CBT-Mock-Test-1 – EU Consultants

Welcome to your Mocup Test 01

(1) Monica is going to receive blood transfusion. How frequently should we do her observation?

A. Temperature and Pulse before the blood transfusion begins, then every hour, and at the end of bag/unit

B. Temperature, pulse, blood pressure and respiration before the blood transfusion begins, then after 15 min, then as indicated in local guidelines, and finally at the end of bag/unit.

C. Temperature, pulse, blood pressure and respiration and urinalysis before the blood transfusion, then at end of bag.

D. Pulse, blood pressure and respiration every hour, and at the end of the bag

(2) A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager’s authority because of the age difference. How can this nurse manager best exercise authority?

Use critical thinking to solve problems on the unit.

Give assignments clearly, taking staff expertise into consideration.

Understand complex health care environments.

Maintain an autocratic approach to influence results.

(3) A drug 150g is prescribed it is available as 5 g tablets .how many tablets need to be administered?

A. 30 tablets

B. 10 tablets

C. 15 tablets

D. 20 tablets

(4) What specifically do you need to monitor to avoid complications & ensure optimal nutritional status in patients being enterally fed?

A. Blood glucose levels, full blood count, stoma site and body weight

B. Eye sight, hearing, full blood count, lung function and stoma site

C. Assess swallowing, patient choice, fluid balance, capillary refill time

D. Daily urinalysis, ECG, Protein levels and arterial pressure

(5) When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why?

A. For any given flow rate, the inspired oxygen concentration will vary between breaths, as it depends upon the rate and depth of the patient's breath and the inspiratory flow rate.

B. If oxygen is administered at greater than 40% it should be humidified. You cannot humidify oxygen via nasal cannulae.

C. Nasal cannulae are only capable of delivering an inspired oxygen concentration between 24% and 40%.

D. Higher rates can cause nasal mucosal drying and may lead to epistaxis.

(6) Which of the following is NOT a cause of Type 1 {hypoxaernic) respiratory failure?

A. Asthma

B. Pulmonary oedema

C. Granulomatous lung disease

D. Drug overdose

(7) A patient is in the immediate recovery post-surgery. What should you monitor?

Breathing

Temperature

Blood loss

Pain

(8) Common cause of airway obstruction in an unconscious patient?

A. Oropharyngealtumor

B. Laryngeal cyst

C. Obstruction of foreign body

D. Tongue falling back

(9) You are mentoring a 3rd year student nurse, the student request that she want to assist a procedure with tissue viability nurse, how can you deal with this situation?

Tell her it is not possible

Tell her it is possible if you provide direct supervision

Call to the college and ask whether it is possible for a 3rd student to assist the procedure

Allow her as this is the part of her learning

(10) What are the principles of gaining informed consent prior to plan surgery?

Gaining permission for an imminent procedure by providing information in medical terms, ensuring a patient knows the potential risks and intended benefits

Gaining permission from a patient who is competent to give it, by providing information, both verbally and with written material, relating to the planned procedure, for them to read on the day of planned surgery

Gaining permission from a patient who is competent to give it, by informing them about the procedure and highlighting risks if the procedure is not carried out

Gaining permission from a patient who is competent to give it, by providing information in understandable terms prior to surgery, allowing timefor answering questions, and inviting voluntary participation

(11) Which one of the following types of wound is NOT suitable for negative pressure wound therapy?

A. Contaminated wounds

B. Diabetic and neuropathic ulcers

C. Partial thickness burns

D. Traumatic wounds

(12) Active listening means?

A. verbal communication

B. non verbal communication

C. verbal and non verbal communication

D. showing gestures

(13) A new staff is careless about the documentation and reported by the colleague staff. What will be your action against this problem as a nurse manager .

A. make her contact with the person dealing induction programme

B. Advice the colleague staff to help her

C. Ignore the staff

D. In private call the staff and enquire about the problems in the new job area and give clarifications as it is very important which affect the patient care

(14) A patient has just returned from theatre following surgery on their left arm. They have a PCA infusion connected and from the admission, you remember that they have poor dexterity with their right hand. They are currently pain free. What actions would you take?

A. Contact the pain team/anesthetist to discuss the situation and suggest that the means of delivery are changed.

B. The patient has paracetamolq.d.s. written up, so this should be adequate pain relief.

C. Educate the patient's family to push the button when the patient asks for it. Encourage them to tell the nursing staff when they leave the ward so that staff can take over.

