BY ABBAS RN. LEARN / PRACTISE / GROW

NMCN-Style Practice: 20 Patient Safety and Communication Questions with Answers

MINI NURSES • FREE CBT REVISION

Students studying together with a laptopIllustrative study photo: Yan Krukau / Pexels.

20 questions. One focused revision session.

Practise patient education, infection prevention and basic nursing calculations. Select one best answer for each question, then check your score. Each question includes an explanation you can reveal for self-study.

Independent NMCN-style revision: these are original educational questions, not official, recalled or leaked examination items. This focused set does not represent the full NMCN examination blueprint. Follow current local clinical policies.

Suggested study time: 20 minutes. There is no enforced timer.

1. A patient nods after discharge teaching. Which question best checks understanding?
Reveal answer and explanation

Answer: B. Can you explain how you will follow the plan at home?

Teach-back asks the patient to explain the plan rather than give a yes/no response.

2. During teach-back, a patient describes the medicine schedule incorrectly. What should the nurse do next?
Reveal answer and explanation

Answer: C. Explain differently and check understanding again

A mismatch calls for clearer teaching and another check, without blame.

3. What is the main purpose of teach-back?
Reveal answer and explanation

Answer: A. Check whether the nurse explained the information clearly

Teach-back evaluates the clarity of communication, not intelligence or consent.

4. After teaching a practical device skill, which assessment is most useful?
Reveal answer and explanation

Answer: D. Invite the patient to demonstrate the technique

A demonstration checks whether the patient can perform the skill.

5. A patient reads a leaflet aloud word for word. What best demonstrates understanding?
Reveal answer and explanation

Answer: B. Explaining the action in their own words

Reading accurately does not necessarily establish comprehension.

6. A nurse has several discharge topics to cover. Which approach supports teach-back?
Reveal answer and explanation

Answer: C. Explain a small section and check before continuing

Small sections allow misunderstandings to be addressed before new information is added.

7. Standard Precautions should be applied to which patients?
Reveal answer and explanation

Answer: D. All patients, with measures selected for the task

Standard Precautions apply across patient care; risk assessment guides protective measures.

8. Before a task likely to splash body fluids, PPE selection should primarily reflect:
Reveal answer and explanation

Answer: A. The anticipated exposure

PPE is selected according to the exposure expected during the task.

9. A reusable care device has been used for one patient. Before another patient uses it, the nurse should:
Reveal answer and explanation

Answer: B. Follow the required cleaning and disinfection process

Reusable equipment requires appropriate processing between patients according to its use and instructions.

10. Which practice belongs to Standard Precautions?
Reveal answer and explanation

Answer: C. Respiratory hygiene and cough etiquette

Respiratory hygiene is part of routine infection prevention.

11. A nurse removes gloves after care. What is required next?
Reveal answer and explanation

Answer: A. Clean the hands

Hand hygiene is required after glove removal.

12. Hands are visibly soiled. Which hand hygiene method is indicated?
Reveal answer and explanation

Answer: D. Soap and water

Visible soiling requires washing with soap and water.

13. In most routine clinical situations when hands are not visibly soiled, which is preferred?
Reveal answer and explanation

Answer: B. An appropriate alcohol-based hand rub

Alcohol-based hand rub is preferred in most routine clinical situations without visible soiling.

14. When moving from a contaminated body site to a clean site on the same patient, the nurse should:
Reveal answer and explanation

Answer: C. Change gloves as indicated and perform hand hygiene

Clean-site care requires preventing transfer of contamination from the previous task.

15. Which statement about gloves is correct?
Reveal answer and explanation

Answer: D. They do not replace hand hygiene

Gloves are an additional barrier, not a substitute for cleaning hands.

16. Before an aseptic procedure, the nurse should:
Reveal answer and explanation

Answer: A. Perform hand hygiene

Hand hygiene is required before an aseptic task.

17. A practice prescription is for 750 mg; each tablet contains 250 mg. How many tablets supply the dose?
Reveal answer and explanation

Answer: B. 3 tablets

750 ÷ 250 = 3 tablets. This is a calculation exercise, not a prescription.

18. A practice liquid contains 100 mg in 5 mL. What volume contains 300 mg?
Reveal answer and explanation

Answer: C. 15 mL

300 ÷ 100 × 5 = 15 mL. Confirm the actual product and prescription in practice.

19. A prescribed 600 mL infusion is to run over 5 hours. What is the calculated pump rate?
Reveal answer and explanation

Answer: A. 120 mL/hour

600 ÷ 5 = 120 mL/hour. Clinical administration also requires prescription and device checks.

20. A patient drinks 250 mL, 180 mL and 120 mL during the recorded period. What is the total oral intake?
Reveal answer and explanation

Answer: D. 550 mL

250 + 180 + 120 = 550 mL. Record the measured intake for the specified period.

Choose your answers, then check your score out of 20.

Use your result to plan revision

Review every incorrect or unanswered item. Explain the correct choice aloud and write one point to revisit. Your score is feedback for this set, not a prediction of your council examination result.

Reference resources

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