1k mock test

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A client breathes shallowly and looks upward when listening to the nurse. Which sensory mode should the nurse plan to use with this client? a) Touch b) Auditory c) Kinesthetic d) Visual

A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization? a) The client retains all of his or her rights b) the client has a right to leave if not a danger to self or other c) the client can sign a written request for discharge d) The client cannot be released without medical advice

A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to: a) Providing a calm environment b) Obtaining a diet history c) Administering an analgesic d) Assessing fetal heart tones

A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client's skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. The wound is best described as: a) Abrasion b) Unapproxiamted c) Laceration d) Eschar

A client is admitted to the labour and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to: a) Assess the fetal heart tones. b) Check for cervical dilation. c) Check for firmness of the uterus. d) Obtain a detailed history

A client is admitted to the labour and delivery unit in active labour. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate? a) Document the finding. b) Report the finding to the doctor. c) Prepare the client for a C-section. d) Continue primary care as prescribed.

A client is admitted to the labour and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5cm dilated with 75% effacement. Based on the nurse's assessment the client is in which phase of labour? a) Active b) Latent c) Transition d) Early

A client is ambulating with a walker. The nurse corrects the walking pattern of the patient if he does which of the following? a) The patient walks first & then lifts the walker b) The walker is held on the hand grips for stability c) The patient's body weight is supported by the hands when advancing his weaker leg.

A client is brought to the emergency room by the emergency medical services after being hit by car. The name of the client is not known. The client has sustained a severe head injury, multiple fractures and is unconscious. An emergency craniotomy is required, regarding informed consent for the surgical procedure, which of the following is the best action? a) Call the police to identify the client and locate the family b) Obtain a court order for the surgical procedure c) Ask the emergency medical services team to sign the informed consent d) Transport the victim to the operating room for surgery

A client on your medical surgical unit has a cousin who is physician & wants to see the chart. Which of the following is the best response for the nurse to take a) Ask the client to sign an authorization & have someone review the chart with cousin b) Hand the cousin the client chart to review c) Call the attending physician & have the doctor speak with the cousin d) Tell the cousin that the request cannot be granted

A client requests you that he wants to go home against medical advice, what should you do? a) Inform the management b) Inform the local police c) Call the security guard d) Allow the client to go home as he won't pose any threat to self or others

A client telephones the emergency room stating that she thinks that she is in labour. The nurse should tell the client that labour has probably begun when: a) Her contractions are two minutes apart. b) She has back pain and a bloody discharge. c) She experiences abdominal pain and frequent urination. d) Her contractions are five minutes apart.

A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is: a) Elevated human chorionic gonadatropin b) The presence of fetal heart tones c) Uterine enlargement d) Breast enlargement and tenderness

A client was diagnosed to have infection. What is not a sign or symptom of infection? a) A temperature of more than 38°C b) warm skin c) Chills and sweats d) Aching muscles

A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the: a) Mother's educational level b) Infant's birth weight c) Size of the mother's breast d) Mother's desire to breastfeed

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with: a) Magnesium sulfate b) Calcium gluconate c) Dinoprostone (Prostin E.) d) Bromocrystine (Parlodel)..

A client diagnosed of cancer visits the OPD and after consulting the doctor breaks down in the corridor and begins to cry. What would the nurses best action? a) Ignore the client and let her cry in the hallway b) Inform the client about the preparing to come forth next appointment for further discussion on the treatment planned c) Take her to a room and try to understand her worries and do the needful and assist her with further information if required d) Explain her about the list of cancer treatments to survive

A client elects to have epidural anesthesia to relieve the discomfort of labour. Following the initiation of epidural anesthesia, the nurse should give priority to: a) Checking for cervical dilation b) Placing the client in a supine position c) Checking the client's blood pressure d) Obtaining a fetal heart rate

A client experiences an episode of pulmonary oedema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with? a) Assault b) Slander c) Negligence d) Tort

A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by: a) Explaining the exact limits of confidentiality in the exchanges between the client and the nurse. 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) Sharing the information with all members of the healthcare team

A client has a diabetic stasis ulcer on the lower leg. The nurse uses a hydrocolloid dressing to cover it. The procedure for application includes: a) Cleaning the skin and wound with betadine b) Removing all traces of residues for the old dressing c) Choosing a dressing no more than quarter-inch larger than the wound size d) Holding it in place for a minute to allow it to adhere

A client with a right arm cast for fractured humerus states, "I haven't been able to straighten the fingers on the right hand since this morning." What action should the nurse take? a) Assess neurovascular status to the hand b) Ask the client to massage the fingers c) Encourage the client to take the prescribed analgesic d) Elevate the arm on a pillow to reduce oedema

A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy? a) Insulin requirements moderate as the pregnancy progresses. b) A decreased need for insulin occurs during the second trimester. c) Elevations in human chorionic gonadotrophin decrease the need for insulin. d) Fetal development depends on adequate insulin regulation.

A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: a) Douche after intercourse b) Void every three hours c) Obtain a urinalysis monthly d) Wipe from back to front after voiding

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 inflammation phase of healing. b) In the haemostasis phase of healing. c) In the reconstructive phase of wound healing. d) As an infected wound

A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include: a) Teaching the mother to provide tactile stimulation b) Wrapping the newborn snugly in a blanket c) Placing the newborn in the infant seat d) Initiating an early infant-stimulation program

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

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 patient's representative in expressing their concerns as if they were his own b) Just to accompany the patient c) To take decisions on patient's behalf and provide their own judgements as this benefit the client d) Is expert and representative's clients concerns, wishes and views as they cannot express by themselves

A patient develops gingivitis after using an artificial denture. It is characterized by a) White patches on tongue b) Red shiny patches on tongue c) Red shiny patches around the palate of tooth

A patient doesn't sign the consent for mastectomy. But bystanders strongly feel that she needs surgery. a) Allow family members to take decision on behalf of patient b) Doc can proceed with surgery, since it is in line with the best interest and outcome c) Respect patients decision. She has the right to accept or deny

A patient had been suffering from severe diarrheoa and is now showing signs of dehydration. Which of the following is not a classic symptom? a) passing small amounts of urine frequently b) dizziness or light-headedness c) dark-coloured urine d) thirst

A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhea but no pyrexia. What is likely to be cause? a) An infection b) Food poisoning c) Being in hospital d) The feed

A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhoea but has no pyrexia. What is likely to be the cause? a) The feed b) An infection c) Food poisoning d) Being in hospital

A patient has been assessed as lacking capacity to make their own decisions, what government legislation or act should be referred to: a) Health and Social Care Act (2012) b) Mental capacity Act (2005) c) Carers (Equal opportunities) Act (2004) d) All of the above

A patient has been confined in bed for months now and has developed pressure ulcers in the buttocks area. When you checked the waterlow it is at level 20. Which type of bed is best suited for this patient? a) water mattress b) Egg crater mattress c) air mattresses d) Dynamic mattress

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

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) and will have a fast heart rate (tachycardia) usually associated with skin and mucosal changes. b) The patient will have a high blood pressure (hypertensive) and 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 and mucosal changes d) The patient will experience a sense of impending doom, hyperventilate and be itchy all over

Respiratory protective equipment include: a) gloves b) mask c) apron d) paper towels

Sharp debridement may cause trauma to underlying structures, the procedure should only be carried out by: a) A health care assistant on working full time b) A qualified nurse with at least 3 years experience c) A doctor of any type of speciality d) A qualified healthcare professional with appropriate training

She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory? a) Recognizes staff for going beyond expectations by giving them citations b) Challenges the staff to take individual accountability for their own practice c) Admonishes staff for being laggards. d) Reminds staff about the sanctions for non-performance.

Sign of dehydration a) Bounding pulse b) Hypertension c) Jugular distension d) Hypotension

Signs and symptoms of early fluid volume deficit, except. a) Decreased urine output b) Decreased pulse rate c) Concentrated urine d) Decreased skin turgor

Signs and symptoms of septic shock? a) Tachycardia, hypertension, normal WBC, non pyrexial b) Tachycardia, hypotension, increased WBC, pyrexial c) Tachycardia, , increased WBC, normotension, non pyrexial d) Decreased heart rate, decreased blood pressure, normal WBC and pyrexial

Signs of denture related stomatitis a) whiteness on the tongue b) patches of shiny redness on the cheek and tongue c) patches of shiny redness on the palette and gums d) patches of shiny redness on the tongue

Signs of denture-related stomatitis include all except: a) Redness underneath the area where the dentures are placed b) Red sores at the corners of lips or on the roof of the mouth c) Presence of white patches inside the mouth d) Gingivitis

Signs of hypovolemic shock would include all except: a) restlessness, anxiety or confusion b) shallow respiratory rate, becoming weak c) rising pulse rate d) low urine output of <0.5 mL/kg/h E. pallor (pale, cyanotic skin) and later sweating

All are purposes of NMC except: a) NMC's role is to regulate nurses and midwives in England, Wales, Scotland and Northern Ireland. b) It sets standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare throughout their careers. c) It makes sure that nurses and midwives keep their skills and knowledge up to date and uphold its professional standards. d) It is responsible for regulating hospitals or other healthcare settings.

All but one are signs of anaphylaxis: a) itchy skin or a raised, red skin rash b) swollen eyes, lips, hands and feet c) hypertension and tachycardia d) abdominal pain, nausea and vomiting

All individuals providing nursing care must be competent at which of the following procedures? a) Hand hygiene and aseptic technique b) Aseptic technique only c) Hand hygiene, use of protective equipment, and disposal of waste d) Disposal of waste and use of protective equipment e) All of the above

As an infection prevention and control protocol, linens soiled with infectious bodily fluids should be disposed of in what means? a) Placed in yellow plastic bag to be disposed of b) Placed in dissolvable red linen bag and washed at high temperature c) Placed in yellow linen bag, and washed at high temperature d) Placed in red plastic bag to be incinerated at high temperature

Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorised as: a) moisture lesion b) 2nd stage partial skin thickness c) 3rd stage d) 4th stage

Define standard precaution: a) The precautions that are taken with all blood and 'high-risk' body fluids. b) The actions that should be taken in every care situation to protect patients and others from infection, regardless of what is known of the patient's status with respect to infection. c) It is meant to reduce the risk of transmission of blood bourne and other pathogens from both recognized and unrecognized sources. d) The practice of avoiding contact with bodily fluids, by means of wearing of nonporous articles such as gloves, goggles, and face shields.

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 input has exceeded the output b) The fluid balance chart can be stopped as "positive" means "good" c) The doctor may consider increasing the IV drip rate d) The fluid output has exceeded the input

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

Describe the primary focus of a manager in a knowledge work environment. a) Developing the most effective teams b) Taking risks. c) Routine work d) Understanding the history of the organization.

During enteral feeding in adults, at what degree angle should the patient be nursed at to reduce the risk of reflux and aspiration? a) 25 b) 35 c) 45 d) 55

During the day, Mrs X was sat on a chair and has a table put in front of her to stop her getting up and walking about. What type of abuse is this? a) Physical Abuse b) Psychological Abuse c) Emotional Abuse d) Discriminatory Abuse

The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and midwives must act in line with the Code, whether they are providing direct care to individuals, groups or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles; such as leadership, education or research. What 4 Key areas does the code cover: a) Prioritise people, practise effectively, preserve safety, promote professionalism and trust b) Prioritise people, practise safely, preserve dignity, promote professionalism and trust c) Prioritise care, practise effectively, preserve security, promote professionalism and trust d) Prioritise care, practise safely, preserve security, promote kindness and trust

The NMC Code expects nurse to safeguarding the health and wellbeing of public through the use of best available evidence in practice. Which of the following nursing actions will ensure this? a) using isopropyl alcohol 70% to wipe skin prior to cannulation b) suggesting healthcare products or services that are still trialled c) ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care d) all

The UK regulator for nursing & midwifery professions within the UK with a started aim to protect the health & well-being of the public is: a) GMC b) NMC c) BMC d) WHC

The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response a) Just neglect the request. b) Tell her that, only male doctor is available and he is takin care of many female staffs daily c) Respect the request, if possible arrange the consultation with a female doc d) Inform police

Bystander informs you that the patient is in severe pain. your response a) Tell him that he would come as soon as possible b) Record in the chart and inform doc and in charge c) Tell that she would give the next dose of analgesic when it's time d) Go instantly to the patient and assess the condition

C Clostridium difficile (C- diff) infections can be prevented by: a) using hand gels b) washing your hands with soap and water c) using repellent gowns d) limit visiting times

Examples of offensive/hygiene waste which may be sent for energy recovery at energy from waste facilities can include: a) Stoma or catheter bags - The Management of Waste from health, social and personal care -RCN b) Unused non-cytotoxic/cytostatic medicines in original packaging c) Used sharps from treatment using cytotoxic or cytostatic medicines d) Empty medicine bottles

Except which procedure must all individuals providing nursing care must be competent at? a) Hand hygiene b) Use of protective equipment c) Disposal of waste d) Aseptic technique