D. Routinely offer the patient a bolus and document this clearly.

(15) Which is the most appropriate phrase to communicate?

A. I'm sorry, your mother died.

B. I'm sorry, your mother gone to heaven

C. I'm sorry, your mother is no longer with us.

D. I'm sorry, your mother passed away.

(16) The nursing staff communicates that the new manager has a focus on the “bottom line,” and little concern for the quality of care. What is likely true of this nurse manager?

The manager is looking at the total care picture.

The manager is communicating the importance of a caring environment.

The manager understands the organization’s values and how they mesh with the manager’s values.

The manager is unwilling to listen to staff concerns unless they have an impact on costs.

(17) What should be taught to a client about use of Zimmer frame?

A. move affected leg first

B. move unaffected leg

C. move both legs together

D. none of these

(18) Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery?

A. Adhesive skin closure strips

B. Interrupted sutures

C. Tissue adhesive

D. Skin clips

(19) A nurse assistant dealing aggressively with an elderly patient what will be your action?

A. immediately block the staff and report in the authority ,&make sure that pt is safe.

B. ignore the situation

C. report in the authority

D. enquire about the incident with the pt later

(20) What is the terminology for cannot speak due to stroke?

A. Ataxia

B. Aphasia

C. Anorexia

D. Alogia

(21) what a patient should not do when using Zimmer frame?

A. it can be used outside

B. don’t carry any other thing with walker

C. push walker forward when using

D. slide walker forward

(22) Dehydration is of particular concern in ill health. If a patient is receiving IV fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in “positive fluid balance”?

A. The fluid output has exceeded the input

B. The doctor may consider increasing the IV drip rate

C. The fluid balance chart can be stopped as “positive” means “good”

D. The fluid input has exceeded the output

(23) Initial signs of phlebitis?

A. hot and tender skin

B. Signs of shock

C. cold skin

D. cyanosed nail bed

(24) A 76 year old man who is a resident in an extended care facility is in the late stages of Alzheimer’s disease. He tells his nurse that he has sore back muscles from all the construction work he has been doing all day. Which response by the nurse is most appropriate?

A. “ you know you don’t work in construction anymore”

B. “What type of motion did you do to precipitate this soreness?”

C. “You’re 76 years old & you’ve been here all day. You don’t work in construction anymore.”

D. “Would you like me to rub your back for you?”

(25) For which of the following modes of transmission is good hand hygiene a key preventative measure?

a. Indirect contact

b. Droplet and Airborne

c. Direct contact

d. All correct

(26) You are caring for a patient with a tracheostomy in situ who requires frequent suctioning. How long should you suction for?

A. Monitor the patient's oxygen saturations and suction for 30 seconds.

B. Suction for so seconds and send a specimen to the laboratory if the secretions are purulent.

C. Never insert the catheter for longer than 10-15 seconds.

D. If you preoxygenate the patient, you can insert the catheter for 45 seconds.

(27) Which of the major theories of aging suggests that older adults may decelerate the aging process?

A. Disengagement theory

B. Activity theory

C. Immunology theory

D. Genetic theory

(28) The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?

A. Introjection

B. Displacement

C. Identification

D. Repression

Your new question!

(29) What are the most common types of medication error?

A. Nurses being interrupted when completing their drug rounds, different drugs being packaged similarly & stored in the same place & calculation errors.

B. Unsafe handling & poor aseptic technique

C. Doctors not prescribing correctly & poor communication with the multidisciplinary team

D. Administration of the wrong drug, in the wrong amount to the wrong patient, via the wrong route

(30) Which of the following cannot be seen in a depressed client?

A. Inactivity

B. Sad facial expression

C. Slow monotonous speech

D. Increased energy

(31) Community Hospital in the local place provides what services?

A. Rehabilitation, physiotherapy, psychiatry, acute care

B. Rehabilitation, acute and primary care, occupational therapy, Step down care for discharged patients

C. Rehabilitation, Respite care, acute and primary care, physiotherapy, psychiatry, occupational therapy, palliative care, Step down care for discharged patients

D. Rehabilitation, Respite care, palliative care, Step down care for discharged patients

(32) Which option best illustrates a positive outcome for managed care?

Reshaping current policy.

Involvement in the political process.

Increase in preventative services.

Cost-benefit analysis.

