Free Safeguarding and Duty of Candour MCQs with Answers

50 Safeguarding and Duty of Candour MCQs from International Nursing Practice, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.

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50 questions · page 1 of 3

Hard
  • A. Promise to keep the disclosure completely confidential
  • B. Listen calmly, explain that the concern must be shared, and report it
  • C. Ask the child to provide detailed proof before reporting it
  • D. Contact the parent immediately to discuss the allegation

Explanation: The nurse should listen without leading questions, explain the limits of confidentiality, record the child’s words, and follow the…

Correct answer: Listen calmly, explain that the concern must be shared, and report it
Easy
  • A. Wait until the next staff meeting to raise the concern
  • B. Tell the patient to make a complaint about the colleague
  • C. Ensure the patient is safe and report the concern promptly
  • D. Discuss the colleague’s behaviour with other staff first

Explanation: The nurse must act promptly to protect the patient and report suspected abuse through the appropriate safeguarding or incident procedure.

Correct answer: Ensure the patient is safe and report the concern promptly
  • A. Make the referral without discussing the patient’s wishes
  • B. Respect the refusal, offer support, and document the concern
  • C. Ask the relative to explain the financial transactions
  • D. Discharge the patient to prevent further family conflict

Explanation: An adult with capacity is generally entitled to make an informed decision about sharing safeguarding information.

Correct answer: Respect the refusal, offer support, and document the concern
Hard
  • A. Wait for the investigation before telling the patient anything
  • B. Tell the patient what is known, apologise, and explain the next steps
  • C. Ask the patient not to discuss the error until the review is complete
  • D. Record the error internally but avoid mentioning it to the patient

Explanation: The duty of candour requires openness and honesty when a patient is harmed by a safety incident.

Correct answer: Tell the patient what is known, apologise, and explain the next steps
Moderate
  • A. Hide the error because the patient has no symptoms
  • B. Assess the patient, seek clinical advice, and report the incident
  • C. Tell the patient that the medicine was probably harmless
  • D. Wait to see whether the patient develops an adverse reaction

Explanation: The nurse must first assess and protect the patient, obtain appropriate clinical review, and report the incident according to local…

Correct answer: Assess the patient, seek clinical advice, and report the incident
Moderate
  • A. Agree to keep the allegation private from all staff
  • B. Record the patient’s words and follow the safeguarding process
  • C. Ask the care worker whether the allegation is accurate
  • D. Tell the patient that comments are not a safeguarding issue

Explanation: Unwanted sexual comments may indicate abuse or a risk to other patients.

Correct answer: Record the patient’s words and follow the safeguarding process
  • A. Accept the carer’s explanation and complete routine observations
  • B. Separate the patient where possible and assess immediate safety
  • C. Question the patient repeatedly until the full story is clear
  • D. Ask the carer to investigate how the injury occurred

Explanation: Possible abuse requires attention to immediate safety and a sensitive assessment in a setting that supports communication.

Correct answer: Separate the patient where possible and assess immediate safety
Moderate
  • A. Remain silent because the person is more senior
  • B. Raise the concern through safeguarding and speaking-up procedures
  • C. Post the details on social media to gain public attention
  • D. Discuss the concern only with the colleagues who agree

Explanation: The NMC Code requires nurses to raise concerns when patient safety or wellbeing is at risk.

Correct answer: Raise the concern through safeguarding and speaking-up procedures
  • A. Say that nobody knows what happened and end the discussion
  • B. Explain what is known, acknowledge the harm, and apologise
  • C. State that the clinician responsible will certainly be dismissed
  • D. Avoid discussing the event until every detail has been confirmed

Explanation: Duty of candour requires timely, compassionate, and honest communication based on the facts currently known.

Correct answer: Explain what is known, acknowledge the harm, and apologise
Fairly easy
  • A. Tell the person to leave immediately without assessing their wishes
  • B. Offer a private conversation, assess immediate risk, and discuss support
  • C. Contact the alleged abuser to obtain their account
  • D. Insist that the person report the matter to the police

Explanation: The nurse should provide privacy, assess immediate danger, listen without judgement, and discuss safety and support options.