External factors which increase the risk of pressure damage are: e) Equipment, age and pressure f) Moisture, pressure and diabetes g) Pressure, shear and friction h) Pressure, moisture and age

Fiona a 70 year old has recently been diagnosed with type 2 diabetes. You have EC devised a care plan to meet her nutritional needs. However, you have noted that she has poor fitting dentures. Which of the following is the least likely risk to the service user? a) Malnutrition b) Hyperglycemia c) Dehydration d) Hypoglycaemia

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 patient's 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 judgements as this benefit the client d) Is an expert and represents clients concerns, wishes and views as they cannot express by themselves

A person supervising a nursing student in the clinical area is called as: a) mentor b) preceptor c) interceptor d) supervisor

A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test: a) Determines the lung maturity of the fetus b) Measures the activity of the fetus c) Shows the effect of contractions on the fetal heart rate d) Measures the neurological well-being of the fetus

A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test: a) Because it is a state law b) To detect cardiovascular defects c) Because of her age d) To detect neurological defects

A primigravida, age 42, is six weeks pregnant. Based on the client's age, her infant is at risk for: a) Down syndrome b) Respiratory distress syndrome c) Turner's syndrome d) Pathological jaundice

A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient's record. What is best response of the nurse? a) She should continue documenting in the same file as the medical document cannot be corrected b) She should tear the page from the file & start documenting in the correct record c) She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time d) She should write as wrong documentation in a bracket & continue

a b c

Hypoglycaemia in patients with diabetes is more likely to occur when the patients take: (Select x 3 correct answers) a) Insulin b) Sulphonylureas c) Prandial glucose regulators d) Metformin

A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response? a) Let her do the procedure. Correct her later b) Inform to ward in charge c) Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent

In Spinal cord injury patients, what is the most common cause of autonomic dysreflexia (a sudden rise in blood pressure)? a) Bowel obstruction b) Fracture below the level of the spinal lesion c) Pressure sore d) Urinary obstruction

In a G.P clinic when you assessing a pregnant lady you observe some bruises on her hand. When you asked her about this she remains silent. What is your action? a) Call her husband to know what is happening b) Tell her that you are concerned of her welfare and you may need to share this information appropriately with the people who offer help c) Do nothing as she does not want to speak anything d) Call the police

In a community hospital, an elderly man approaches you and tells you that his neighbour has been stealing his money, saying "sometimes I give him money to buy groceries but he didn't buy groceries and he kept the money" what is your best course of action for this? a) Raise a safeguarding alert b) Just listen but don't do anything c) Ignore the old man, he is just having delusions d) Refer the old man to the community clergy who is giving him spiritual support

In a community setting, an elderly patient reported to you that he gives shopping money to his neighbours but failed to bring groceries on frequent occasions. What is your best response on this situation? a) Confront the neighbour b) Ignore, maybe he is very old and does not think clearly c) Fill up a raising a concern/ safeguarding form, and escalate d) ask patient to report neighbour to police

In an emergency department doctor asked you to do the procedure of cannulation and left the ward. You haven't done it before. What would you do? a) Don't do it as you are not competent or trained for that & write incident report & inform the supervisor b) What is the purpose of clinical audit? c) Do it d) Ask your colleague to do it e) Complain to the supervisor that doctor left you in middle of the procedure

A registered nurse is a preceptor for a new nursing graduate an is describing critical paths and variance analysis to the new nursing graduate. The registered nurse instructs the new nursing graduate that a variance analysis is performed on all clients: a) Continuously b) daily during hospitalization c) every third day of hospitalization d) every other day of hospitalization

A relative of the patient was experiencing vomiting and diarrhoea and wished to visit her mother who was admitted. As a nurse, what will you advise to the patient's relative? a) There should be 48 hours after active symptoms should disappear prior to visiting patient b) Inform relative it is fine to visit mother as long as she uses alcohol before entering ward premises

Leonor, 72 years old patient is being treated with antibiotics for her UTI. After three days of taking them, she developed diarrhoea with blood stains. What is the most possible reason for this? a) Antibiotics causes chronic inflammation of the intestine b) An anaphylactic reaction c) Antibiotic alters her GI flora which made Clostridium-difficile to multiply d) she is not taking the antibiotics with food

Lisa, a working mother of 3, has approached you during a recent attendance of her daughter in Accident and Emergency because of an acute asthma attack about smoking cessation. What is your most appropriate response to her? a) Smoking cessation will help prevent further asthma attack b) Referral can be made to the local NHS Stop smoking service c) Discuss with her the NICE recommendations on smoking cessation d) It is not common for people like her to stop smoking

Mr Bond's daughter rang and wanted to visit him. She told you of her diarrhoea and vomiting in the last 24 hours. How will you best respond to her about visiting Mr Bond? a) allow her to visit and use alcohol gel before contact with him b) visit him when she feels better c) visit him when she is symptom free after 48 hours d) allow her to visit only during visiting times only

Mr Bond, 72 years old, complains of difficulty of chewing his food. He normally wears upper dentures daily. On assessment, you noticed some signs of gingivitis. Which of the following signs will you expect? a) redness of soft palate and tissues surrounding the teeth b) haemo-serous discharges around the gums c) loosening of teeth d) presence of pockets deep in the gums

Mr Connor's neck wound needed some cleaning to prevent complications. Which of the following concept will you apply when doing a surgical wound cleaning? a) surgical asepsis b) aseptic non-touch technique c) medical asepsis d) dip-tip technique

Mr Cross informed you of how upset he was when you commented on his diabetic foot during your regular home visit. He is considering to see another tissue viability nurse. How will you best respond to him? a) Apologise for the comments made b) Tell him of his overreaction c) Explain that his condition will make him over-sensitive to a lot of things d) Apologise and tell him to deal with the event lightly

Mr Smith has been diagnosed with Multiple Sclerosis 20 years ago. Due to impaired mobility, he has developed a Grade 4 pressure sore on his sacrum. Which health professional can provide you prescriptions for his dressing? a) Dietician b) Tissue Viability Nurse c) Social Worker d) Physiotherapist

Mr. James, 72 years old, is a registered blind admitted on your ward due to dehydration. He is encouraged to drink and eat to recover. How will you best manage this plan of care? a) Ask the patient the assistance he needs b) delegate someone to feed him c) ask the relatives to assist in feeding him d) look for volunteer to assist with his needs

Mrs Smith developed an MRSA bacteremia from her abdominal wound and her son is blaming the staff. It has been highlighted during your ward clinical governance meeting because it has been reported as a serious incident (SI). SI is best described as: a) any incident or occurrence that has the potential to cause harm and/or has caused harm to a person or persons b) a consequence of an intervention, relating to a piece of equipment and/or as a consequence of the working environment c) Incident requiring investigation that occurred in relation to NHS funded services and care resulting in; unexpected or avoidable death, permanent harm d) All

Mrs Smith has been assessed to have a cardiac arrest after anaphylactic reaction to a medication. Cardiopulmonary Resuscitation (CPR) was started immediately. According to the Resuscitation Council UK, which of the following statements is true? a) Intramuscular route administration of adrenaline is always recommended during cardiac arrest after anaphylactic reaction. b) Intramuscular route for adrenaline is not recommended during cardiac arrest after anaphylactic reaction. c) Adrenaline can be administered intradermally during cardiac arrest after anaphylactic reaction. d) None of the Above

Mrs X had developed Steven-Johnson syndrome whilst on Carbamazepine. She is now being transferred for the ITU to a bay in the Medical ward. Which patient can Mrs X share a baby with? a) a patient with MRSA b) a patient with diarrhoea c) a patient with a fever of unknown origin d) a patient with Stephen Johnson Syndrome

a b

Mrs X informs the nurse that she has lost her job due to excessive absences related to her wound. (2 correct answers) The nurse should: a) Encourage the patient to express her feelings about the job loss b) Contact social services to assist the patient with accessing available resources c) Evaluate Mrs X's understanding of her wound management d) Explain to Mrs X that she can no longer be seen at the clinic without a job

Mrs X was taken to the Accident and Emergency Unit due to anaphylactic shock. The treatment for Mrs X will depend on the following except: a) Location b) Number of Responders c) Equipment and Drugs available d) Triage system in the A&E

Mrs. Smith is receiving blood transfusion after a total hip replacement operation. After 15 minutes, you went back to check her vital signs and she complained of high temperature and loin pain. This may indicate: a) Renal Colic b) Urine Infection c) Common adverse reaction d) Serious adverse reaction

Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a) Organization Man b) Impoverished Management c) Country Club Management d) Team Management

Ms. Jones is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a) Country Club Management b) Organization Man c) Impoverished Management d) Team Management

NMC defines record keeping as all of the following except: a) Helping to improve advocacy b) Showing how decisions related to patient care were made c) Supporting effective clinical judgements and decisions d) Helping in identifying risks, and enabling early detection of complication

NMC requires in the UK how many units of continuing education units a nurse should have in 3 years? a) 35 Units b) 45 Units c) 55 Units d) 65 Units

A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation? a) Having the new nurse tell the physician the task has been completed. b) Supervising the performance of the new nurse c) Telling the unit manager, the task has been completed d) Documenting that the task has been completed.

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time? a) Anticipate the need for a Caesarean section. b) Apply an internal fetal monitor. c) Place the client in Genu Pectoral position. d) Perform an ultrasound.

A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160-170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is: a) The cervix is closed. b) The membranes are still intact. c) The fetal heart tones are within normal limits. d) The contractions are intense enough for insertion of an internal monitor.

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? a) Maintain in an autocratic approach to influence results. b) Understand complex health care environments. c) Use critical thinking to solve problems on the unit d) Give assignments clearly, taking staff expertise into consideration

A young mother who delivered 48hrs ago comes back to the emergency department with post partum haemorrhage. What type of PPH is it? a) primary post partum haemorrhage b) secondary post partum haemorrhage c) tertiary post partum haemorrhage.

A young woman gets admitted with abdominal pain & vaginal bleeding. Nurse should consider an ectopic pregnancy. Which among the following is not a symptom of ectopic pregnancy? a) Pain at the shoulder tip b) Dysuria c) Positive pregnancy test

A young woman has suffered fractured pelvis in an accident , she has been hospitalized for 3 days , when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. what is best action of the nurse to take? a) Document this information on the patient's chart b) Tell the patient's physician c) Inform the healthcare team who will come in contact with the patient d) Encourage the patient to disclose this information to her physician

A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make. a) "Where there is life there is hope" b) " Would you like to talk to the nurse who works with HIV- positive patient's?" c) " you are a long way from dying" d) " not everyone who is HIV positive will develop AIDS & die"

The characteristic of an effective leader includes: a) attention to detail b) sound problem-solving skills and strong people skills c) emphasis on consistent job performance d) all of the above

The client advanced his left crutch first followed by the right foot, then the right crutch followed by the left foot. What type of gait is the client using? a) Swing to gait b) Three point gait c) Four point gait d) Swing through gait

The client at greatest risk for postoperative wound infection is: a) A 3 month old infant postoperative from pyloric stenosis repair b) A 78 year old postoperative from inguinal hernia repair c) A 18 year old drug user postoperative from removal of a bullet in the leg d) A 32 year old diabetic postoperative from an appendectomy

The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle? a) Fidelity b) Veracity c) Autonomy d) Beneficence

The client reports nausea and constipation. Which of the following would be the priority nursing action? a) Collect a stool sample b) Complete an abdominal assessment c) Administer an anti-nausea medication d) Notify the physician

The client reports nausea and constipation. Which of the following would be the priority nursing action? a) Complete an abdominal assessment b) Administer an anti-nausea a medication c) Notify the physician d) Collect a stool sample

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: a) Measure the urinary output. b) Check the vital signs. c) Encourage increased fluid intake. d) Weigh the client.

The client with pre-eclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity? a) The nurse performs a vaginal exam every 30 minutes. b) The nurse places a padded tongue blade at the bedside. c) The nurse inserts a Foley catheter. d) The nurse darkens the room.

The code is the foundation of a) Dress code b) Personal document c) Good nursing & midwifery practice & a key tool in safeguarding the health & wellbeing of the public d) Hospital administration

The human body is made up of approximately what proportion of water? a) 50% b) 60% c) 70% d) 80%

When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to: a) Check the client for bladder distention. b) Assess the blood pressure for hypotension. c) Determine whether an oxytocic drug was given. d) Check for the expulsion of small clots.