(33) - A client is admitted to the psychiatric unit to monitor for depression and suicidal behavior.ON the 3rd day he seems to be very happy and is interacting with others, what may be this?

A. he has finalized his plan for suicide

B. its improvement

C. ready for discharge

D. he had made new friends

(34) Which strategy could the nurse use to avoid disparity in health care delivery?

Request more health plan options.

Care for more patients even if quality suffers.

Campaign for fixed nurse-patient ratios

(35) You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role?

A. during audit raise your concern

B. inform in written to management

C. inform nmc

D. take photograph

(36) Mr. XXX suffers from Cerebra vascular accident, he is unable to speak or verbalize anything, which medical term is more appropriate?

A. Dysphagia

B. Aphasia

C. Ataxia

D. Dysphasia

(37) A newly qualified nurse is not yet well versed when it comes to documentation. A nurse-in-charge noticed that this is the case and went to report the new nurse to their manager. What could the newly qualified nurse have done in order to prevent this incident?

Ignore the report and just continue with what she was doing.

She could have told the manager beforehand in order to have a support and additional training.

Apologize that she was not able to inform her immediate head beforehand

Ask for the policies of the hospital in relation to documentation.

(38) A PATIENT wants to leave hospital against medical advice. The doctors are concerned about patients competence under the mental capacity act. What should the nurse do?

A. Let the patient go , he is competent and inhis full sense

B. Call the police

C. Restrain the patient

D. Call the security and make the patient stay until the doctors complete their assessment

(39) A nurse documented on the wrong chart. What should the nurse do?

Immediately inform the nurse in charge and tell her to cross it all off.

Throw away the page

Write line above the writing; put your name, job title, date, and time.

Ignore the incident.

(40) Which of the following is NOT a stage in the life cycle of viruses?

a. Attachment

b. Uncoating

c. Dispersal

l d. Replication

(41) Nurses who seek to enhance their cultural-competency skills and apply sensitivity toward others are committed to which professional nursing value?

A. Autonomy

B. Strong commitment to service

C. Belief in the dignity and worth of each person

D. Commitment to education

(42) How do the structures of the human body work together to provide support and assist in movement?

A. The skeleton provides a structural framework. This is moved by the muscles that contract or extend and in order to function, cross at least one joint and are attached to the articulating bones.

B. The muscles provide a structural framework and are moved by bones to which they are attached by ligaments

C. The skeleton provides a structural framework; this is moved by ligaments that stretch and contract

D. The muscles provide a structural framework, moving by contracting or extending, crossing at least one joint and attached to the articulating bones

(43) After death, who can legally give permission for a patient's body to be donated to medical science

A. Only the patient. If they left Instructions for this

B. The doctor in charge at the t me of death

C. The patient's spouse or next-of-kin

D. The patient's GP

(44) What are the contraindications for the use of the blood glucose meter for blood glucose monitoring?

A. The patient has a needle phobia and prefers to have a urinalysis.

B. If peripheral circulation is impaired, collection of capillary blood is not advised as the results might not be a true renection of the physiological blood glucose level.

C. If the patient is in a critical care setting staff will send venous samples to the laboratory for verification of blood glucose level.

D. If the machine hasn't been calibrated.

(45) Why is it important to manually assess pulse rate?

A. Amplitude, volume and irregularities cannot be detected using automated electronic methods

B. Tachycardia cannot be detected using automated electronic methods

C. It is more reassuring to the patient

D. Bradycardia cannot be detected using automated electronic methods

(46) Which of the following is NOT an example of non verbal communication?

a. Facial expression

b. Posture

c. Dress

d. Tone

(47) What does the term 'breakthrough pain' mean, and what type of prescription would you expect for it?

A. A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has no regular time of administration of analgesia.

B. A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has 4 hourly frequency of analgesia if necessary.

C. Pain on movement which is short lived, with a q.d.s. prescription, when necessary.

D. Pain that is intense, unexpected, In a location that differs from that previously assessed, needing a review before a prescription Is written.

(48) You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply?

A. Skin barrier product

B. Rapid capillary dressing

D. Negative pressure dressing

(49) A Jewish patient refuses blood transfusion in a critical situation and states that his religion is against it. What should the nurse do.?

A. Ignore patients will and give him blood

B. Tell the patient relatives to take decision

C. Accept the clients will

(50) The code is concerned about focusing on which of the following criteria?