Correct answer: Offer a private conversation, assess immediate risk, and discuss support
  • A. Record the patient's exact words and observed facts
  • B. Record that the family probably caused the neglect
  • C. Wait until the patient remembers the exact date
  • D. Ask the family to confirm what the patient reported

Explanation: The nurse records contemporaneous, factual information, including the patient's own words, observations and actions taken.

Correct answer: Record the patient's exact words and observed facts
Moderate
  • A. Accept the care home's explanation without further action
  • B. Make a safeguarding referral through the local procedure
  • C. Wait for the adult to regain capacity before acting
  • D. Ask the suspected perpetrator to investigate the bruising

Explanation: A safeguarding concern involving an adult at risk should be reported through the local safeguarding procedure, even when the person cannot…

Correct answer: Make a safeguarding referral through the local procedure
  • A. Refuse care until a parent attends
  • B. Assess confidentiality limits and provide appropriate care
  • C. Tell the school before discussing the request
  • D. Inform the parents because the patient is under 16

Explanation: A young person under 16 may be Gillick competent and can receive confidential health advice when they understand the information and…

Correct answer: Assess confidentiality limits and provide appropriate care
Easy
  • A. Arrange a private conversation and assess immediate safety
  • B. Ask the adult child to explain the restriction
  • C. Tell the patient to confront the adult child
  • D. Record the concern but take no further action

Explanation: The nurse should speak with the patient privately, assess immediate danger and identify their wishes and support needs.

Correct answer: Arrange a private conversation and assess immediate safety
Hard
  • A. Wait until the full investigation is finished
  • B. Give a prompt apology and explain the known facts
  • C. Ask the patient not to discuss the incident publicly
  • D. Tell the patient that no one can comment on errors

Explanation: Regulation 20 requires openness, a timely apology and an explanation of what is known when a notifiable safety incident occurs.

Correct answer: Give a prompt apology and explain the known facts
  • A. Say that apologies are prohibited during investigations
  • B. Offer a sincere apology and explain what is known
  • C. Say that the patient accepted the risk of treatment
  • D. Say that the incident was caused by another staff member

Explanation: Duty of candour includes an apology and honest communication about the incident.

Correct answer: Offer a sincere apology and explain what is known
Fairly easy
  • A. Confront the colleague and settle the matter privately
  • B. Report the concern promptly through the safeguarding procedure
  • C. Wait for the patient to make a formal complaint
  • D. Record the suspicion in the colleague's personal file

Explanation: Suspected diversion may place patients at risk and requires prompt reporting through the organisation's safeguarding, medicines and…

Correct answer: Report the concern promptly through the safeguarding procedure
  • A. Respect the refusal and take no action
  • B. Discuss the concern with the ward manager as agreed
  • C. Contact the patient's relatives without permission
  • D. Tell the patient that a referral is legally unavoidable

Explanation: The nurse should follow the patient's expressed consent and raise the concern with the agreed ward manager, while assessing whether anyone…

Correct answer: Discuss the concern with the ward manager as agreed
  • A. Ignore it because no physical harm occurred
  • B. Challenge the behaviour and report the concern
  • C. Join the conversation to reduce tension
  • D. Discuss the patient with visitors after the joke

Explanation: Respectful, non-discriminatory care is required by the NMC Code, and humiliating behaviour may constitute abuse or poor practice.

Correct answer: Challenge the behaviour and report the concern
Hard
  • A. Refuse because only the regulator may see it
  • B. Refer the request to the responsible senior or provider process
  • C. Rewrite the letter personally without checking the facts
  • D. Tell the patient that verbal communication is sufficient

Explanation: For a notifiable safety incident, the regulated provider must give a written notification and keep appropriate records, with further…

Correct answer: Refer the request to the responsible senior or provider process

Safeguarding and Duty of Candour MCQs: common questions

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