When treating patients with clostridium difficile, how should you clean your hands? a) Use alcohol hand rubs b) Use soap & water c) Use hand wipes d) All of the above

When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning? a) Ethical principles & code b) The nurse's experience c) The nurse's emotional feelings d) The policies & practices of the institution

When using crutches, what part of the body should absorb the patient's weight? a) Armpits b) Hands c) Back d) Shoulders

When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why? a) Nasal cannulae are only capable of delivering an inspired oxygen concentration between 24% and 40%. b) For any given flow rate, the inspired oxygen concentration will vary between breaths, as it depends upon the rate and depth of the patients breath and the inspiratory flow rate. c) Higher rates can cause nasal mucosal drying and may lead to epistaxis. d) If oxygen is administered at greater than 40% it should be humidified. You cannot humidify oxygen via nasal cannulae

When will you disclose the identity of a patient under your care? a) You can disclose it anytime you want b) When a patient relative wishes to c) When media demands for it d) Justified by public interest law and order

a b c

When would it be beneficial to use a wound care plan? a) on initial assessment of wound b) during pre-assessment admission c) after surgery d) during wound infection, dehiscence or evisceration

When you find out that 2 staffs are on leave for next duty shift and its of staff shortage what to do with the situation? a) Inform the superiors and call for a meeting to solve the issue b) Contact a private agency to provide staff c) Close the admission until adequate staffs are on duty.

When you tell a 3rd year student under your care to dispense medication to your patient what will you assess? a) Whether s/he is able to give medicine b) Whether s/he is under your same employment c) His/her competence and skills d) Supervise directly

Where will you put infectious linen? a) red plastic bag designed to disintegrate when exposed to heat b) red linen bag designed to hold its integrity even when exposed to heat c) yellow plastic bag for disposal

Which are not the benefits of using negative pressure wound therapy? a) Can reduce wound odour b) Increases local blood flow in peri-wound area c) Can be used on untreated osteomyelitis d) Can reduce use of dressings

Which bag do you place infected linen? a) water-soluble alginate polythene bag before being placed in the appropriate linen bag, no more than ¾ full b) orange waste bag, before being placed in the appropriate linen bag, no more than ¾ full c) white linen bag, after sorting, no more than ¾ full

Which check do you need to carry out before setting up an enteral feed via a nasogastric tube? a) That when flushed with red juice, the red juice can be seen when the tube is aspirated. b) That air cannot be heard rushing into the lungs by doing the whoosh test c) That the pH of gastric aspirate is <5.5, and the measurement on the NG tube is the same length as the time insertion. d) That pH of gastric aspirate is >6.0, and the measurement on the NG tube is the same length as the time insertion

Which check do you need to carry out every time before setting up a routine enteral feed via a nasogastric tube? a) That when flushed with red juice, the red juice can be seen when the tube is aspirated b) That air cannot be heard rushing into the lungs by mdoing the 'whoosh test'. c) That the pH of gastric aspirate is <4, and the measurement on the NG tube is the same length as the time insertion d) abdominal x-ray

Which client has the highest risk for a bacteraemia? a) Client with a peripherally inserted central catheter (PICC) line b) Client with a central venous catheter (CVC) c) Client with an implanted infusion port d) Client with a peripherally inserted intravenous line

Which is not a sign or symptom of speed shock? a) Headache b) A tight feeling in the chest c) Irregular pulse d) Cyanosis

Which is not a stage in the Tuckman Theory of contingency? a) Forming b) Storming c) Norming d) Analysing

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).

Which is the safest and most appropriate method to remove hair preoperatively? a) Shaving b) Clipping c) Chemical removal d) Washing

Which law provides communication aid to patient with disability? a) Communication Act b) Equality Act c) Mental Capacity Act d) Children and Family Act

Which layer of the skin contains blood and lymph vessels. Sweat and sebaceous glands? a) Epidermis b) Dermis c) Subcutaneous layer d) All of the above

Which nursing delivery model is based on a production and efficiency model and stresses a task-orientated approach? a) Case management b) Primary nursing c) Differentiated practice d) Functional method

Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach? a) Case management b) Primary nursing c) Differentiated practice d) Functional method

Which observation in the newborn of a diabetic mother would require immediate nursing intervention? a) Crying b) Wakefulness c) Jitteriness d) Yawning

Which observation would the nurse expect to make after an amniotomy? a) Dark yellow amniotic fluid b) Clear amniotic fluid c) Greenish amniotic fluid d) Red amniotic fluid

Which of the following Is not a cause of gingival bleeding? a) Lifestyle b) Vitamin deficiency (Vitamin C and K) c) Vigorous brushing of teeth d) Intake of blood thinning medication (warfarin, asprin, and heparin)

Which of the following actions jeopardise the professional boundaries between patient and nurse a) Focusing on social relationship outside working environment b) Focusing on needs of patient related to illness c) Focusing on withholding value opinions related to the decisions

Which of the following agency set the standards of education, training and conduct and performance for nurses and midwives in the UK? a) NMC b) DH c) CQC d) RCN

Which of the following are not signs of a speed shock? a) Flushed face b) Headache and dizziness c) Tachycardia and fall in blood pressure d) Peripheral oedema

Which of the following are signs of anaphylaxis? a) swelling of tongue and rashes b) dyspnoea, hypotension and tachycardia c) hypertension and hyperthermia d) cold and clammy skin

Which of the following best describes the Contingency Theory of Leadership? a) Leaders behaviour influence team members b) Leaders grasp the whole picture and their respective roles c) The plan is influenced by the outside force d) The leader sees the kind of situation, the setting, and their roles

Which of the following conditions can be observed in a proper wound dressing: a) absorbent, humid, aerated b) non absorbent, humid, aerated c) non humid, absorbent, aerated d) non humid, non absorbent, aerated

Which of the following displays the proper use of Zimmer frame? a) using a 1 point gait b) using a 2 point gait c) using a 3 point gait d) using a 4 point gait

Which of the following indicates signs of severe Chronic Obstructive Pulmonary disease (COPD)? a) high p02 and high pC02 b) Low p02 and low pC02 c) low p02 and high pC02 d) high p02 and low pC02

Which of the following indicates the patient needs more education when doing capillary sampling to check for blood sugar? a) Prick tip of index finger b) Prick sides of a finger c) Rotates sites of fingers

Which of the following is NOT a cause of Type 1 (hypoxaemic) respiratory failure? a) Asthma b) Pulmonary oedema c) Drug overdose d) Granulomatous lung disease

Which of the following is NOT a risk factor for ectopic pregnancy? a) Alcohol abuse b) Smoking c) Tubal or pelvic surgery d) previous ectopic pregnancy

Which of the following is NOT a stage in the life cycle of viruses? a) Attachment b) Uncoating c) Replication d) Dispersal

Which of the following is NOT a typical characteristic of bacteria? a) Cell wall b) Eukaryocyte c) Spherical d) Spores

Which of the following is NOT one of the six fundamental values for nursing,cmidwifery and care staff set out in compassion in Practice Nursing, Midwifery & care staff? a) Care b) Consideration c) Communication d) Compassion

Which of the following is a behavioural risk factor when assessing the potential risks of falling in an older person? a) Poor nutrition/fluid intake b) Poor heating c) Foot problems d) Fear of falling

Which of the following is a characteristic of an ominous periodic change in the fetal heart rate? a) A fetal heart rate of 120-130bpm b) A baseline variability of 6-10bpm c) Accelerations in FHR with fetal movement d) A recurrent rate of 90-100bpm at the end of the contractions

Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders? a) An affected newborn has unaffected parents. b) An affected newborn has one affected parent. c) Affected parents have a one in four chance of passing on the defective gene. d) Affected parents have unaffected children who are carriers.

Which strategy could the nurse use to avoid disparity in health care delivery? a) Recognize the cultural issue related to patient care b) Request more health plan options c) Care for more patients even if quality suffers d) Campaign for fixed nurse patient ratios

Which student require a SOM? a) All consolidation students who started an NMC approved undergraduate programme which commenced after September 2007. b) Learners undertaking conversion courses c) Students on their final placement in 2nd year d) Nurses/midwifes undertaking Mentorship Preparations e) All midwifery pre-registrations students throughout training f) Nurses/midwives undertaking SOM Preparation.

Which task should be assigned to the nursing assistant? a) Placing the client in seclusion b) Emptying the Foley catheter for the preeclamptic client c) Feeding the client with dementia d) Ambulating the client with a fractured hip

While assisting a client from bed to chair, the nurse observes that the client looks pale and is beginning to perspire heavily. The nurse would then do which of the following activities as a reassessment? a) Help client into the chair but more quickly b) Document client's vital signs taken just prior to moving the client c) Help client back to bed immediately d) Observe clients skin color and take another set of vital signs

While at outside setup what care will you give as a Nurse if you are exposed to a situation? a) Provide care which is at expected level b) Above what is expected c) Ignoring the situation d) Keeping up to professional standards

While giving an IV infusion your patient develops speed shock. What is not a sign and symptom of this? a) Circulatory collapse b) Peripheral oedema c) Facial flushing d) Headache

Who is responsible for the overall assessment of the student's fitness to practice and documentation of initial, midterm and final assessments in the Ongoing Achievement Record (OAR)? a) The mentor b) The charge nurse/manager c) Any registered nurse on same part of the register

Who should mark the skin with an indelible pen ahead of surgery? a) The nurse should mark the skin in consultation with the patient b) A senior nurse should be asked to mark the patient's skin c) The surgeon should mark the skin d) It is best not to mark the patient's skin for fear of distressing the patient.

Who will you inform first if there is a shortage in supplies in your shift? a) Nursing assistant b) Purchasing personnel c) Immediate nurse manager d) Supplier

Why are elderly prone to postural hypotension? Select which does not apply: a) The baroreflex mechanisms which control heart rate and vascular resistance decline with age. b) Because of medications and conditions that cause hypovolaemia. c) Because of less exercise or activities. d) Because of a number of underlying problems with BP control.

Why constipation occurs in old age? a) Anorexia and weight loss b) Decreased muscle tone and periatalsis c) Increased mobility d) Increased absorption in colon

You have noticed that the management wants all residents to be up and about by 8:30 am, so they can be ready for breakfast. Mrs X has refused to get up at 8 am, and she wants to have a bit of a lie in, but one of the carers insisted to wash and dress her, and took her to the dining room. What type of abuse in in place? a) Financial Abuse b) Psychological Abuse c) Sexual Abuse d) Institutional Abuse

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) Negative pressure dressing b) Rapid capillary dressing c) Alginate dressing d) Skin barrier product

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

You walk onto one of the bay on your ward and noticed a colleague wrongly using a hoist in transferring their patient. As a nurse you will: a) let them continue with their work as you are not in charge of that bay b) report the event to the unit manager c) call the manual handling specialist

You went back to see Mr Derby who is 1 day post-herniorraphy. As you approach him he complained of difficulty of breathing with respiration rate of 23 breaths per minute and oxygen saturation 92% in room air. What is your next action to help him? a) give him oxygen b) give him pain relief c) give him antibiotics d) give him nebulisers

5 moments of hand hygiene include all of the following except: a) Before Patient Contact b) Before a clean / aseptic procedure c) Before Body Fluid Exposure Risk d) After Patient contact e) After Contact with Patient's surrounding

A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome? a) Elevated blood glucose b) Elevated platelet count c) Elevated creatinine clearance d) Elevated hepatic enzymes

A 23-year-old-woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse's responsibility concerning written consent? a) The nurse should explain the procedure to the patient and ask her to sign the consent form. b) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart. c) The nurse should tell the physician that the patient agrees to have the examination. d) The nurse should verify that the patient or a family member has signed the consent form.

A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient's wife comforting other family members. Which of the following interpretations of this behaviour is MOST justifiable? a) She has already moved through the stages of the grieving process. b) She is repressing anger related to her husband's death. c) She is experiencing shock and disbelief related to her husband's death. d) She is demonstrating resolution of her husband's death.

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?"

A COPD patient is about to be discharged from the hospital. What is the best health teaching to provide this patient? a) Increase fluid intake b) Do not use home oxygen c) Quit smoking d) nebulize as needed

A COPD patient is in home care. When you visit the patient, he is dyspnoeic, anxious and frightened. He is already on 2 lit oxygen with nasal cannula.What will be your action a) Call the emergency service. b) GiveOramorph 5mg medications as prescribed. c) Ask the patient to calm down. d) Increase the flow of oxygen to 5 L

A Chinese woman has been admitted with fracture of wrist. When you are helping her undress, you notice some bruises on her back and abdomen of different ages. You want to talk to her and what is your action a) Ask her husband about the bruises b) Ask her son/ daughter to translate c) Arrange for interpreter to ask questions in private d) Do not carry any assessment and document this is not possible as the client cannot speak English

A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? a) Taking a public stand on quality issues and educating the public on" public interest" issues b) Teaching in a school of nursing to help decrease the nursing shortage c) Engaging in nursing research to justify nursing care delivery d) Supporting the status quo when changes are pending

A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowledge that: a) There is no need to take thyroid medication because the fetus's thyroid produces a thyroid-stimulating hormone. b) Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy. c) It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism. d) Fetal growth is arrested if thyroid medication is continued during pregnancy.