Clinical expertise

Conduct, behavior, ethics & professionalism

Hospital policies

Disciplinary actions

(51) A client had fractured hand and being cared at home requiring analgesia. The medication was prescribed under PGD. Which of the following statements are correct relating to this?

PGD can be delegated to student nurse who can administer medication with supervision

PGD’s cannot be delegated to anyone

This type of prescription is not made under PGD

This can be delegated to another RN who can administer in view of a competent person

(52) If you were explaining anxiety to a patient, what would be the main points to include?

a. Anxiety has three aspects: physical such as running away, behavioral such as imagining the worse (catastrophizing), and cognitive (thinking) - such as needing to urinate.

b. Signs of anxiety include behaviors such as muscle tension, palpitations, a dry mouth, fast shallow breathing. dizziness and an increased need to urinate or defecate.

d. Anxiety is all in the mind, if they learn to think differently, it will go away.

(53) Which of the following is a guiding principle for the nurse in distinguishing mental disorders from the expected changes associated with aging?

A. A competent clinician can readily distinguish mental disorders from the expected changes associated with aging.

B. Older people are believed to be more prone to mental illness than young people.

C. The clinical presentation of mental illness in older adults differs from that in other age groups.

D. When physical deterioration becomes a significant feature of an elder’s life, the risk of comorbid psychiatric illness rises.

(54) What action would you take if a specimen had a biohazard sticker on it?

A. Double bag it, in a self-sealing bag, and wear gloves if handling the specimen.

B. Wear gloves if handling the specimen, ring ahead and tell the laboratory the sample is on its way.

C. Wear appropriate PPE and overfill the bottle.

D. Wear goggles and under fill the sample bottle

(55) A drug 150g is prescribed it is available as 5 g tablets .how many tablets need to be administered?

A. 30 tablets

B. 10 tablets

C. 15 tablets

D. 20 tablets

(56) What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit?

A. "I know I told you that you could have the weekend off, but I really need you to work."

B. “The others work many extra shifts, why can't you?"

C. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs."

D. "I can't believe you need help with such a simple task. Didn't you learn that in school

(57) Risk for health issues in a person with mental health issues?

A. Increased than in normal people

B. Slightly decreased than in normal people

C. Very low as compared to normal people

D. Risk is same in people with and without mental illness

(58) Electronic data transfer is more these days, which of the report is not suitable to sent to a discharged client ?

A. Abnormal blood report

B. smoking caessation policy

C. diet plan

D. none of the above

(59) Mrs. Jones has had a cerebral vascular accident, so her left leg is increased in tone, very stiff and difficult to position comfortably when she is in bed. What would you do?

A. Give Mrs. Jones analgesia and suggest she sleeps in chair

B. Try to diminish increased tone by avoiding extra stimulation by ensuring her foot does not come into contact with the end of the bed; supporting with a pillow, her left leg in side lying and keeping the knee flexed

C. Give Mrs. Jone diazepam and tilt the bed

D. Suggest a warm bath before she lies on the bed. Then use pillows to support the stiff limb

(60) What do you need to consider when helping a patient with shortness of breath sit out in a chair?

A. They should not sit out on a chair; lying flat is the only position for someone with shortness of breath so that there are no negative effects of gravity putting pressure in lungs

B. Sitting in a reclining position with legs elevated to reduce the use of postural muscle oxygen requirements, increasing lung volumes and optimizing perfusion for the best V/Q ratio. The patient should also be kept in an environment that is quiet so they don’t expend any unnecessary energy

C. The patient needs to be able to sit in a forward leaning position supported by pillows. They may also need access to a nebulizer and humidified oxygen so they must be in a position where this is accessible without being a risk to others.

D. There are two possible positions, either sitting upright or side lying. Which is used and is determined by the age of the patient. It is also important to remember that they will always need a nebulizer and oxygen and the air temperature must be below20 degree Celsius

(61) You are looking after a postoperative patient and when carrying out their observations, you discover that they are tachycardia and anxious, with an increased respiratory rate. What could be happening? What would you do?

The patient is showing symptoms of hypovolaemic shock. Investigate source of fluid loss, administer fluid replacement and get medical support

The patient is demonstrating symptoms of atelectasis. Administer a nebulizer, refer to physiotherapist for assessment.

The patient is demonstrating symptoms of uncontrolled pain. Administer prescribed analgesia, seek assistance from medical team.

The patient is demonstrating symptoms of hyperventilation. Offer reassurance, administer oxygen.

