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Paper III: 20 Communication and Practical Nursing Questions — Set B

MINI NURSES • OCTOBER 2026 PRACTICE

Paper III: 20 Communication and Practical Nursing Questions — Set B

20 questions • Self-paced • One best answer • Score and explanations

Choose an answer for every question, then select Check my answers. Review the explanations and retry the questions you missed. This is a focused revision session, not a complete examination.

Original independent practice, not official, recalled or leaked NMCN examination questions. Paper labels organise Mini Nurses revision topics and do not claim an official examination blueprint. Apply current local protocols in clinical care.

1. Which opening best establishes rapport at an OSCE station?
Review answer and explanation

Answer: Introduce yourself, confirm identity and explain the purpose

Introduction, identity checks and explanation support trust and informed participation.

2. A patient speaks a language the nurse does not understand. What is best?
Review answer and explanation

Answer: Arrange an appropriate interpreter

Appropriate interpretation supports accurate communication and informed consent.

3. Which question is open-ended?
Review answer and explanation

Answer: What concerns you most today?

An open question invites the patient to describe concerns in their own words.

4. What does the S in SBAR represent?
Review answer and explanation

Answer: Situation

Situation states the immediate problem prompting communication.

5. What belongs in the Recommendation part of SBAR?
Review answer and explanation

Answer: The assessment or action you are requesting

A clear request helps the receiving clinician understand what response is needed.

6. Which response demonstrates active listening?
Review answer and explanation

Answer: Summarise the concern and check accuracy

Reflection and checking understanding help avoid assumptions.

7. Which statement uses teach-back appropriately?
Review answer and explanation

Answer: Please explain how you will take this medicine at home

Teach-back checks how clearly information was explained through the patient’s own account.

8. An adult patient asks to stop a non-emergency examination. What is appropriate?
Review answer and explanation

Answer: Stop and discuss their wishes

Consent is ongoing and may be withdrawn.

9. Which information is suitable for a public social-media post?
Review answer and explanation

Answer: A general teaching example with no identifiable patient details

Public education must protect confidentiality and follow professional policy.

10. Which action supports a patient with hearing difficulty?
Review answer and explanation

Answer: Face the patient and reduce background noise

Communication adjustments improve understanding without making assumptions about cognition.

11. A colleague dismisses a serious concern and the patient deteriorates. What next?
Review answer and explanation

Answer: Escalate through the urgent clinical pathway

Persistent risk requires timely escalation according to the patient’s condition.

12. Which handover statement is most useful?
Review answer and explanation

Answer: New confusion began at 14:00; observations changed; urgent review requested

Specific changes, timing and requested action support safe handover.

13. What should a nurse do before accepting an unfamiliar delegated procedure?
Review answer and explanation

Answer: Check competence, authorisation and available supervision

Safe delegation depends on scope, competence and adequate support.

14. Which response respects a patient’s cultural preference?
Review answer and explanation

Answer: Explore the preference and agree safe feasible care

Individual discussion avoids stereotyping and helps develop acceptable care.

15. A patient becomes tearful after receiving news. Which response is appropriate?
Review answer and explanation

Answer: Allow silence and acknowledge distress

Presence and empathy support expression without false reassurance.

16. Which action is appropriate after a near miss?
Review answer and explanation

Answer: Report and review it through the safety system

Near misses provide opportunities to identify and correct system weaknesses.

17. Which instruction best supports a safe transfer of care?
Review answer and explanation

Answer: Confirm the receiving team has key risks and the plan

Transfer requires communication of current status, risks and unfinished actions.

18. A patient asks a question outside the nurse’s knowledge. What is best?
Review answer and explanation

Answer: Acknowledge uncertainty and obtain a reliable answer

Honesty and appropriate consultation protect trust and safety.

19. Which statement best supports shared decision-making?
Review answer and explanation

Answer: Explain options and explore what matters to the patient

Shared decisions combine relevant evidence with the informed patient’s values.

20. What should reflective practice after an OSCE focus on?
Review answer and explanation

Answer: Specific strengths, gaps and an improvement plan

Reflection turns feedback into concrete actions for skill improvement.

Ready when you are. Your answers stay on this page and are not submitted to Mini Nurses.

How to use your result

For each missed answer, explain the underlying principle in your own words. Review the relevant textbook chapter or clinical policy before another attempt. This practice score is not a prediction of your council result.

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