A client with sickle cell anaemia is admitted to the labour and delivery unit during the first phase of labour. The nurse should anticipate the client's need for: a) Supplemental oxygen b) Fluid restriction c) Blood transfusion d) Delivery by Caesarean section

A clients wound is draining thick yellow material. The nurse correctly describes the drainage as: a) Sanguineous b) Serous sanguineous c) Serous d) Purulent

A community health nurse, with second year nursing students is collecting history in a home. Nurse notices that a student is not at all interested in what is going around and she is chatting in her phone. Ideal response? a) Ask the student to leave the group b) Warn her in public that such behaviours are not accepted c) Inform to the principal d) Talk to her in private and make her aware that such behaviours could actually belittle the profession

A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows: a) Any information released will bring publicity to the hospital b) Nurse are obligated to respect client's privacy and confidentiality c) It does not matter what is disclosed, the media will find out any way d) According to beneficence, the nurse has an obligation to implement actions that will benefit clients.

A mentally competent client with end stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse's role as a client advocate? a) Asking the spouse to take all the alcohol out of the house b) Accepting the patient's choice & not intervening c) Reminding the client that the action may be an end-of life decision d) Refusing to care for the client because of the client's noncompliance

A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively a) Prioritise people b) Practice effective c) Preserve safety d) Promote professionalism and trust

A new mother is admitted to the acute psychiatric unit with severe postpartum depression. She is tearful and states, "I don't know why this happened to me I was so excited for my baby to come, but now I don't know!" Which of the following responses by the nurse is MOST therapeutic? a) Maybe you weren't ready for a child after all." b) Having a new baby is stressful, and the tiredness and different hormone levels don't help. It happens to many new mothers and is very treatable. c) What happened once you brought the baby home? Did you feel nervous? d) Has your husband been helping you with the housework at all?"

A nurse case manager receives a referral to provide case management services for an adolescent mother who was recently diagnosed with HIV. Which statement indicates that the patient understands her illness? a) "I can never have sex again, so I guess I will always be a single parent." b) "I will wear gloves when I'm caring for my baby, because I could infect my baby with AIDS." c) "My CD4 count is 200 and my T cells are less than 14%. I need to stay at these levels by eating and sleeping well and staying healthy." d) "My CD4 count is 800 and my T cells are greater than 14%. I need to stay at these levels by eating and sleeping well and staying healthy."

A nurse delegates duty to a health assistant, what NMC standard she should keep in mind while doing this? a) She transfers the accountability to care assistant b) RN is accountable for care assistant's actions c) No need to assess the competency, as the care assistant is expert in her care area d) Healthcare assistant is accountable to only her senior

A nurse documented on the wrong chart. What should the nurse do? a) Immediately inform the nurse in charge and tell her to cross it all off. b) Throw away the page c) Write line above the writing; put your name, job title, date, and time. d) Ignore the incident.

A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response in which of the following? a) It is subjective perspective of the person's heritage and sense of belonging to a group b) It is a group of individuals in a society that is culturally distinct and has a unique identity c) It is a process of learning, a different culture to adapt to a new or change in environment d) It is a group that share some of the characteristics of the larger population group of which it is a part

A nurse from Medical-surgical unit asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse? a) A client with a cast for a fractured femur & who has numbness & discoloration of the toes b) A client with balanced skeletal traction & who needs assistance with morning care c) A client who had an above-the-knee amputation yesterday & has a temperature of 101.4F d) A client who had a total hip replacement 2 days ago & needs blood glucose monitoring

A nurse is caring for a patient with canes. After providing instruction on proper cane use, the patient is asked to repeat the instructions given. Which of the following patient statement needs further instruction? a) 'The hand opposite to the affected extremity holds the cane to widen the base of support & to reduce stress on the affected limb.' b) as the cane is advanced, the affected leg is also moved forward at the same time' c) 'when the unaffected extremity begins the swing phase, the client should bear down on the cane' d) To go up the stairs, place the cane & affected extremity down on the step. Then step down the unaffected extremity'

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's: a) Educator b) Advocate c) Care giver d) Case manager

A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should: a) Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager b) Ignore the criticism as this is a case of a team issue c) Continue delivering care as this will not affect the quality of care you are rendering your patient

A nurse is not allowing the client to go to bed without finishing her meal. What is your action as a RN? a) Do nothing as client has to finish her meal which is important for her health b) Challenge the situation immediately as this is related to dignity of the patient and raise your concern c) Do nothing as patient is not under your care d) Wait until the situation is over and speak to the client on what she wants to do

A nurse is preparing to deliver a food tray to a client whose religion is Jewish. The nurse checks the food on the tray and notes that the food on the tray and notes that the client has received a roast beef dinner with whole milk as a beverage. Which action will the nurse take? a) Deliver the food tray to the client b) Call the dietary department and ask for a new meal tray c) Replace the whole milk with fat free milk d) Ask the dietary department to replace the roast beef with pork

A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following? a) plan strategies to implement the change b) identify the inefficiency that needs improvement or correction c) identify potential solutions and strategies for the change process

A nurse manger achieves a higher management position in the organisation, there is a need for what type of skills? a) Personal and communication skills b) Communication and technical skills c) Conceptual and interpersonal skills d) Visionary and interpersonal skills

A nurse notices a bedsore. It's a shallow wound, red coloured with no pus. Dermis is lost. At what stage this bedsore is? a) Stage1- non blanchable erythema b) Stage2- Partial thickness skin lose c) Stage3- full thickness skin loss d) Stage4- full thickness tissue lose

A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to a) Role modelling behaviours of the preceptor b) The philosophy of the new nurse's school of nursing c) The orientation provided to the new nurse d) Lack of trust in the team members

A patient developed pressure ulcer. The wound is round, extends to the dermis, is shallow, there is visible reddish to pinkish tissue. What stage is the pressure ulcer? a) Stage 1 b) Stage 2 c) Stage 3 d) Stage 4

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) 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. b) Routinely offer the patient a bolus and document this clearly. c) Contact the pain team/anaesthetist to discuss the situation and suggest that the means of delivery are changed. d) The patient has paracetamol q.d.s. written up, so this should be adequate pain relief

A patient has just returned to the unit from surgery. The nurse transferred him to his bed but did not put up the side rails. The patient fell and was injured. What kind of liability does the nurse have? a) None b) Negligence c) Intentional tort d) Assault and battery

A patient has sexual interest in you. What would you do? a) Just avoid it, because the problem can be the manifestation of the underlying disorder, and it will be resolved by its own as he recovers b) Never attend that patient c) Try to re-establish the therapeutic communication and relationship with patient and inform the manager for support d) Inform police

A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do? a) Let the patient's relatives know so that they don't make a complaint & write an incident report for yourself so you remember the details in case there are problems in the future b) Help the patient to a safe comfortable position, commence neurological observations & ask the patient's doctor to come & review them, checking the injury isn't serious. when this has taken place, write up what happened & any future care in the nursing notes c) Discuss the incident with the nurse in charge, & contact your union representative in case you get into trouble d) Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient & if they wish, their relatives

A patient is admitted to the ward with symptoms of acute diarrhoea. What should your initial management be? a) Assessment, protective isolation, universal precautions. b) Assessment, source isolation, antibiotic therapy. c) Assessment, protective isolation, antimotility medication. d) Assessment, source isolation, universal precautions

A patient is assessed as lacking capacity to give consent if they are unable to: a) Understand information about the decision and remember that information b) Use that information to make a decision c) Communicate their decision by talking, using sign language or by any other means d) All the above

A patient is being prepared for a surgery and was placed on NPO. What is the purpose of NPO? a) Prevention of aspiration pneumonia b) To facilitate induction of pre-op meds c) For abdominal procedures d) To decrease production of fluids

A patient is prescribed methformin 1000mg twice a day for his diabetes. While taking with the patient he states "I never eat breakfast so I take ½ tablet at lunch and a whole tablet at supper because I don't want my blood sugar to drop." As his primary care nurse you: a) Tell him he has made a good decision and to continue b) Tell him to take a whole tablet with lunch and with supper c) Tell him to skip the morning dose and just take the dose at supper d) Tell him to take one tablet in the morning and one tablet in the evening as ordered.

A patient is recovering from surgery has been advanced from a clear diet to a full liquid diet. The patient is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse should offer which full liquid item to the patient a) Custard b) Black Tea c) Gelatin d) Ice pop

A patient is scheduled to undergo an Elective Surgery. What is the least thing that should be done? a) Assess/Obtain the patient's understanding of, and consent to, the procedure, and a share in the decision making process. b) Ensure pre-operative fasting, the proposed pain relief method, and expected sequelae are carried out anddiscussed. c) Discuss the risk of operation if it won't push through. d) The documentation of details of any discussion in the anaesthetic record.

A patient is to be subjected for surgery but the patient's BMI is low. Where will you refer the patient? a) Speech and Language Therapist b) Dietician c) Chef d) Family member

A patient is to be subjected for surgery but the patient's BMI is low. Where will you refer the patient? a) Speech and Language Therapist b) Dietitian c) Chef d) Family member

A patient under u developed shortness of breath while climbing stairs. You inform this to the doctor. This response is interpreted as: a) Breaching of patients confidentiality b) Essential, as it is the matter of patient's health

A patient underwent an abdominal surgery and will be unable to meet nutritional needs through oral intake. A patient was placed on enteral feeding. How would you position the patient when feeding is being administered? a) Sitting upright at 30 to 45° b) Sitting upright at 60 to 75° c) Sitting upright at 45 to 60 d) Sitting upright at 75 to 90°

A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST? a) Please leave and I will speak with you when I am done." b) I need you to leave us alone." c) You may sit with us as long as you are quiet." d) I'm sorry, but HIPPA says that you can't be here. Do you mind leaving?"

A patient with complex, multiple diseases is discharged to a tertiary level care unit what to do? a) Inform the tertiary unit about patient arrival b) Call for a multidisciplinary meeting with professional who took care of patient to discuss the patient care modalities that everyone accepts. c) Inform to patient relatives about the situation

A patient with dementia is mourning and pulling the dress during night what do you understand from this? a) Patient is incontinent b) Patient is having pain c) Patient has medication toxicity.

After lumbar puncture, the patient experienced shock. What is the etiology behind it? a) Increased ICP b) Headache c) Side effect of medications d) CSF leakage

After the physician performs an amniotomy, the nurse's first action should be to assess the: a) Degree of cervical dilation b) Fetal heart tones c) Client's vital signs d) Client's level of discomfort

After instructing the client on crutch walking technique, the nurse should evaluate the client's understanding by using which of the following methods? a) Have client explain produce to the family b) Achievement of 90 on written test c) Explanation d) Return demonstration

According to NMC Standards code and conduct, a registered nurse is EXCLUDED from legal action in which one of these? a) Fixed penalty for speeding b) Possessing stock medications c) Convicted for fraud d) Convicted for theft

According to law in England, UK when you faced with a situation of emergency what is your action? a) Should not assist when it is outside of work environment b) Law insists you to stop and assist c) You are not obliged in any way but as a professional duty advises you to stop and assist d) Do not involve in the situation

According to recent UK research, what is the recommended amount of vegetables and fruits to be consumed per day? a) 3 portions per serving b) 5 portions per serving c) 7 portions per serving d) 4 portions per serving

According to the Royal Marsden manual, a staff who observe the removal of chest drainage is considered as? a) Official training b) Unofficial training c) Hours which are not calculated as training hours d) It is calculated as prescribed training hours.

According to the nursing code of ethics, the nurse's first allegiance is to the: a) Client and client's family b) Client only c) Healthcare organization d) Physician

Accurate postoperative observations are key to assessing a patient's deterioration or recovery. The Modified Early Warning Score (MEWS) is a scoring system that supports that aim. What is the primary purpose of MEWS? a) Identifies patients at risk of deterioration. b) Identifies potential respiratory distress. c) improves communication between nursing staff and doctors. d) Assesses the impact of pre-existing conditions on postoperative recovery

Adam, 46 years old is of Jewish descent. As his nurse, how will you plan his dietary needs? a) Assume he strictly needs Jewish food b) Ask relatives to bring food from kosher market c) Ask a rabbi to help you plan d) Ask the patient about his diet preferences

Adequate record keeping for a medical device should provide evidence of: a) A unique identifier for the device, where appropriate b) A full history, including date of purchase and where appropriate when it was put into use, deployed or installed c) Any specific legal requirements and whether these have been met d) Proper installation and where it was deployed e) Schedule and details of maintenance and repairs f) The end-of-life date, if specified g) All of the above

After finding the patient which statement would be most appropriate for the nurse to document on a datix/incident form? a) "The patient climbed over the side rails and fell out of bed." b) "The use of restraints would have prevented the fall." c) "Upon entering the room, the patient was found lying on the floor." d) "The use of a sedative would have helped keep the patient in bed."

All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she has a limited knowledge of the procedures. What should the manager do in this situation? a) Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable. b) Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation c) Ignore the incident and just continue with what she was doing. d) Assign someone to guide the new staff nurse until she is competent in doing her tasks.