(62) A patient is on Inj. Fentanyl skin patch common side effect of the fentanyl overdose is

A. Fast and deep breathing, dizziness, sleepiness

B. Slow and shallow breathing, dizziness, sleepiness

C. Noisy and shallow breathing, dizziness, sleepiness

D. Wheeze and shallow breathing, dizziness, sleepiness

(63) Knowing the difference between normal age- related changes & pathologic findings, which finding should the nurse identify as pathologic in a 74 year old patient?

A. Increase in residual lung volume

B. Decrease in sphincter control of the bladder

C. Increase in diastolic BP

D. Decreased response to touch, heat & pain.

(64) What should be included in your initial assessment of your patient's respiratory status?

A. Review the patient's notes and charts, to obtain the patient's history.

B. Perform a systematic examination and ask the relatives for the patient's history.

C. Review the results of routine investigations.

D. Observe the patient's breathing for ease and comfort, rate and pattern.

(65) An unmarried young female admitted with ectopic pregnancy with her friend to hospital with complaints of abdominal pain. Her friend assisted a procedure and became aware of her pregnancy and when the family arrives to hospital, she reveals the truth. The family reacts negatively. What could the nurse have done to protect the confidentiality of the patient information?

should tell the family that they don’t have any rights to know the patient information

that the friend was mistaken and the doctor will confirm the patient’s condition

should insist friend on confidentiality

should have asked another staff nurse to be a chaperone while assisting a procedure

(66) Which of the following would indicate an infection?

a. Temperature of 38.5°C, shivering, tachycardia and hypertensive.

b. Raised WBC, elevated blood glucose and temperature of 36.0°C.

c. Hypotensive, cold and clammy and bradycardic.

d. Hot, sweaty, a temperature of 36.5°C, and bradycardic.

(67) Independent and supplementary nurse and midwife are those who are?

nurse and midwife student who cleared medication administration exam

nurses and midwives educated in appropriate medication prescription for certain pharmaceuticals

registrants completed a programme to prescribe under community nurse practitioner’s drug formulary

nurses and midwives whose name is entered in the register

(68) What do you mean by a bad leadership?

A. Appreciate initiativeness

B. Appreciate better work

C. Reward poor performance

D. Reward good performance

(69) proper technique to use walker/Zimmer's frame?.

A. move 10 feet,take small steps

B. move 10feet,take large wide steps

C. move 12feet

D. tansform weight to walker and walk

(70) A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells, “I don’t want to answer any more questions! There are too many voices in this room!” Which of the following assessment questions should the nurse ask NEXT?

Are the voices telling you to do things?

B. “Do you feel as though you want to harm yourself or anyone else?”

C. “Who else is talking in this room? It’s just you and me.

D. “I don’t hear any other voices

(71) What steps would you take if you had sustained a needle stick injury?

A. Ask for advice from the emergency department, report to occupational health & fill in an incident form.

C. Take blood from patient & self for Hep B screening & take samples & form to bacteriology. Call your union representative for support. Make an appointment with your GP for a sickness certificate to take time off until the wound site has healed so you contaminate any other patients.

D. Wash the wound with soap & water. Cover any wound with a waterproof dressing to prevent entry of any other foreign material. Wear gloves while working until the wound has healed to prevent contaminating any other patients. Take any steps to have the patient or yourself tested for the presence of a bloodborne virus.

(72) What should be included in a prescription for oxygen therapy?

A. The type of oxygen delivery system, inspired oxygen percentage and duration of the therapy.

B. You don't need a prescription for oxygen unless in anemergency.

C. You only need a prescription if the patient is going to have home oxygen.

D. The date it should commence, the doctor's signature and bleep number.

(73) In a fully saturated hemoglobin molecule, responsible for carrying oxygen to the body's tissues, how many of its haem sites are bound with oxygen?

A. 4

B. 8

C. 6

D. 2

(74) What is the most accurate method of calculating a respiratory rate?

A. Counting the number of respiratory cycles in 15 seconds and multiplying by 4.

B. Not telling the patient as this may make them conscious of their breathing pattern and influence the accuracy of the rate.

. Placing your hand on the patient's chest and counting the number of respiratory cycles in 30 seconds and multiplying by 2.

D. Counting the number of respiratory cycles in 1 minute. One cycle is equal to the complete rise and fall of the patient's chest.

(75) What are the most common effects of inactivity?

