All International Nursing Practice MCQs

Question 1

In the UK, an adult patient has a systolic blood pressure of 90 mmHg, but all other observations are within the normal range. What is the most appropriate response?

Accepted Answer

Arrange an urgent clinical assessment

Answer

Continue routine observations only

Answer

Repeat the blood pressure at the next round

Answer

Record the result without further action

Question 2

In the UK, an adult patient has an oxygen saturation of 95% while receiving prescribed oxygen through a nasal cannula. The target range is 94% to 98%. How many NEWS2 points are awarded for oxygen saturation and oxygen therapy?

Accepted Answer

2 points

Answer

0 points

Answer

1 point

Answer

3 points

Question 3

In the UK, a nurse begins an SBAR call about a patient whose condition is worsening. Which opening is most appropriate for the Situation section?

Accepted Answer

I am worried because the patient is newly breathless

Answer

The patient was admitted three days ago with pneumonia

Answer

The patient has crackles and a respiratory rate of 30

Answer

Please review the patient and prescribe further treatment

Question 4

In the UK, an adult inpatient has a NEWS2 score of 0 and no concerning clinical features. According to the standard NEWS2 frequency, how often should observations usually be recorded?

Accepted Answer

At least every 12 hours

Answer

Every 30 minutes

Answer

Every 2 hours

Answer

Every 4 to 6 hours

Question 5

In the UK, a nurse records a sudden fall in a patient's blood pressure and cannot obtain a reliable pulse oximeter reading. What should the nurse do first?

Accepted Answer

Assess the patient using an ABCDE approach

Answer

Wait until the next scheduled observation round

Answer

Enter the previous oxygen saturation in the record

Answer

Calculate NEWS2 using the available blood pressure

Question 6

In the UK, which statement best describes the Assessment section of an SBAR call about a deteriorating patient?

Accepted Answer

The patient is more tachypnoeic and NEWS2 has risen

Answer

The patient was admitted with a urinary infection

Answer

I am calling from the surgical ward

Answer

I recommend immediate review by the medical team

Question 7

In the UK, a patient is receiving oxygen during NEWS2 observations. Which additional information must the nurse record to support accurate scoring?

Accepted Answer

The oxygen device and prescribed flow rate

Answer

The patient's preferred sleeping position

Answer

The number of visitors during the shift

Answer

The time of the patient's last meal

Question 8

In the UK, a clinician gives telephone instructions after an SBAR escalation. Which action best supports closed-loop communication?

Accepted Answer

Repeat the key instructions and clarify any uncertainty

Answer

End the call once the clinician stops speaking

Answer

Ask another nurse to remember the instructions

Answer

Document only the clinician's name and grade

Question 9

In the UK, a nurse has escalated a deteriorating patient and an intervention is started. What is the most appropriate next action?

Accepted Answer

Continue assessment and record the patient's response

Answer

Assume the intervention worked once it is given

Answer

Stop recording observations until the review is complete

Answer

Remove the patient from further NEWS2 monitoring

Question 10

In the UK, an adult patient has a respiratory rate of 23/min, oxygen saturation of 93% on air, systolic blood pressure of 108 mmHg, pulse of 102/min, temperature of 38.5°C and normal consciousness. What is the NEWS2 score?

Accepted Answer

7

Answer

3

Answer

5

Answer

9

Question 11

In the UK, an adult inpatient has a NEWS2 score of 2, with no single observation scoring 3. According to the standard NEWS2 frequency, how often should observations usually be recorded?

Accepted Answer

Every 4 to 6 hours

Answer

Every 30 minutes

Answer

Every 1 to 2 hours

Answer

Every 12 hours

Question 12

In the UK, an adult patient is breathing room air and has an oxygen saturation of 93%. Which NEWS2 oxygen saturation score should be recorded using Scale 1?

Accepted Answer

2 points

Answer

0 points

Answer

1 point

Answer

3 points

Question 13

In the UK, a nurse is preparing the Background part of an SBAR call for a patient whose observations are worsening. Which information is most relevant?

Accepted Answer

The patient's diagnosis and recent treatment

Answer

The nurse's concern about the patient

Answer

The action the nurse wants the clinician to take

Answer

The patient's current respiratory rate and pulse

Question 14

In the UK, an adult patient's NEWS2 score is 5, with no single parameter scoring 3. What is the most appropriate response?

Accepted Answer

Arrange an urgent clinical review and increase monitoring

Answer

Continue routine observations every 12 hours

Answer

Wait until the next ward round before reporting it

Answer

Record the score without contacting another clinician

Question 15

In the UK, a patient's respiratory rate is irregular. Which method gives the most reliable respiratory rate for NEWS2?

Accepted Answer

Count each breath for a full minute

Answer

Count breaths for 15 seconds and multiply by four

Answer

Estimate the rate from the patient's appearance

Answer

Use the pulse oximeter respiratory display

Question 16

In the UK, a nurse records a NEWS2 observation set after a patient receives oxygen. Which documentation best supports interpretation of the score?

Accepted Answer

The oxygen device and prescribed flow rate

Answer

The saturation value only

Answer

The patient's room number and bed position

Answer

The time of the next planned ward round

Question 17

In the UK, a patient has repeated NEWS2 scores of 2, 3 and 4 over six hours. What is the best nursing action?

Accepted Answer

Recognise the trend and escalate the clinical concern

Answer

Record only the latest score

Answer

Average the scores before reporting them

Answer

Stop observations because no score reaches 5

Question 18

In the UK, a nurse gives an SBAR handover about a deteriorating patient. Which statement is most appropriate for the Assessment section?

Accepted Answer

The patient is now more breathless and may be developing respiratory failure

Answer

The patient was admitted with pneumonia yesterday

Answer

Please review the patient immediately and prescribe treatment

Answer

The patient is called Ahmed and is in bed four

Question 19

In the UK, a pregnant patient develops tachycardia and breathlessness. Which observation system should the nurse use to assess deterioration?

Accepted Answer

Use the maternity early warning system used locally

Answer

Use NEWS2 because it applies to every adult

Answer

Use the patient's previous NEWS2 score only

Answer

Wait for the obstetrician before recording observations

Question 20

In the UK, a child is admitted to an adult medical ward and appears increasingly drowsy. Which approach is most appropriate?

Accepted Answer

Use the paediatric early warning system

Answer

Calculate NEWS2 using the adult thresholds

Answer

Record temperature only until reviewed

Answer

Apply the adult oxygen scale without alteration

All Free International Nursing Practice MCQs with Answers