All should be seen in a good documentation except: a) legible handwriting b) Name and signature, position, date and time c) Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements d) A correct, consistent, and factual data

Alone, metformin does not cause hypoglycaemia (low blood sugar). However, in rare cases, you may develop hypoglycaemia if you combine metformin with: a) a poor diet b) strenuous exercise c) excessive alcohol intake d) other diabetes medications e) all of the above

Among the following drugs, which does not cause falls in an elderly? a) Diuretics b) NSAIDS c) Beta blockers d) Hypnotics

Among the following values incorporated in NMC's 6 C's, which is not included? a) Care b) Courage c) Confidentiality d) Communication

An 18 year old 26 week pregnant woman who uses illicit drugs frequently, the factors in risk for which one of the following: a) Spina bifida b) Meconium aspiration c) Pneumonia d) Teratogenicity

An 83-year old lady just lost her husband. Her brother visited the lady in her house. He observed that the lady is acting okay but it is obvious that she is depressed. 3weeks after the husband's death, the lady called her brother crying and was saying that her husband just died. She even said, "I cant even remember him saying he was sick." When the brother visited the lady, she was observed to be well physically but was irritable and claims to have frequent urination at night and she verbalizes that she can see lots of rats in their kitchen. Based on the manifestations, as a nurse, what will you consider as a diagnosis to this patient? a) urinary tract infection leading to delirium b) delayed grieving with dementia

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." b) "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."

An Eight year old girl with learning disabilities is admitted for a minor surgery, she is very restless and agitated and wants her mother to stay with her, what will you do? a) Advice the mother to stay till she settles. b) Act according to company policy c) Tell her you will take care of the child d) Inform the Doctor

An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse? a) A newly diagnosed client with type 2 diabetes mellitus who is learning foot care b) A client from a motor vehicle accident with an external fixation device on the leg c) A client admitted for a barium swallow after a transient ischemic attack d) A newly admitted client with a diagnosis of pancreatic cancer

An adult has been medicated for her surgery. The operating room (OR) nurse, when going through the client's chart, realizes that the consent form has not been signed. Which of the following is the best action for the nurse to take? a) Assume it is emergency surgery & the consent is implied b) Get the consent form & have the client sign it c) Tell the physician that the consent form is not signed d) Have a family member sign the consent form

An adult has just returned to the unit from surgery. The client fell and was injured. What kind of liability does the nurse have? a) None b) Negligence c) Intentional tort d) Assault & battery

An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles. a) Paternalism & justice b) Autonomy & informed consent c) Beneficence & double effect d) Competence & right to know

An adult woman asks for the best contraception in view of her holiday travel to a diarrhoea prone areas. She is currently taking oral contraceptives. What advice will you give her? a) Tell her to abstain from having sex because of HIV b) Tell her to bring lots of contraceptives because it will be expensive c) Tell her to use other methods like condom because diarrhoea lessens the effects of OCP d) tell her to continue taking her usual contraceptives

An elderly client with dementia is cared by hes daughter. The daughter locks him in a room to keep him safe when she goes out to work and not considering any other options. As a nurse what is your action? a) Explain this is a restrain. Urgently call for a safe guarding and arrange a multidisciplinary team conference b) Do nothing as this is the best way of keeping him safe c) Call police, social services to remove client immediately and refer to safeguarding d) Explain this is a restrain and discuss other possible options

An enquiry was launched involving death of one of your patients. The police visited your unit to investigate. When interviewed, which of the following framework will best help assist the investigation? a) Data Protection Act 2005 b) Storage of Records Policy c) Consent policy d) Confidentiality guidelines

An example of a positive outcome of a nurse-health team relationship would be: a) Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role b) Becoming an effective change agent in the community c) An increased understanding of the family dynamics that affect the client d) An increased understanding of what the client perceives as meaningful from his or her perspective

An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year? a) 14 pounds b) 16 pounds c) 18 pounds d) 24 pounds

An overall risk of malnutrition of 2 or higher signifies: a) Low risk of malnutrition b) Medium risk of malnutrition c) High risk of malnutrition

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? a) should tell the family that they don't have any rights to know the patient information b) that the friend was mistaken and the doctor will confirm the patient's condition c) should insist friend on confidentiality d) should have asked another staff nurse to be a chaperone while assisting a procedure

Angel, 52 years old lose her husband due to some disease. 4 weeks later, she calls her mother and says that, yesterday my husband died...I didn't know that he was sick...I cant sleep and I see rats and mites in the kitchen. What is angel's condition? a) She cant adjust without her husband b) Late grievance with signs of dementia c) Alzheimers with delirium

Anna has been told that unless she does what the ward staff tell her, the consultant will stop her family from visiting. What type of abuse is this? a) Psychological Abuse b) Discriminatory Abuse c) Institutional Abuse d) Neglect

Appropriate wound dressing criteria includes all but one: a) Allows gaseous exchange. b) Maintains optimum temperature and pH in the wound. c) Forms an effective barrier to d) Allows removal of the dressing without pain or skin stripping. e) Is non-absorbent

Approximately how long is the spinal cord in an adult? a) 30 cm b) 45 cm c) 60 cm d) 120 cm

Approximately how many people in the UK are malnourished? a) 1 million b) 3 million c) 5 million d) 7 million

As a nurse you are responsible for looking after patient's nutritional needs and to maintain good weight during hospitalization. How would you achieve this? a) Providing all clients with liquid nutritional supplements b) Assessing all patients using MUST screening tool and by taking patients preferences into consideration c) Checking daily weigh and documenting d) Assessing nutritional status, client preferences and needs, making individual food choices available, checking daily weight and documentation

As a nurse, the people in your care must be able to trust you with their health and well being. In order to justify that trust, you must not: a) work with others to protect and promote the health and wellbeing of those in your care b) provide a high standard of practice and care when required c) always act lawfully, whether those laws relate to your professional practice or personal life d) be personally accountable for actions and omissions in your practice

As a nurse, what health teachings will you give to a COPD patient? a) Encourage to stop smoking b) Administer oxygen inhalation as prescribed c) Enroll in a pulmonary rehabilitation programme d) All the above

As a registered nurse in a unit what would consider as a priority to a patient immediately post operatively? a) pain relief b) blood loss c) airway patency

As an RN in charge you are worried about a nurse's act of being very active on social media site, that it affects the professionalism. Which one of these is the worst advice you can give her? a) Do not reveal your profession of being a Nurse on social site b) Do not post any pictures of client's even if they have given you permission c) Do not involve in any conversions with client's or their relatives through a social site d) Keep your profile private

Black wounds are treated with debridement. Which type of debridement is most selective and least damaging? a) Debridement with scissors b) Debridement with wet to dry dressings c) Mechanical debridement d) Chemical debridement

As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern? a) The baby is sleeping. b) The umbilical cord is compressed. c) There is head compression. d) There is uteroplacental insufficiency.

Barbara was screaming in pain later in the day despite the PCA in-situ. You refer back to your nurse in charge for a stronger pain killer. She refused to call the doctor because her pain relief was reassessed earlier. What will you do next? a) Continue to refer back to her until she calls the doctor b) Encourage Barbara to continuously use the PCA c) Give Barbara some sedatives to keep her calm d) Wait until her pain stops

Barbara, a 75-year old patient from a nursing home was admitted on your ward because of fractured neck of femur after a trip. She will require an open-reduction and internal fixation (ORIF) procedure to correct the injury. Which of the following statements will help her understand the procedure? a) You are going to have an ORIF done to correct your fracture. b) Some metal screws and pins will be attached to your hip to help with the healing of your broken bone. c) The operation will require a metal fixator implanted to your femur and adjacent bones to keep it secured d) The ORIF procedure will be done under general anaesthesia by an orthopaedic surgeon

Barbara, a frail lady who lives alone with her cat, was brought in A&E via ambulance after a neighbour found her lying in front of her house. No doctor is available to see her immediately. Barbara told you she is worried about her cat who is alone in the house. How will you best reply to her? a) "You should worry about yourself and not the cat." b) "Your cat sounded like very dear to you. Can I ask your neighbour to check?" c) "Do you want me to see you cat also? I cannot do that now." d) "Your cat can look after itself, I am sure."

Barbara, an elderly patient with dementia, wishes to go out of the hospital. What will be you appropriate action? a) Call the police, make sure she does not leave b) Encourage the patient to stay for his well being c) Inform the police to arrest the patient d) Allow her to leave, she is stable and not at risk of anything

Barrier Nursing for C.diff patient what should you not do? a) Use of hand gel/ alcohol rub b) Use gloves c) Patient has his own set of washers d) Strict disinfection of pt's room after isolation

Before a gastric surgery, a nurse identifies that the patients BMI is too low. Who she should contact to improve the patients' health before surgery a) Gastro enterologist b) Dietitian c) Family doc of patient d) Physio

Before giving direct care to the patient, you should a) Wear mask, aprons b) Wash hands with alchohol rub c) Handwashing using 6 steps d) Take all standard precautions

Being a student, observe the insertion of an ICD in the clinical setting. This is a) Formal learning b) Informal learning

Carpal tunnel syndrome is caused by compression of which nerve: a) Median nerve b) Axillary nerve c) Ulnar nerve d) Radial nerve

Causes of diarrhoea in Clostridium Difficile are: a) Ulcerative colitis - Ulcerative Colitis is a condition that causes inflammation and ulceration of the inner lining of the rectum and colon b) Hashimotos disease - Hashimoto's disease, also called chronic lymphocytic thyroiditis or autoimmune thyroiditis, is an autoimmune disease c) Pseudomembranous colitis -pseudomembranous colitis (PMC) is an acute, exudative colitis usually caused by Clostridium difficile. PMC can rarely be caused by other bacteria, d) Crohn's disease - Crohn's Disease is one of the two main forms of Inflammatory Bowel Disease, so may also be called 'IBD'. The other main form of IBD is a condition known as Ulcerative Colitis

Causes of gingival bleeding a) poor removal plaque b) poor flossing c) poor nutrition d) poor taking of drugs

Christine cannot get herself a drink because of her disability. Her carers only give her drinks three times a day so she does not wet herself. What type of abuse is this? a) Physical Abuse b) Institutional Abuse c) Neglect d) Sexual Abuse

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: a) A PGD can be delegated to student nurse who can administer medication with supervision b) PGD's cannot be delegated to anyone c) This type of prescription is not made under PGD d) This can be delegated to another RN who can administer in view of a competent person

Clinical audit is best described as: a) a tool to evaluate the effectiveness of interventions, and to know what needs to be improved b) a tool used to identify the weakest link within the system c) a standard of which performance is based upon d) a tool to set a guidelines or protocol in clinical practice

Clinical bench-marking is: a) to improve standards in health care b) a new initiate in health care system c) A new set of rule for health care professionals d) To provide a holistic approach to the patient

Clinical practice is based on evidence based practice. Which of the following statements is true about this a) Clinical practice based on clinical expertise and reasoning with the best knowledge available b) Provision of computers at every nursing station to search for best evidence while providing care c) Practice based on ritualistic way d) Practice based on what nurse thinks is the best for patient

b c d e

Common causes for hyperglycaemia include: (select 4) a) Not eating enough protein b) Eating too much carbohydrate c) Over-treating a hypoglycaemia d) Stress e) Infection (for example, colds, bronchitis, flu, vomiting, diarrhoea, urinary infections, and skin infections)

Common minor disorder in pregnancy? a) abdominal pain b) heart burn c) headache

Common signs and symptoms of a hypoglycaemia exclude: a) Feeling hungry b) Sweating c) Anxiety or irritability d) Blurred vision e) Ketoacidosis

Compassion in Practice - the culture of compassionate care encompasses: a) Care, Compassion, Competence, Communication, Courage, Commitment - DoH-"Compassion in Practice" b) Care, Compassion, Competence c) Competence, Communication, Courage d) Care, Courage, Commitment

Most of the symptoms are common in both type1 and type 2 diabetes. Which of the following symptom is more common in typ1 than type2? a) Thirst b) Weight loss c) Poly urea d) Ketones

Concentration of electrolytes within the body vary depending on the compartment within which they are contained. Extracellular fluid has a high concentration of which of the following? a) Potassium b) Chloride c) Sodium d) Magnesium

Conditions producing orthostatic hypotension in the elderly: a) Aortic stenosis b) Arrhythmias c) Diabetes d) Pernicious anaemia e) Advanced heart failure f) All of the above

Constipation needs to be sort out during: a) planning b) assessment c) implementation d) evaluation

What is the best way to prevent who is receiving an enteral feed from aspirating? a) Lie them flat b) Sit them at least 45-degree angle c) Tell them to lie in their side d) Check their oxygen saturations

What is the clinical benefit of active ankle movements? a) To assist with circulation b) To lower the risk of a DVT c) To maintain joint range d) All of the above

b d

Enteral feeding patient checks patency of tube placement by: x 2 correct answers a) Pulling on the tube and then pushing it back in place b) Aspirating gastric juice and then checking for ph<4 c) Infusing water or air and listening for gurgles d) X-ray

Essence of Care benchmarking is a process of? a) Comparing, sharing and developing practice in order to achieve and sustain best practice. b) Assess clinical area against best practice c) Review achievement towards best practice d) Consultation and patient involvement