A. Pulmonary embolism, UTI, & fear of people

B. Deep arterial thrombosis, respiratory infection, fears of movement, loss of consciousness, de-conditioning of cardiovascular system leading to an increased risk of angina.

C. Loss of weight, frustration and deep vein thrombosis

(76) When should prescribed antibiotics to be administered to a septicemic patient?

A. Immediately after admission

B. Before drawing bloods.

C. After getting blood culture result

D. Immediately following blood drawn for culture

(77) on the day of discharge spouse of a pt is tensed about discharge ?

A. Cancel discharge

B. Explain the pt to express his fears and fix time for consultation

C. Inform the doctor

D. None of the above

(78) You are caring for a patient who has had a recent head injury and you have been asked to carry out neurological observations every 15 minutes. You assess and find that his pupils are unequal and one is not reactive to light. You are no longer able to rouse him. What are your actions?

A. This is a medical emergency. Basic airway,breathing and circulation should be attended to urgently and senior help should be sought.

B. Refer to the neurology team.

C. Continue with your neurological assessment, calculate your Glasgow Coma Scale (GCS) and document clearly.

D. Break down the patient's Glasgow Coma Scale as follows: best verbal response V = XX, best motor response M = XX and eye opening E = XX. Use this when you hand over.

(79) A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do?

A. Document clearly in the patient’s notes that a weight cannot be obtained

B. Offer the patient pain relief and either use bed scales or a hoist with scales built in

C. Discuss the case with your colleagues and agree to guess his body weight until he agrees to stand and use the chair scales

D. Omit the drugs as it is not safe to give it without this information; inform the doctor and document your actions

(80) There have been several patient complaints that the staff members of the unit are disorganized and that “no one seems to know what to do or when to do it.” The staff members concur that they don’t have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing?

Autocratic.

Bureaucratic.

Laissez-faire.

Authoritarian

(81) A patient has just been told by the physician that she has stage III uterine cancer. The patient says to the nurse, “I don’t know what to do. How do I tell my husband?” and begins to cry. Which of the following responses by the nurse is the MOST therapeutic?

A. “It seems to be that this is a lot to handle. I’ll stay here with you.”

B. “How do you think would be best to tell your husband?”

C. “I think this will all be easier to deal with than you think.”

D. “Why do you think this is happening to you?”

(82) Your patient has bronchitis and has difficulty in clearing his chest. What position would help to maximize the drainage of secretions?

A. Lying flat on his back while using a nebulizer

B. Sitting up leaning on pillows and inhaling humidified oxygen

C. Lying on his side with the area to be drained uppermost after the patient has had humidified air

D. Standing up in fresh air taking deep breaths

(83) NEWS score of 5-what action is appropriate?

A. Increase frequency of observation

B. Physician review

C. Tranfer patient to critical care unit

D. Repeat NEWS in 1 hour.

(84) When will you disclose the identity of a patient under your care?

Justified by public interest law and order

When media demands for it

When patient relatives wishes to

You can disclose it anytime you want

(85) As a RN when you are administering medication, you made an error. Taking health and safety of the patient into consideration, what is your action?

Call the prescriber. Report through yellow card scheme and document it in patient notes

Let the next of kin know about this and document it

Document this in patient notes and inform the line manager

Assess for potential harm to client, inform the line manager and prescriber and document in patient notes

(86) A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described?

A. In the hemostasis phase of healing.

B. In the reconstructive phase of wound healing.

C. As an infected wound.

D. In the inflammation phase of healing.

(87) Which is not an appropriate way to care for patients with Dementia/Alzheimer’s?

A. Ensure people with dementia are excluded from services because of their diagnosis, age, or any learning disability.

B. Encourage the use of advocacy services and voluntary support.

C. Allow people with dementia to convey information in confidence.

D. Identify and wherever possible accommodate preferences (such as diet, sexuality and religion).

(88) A patient asks a RN , ‘’can I tell u a secret.?’’. What is the RNs best response?

A. Yes because it develops trust which is central to the NPR

D. Yes I will keep the secret because it is confidential

(89) A client immediately following LP developed deterioration of consciousness, bradycardia, increased systolic BP. What is this?

A. normal reaction

B. client has brain stem herniation

C. spinal headache

D. Signs of infection

(90) How can we identify health problems of a patient ?

