. Assess the client's gait after a medication change
Explanation: Measuring and recording intake and output is a routine, predictable task for a stable client.
Correct answer: Measure and record the client's fluid intake and urine output- A. The client prefers to eat in a chair
- B. The client needs food cut into small pieces
- C. The client coughs during meals
- D. The client uses a weighted spoon
Explanation: Coughing during meals may indicate dysphagia and a risk of aspiration. The registered nurse must assess swallowing safety before assigning…
Correct answer: The client coughs during meals- A. A client whose blood pressure falls after a new medication
- B. A client with stable chronic heart failure needing routine care
- C. A client with sudden confusion and unequal pupils
- D. A client returning from surgery with uncontrolled bleeding
Explanation: A licensed practical nurse may care for a stable client with predictable needs.
Correct answer: A client with stable chronic heart failure needing routine care- A. Walk the client and decide whether the gait is normal
- B. Walk the client after lunch and report any dizziness or weakness
- C. Teach the client how to progress from a walker to a cane
- D. Walk the client and change the care plan if balance worsens
Explanation: The instruction identifies the task, timing, and specific findings that must be reported.
Correct answer: Walk the client after lunch and report any dizziness or weakness- A. Assess circulation and sensation in the affected limb
- B. Teach exercises for the fingers and toes
- C. Report the client's measured temperature and pulse
- D. Determine whether swelling requires provider notification
Explanation: Obtaining and reporting routine vital signs for a stable client is within the role of unlicensed assistive personnel.
Correct answer: Report the client's measured temperature and pulse- A. Ask the practical nurse to document the refusal and take no further action
- B. Assess the client's understanding and reason for refusing the treatment
- C. Tell the practical nurse to obtain the client's signature on a refusal form
- D. Ask the provider to prescribe a different treatment immediately
Explanation: The registered nurse should assess the client's understanding, capacity, and reason for refusal before planning further care.
Correct answer: Assess the client's understanding and reason for refusing the treatment- A. Evaluate whether the catheter remains necessary
- B. Insert a new catheter when the drainage stops
- C. Empty the drainage bag and record the urine amount
- D. Teach the client how to prevent catheter infection
Explanation: Emptying the drainage bag and recording the amount is a routine task for a stable client.
Correct answer: Empty the drainage bag and record the urine amount- A. Assume the task was completed because no problem was reported
- B. Review the reported findings and assess the client when indicated
- C. Ask another assistant to repeat the task without checking the client
- D. Document completion before the task is performed
Explanation: Delegation requires the registered nurse to monitor completion and evaluate the client's response.
Correct answer: Review the reported findings and assess the client when indicated- A. Explain the meaning of the test result
- B. Teach the client how to interpret the result
- C. Collect and label the specimen as instructed
- D. Decide whether the specimen is adequate
Explanation: Collecting a specimen from a stable client is within the usual role of unlicensed assistive personnel when directions are clear.
Correct answer: Collect and label the specimen as instructed- A. Ask the licensed practical nurse to apply a protective dressing
- B. Assess the client's skin and determine the nursing response
- C. Document that the licensed practical nurse completed the assessment
- D. Ask unlicensed assistive personnel to reposition the client hourly
Explanation: The registered nurse must assess a new clinical finding and determine the plan of care.
Correct answer: Assess the client's skin and determine the nursing response- A. A client whose condition is changing after a procedure
- B. A client receiving a first dose of a new medication
- C. A client with stable chronic heart failure and predictable care
- D. A client who needs initial teaching about a new ostomy
Explanation: A licensed practical nurse can care for a client with stable, predictable needs within the nurse's scope and facility policy.
Correct answer: A client with stable chronic heart failure and predictable care- A. Checking the skin before applying the stockings
- B. Removing the stockings during the scheduled skin check
- C. Reporting numbness or discoloration to the nurse
- D. Choosing a different size without notifying the nurse
Explanation: The delegated worker should not independently select equipment or change the care plan.
Correct answer: Choosing a different size without notifying the nurse- A. Finish the bath before reporting the symptom
- B. Give the client a prescribed rescue medication
- C. Stop the activity and report the symptom immediately
- D. Record the symptom after completing the assigned care
Explanation: The unlicensed worker should stop the activity and promptly report a new symptom to the RN.
Correct answer: Stop the activity and report the symptom immediately- A. Report the amount and any unusual appearance after each measurement
- B. Decide whether the amount indicates kidney failure
- C. Increase the client's fluids if the amount is low
- D. Omit the measurement when the client uses the toilet
Explanation: The UAP can measure and report objective data, including unusual urine appearance, when the client is stable.
Correct answer: Report the amount and any unusual appearance after each measurement- A. A client with a healed incision needing a routine dressing change
- B. A client with stable asthma receiving scheduled treatments
- C. A client returning from surgery with new confusion and hypotension
- D. A client with chronic arthritis needing assistance with hygiene
Explanation: New confusion and hypotension indicate an unstable change that requires RN assessment and intervention.
Correct answer: A client returning from surgery with new confusion and hypotension- A. Repeat the test later without telling the nurse
- B. Report the result promptly to the registered nurse
- C. Give the client food according to personal judgment
- D. Record the result as expected for the diagnosis
Explanation: The UAP reports abnormal data promptly so the RN can assess the client and determine the response.
Correct answer: Report the result promptly to the registered nurse- A. Tell the practical nurse to give the medication as scheduled
- B. Ask unlicensed assistive personnel to decide whether it is safe
- C. Review the client, order, and assessment before giving direction
- D. Tell the practical nurse to document the dose as refused
Explanation: The RN should review the assessment and prescription, then provide direction based on the ordered parameter and client condition.
Correct answer: Review the client, order, and assessment before giving direction- A. The client's complete medical history and all past treatments
- B. The exact activity, safety precautions, and findings to report
- C. The UAP's preferred method for completing the activity
- D. The client's likely diagnosis and expected long-term outcome
Explanation: Effective delegation includes a specific task, safety limits, expected observations, and when to report back.
Correct answer: The exact activity, safety precautions, and findings to report