For a client with Water Score >20 which mattress is the most suitable a) Water Mattress b) Air Mattress c) Dynamic Mattress d) Foam Mattress

For an average person from UK who has non-insulin dependent diabetes, how many servings of fruits and vegetables per day should they take? a) 1 serving b) 3 servings c) 5 servings d) 7 servings

For which of the following modes of transmission is good hand hygiene a key preventative measure? a) Airborne b) Direct & indirect contact c) Droplet d) All of the above

For which of the following modes of transmission is good hand hygiene a key preventative measure? a) Airborne b) Direct contact c) Indirect contact d) All of the above

For which type of waste should orange bags be used? a) Waste that requires disposal by incineration b) Offensive/hygiene waste c) Waste which may be 'treated d) Offensive waste

Gabriella is 26 year old woman with severe learning disabilities. She is usually happy and outgoing. Her mobility is good, her speech is limited but she is able to be involved if carers take time to use simple language. She lives with her mother, and is being assisted with personal care. Her home care worker has noticed bruising on upper insides of her thighs and arms. The genital area was red and sore. She told the care worker that a male care worker is her friend and he has been cuddling her but she does not like the cuddling because it hurts. What could possibly be the type of abuse Gabriella is experiencing? a) Discriminatory Abuse b) Financial Abuse c) Sexual Abuse d) Institutional Abuse

Gurgling sound from airway in a postoperative client indicates what a) Complete obstruction of lower airway b) Partial obstruction of upper airway c) Common sign of a post-operative patient

Hearing aid provide to client comes under which act? a) communication act b) mental capacity act c) children and family act. d) Equality Act

How can patients who need assistance at meal times be identified? a) A red sticker b) A colour serviette c) A red tray d) Any of the above

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 contraction

How do we handle a specimen container labelled with a yellow hazard sticker? a) Wear gloves and apron and inform the laboratory that you are sending the specimen. b) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens c) Wear gloves and apron, Inform the infection control team and complete a datix form. d) Wear gloves and apron, place specimen in a blue bag & complete a datix form.

How do we handle a specimen container labelled with a yellow hazard sticker? a) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens b) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens c) Wear gloves and apron, inform the infection control team before sending the specimen d) Wear gloves and apron, place specimen in a blue bag & complete a datix form

How do you ensure the correct blood to culture ratio when obtaining a blood culture specimen from an adult patient? a) Collect at least 10 mL of blood b) Collect at least 5 mL of blood. c) Collect blood until the specimen bottle stops filling. d) Collect as much blood as the vein will give you

How do you remove a negative pressure dressing? a) Remove pressure then detach dressing gently b) Get TVN nurse to remove dressing c) remove in a quick fashion

How do you test the placement of an enteral tube? a) Monitoring bubbling at the end of the tube b) Testing the acidity/alkalinity of aspirate using blue litmus paper c) Interpreting absence of respiratory distress as an indicator of correct positioning d) Have an abdominal x-ray

How long does proliferative phase of wound healing occur? a) 3-24 days b) 24-26 days c) 1-7 days d) 24 hours

How long does the 'inflammatory phase' of wound healing typically last? a) 24 hours b) Just minutes c) 1-5 days d) 3-24 days

How many cups of fluid do we need every day to keep us well hydrated? a) 1 to 2 b) 2 to 4 c) 4 to 6 d) 6 to 8

How many steps to discharge planning were identified by the Department of Health (DH 2010)? a) 5 steps b) 8 steps c) 10 steps d) 12 steps

How much urine should someone void an hour? a) 0.5 - 1ml/Kg/hr of the patient's body weight b) 2mls/KG/hr of the patient's body weight c) 30mls d) 50mls

How should be the surrounding area of a patient with dementia? a) Increased stimuli b) Creative environment c) Restrict activities

How soon after surgery is the patient expected to pass urine? a) 1-2 hours b) 2-4 hours c) 4-6 hours d) 6-8 hours

How to give respect & dignity to the client? a) Compassion, support & reassurance to the client b) Communicate effectively with them c) Behaving in a professional manner d) Giving advice on health care issues

How to take an infected sheet for washing according to UK standard a) Take infected linen in yellow bag for disposal b) Take in red plastic bag, that disintegrates in high temperature c) Use red linen bag that allows washing in high temperatures d) Use a white bag

How would you care for a patient with a necrotic wound? a) Systemic antibiotic therapy and apply a dry dressing b) Debride and apply a hydrogel dressing. c) Debride and apply an antimicrobial dressing. d) Apply a negative pressure dressing.

If your patient is having positive balance. How will you find out dehydration is balanced? a) Input exceeds output b) Output exceeds input c) Optimally hydrated d) Optimally dehydrated

If a patient is experiencing dysphagia, which of the following investigations are they likely to have? a) Colonoscopy b) Gastroscopy c) Cystoscopy d) Arthroscopy

If a patient is prescribed nebulizers, what is the minimum flow rate in litres per minute required? a) 2 - 4 b) 4 - 6 c) 6 - 8 d) 8 - 10

If a patient requires protective isolation, which of the following should you advise them to drink? a) Filtered water only b) Fresh fruit juice and filtered water c) Bottled water and tap water d) Long-life fruit juice and filtered water

If an elderly immobile patient had a "grade 3 pressure sore", what would be your management? a) Film dressing, mobilization, positioning, nutritional support b) Foam dressing, pressure relieving mattress, nutritional support c) Dry dressing, pressure relieving mattress, mobilization d) Hydrocolloid dressing, pressure relieving mattress, nutritional support

If blood is being taken for other tests, and a patient requires collection of blood cultures, which should come first to reduce the risk of contamination? a) Inoculate the aerobic culture first b) Take the other blood tests first. c) Inoculate the anaerobic culture first. d) The order does not matter as long as the bottles are clean

If the prescribed volume is taken, which of the following type of feed will provide all protein, vitamins, minerals and trace elements to meet patient's nutritional requirements? a) Protein shakes/supplements b) Energy drink c) Mixed fat and glucose polymer solutions/powder d) Sip feed

If you were asked to take 'standard precautions' what would you expect to be doing? a) Wearing gloves, aprons and mask when caring for someone in protective isolation b) Taking precautions when handling blood and 'high risk' body fluids so as not to pass on any infection to the patient c) Using appropriate hand hygiene, wearing gloves and aprons where necessary, disposing of used sharp instruments safely and providing care in a suitably clean environment to protect yourself and the patients d) Asking relatives to wash their hands when visiting patients in the clinical setting

If you were explaining anxiety to a patient, what would be the main points to include? a) Signs of anxiety include behaviours such as muscle tension. palpitations, a dry mouth, fast shallow breathing, dizziness & an increased need to urinate or defaecate b) Anxiety has three aspects: physical - bodily sensations related to flight & fight response, behavioural - such as avoiding the situation, & cognitive (thinking) - such as imagining the worst c) Anxiety is all in the mind, if they learn to think differently, it will go away d) Anxiety has three aspects: physical - such as running away, behavioural - such as imagining the worse (catastrophizing) , & cognitive ( thinking) - such as needing to urinate.

If you were told by a nurse at handover to take "standard precautions" what would you expect to be doing? a) Taking precautions when handling blood & 'high risk' body fluids so that you don't pass on any infection to the patient. b) Wearing gloves, aprons & mask when caring for someone in protective isolation to protect yourself from infection c) Asking relatives to wash their hands when visiting patients in the clinical setting d) Using appropriate hand hygiene, wearing gloves & aprons when necessary, disposing of used sharp instruments safely & providing care in a suitably clean environment to protect yourself & the patients

In going up the stairs with crutches, the nurse should instruct the patient to: a) Advance the stronger leg first up to the step then advance the crutches & the weaker extremity. b) Advance the crutches to the step then the weaker leg is advanced after. The stronger leg then follows. c) Advance both crutches & lift both feet & swing forward landing next to crutches. d) Place both crutches in the hand on the side of the affected extremity

In infection control, what is a pathogen? a) A micro-organism that is capable of causing infection, especially in vulnerable individuals, but not normally in healthy ones. b) Micro-organisms that are present on or in a person but not causing them any harm. c) Indigenous microbiota regularly found at an anatomical site. d) Antibodies recruited by the immune system to identify and neutralize foreign objects like bacteria and viruses.

In normal breathing, what is the main muscle(s) involved in inspiration? a) The diaphragm b) The lungs c) the intercostal d) All of the above

In supervising a student nurse perform a drug rounds, the NMC expects you to do the following at all times: a) supervise the entire procedure and the sign the chart b) allow student to give drugs and sign the chart at the end of shift c) delegate the supervision of the student to a senior nursing assistant and ask for feedback d) allow the student to observe but not signing on the chart

In the context of assessing risks prior to moving and handling, what does T-I-L-E stand for? a) Task - individual - lift - environment b) Task - intervene - load - environment c) Task - intervene - load - equipment d) Task - individual - load - environment

In the role of patient advocate, the nurse would do which of the following? a) Emphasize the need for cost-containment measures when making health care decisions b) Override a patient's decision when the patient refuses the recommended treatment c) Support a patient's decision, even if it is not the decision desired by the nurse d) Foster patient dependence on health care providers for decision making

a b

In using social media like Facebook, how will you best adhere to your Code of Conduct as a nurse? (CHOOSE 2 ANSWERS) a) Never have relationship with previous patient b) Never post pictures concerning your practice c) Never tell you are a nurse d) Always rely SOLELY in your FBs privacy setting

Independent Advocacy is: a) Providing general advice b) Making decisions for someone c) Care and support work d) Agreeing with everything a person says and doing anything a person asks you to do e) None of the above

Infected linen should be placed in: a) Red plastic bag that disintegrates at high temperature b) Red linen bag that can withstand high temperatures c) White linen bag that can withstand high temperatures d) Yellow plastic bag that cannot withstand high temperatures.

Information can be disclosed in all cases except: a) When effectively anonymized. b) When the information is required by law or under a court order. c) In identifiable form, when it is required for a specific purpose, with the individual's written consent or with support under the Health Service d) In Child Protection proceedings if it is considered that the information required is in the public or child's interest

Jenny was admitted to your ward with severe bleeding after 48 hours following her labour. What stage of post partum haemorrhage is she experiencing? a) Primary b) Secondary c) Tertiary d) Emergency

Jenny, a nursing assistant working with you in an Elderly Care Ward is showing signs of norovirus infection. Which of the following will you ask her to do next? a) Go home and avoid direct contact with other people and preparing food for others until at least 48 hours after her symptoms have disappeared b) Disinfect any surfaces or objects that could be contaminated with the virus c) Flush away any infected faeces or vomit in the toilet and clean the surrounding toilet area d) Avoid eating raw oysters

Joshua, son of Breid went to the station to see the nurse as she was complaining of severe pain on her pressure ulcer. What will be your initial action? a) Check analgesia on the chart b) Tell you will come as soon as you can c) Find the nurse in charge d) Go immediately to see the patient

Joy, a COPD patient is to be discharged in the community. As her nurse, which of the following interventions will you encourage him to do to prevent progression of disease. a) Oxygen therapy b) Breathing exercise c) Cessation of smoking d) coughing exercise

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.

Mr Bond also shared with you that his gums also bleed during brushing. Which of the following statement will best explain this? a) lack of vitamin C in his diet b) he is brushing too hard c) he is not using proper toothbrush to remove the plaque d) he is flossing wrongly

Mark, 48 years old, has been exhibiting signs and symptoms of anaphylactic reaction. You want to make sure that he is in a comfortable position. Which of the following should you consider? a) Mark should be sat up if he is experiencing airway and breathing problems. b) Mark should be lying on his back if he is assessed to be breathing and unconscious. c) Mark should be sat up if his blood pressure is too low. d) Mark should be encouraged to stand up if he feels faint.

Mental Capacity Act 2005 explores which of the following concepts: a) Mental capacity, advance treatment decisions, and act's code of practice b) Mental capacity, independent mental capacity advocates, and the act's code of practice c) Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act's code of practice d) Mental capacity and the possible ethical and legal dilemmas in its interpretation.