A. Lifestyle

B. Medical notes

C. Discussion

D. Talking to their friends

(91) A newly admitted client refusing to handover his own medications and this includes controlled drugs. What is your action?

You have to take it any way and document it

Call the doctor and inform about the situation

Refuse the admission as this is against the policy

(92) Which of the following is NOT a symptom of impacted earwax?

A. Sneezing

B. Reflux cough

C. Dull hearing

D. Dizziness

(93) a patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?

A. Express patients needs and wishes. Acts as a patients representative in expressing their concerns as if they were his own

B. Just to accompany the patient

C. To take decisions on patients behalf and provide their own judgments as this benefit the client

D. Is an expert and representates clients concerns, wishes and views as they cannot express by themselves

(94) You are currently on placement in the emergency department (ED). A 55 year old city worker is blue lighted into the ED having had a cardiorespiratory arrest at work. (94) The paramedics have been resuscitating him for 3 minutes. On arrival, he is in ventricular fibrillation. Your mentor asks you the following question prior to your shift starting: What will be the most important part of the patient's immediate advanced life support?

A. Correction of reversible causes of hypoxia.

B. Early defibrillation to restart the heart.

C. Administration of adrenaline every 3 minutes

D. Early cardiopulmonary resuscitation.

(95) Advocacy means?

A. Supporting and mediating on behalf of the pt

B. Act as a liasion between pt and health care team

C. Help pt to make informed decisions

D. A good leader for the team

(96) If a client is experiencing hypotension post operatively, the head is not tilted in which of the following surgeries?

A Chest surgery

B Abdominal surgery

C Gynaecological surgery

D Lower limb surgery

(97) When caring for clients with psychiatric diagnoses, the nurse recalls that the purpose of psychiatric diagnoses or psychiatric labeling is to?

A. Identify those individuals in need of more specialized care.

B. Identify those individuals who are at risk for harming others.

C. Enable the client’s treatment team to plan appropriate and comprehensive care.

D. Define the nursing care for individuals with similar diagnoses.

(98) You are caring for a 17 year old woman who has been admitted with acute exacerbation of asthma. Her peak flow readings are deteriorating and she is becoming wheezy. What would you do?

A. Reassure the patient: you know from reading her notes that stress and anxiety often trigger her asthma.

B. Sit her upright, listen to her chest and refer to the chest physiotherapist.

C. Undertake a full set of observations to include oxygen saturations and respiratory rate. Administer humidified oxygen, bronchodilators, corticosteroids and antimicrobial therapy as prescribed.

D. Suggest that the patient takes her Ventolin Inhaler and continue to monitor the patient.

(99) What are the key nursing observations needed for a patient receiving opioids frequently?

A. Daily completion of a Bristol’s tool chart, urinalysis, and a record of the frequency with which the patient reports breakthrough pain.

B. Lung function tests, oxygen saturations and addiction levels

C. Checking the patent is not addicted by looking at their blood pressure.

D. Respiratory rate, bowel movement record and pain assessment and score.

(100) Prior to sending a patient home on oxygen, healthcare providers must ensure the patient and family understand the dangers of smoking in an oxygen-rich environment. Why is this necessary?

A. It is especially dangerous to the patient's health to smoke while using oxygen

B. Oxygen and cigarette smoke can combine to produce a poisonous mixture

C. Oxygen can lead to an increased consumption of cigarettes

D. Oxygen is highly flammable and there is a risk of fire

(101) An 86 year old male with senile dementia has been physically abused & neglected for the past two years by his live in caregiver. He has since moved & is living with his son & daughter-in-law. Which response by the client’s son would cause the nurse great concern?

A. “How can we obtain reliable help to assist us in taking care of Dad? We can’t do it alone.”

Dad used to beat us kids all the time. I wonder if he remembered that when it happened to him?”

C. “I’m not sure how to deal with Dad’s constant repetition of words.”

D. “I plan to ask my sister & brother to help my wife & me with Dad on the weekends.”

(102) A patient has collapsed with an anaphylactic reaction. What symptoms would you expect to see?

A. The patient will have a low blood pressure ( hypotensive) & will have a fast heart rate ( tachycardia) usually associated with skin & mucosal changes

B. The patient will have a high blood pressure (hypertensive) & will have a fast heart rate (tachycardia)

C. The patient will quickly find breathing very difficult because of compromise to their airway or circulation. This is accompanied by skin & mucosal changes

D. The patient will experience a sense of impending doom, hyperventilate & be itchy all over

(103) When breaking bad news over phone which of the following statement is appropriate?

