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 5 of 18
- A. Changing a sterile abdominal dressing
- B. Teaching crutch use to a new client
- C. Recording the amount eaten at lunch
- D. Evaluating progress toward mobility goals
Explanation: Recording food intake is a routine, predictable task that can be delegated to trained unlicensed assistive personnel.
Correct answer: Recording the amount eaten at lunch- A. Ask the nursing assistant to reassess the pain later
- B. Assign the licensed practical nurse to determine the cause
- C. Assess the client and notify the provider as indicated
- D. Delegate administration of the analgesic to the nursing assistant
Explanation: New or worsening pain after surgery requires assessment by the registered nurse before further treatment decisions are made.
Correct answer: Assess the client and notify the provider as indicated- A. Developing the initial nursing care plan
- B. Reinforcing teaching about a prescribed diet
- C. Performing the initial assessment of chest pain
- D. Determining whether discharge goals are met
Explanation: A licensed practical nurse may reinforce teaching that the registered nurse has already provided to a stable client.
Correct answer: Reinforcing teaching about a prescribed diet- A. Complete the task whenever the unit becomes less busy
- B. Call the nurse only if the client asks for help
- C. Report the client's response and any unexpected finding
- D. Use your usual method because the task is familiar
Explanation: The delegatee must know what findings to report, and the registered nurse must provide direction and supervision.
Correct answer: Report the client's response and any unexpected finding- A. Deciding whether the weight reflects fluid retention
- B. Obtaining the weight using the same scale each day
- C. Changing the diuretic schedule after a weight gain
- D. Explaining the purpose of the weight monitoring
Explanation: Obtaining and recording a daily weight is a routine, measurable task for a stable client and may be delegated.
Correct answer: Obtaining the weight using the same scale each day- A. Help the client walk back to the bed quickly
- B. Leave the client briefly to obtain a wheelchair
- C. Support the client safely and call the nurse
- D. Ask the client to continue while holding the rail
Explanation: The client may be experiencing instability or syncope, so the delegatee should protect the client from falling and summon the nurse.
Correct answer: Support the client safely and call the nurse- A. A client receiving a first dose of an unfamiliar medication
- B. A client with stable symptoms awaiting routine dressing care
- C. A client requiring interpretation of new neurological findings
- D. A client needing an initial plan for complex discharge teaching
Explanation: A stable client with predictable care needs is generally appropriate for assignment to a licensed practical nurse.
Correct answer: A client with stable symptoms awaiting routine dressing care- A. Reposition the client and report any nonblanching redness
- B. Choose a position that seems comfortable at each round
- C. Massage any reddened area until the skin appears normal
- D. Decide whether the client's risk has improved
Explanation: The nurse should give specific directions and require reporting of abnormal skin findings.
Correct answer: Reposition the client and report any nonblanching redness- A. Ask the licensed practical nurse to document the change
- B. Assess the client and determine the cause of the confusion
- C. Delegate neurological observations to unlicensed personnel
- D. Wait until the next scheduled round to reassess the client
Explanation: New confusion is an unexpected change that requires prompt assessment by the registered nurse.
Correct answer: Assess the client and determine the cause of the confusion- A. Whether the task is convenient for the current assignment
- B. Whether the client has requested a particular caregiver
- C. Whether the person has demonstrated competence for the task
- D. Whether the task was delegated to that person yesterday
Explanation: Safe delegation depends on the client's needs, the task's predictability, and the delegatee's demonstrated competence.
Correct answer: Whether the person has demonstrated competence for the task- A. Reassess the client's pain and respiratory status
- B. Offer the client prescribed oral fluids
- C. Assist the client to reposition in bed
- D. Record the amount of urine in the collection bag
Explanation: The registered nurse must evaluate the client's response and monitor for adverse effects after an opioid.
Correct answer: Reassess the client's pain and respiratory status- A. Create the initial colostomy teaching plan
- B. Assess the client's readiness to learn
- C. Reinforce the demonstrated colostomy procedure
- D. Determine whether the client has met learning goals
Explanation: A licensed practical nurse may reinforce teaching that the registered nurse has already provided for a stable client.
Correct answer: Reinforce the demonstrated colostomy procedure- A. Assess a client with newly reported nausea
- B. Collect a routine stool specimen from a client
- C. Evaluate whether a laxative has been effective
- D. Teach a client how to prevent constipation
Explanation: Collecting a routine stool specimen from a stable client is a standard task that does not require nursing judgment.
Correct answer: Collect a routine stool specimen from a client- A. A client awaiting discharge after routine treatment
- B. A client needing a scheduled dressing change
- C. A client with a new onset of facial drooping
- D. A client requiring assistance with prescribed hygiene
Explanation: New facial drooping may indicate an acute neurologic change and requires immediate assessment and clinical judgment.
Correct answer: A client with a new onset of facial drooping- A. "It treats the condition written on your prescription."
- B. "I will ask the registered nurse to explain the medication."
- C. "It usually works by lowering your blood pressure."
- D. "You can look up the medication after I leave."
Explanation: Medication teaching is outside the role of unlicensed assistive personnel, so the assistant should refer the question to the registered…
Correct answer: "I will ask the registered nurse to explain the medication."- A. Ask the client to cough deeply into the labelled container
- B. Tell the client which antibiotic the specimen will identify
- C. Decide whether the specimen appears clinically adequate
- D. Explain what the laboratory result will mean
Explanation: Obtaining a routine specimen may be delegated when the procedure is within the assistant's validated competence.
Correct answer: Ask the client to cough deeply into the labelled container- A. Ask the practical nurse to document the refusal and leave
- B. Assess the client's reason for declining the bath
- C. Tell the practical nurse to provide the bath later
- D. Notify the health care provider about the refusal
Explanation: The registered nurse should assess the client's reason, preferences, and possible clinical concerns before deciding on further action.
Correct answer: Assess the client's reason for declining the bath- A. Ask the assistant to return the client to bed without help
- B. Assess the client's strength, circulation, and neurologic status
- C. Document the event after the transfer is completed
- D. Arrange routine physiotherapy assessment for later
Explanation: Sudden inability to bear weight is a change in condition requiring prompt registered nurse assessment.
Correct answer: Assess the client's strength, circulation, and neurologic status- A. Emptying the appliance when it is half full
- B. Measuring the output collected during a shift
- C. Inspecting the stoma for colour and perfusion
- D. Helping the client change clothing after care
Explanation: Inspecting a new stoma requires assessment and interpretation of findings such as colour and perfusion.
Correct answer: Inspecting the stoma for colour and perfusion- A. Offer fluids whenever the client requests them
- B. Record all oral fluids and report the measured total
- C. Allow the client to choose drinks without measuring them
- D. Remove the fluid restriction during personal care
Explanation: Accurate measurement and reporting of all oral fluids support safe care for a client with a fluid restriction.
Correct answer: Record all oral fluids and report the measured total