Michael feels very uncomfortable when the carer visiting him always gives him a kiss and holds him tightly when he arrives and leaves his home. What type of abuse is this? a) Emotional Abuse b) Psychological Abuse c) Discriminatory Abuse d) Sexual Abuse

Normal heart rate for 1 to 2 years old? a) 80 - 140 beats per minute b) 80 - 110 beats per minute c) 75 - 115 beats per minute

Now the medical team encourages early ambulation in the post-operative period. which complication is least prevented by this? a) Tissue wasting b) Thrombophlebitis c) Wound infection d) Pneumonia

Nurse caring a confused client not taking fluids, staff on previous shift tried to make him drink but were unsuccessful. Now it is the visitors time, wife is waiting outside What to do? a) Ask the wife to give him fluid, and enquire about his fluid preferences and usual drinking time b) Tell her to wait and you need some time to make him drink c) Inform doctor to start iv fluids to prevent dehydration

Nurse is teaching patient about crutch walking which is incorrect? a) Take long strides b) Take small strides c) Instruct to put weight on hands

Nurses assume responsibility on patient with cane. Which of the following is the nurse's topmost priority in caring for a patient with cane? a) Mobility b) Safety c) Nutrition d) Rest periods

Obesity is one of the main problem. what might cause this? a) supermarket b) unequality c) low economic class

On removing your patient's catheter, what should you encourage your patient to do ? a) Rest & drink 2-3 litres of fluid per day b) Rest & drink in excess of 5 litres of fluid per day c) Exercise & drink 2-3 litres of fluid per day d) Exercise & drink their normal amount of fluid intake

One leadership theory states that "leaders are born and not made," which refers to which of the following theories? a) Trait b) Charismatic c) Great Man d) Situational

One of the government initiative in promoting good healthy living is eating the right and balanced food. Which of the following can achieve this? a) 24/7 exercise programme b) 5-a-day fruits and vegetable portions c) low calorie diet d) high protein diet

One of the main responsibilities of an employer should be: a) provide a safe place for the employees b) provide entertainment to employees c) create opportunities for growth d) create ways to make networks

One of your patient was pleased with the standard of care you have provided him. As a gesture, he is giving you a £50 voucher to spend. What is your most appropriate action on this situation? a) Accept the voucher and thank him for this gesture b) Refuse the voucher and thank him for this gesture c) Accept the voucher and give it to ward manager d) Refuse the voucher and inform the ward manager for his gesture

One of your patients in bay 1 having episodes of vomiting in the last 2 days now. The Norovirus alert has been enforced. The other patients look concerned that he may spread infection. What is your next action in the situation? a) Seek the infection control nurse's advice regarding isolation b) Give the patient antiemetic to control the vomiting c) Offer the patient a lot of drinks to rehydrated d) Tell the other patients that vomiting will not cause infection to others

One of your young patient displayed an overt sexual behaviour directly to you. How will you best respond to this? a) Talk to the patient about the situation, to re- establish and maintain professional boundaries and relationship b) ignore the behaviour as this is part of the development process c) report the patient to their relatives d) inform line manager of the incident

Patient asking for LAMA, the medical team has concern about the mental capacity of the patient, what decision should be made? a) call the police b) call the security c) let the patient go d) encourage the patient to wait by telling the need for treatment

Patient has tibia fibula fracture. Which one of the following is not a symptom of compartment syndrome a) Pain not subsiding even after giving epidural analgesia b) Nausea and vomiting c) Tingling and numbness of the lower limb d) Cold extremities

Patient is in for oxygen therapy a) A prescription is required including route, method and how long b) No prescription is required unless he will use it at home. c) Prescription not required for oxygen therapy

Patient is post of repair of tibia and fibula possible signs of compartment syndrome include a) Numbness and tingling b) Cool dusky toes c) Pain d) Toes swelling e) All of the above

Patient usually urinates at night Nurse identifies this as: a) Polyuria b) Oliguria c) Nocturia

Patient with clostridium deficile has stools with blood and mucus. due to which condition? a) Ulcerative colitis b) Chrons disease c) Inflammatory bowel disease

Perdue (2005) categorizes constipation as primary, secondary or iatrogenic. What could be some of the causes of iatrogenic constipation? a) Inadequate diet and poor fluid intake. b) Anal fissures, colonic tumours or hypercalcaemia. c) Lifestyle changes and ignoring the urge to defaecate. d) Antiemetic or opioid medication

Position to make breathing effective? a) left lateral b) Supine c) Right Lateral d) High sidelying

Postpartum haemorrhage: A patient gave birth via NSD. After 48 hours, patient came back due to bleeding, bleeding after birth is called post partum haemorrhage. What type? a) primary postpartum haemorrhage b) secondary postpartum haemorrhage c) tertiary postpartum haemorrhage d) lochia

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 is highly flammable and there is a risk of fire c) Oxygen and cigarette smoke can combine to produce a poisonous mixture d) Oxygen can lead to an increased consumption of cigarette

a c d fg

Proper Dressing for wound care should be? a) High humidity b) Low humidity c) Non Permeable d) Confortable e) Adherent f) Absorbent g) Provide thermal insulation

a c d

Proper Dressing for wound care should be? (Select x 3 correct answers) a) High humidity b) Low humidity c) Non Permeable/ Conformable d) Absorbent / Provide thermal insulation

Proper technique to use walker (zimmers frame): a) move 10 feet, take small steps b) move 10 feet, take large wide steps c) move 12 feet d) transform weight to walker and walk

Reason for dyspnoea in patients who diagnosed with Glomerulonephritis patients? a) Albumin loss increase oncotic pressure causes water retention in cells b) Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli c) Albumin loss has no effect on oncotic pressure

Recognition of the unwell child is crucial. The following are all signs and symptoms of respiratory distress in children EXCEPT: a) Lying supine b) Nasal flaring c) Intercostal and sternal recession d) adopting an upright position

Recommended preoperative fasting times are: a) 2-4 hours b) 6-12 hours c) 12-14 hours

What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement? a) 40% b) 60% c) Not specified, but as much as possible d) Depends on the student capabilities

When doing your shift assessment, one of your patient has a waterflow score of 20. Which of the following mattress is appropriate for this score? a) water bed b) fluidized airbed c) low air loss d) alternating pressure

Role conflict can occur in any situation in which individuals work together. The predominant reason that role conflict will emerge in collaboration is that people have different a) Levels of education and preparation b) Expectations about a particular role; interpersonal conflict will emerge c) Levels of experience and exposure of working in interdisciplinary teams d) Values, beliefs, and work experiences that influences their ability to collaborate.

Safe moving and handling of an anaesthetized patient is imperative to reduce harm to both the patient and staff. What is the minimum number of staff required to provide safe manual handling of a patient in theatre? a) 3 (1 either side, 1 at head). b) 5 (2 each side, 1 at head). c) 4 (1 each side, 1 at head, 1 at feet). d) 6 (2 each side, 1 at head, 1 at feet).

When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? a) Participative b) Authoritarian c) Laissez faire d) Democratic

The contingency theory of management moves the manager away from which of the following approaches? a) No perfect solution b) One size fits all c) Interaction of the system with the environment d) A method or combination of methods that will be most effective in a given situation

The contingency theory of management moves the manager away from which of the following approaches? a) No perfect solution b) One size fits all c) Interaction of the system with the environment d) a method of combination of methods that will be most effective in a given situation.

The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy? a) Painless vaginal bleeding b) Abdominal cramping c) Throbbing pain in the upper quadrant d) Sudden, stabbing pain in the lower quadrant

The famous 14 Principles of Management was first defined by a) James Watt b) Adam Smith c) Henri Fayol d) Elton Mayo

The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labour. Which one would be most appropriate for the primagravida as she completes the early phase of labour? a) Impaired gas exchange related to hyperventilation b) Alteration in placental perfusion related to maternal position c) Impaired physical mobility related to fetal-monitoring equipment d) Potential fluid volume deficit related to decreased fluid intake

The following are qualities of a good leader, except: a) Shows empathy to members b) His behaviour contributes to the team c) Acknowledges and accepts members mistakes - without any corrections d) Does not accept criticisms from members

The following are signs & symptoms of hypovolemic shock, except: a) Confusion b) Rapid heart rate c) Strong pulse d) Decrease Blood Pressure

The following are ways to remove factors that trigger anaphylactic reaction except for one. a) It is not recommended to make the patient should not be forced to vomit after food-induced anaphylaxis. b) Definitive treatment should not be delayed if removing a trigger is not feasible. c) Any drug suspected of causing an anaphylactic reaction should be stopped. d) After a bee sting, do not touch the stinger for about a maximum of 3 hours.

The following must be considered in procuring a consent, except: a) respect and support people's rights to accept or decline treatment or care b) withhold people's rights to be fully involved in decisions about their care c) be aware of the legislation regarding mental capacity d) gain consent before treatment or care starts

The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because: a) New parents need time to learn how to hold the baby. b) The umbilical cord needs time to separate. c) Newborn skin is easily traumatized by washing. d) The chance of chilling the baby outweighs the benefits of bathing.

The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to? a) Practical Nurse b) Registered Nurse c) Nursing assistant d) Volunteer

The most advanced gait used in crutch walking is: a) Four point gait b) Three point gait c) Swing to gait d) Swing through gait

The most commonly injured carpal bone is: a) the scaphoid bone b) the triquetral bone c) the pisiform bone d) the hamate bone

The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following actions first? a) Administer the prescribed antiemetic to the patient. b) Determine the patency of the patient's nasogastric tube. c) Instruct the patient to take deep breaths. d) Assess the patient for pain

The nurse can divulge patient's information, only when: a) it can pose as a threat to the public and when it is ordered by the court b) requested by family members c) asked by media personnel for broadcast and publication d) required by employer

The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defence mechanisms? a) Introjection b) Displacement c) Identification d) Repression

The nurse cares for a patient with a wound in the late regeneration phase of tissue repair. The wound may be protected by applying a: a) Transparent film b) Hydrogel dressing c) Collagenases dressing d) Wet dry dressing

The nurse cares for an elderly patient with moderate hearing loss. The nurse should teach the patient's family to use which of the following approaches when speaking to the patient? a) Raise your voice until the patient is able to hear you. b) Face the patient and speak quickly using a high voice. c) Face the patient and speak slowly using a slightly lowered voice. d) Use facial expressions and speak as you would formally

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is: a) Decreased urinary output b) Hypersomnolence c) Absence of knee jerk reflex d) Decreased respiratory rate

The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work? a) Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. b) Prepare these managers so that they will focus on maintaining standards of care c) Prepare these managers to oversee the entire health care organization d) Prepare these managers to interact with hospital administration.

The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? a) "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." b) "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." c) "Give your best nurses extra attention and rewards for their help." d) "Never get into a disagreement with a staff member.

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex? a) The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer. b) The nurse loosely suspends the client's arm in an open hand while tapping the back of the client's elbow. c) The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer. d) The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

The nurse is caring for a diabetic patient and when making rounds, notices that the patient is trembling and stating they are dizzy. The next action by the nurse would be: a) Administer patient's scheduled Metformin b) Give the patient a glass of orange juice c) Check the patient's blood glucose d) Call the doctor

The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be: a) Hypoglycemic, small for gestational age b) Hyperglycemic, large for gestational age c) Hypoglycemic, large for gestational age d) Hyperglycemic, small for gestational age

The nurse is caring for an immobile client. The nurse is promoting interventions to prevent foot drop from occurring. Which of the following is least likely a cause of foot drop? a) Bed rest b) Lack of exercise c) Incorrect bed positioning d) Bedding weight that forces the toes into plantar flexion

The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with: a) Diabetes b) HIV c) Hypertension d) Thyroid disease

The nurse is functioning as a patient advocate. Which of the following would be the first step the nurse should take when functioning in this role? a) Ensure that the nursing process is complete and includes active participation by the patient and family b) Become creative in meeting patient's needs. c) Empower the patient by providing needed information and support. d) Help the patient understand the need for preventive health care.

The nurse is giving the client with a left cast crutch walking instructions using the three point gait. The client is allowed touchdown of the affected leg. The nurse tells the client to advance the: a) Left leg and right crutch then right leg and left crutch b) Crutches and then both legs simultaneously c) Crutches and the right leg then advance the left leg d) Crutches and the left leg then advance the right leg

The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 406. they are using her name & discussing intimate details about her illness which of the following actions are best for the nurse to take? a) Go over & tell the nursing assistants that their actions are inappropriate especially in a public place b) Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed c) Tell the nursing assistant's supervisor about the incident. It is the supervisor's responsibility to address the issue d) Say nothing. it is not the nurses job, he or she is not responsible for the assistant's action

The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements? a) "It is my responsibility to ensure that the consent form has been signed and attached to the patient's chart prior to surgery." b) "It is my responsibility to witness the signature of the client before surgery is performed. c) "It is my responsibility to answer questions that the patient may have prior to surgery." d) "It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form."

The nurse is measuring the crutch using the patient's height. How many inches should the nurse subtract from the patient's height to obtain the approximate measurement? a) 10 inches b) 16 inches c) 9 inches d) 5 inches

The nurse is measuring the duration of the client's contractions. Which statement is true regarding the measurement of the duration of contractions? a) Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction. b) Duration is measured by timing from the end of one contraction to the beginning of the next contraction. c) Duration is measured by timing from the beginning of one contraction to the end of the same contraction. d) Duration is measured by timing from the peak of one contraction to the end of the same contraction.