I am sorry to tell you that your mother died

I am sorry to tell you that your mother has gone to heaven

I am sorry to tell you that your mother is no more

I am sorry to tell you that your mother passed away

(104) What do the adverse effects of hypo-tension include?

A. The patient could become confused and not know who they are.

B. The patient feeling very cold.

C. Decreased conscious level, oliguria and reduced coronary blood flow.

D. Decreased conscious level, reduced blood flow to vital organs and renal failure.

(105) In which of the following situations might nitrous oxide {Entonox) be considered?

A. For pain relief during the insertion of a chest drainfor the treatment of a pneumothorax.

B. For pain relief during a wound dressing for a patient who has had radical head and neck cancer that involved the jaw.

C. A wound dressing change for short term pain relief or the removal of a chest drain for reduction of anxiety.

D. Turning a patient who has bowel obstruction because there is an expectation that they may have pain from pathological fractures.

(106) You are currently on placement in the emergency department (ED). A 55 year old city worker is blue lighted into the ED having had a cardiorespiratory arrest at work. The paramedics have been resuscitating him for 3 minutes. On arrival, he is in ventricular fibrillation. Your mentor asks you the following question prior to your shift starting: What will be the most important part of the patient's immediate advanced life support?

A. Early defibrillation to restart the heart.

B. Administration of adrenaline every 3 minutes

C. Early cardiopulmonary resuscitation.

D. Correction of reversible causes of hypoxia

(107) Early ambulation of a post surgery patient reduce the chances of occurrence of following except which condition?

A. venous thromboembolism

B. chest infection

C. muscle atrophy

D. Developing infection of the wound

(108) A client expressed concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by?

B. Limiting discussion about clients to the group room and hallways.

C. Summarizing the information the client provides during assessments and documenting this summary in the chart.

D. Explaining the exact limits of confidentiality in the exchanges between the client and the nurse.

(109) Common minor disorder in pregnancy?

A. abdominal pain

B. limb pain

C. heart burn

D. headache

(110) A patient with dehydration has severe fluid volume deficit, which following sign will indicate?

A. Hypotension

B. A bounding pulse

C. Increased urine output

D. Increased respiratory rate

(111) Intake of a patient is 2738 and output is 750 calculate the fluid balance for this patient?

1988

1998

1288

158

(112) An adult is offered the opportunity to participate in research on a new therapy. The researcher asks the nurse to obtain the patient’s consent. What is most appropriate for the nurse to take?

Give the form to the patient & tell him or her to read it carefully before signing it

(113) What are the principles of communicating with a patient with delirium?

a. Use short statements and closed questions in a well it quiet familiar environment.

b. Communicate only through the family using short statements and closed questions.

c. Use short statements and open questions in a well it, quiet, familiar environment.

d. Write down all questions for the patient to refer back to.

(114) A normal sign of aging in the renal system is?

A. Intermittent incontinence

B. Concentrated urine

C. Microscopic hematuria

D. A decreased glomerular filtration rate

(115) The one who develops and providing information?

nurse educator

nurse advocate

nurse researcher

nurse practioner

(116) What are the four stages of wound healing in the order they take place?

A. Hemostasis, proliferation phase, inflammation phase, remodeling phase.

B. Inflammatory phase, dynamic stage, neutrophil phase, maturation phase.

C. Proliferative phase, inflammation phase, remodeling phase, maturation phase.

D. Hemostasis, inflammation phase, proliferation phase, maturation phase.

(117) If an elderly immobile patient had a grade 3 pressure sore, what would your management be?

A. Foam dressing. pressure relieving mattress, nutritional support.

B. Dry dressing. pressure relieving mattress, mobilization.

C. Film dressing. mobilization, positioning, nutritional support.

D. Hydrocolloid dressing, pressure relieving mattress, nutritional support.

(118) Which is not an expected side effect of lumbar tap?

Headache

Back pain

Swelling and bruising

Nausea and vomiting

(119) while changing tubing and cap change on a patient with central line on right subclavian what should the nurse do to prevent complication?

A. ask patient to breath normally

B. ask patient to hold the breath and bear down

C. inhale slowely

D. exhale slowly

(120) How long does the 'inflammatory phase' of wound healing typically last?

A. 3-24 days

B. 24 hours

C. 1-5 days

D. Just minutes

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