All International Nursing Practice MCQs

Question 1

In the UK, a nurse helping with a clinical audit is asked to remove several unfavourable results so that the ward appears to meet its target. What should the nurse do?

Accepted Answer

Keep the results complete and report the request

Answer

Remove the results and mention the change informally

Answer

Ask a colleague to decide which results to remove

Answer

Delay the audit until the ward reaches its target

Question 2

In the UK, a nurse receives a telephone instruction from a prescriber, but the medicine, dose and timing are not clear. What should the nurse do?

Accepted Answer

Clarify the instruction before giving the medicine

Answer

Give the medicine using the usual ward instructions

Answer

Ask another nurse to interpret the instruction

Answer

Document the uncertainty after giving the medicine

Question 3

In the UK, a former patient sends a nurse several personal messages suggesting a romantic relationship. What is the most appropriate response?

Accepted Answer

Set a clear professional boundary and stop personal contact

Answer

Respond privately but avoid discussing patient care

Answer

Accept the contact because the admission has ended

Answer

Ask the former patient to contact the nurse through work

Question 4

In the UK, a nurse is asked to give a public talk about a treatment that the nurse has only read about briefly. What should the nurse do before giving advice?

Accepted Answer

Check reliable evidence and stay within professional competence

Answer

Use personal experience instead of research evidence

Answer

Repeat the information supplied by the event organiser

Answer

Give the advice but state that it is probably correct

Question 5

In the UK, a journalist asks a nurse to confirm whether a named person is receiving care on the ward. What should the nurse do?

Accepted Answer

Refuse to confirm the information and follow local policy

Answer

Confirm the admission but give no clinical details

Answer

Ask the journalist to call back after visiting hours

Answer

Provide the information if the journalist gives a convincing reason

Question 6

In the UK, a colleague asks a nurse to state that the colleague completed mandatory training, although the nurse knows this did not happen. What should the nurse do?

Accepted Answer

Refuse to sign and report the inaccurate request

Answer

Sign the record because the colleague plans to complete it soon

Answer

Sign the record if the colleague accepts responsibility

Answer

Leave the form unsigned but say nothing further

Question 7

In the UK, a patient asks for care from a nurse of a particular sex for a sensitive procedure. Another suitably competent nurse is available and the request would not cause harmful delay. What should the nurse do?

Accepted Answer

Respect the request and arrange the available competent nurse

Answer

Tell the patient that staff preferences cannot be considered

Answer

Ask the patient to explain the request to the whole team

Answer

Proceed immediately because clinical treatment always overrides preference

Question 8

In the UK, a nurse is asked to use an unapproved online source when teaching patients about a treatment. The source makes claims that conflict with current guidance. What should the nurse do?

Accepted Answer

Use current reliable guidance and correct the misinformation

Answer

Use the source if patients find it easy to understand

Answer

Present both sources without explaining the difference

Answer

Avoid discussing the treatment so the conflict is hidden

Question 9

In the UK, a nurse realises that a colleague has recorded a care activity as completed, although the nurse knows it was not done. The activity is still needed for the patient. What should the nurse do first?

Accepted Answer

Assess the patient, arrange the required care and raise the concern

Answer

Complete the activity and leave the record unchanged

Answer

Ask the colleague to correct the entry at the next shift

Answer

Delete the colleague's entry and document only the completed activity

Question 10

In the UK, a nurse is invited to join a professional discussion online using a profile that identifies the nurse's employer. A participant asks the nurse to share a patient's unusual case details for discussion. What should the nurse do?

Accepted Answer

Decline to share the case and protect the patient's confidentiality

Answer

Share the details after removing the patient's name

Answer

Share the details if the discussion group is private

Answer

Share the details if the case has already been discharged

Question 11

In the UK, a patient has a respiratory rate of 25/min, oxygen saturation of 94% on air, systolic blood pressure of 105 mmHg, pulse of 115/min, temperature of 38.1°C and is alert. What is the most appropriate action?

Accepted Answer

Inform the nurse in charge and request an emergency response

Answer

Continue routine observations on the usual ward schedule

Answer

Repeat the observations in four hours without further action

Answer

Document the score and wait for the next medical ward round

Question 12

In the UK, a patient has a NEWS2 total of 3 because the respiratory rate is 25/min. All other observations are within the normal range. What should the nurse do?

Accepted Answer

Arrange an urgent ward-based clinical review

Answer

Wait until the total score reaches five

Answer

Repeat observations at the routine frequency

Answer

Discharge the patient from physiological monitoring

Question 13

In the UK, a patient with documented hypercapnic respiratory failure has a prescribed oxygen saturation target of 88% to 92%. Which NEWS2 method should the nurse use?

Accepted Answer

Use SpO2 Scale 2 for the prescribed target range

Answer

Use SpO2 Scale 1 for every patient

Answer

Record oxygen saturation but exclude it from NEWS2

Answer

Use the normal target range unless the patient becomes cyanosed

Question 14

In the UK, a previously alert patient is now difficult to rouse and is disorientated. The other observations are normal. How should this finding affect the NEWS2 assessment?

Accepted Answer

Record new confusion as a score of 3

Answer

Record the patient as alert because the observations are normal

Answer

Exclude mental status because it is not a vital sign

Answer

Record confusion only if the temperature is also raised

Question 15

In the UK, a nurse is telephoning a medical practitioner about a deteriorating patient. Which sequence best follows SBAR?

Accepted Answer

Situation, Background, Assessment, Recommendation

Answer

Situation, Assessment, Background, Recommendation

Answer

Background, Situation, Recommendation, Assessment

Answer

Assessment, Recommendation, Situation, Background

Question 16

In the UK, a patient suddenly becomes breathless, cyanosed and unable to speak in full sentences. What should the nurse do first?

Accepted Answer

Assess airway and breathing while calling for urgent help

Answer

Complete a full written SBAR before seeking help

Answer

Calculate the NEWS2 score before touching the patient

Answer

Wait for the next scheduled set of observations

Question 17

In the UK, a patient's NEWS2 score is 6 after repeated observations. Which action is most appropriate?

Accepted Answer

Request an urgent clinical review and increase observation frequency

Answer

Continue routine observations because the score is below seven

Answer

Ask the patient's relative to monitor breathing overnight

Answer

Record the score and wait for a routine outpatient appointment

Question 18

In the UK, a patient has a NEWS2 score of 1, but the nurse notices increasing work of breathing and says the patient looks much worse than earlier. What is the best action?

Accepted Answer

Escalate the concern and request clinical assessment

Answer

Reassure the patient because the NEWS2 score is low

Answer

Wait until the score reaches five before escalating

Answer

Record the concern but take no further clinical action

Question 19

In the UK, which information is most appropriate for the Recommendation part of an SBAR call about a patient with a NEWS2 score of 7?

Accepted Answer

I need an immediate clinical review at the bedside

Answer

The patient was admitted with pneumonia yesterday

Answer

The patient is febrile and breathing at 30/min

Answer

The patient's observations were normal earlier today

Question 20

In the UK, a nurse records a rising respiratory rate and pulse but the patient's NEWS2 score remains below the escalation threshold. What is the best next step?

Accepted Answer

Compare the trend, reassess the patient and escalate concern if needed

Answer

Ignore the changes because the current total is below the threshold

Answer

Remove the patient from observations to reduce unnecessary interventions

Answer

Wait for the next shift to decide whether the trend is important

All Free International Nursing Practice MCQs with Answers