Top 20 Interview Questions & Answers for Medical Review Nurse Roles – 2025

Are you preparing for an interview for a medical review nurse position? Look no further! This guide includes a comprehensive list of 20 up-to-date interview questions and answers that will help you showcase your nursing knowledge, decision-making abilities, and cultural fit for the role. From assessing past experiences to testing job-specific knowledge, these questions cover all key areas of the job.

Behavioral Questions

• 1. Tell me about a time when you had to handle a difficult patient. What was the situation and how did you handle it?
  

  A:
  I once had a patient who was anxious and combative due to a painful condition. I first listened to their concerns and used my training in de-escalation techniques to calm them down and gain their trust. I then explained the treatment plan in a calm and reassuring manner, ensuring that the patient's needs and preferences were addressed. By the end of the interaction, the patient was cooperative and satisfied with their care.

• 2. Can you share an instance when you had to work under pressure? How did you handle it and what was the outcome?
  

  A:
  During my time at XYZ Hospital, there was an emergency situation where multiple patients with critical conditions were admitted at once. I managed the triage process effectively, prioritizing the most critical patients and delegating tasks to my team. Despite the high-stress environment, we were able to provide timely and quality care to all patients, and I received positive feedback from the attending physician.

Situational Questions

• 3. You notice a medication error in a patient's chart. What would you do?
  

  A:
  First, I would immediately stop the administration of the medication and inform the prescribing physician and the pharmacy. Then, I would assess the patient's condition and follow the facility's protocols for reporting and documenting the error. I would also initiate appropriate interventions to prevent harm to the patient.

• 4. You are presented with a patient case where there is a conflict between the patient's wishes and the recommended treatment plan. How would you handle it?
  

  A:
  I would address the conflict by actively listening to the patient's concerns and discussing the benefits and risks of the treatment options in a clear and empathetic manner. I would involve other members of the healthcare team, such as the attending physician and case manager, to support and advocate for the patient's decision-making process. My priority would be to ensure the patient's autonomy and well-being.

Technical Questions

• 5. How do you stay updated on the latest medical advancements and technology?
  

  A:
  I regularly attend conferences and workshops, read medical journals, and participate in online courses to stay informed about new developments in the healthcare industry. I also seek opportunities to shadow experienced nurses and collaborate with other healthcare professionals to learn from their expertise.

• 6. Briefly describe the steps of medication reconciliation.
  

  A:
  The process of medication reconciliation involves three key steps: first, comparing the current medication list with the patient's previous medication list to identify discrepancies and resolve them in collaboration with the healthcare team. Second, ensuring accurate administration, documentation, and follow-up of the medication plan. And third, providing education to the patient and their caregivers about their medications and potential drug interactions as needed.

Cultural Fit Questions

• 7. What do you think is the most crucial quality for a nurse to possess?
  

  A:
  In my opinion, compassion is the most crucial quality for a nurse to have. It involves treating each patient as an individual with unique needs, showing empathy towards their physical and emotional well-being, and advocating for their rights and preferences.

• 8. How do you prioritize tasks when you have multiple competing priorities?
  

  A:
  I prioritize tasks based on urgency and importance, assigning time-sensitive tasks first and breaking down bigger tasks into smaller, manageable chunks. I also regularly communicate and collaborate with my team to ensure that we are all on the same page and to avoid any conflicts.

Experience and Accomplishments

• 9. Can you share a patient outcome that you are proud of?
  

  A:
  I had a patient who was non-adherent to their medication for a chronic condition. By providing education and addressing their concerns, I was able to improve their understanding and compliance with their treatment plan. The patient's condition improved significantly, and they were able to avoid future complications.

• 10. How do you handle challenging interactions with coworkers or other healthcare professionals?
  

  A:
  I always strive to maintain a professional and respectful attitude in all my interactions. If there is a disagreement, I try to understand the other person's perspective and find a compromise. If the issue persists, I seek the guidance of a supervisor or mediator to resolve it amicably.

Patient Care and Safety

• 11. How do you ensure patient safety during medication administration?
  

  A:
  I follow the five rights of medication administration: right patient, right medication, right dose, right route, and right time. I also check for allergies and contraindications, verify the medication with another nurse or pharmacist, and document the administration accurately. In case of any discrepancies, I intervene and report them immediately.

• 12. How do you handle a patient who refuses to take their medication?
  

  A:
  I first try to understand the reason behind the refusal by asking open-ended questions and actively listening to the patient's concerns. I then educate them about the importance of the medication and explore alternative solutions, such as changing the route or form of the drug. If the patient still refuses, I document the incident and involve the healthcare team to determine the best course of action.

Nursing Ethics and Legal Considerations

• 13. How do you ensure patient privacy and confidentiality in your practice?
  

  A:
  I follow HIPAA regulations and my facility's policies to maintain patient privacy and confidentiality. This includes securing electronic medical records, using private areas for patient interactions, and obtaining written consent before sharing any information with third parties. I also educate my team members about the importance of confidentiality and conduct regular audits to identify any breaches and take necessary corrective actions.

• 14. What would you do if you suspect a colleague of unethical or illegal behavior?
  

  A:
  I would first confront the colleague and express my concerns. If the behavior continues, I would report it to my supervisor or the compliance officer, following the appropriate channels to protect patient care. I understand the importance of a safe and ethical work environment, and I am committed to upholding professional standards and values.

Professional Development and Self-Improvement

• 15. What motivates you to further your education and knowledge?
  

  A:
  I am passionate about continuously learning and growing in my profession. I am driven by my desire to provide the best care possible to my patients and keep up with the ever-evolving healthcare field. I am eager to learn new skills and contribute to a healthy and fulfilling work environment.

• 16. How do you handle constructive criticism?
  

  A:
  I believe that feedback is an opportunity for growth and improvement. I listen attentively and thank the person for their input. I then reflect on their suggestions and make necessary changes to my practice. I am open to different perspectives and value continuous self-evaluation.

Professional Goals and Company Culture

• 17. Why do you want to work for our organization?
  

  A:
  I have a strong affinity for the values and mission of your organization. I am impressed by the emphasis on patient-centered care, innovation, and collaboration among team members. I believe that working for your organization will allow me to utilize my skills and experience while also contributing to the betterment of the community.

• 18. How do you handle challenging work situations?
  

  A:
  I remain calm and composed, prioritize tasks, and communicate effectively with my team to find the best solutions. I am also proactive in addressing potential issues and seeking opportunities for professional growth. I am committed to my work and strive to maintain a positive and resilient attitude.

Company Policies and Procedures

• 19. Can you tell me about a time when you had to abide by a company policy that you didn't agree with?
  

  A:
  I understand that policies and procedures are in place for the safety and well-being of everyone, including patients, employees, and the organization. While I may not always agree with them, I ensure that I follow them to the best of my ability. If I have any concerns, I communicate them to my supervisor and follow the correct channels to suggest improvements.

• 20. How do you stay organized and manage your time efficiently?
  

  A:
  I use a variety of tools, such as to-do lists, calendars, and electronic reminders, to stay organized and prioritize tasks effectively. I also maintain open communication with my team and seek assistance when needed. By staying organized and practicing time management, I am able to provide safe and timely care to my patients.