The nurse is monitoring a client with a history of stillborn infant. The nurse is aware that nonstress test can be ordered for the client to: a) Determine lung maturity b) Measure the fetal activity c) Show the effect of contractions on fetal heart rate d) Measure the well-being of the fetus

The nurse is monitoring the progress of a client in labour. Which finding should be reported to the physician immediately? a) The presence of scant bloody discharge b) Frequent urination c) The presence of green-tinged amniotic fluid d) Moderate uterine contractions

The nurse is preparing to change the parenteral nutrition (PN) solution bag & tubing. The patient's central venous line is located in the right subclavian vein. The nurse ask the client to take which essential action during the tubing change? a) Take a deep breath, hold it, & bear down b) Breathe normally c) Exhale slowly & evenly d) Turn the head to the right

The nurse is responsible for performing a neonatal assessment on a full term infant. At one minute, the nurse could expect to find: a) An apical pulse of 100 b) An absence of tonus c) Cyanosis of the feet and hands d) Jaundice of the skin and sclera

The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy? a) Low birth weight b) Large for gestational age c) Preterm birth, but appropriate size for gestation d) Growth retardation in weight and length

The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client? a) Hamburger patty, green beans, French fries, and iced tea b) Roast beef sandwich, potato chips, baked beans, and cola c) Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea d) Fish sandwich, gelatin with fruit, and coffee

The nurse manager of 20 bed coronary care is not on duty when a staff nurse makes serious medication error. The client who received an over dose of the medication nearly dies. Which statement of the nurse manager reflects accountability? a) The nurse supervisor on duty will call the nurse manager at home and apprise about the problem b) Because the nurse manager is not on duty therefore she is not accountable to anything which happens on her absence c) The nurse manager will be informed of the incident when returning to the work on Monday because the nurse manager was officially off duty when the incident took place. d) Although the nurse manager was on off duty but the nurse supervisor decides to call nurse manager if the time permits the nurse supervisor thinks that the nurse manager has no responsibility of what has happened in manager's absence

The nurse needs to validate which of the following statements pertaining to an assigned client? a) The client has a hard, raised, red lesion on his right hand. b) A weight of 185 lbs. is recorded in the chart c) The client reported an infected toe d) The client's blood pressure is 124/70. It was 118/68 yesterday.

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to: a) Notify her doctor. b) Start an IV. c) Reposition the client. d) Readjust the monitor.

The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse's behaviour constitutes: a) False imprisonment b) Duty of care c) Standard of care practice d) Contract of care

The nurse should adjust the walker at which level to promote safety & stability? a) Knee b) Hip c) Chest d) Armpit

The nurse should consider performing preparatory exercises on which muscle to prevent flexion or buckling during crutch walking? a) Shoulder depressor muscles b) Forearm extensor muscles c) Wrist extensor muscles d) Finger & thumb flexor muscles

The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following? a) Incomplete data b) Generalize from experience c) Identifying with the client d) Lack of clinical experience

The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse's aide, who looks increasingly flustered and overwhelmed with the workload, finally announces "This is impossible! I quit!" and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse's aide, is BEST? a) fine, we're better off without you anyway" b) It seems to me that you feel frustrated. What can I help you with to care for our patients?" c) I can understand why you're upset, but I'm tired too and I'm not quitting." d) Why don't you take a dinner break and come back? It will seem more manageable with a normal blood sugar.

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? a) The manager is unwilling to listen to staff concerns unless they have an impact on costs. b) The manager understands the organization's values and how they mesh with the manger's values. c) The manager is communicating the importance of a caring environment. d) The manager is looking at the total care picture

The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is: a) Reposition the monitor. b) Turn the client to her left side. c) Ask the client to ambulate.. The client's T-cell count is extremely low. d) Prepare the client for delivery

The patient can be selected with a crutch gait depending on the following apart from: a) Patient's physical condition b) Arm & truck strength c) Body balance d) Coping mechanism

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered: a) Within 72 hours of delivery b) Within one week of delivery c) Within two weeks of delivery d) Within one month of delivery

The physician has ordered an intravenous infusion of Pitocin for the induction of labour. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for: a) Maternal hypoglycemia b) Fetal bradycardia c) Maternal hyperreflexia d) Fetal movement

The rehabilitation nurse wishes to make the following entry into a client's plan of care: "Client will re-establish a pattern of daily bowel movements without straining within two months." The nurse would write this statement under which section of the plan of care? a) Nursing diagnosis/problem list b) Nursing order c) Short-term goals d) Long term goals

The signs and symptoms of ectopic pregnancy except: a) Vaginal bleeding b) Positive pregnancy test c) Shoulder tip pain d) Protein excretion exceeds 2 g/day

The single assessment process was introduced as part of the National Service Framework for Older People (DH 2001) in order to improve care for this groups of patients. a) True b) False

The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of a) Denial b) Repression c) Suppression d) Displacemen

The use of an alcohol-based hand rub for decontamination of hands before and after direct patient contact and clinical care is recommended when: a) Hands are visibly soiled b) Caring for patients with vomiting or diarrhoeal illness, regardless of whether or not gloves have been worn c) Immediately after contact with body fluids, mucous membranes and non-intact skin

There has been an outbreak of the Norovirus in your clinical area. Majority of your staff have rang in sick. Which of the following is incorrect? a) Do not allow visitors to come in until after 48h of the last episode b) Tally the episodes of diarrhoea and vomiting c) Staff who has the virus can only report to work 48h after last episode d) Ask one of the staff who is off-sick to do an afternoon shift on same day

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? a) Autocratic. b) Bureaucratic. c) Laissez-faire. d) Authoritarian.

To promote stability for a patient using walkers, the nurse should instruct the patient to place his hands at: a) The sides of the walker b) The hips c) The hand grips d) The tips

To whom should you delegate a task? a) Someone who you trust b) Someone who is competent c) Someone who you work with regularly d) All of the above

Today many individuals are seeking answers for acute and chronic health problems through non-traditional approaches to health care. What are two popular choices being selected by health consumers? a) Mind awareness techniques and meditation practice b) Stress management and biofeedback programs c) Support groups and alternative medicine d) Telehealth and the internet

Training of student nurses is the responsibility of: a) Ward in charge b) Senior nurses c) Team leaders d) All RNS

Under the Carers (Equal opportunities) Act (2004) what are carers entitled to? a) Their own assessment b) Financial support c) Respite care d) All of the above

a c

Under the Yellow Card Scheme you must report the following: ( Select x 2 correct answers) a) Faulty brakes on a wheelchair b) Suspected side effects to blood factor, except immunoglobulin products c) Counterfeit or fake medicines or medical devices

a c

Under the Yellow Card Scheme you must report the following: (Select x 2 correct answers) a) Faulty brakes on a wheelchair b) Suspected side effects to blood factor, except immunoglobulin products c) Counterfeit or fake medicines or medical devices d) Ascites and increased vascular pattern on the skin

What are the signs and symptoms of shock during early stage (stage 1-3)? a) hypoxemia b) tachycardia and hyperventilation c) hypotension d) acidosis

a b c

What are the signs and symptoms of shock during early stage (stage 1-3)? (CHOOSE 3 ANSWERS) a) hypoxemia b) tachycardia and hyperventilation c) hypotension d) Acidosis

What are the steps for the proper urine collection? a) Clean meatus with soap and water b) Catch midstream c) Dispatch sample to laboratory immediately (within 6 hours) d) Ask the patient to void her remaining urine into the toilet or bedpan. a) A, B, & C b) B, C, & D c) A, B, & D d) A, C, & D

What do you expect patients with COPD to manifest? a) Inc Pco2, dec O2 b) Dec Pco2, inc o2 c) Inc pco2, inc o2 d) Dec pco2, dec o2

What do you expect to assess in a grade 3 pressure ulcer? a) blistered wound on the skin b) open wound showing tissue c) open wound exposing muscles d) open wound exposing bones

What do you expect to manifest with fluid volume deficit? a) Low pulse, Low Bp b) High pulse, High BP c) High Pulse, low BP d) Low Pulse, high BP

What do you have to consider if you are obtaining a consent from the patient? a) Understanding b) Capacity c) Intellect d) Patient's condition

What do you mean by a bad leadership? a) Appreciate intuitiveness b) Appreciate better work c) Reward poor performance

What do you mean by benchmarking tool? a) an overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice b) it is the way of expressing the need of the patient c) a continuum between poor and best practice. d) information on how to use the benchmarks

What do you mean by code of ethics? a) Legal activities of a registered nurse who work in the UK b) Legislative body to control nurses

b c

Waterlow score of 20 indicates what type of mattress to use? (Select x 2) a) Standard-specification foam mattresses b) High-specification foam mattresses c) Dynamic support surface

Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation? a) tell her that any information related to her well being will need to be share to the health care team b) inform her parents about this so she can be advised appropriately c) keep the information a secret in view of confidentiality d) report her boyfriend to social services

Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation? a) tell her that any information related to her wellbeing will need to be share to the health care team b) inform her parents about this so she can be advised appropriately c) keep the information a secret in view of confidentiality d) report her boyfriend to social services

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

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 goggles and underfill the sample bottle. d) Wear appropriate PPE and overfill the bottle.

What are essential competencies for today's nurse manager? a) strategic planning and design b) Self and group awareness c) A vision and goals d) Communication and teamwork

What are the characteristics of effective collaboration? a) Common purpose and goals b) Clinical competence of each provider c) Humor, trust, and valuing diverse, complementary knowledge d) All of the above

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 the patient is in a critical care setting, staff will send venous samples to the laboratory for verification of blood glucose level. c) If the machine hasn't been calibrated d) If peripheral circulation is impaired, collection of capillary blood is not advised as the results might not be a true reflection of the physiological blood glucose level.

What are the four stages of wound healing in the order they take place? a) Proliferative phase, inflammation phase, remodelling phase, maturation phase. b) Haemostasis, inflammation phase, proliferation phase, maturation phase c) Inflammatory phase, dynamic stage, neutrophil phase, maturation phase. d) Haemostasis, proliferation phase, inflammation phase, remodelling phase support

What are the key competencies and features for effective collaboration? a) Effective communication skills, mutual respect, constructive feedback, and conflict management. b) High level of trust and honesty, giving and receiving feedback, and decision making. c) Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions. d) Effective communication, cooperation, and decreased competition for scarce resources.

What are the principles of communicating with a patient with delirium? a) Use short statements and closed questions in a well lit, quiet, familiar environment. b) Use short statements and open questions in a well lit, quiet, familiar environment c) Write down all questions for the patient to refer back to. d) Communicate only through the family using short statements and closed questions.

What are the principles of gaining informed consent prior to a planned surgery? a) Gaining permission for an imminent procedure by providing information in medical terms, ensuring a patient knows the potential risks and intended benefits. b) 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. c) 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. d) Gaining permission from a patient who is competent to give it, by providing information in understandable terms prior to surgery, allowing time for answering questions, and inviting voluntary participation.

What are the principles of positioning a urine drainage bag? a) Above the level of the bladder to improve visibility & access for the health professional b) Above the level of the bladder to avoid contact with the floor c) Below the level of the patient's bladder to reduce backflow of urine d) Where the patient finds it most comfortable

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

What does 'muscle atrophy' mean? a) Loss of muscle mass b) A change in the shape of muscles c) Disease of the muscle

What does assessing for no refusal means? a) That the person has not already refused treatment b) That the person cannot or is unable to refuse treatment c) That the person does not already have an advanced decision d) The person is already detained/ being treated under the mental health act.

What functions should a dressing fulfil for effective wound healing? a) High humidity, insulation, gaseous exchange, absorbent. b) Anaerobic, impermeable, conformable, low humidity. c) Insulation, low humidity, sterile, high adherence. d) Absorbent, low adherence, anaerobic, high humidity.

What infection control steps should not be taken in a patient with diarrhoea caused by Clostridium Difficile? a) Isolation of the patient b) All staff must wear aprons and gloves while attending the patient c) All staff will be required to wash their hands before and after contact with the patient, their bed linen and soiled items d) Oral administration of metronidazole, vancomycin, fidaxomicin may be required e) None of the above

What infection is thought to be caused by prions? a) Leprosy b) Pneumocystis jirovecii c) Norovirus d) Creutzfeldt Jakob disease e) None of the above

What is Advocacy according to NHS Trust? a) It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need. b) This is the divulging or provision of access to data c) It is the response to the suffering of others that motivates a desire to help d) It is a set of rules or a promise that limits access or places restrictions on certain types of information.

What is Disclosure according to NHS? a) It is asking action to help people say what they want, secure their rights, represent their interests and obtain the services they need b) This is the divulging or provision of access to data. c) It is the response to the suffering of others that motivates a desire to help. d) It is a set of rules or a promise that limits access or places restrictions on certain types of information.

What is abduction? a) Division of the body into front and back b) Movement of a body parts towards the body's midline c) Division of the body into left and right d) Movement of body part away from the body's midline

What is accountability? a) Ethical and moral obligations permeating the nursing profession b) To be answerable to oneself and others for one's own actions." c) A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). d) The process of applying knowledge and expertise to a clinical situation to develop a solution

What is an intermediate care home? a) It is the day-to-day health care given by a health care provider. b) It includes a range of short-term treatment or rehabilitative services designed to promote independence. c) It is a system of integrated care. d) It is a means of organising work, that is patient allocation.

What is meant by 'Gillick competent'? a) Children under the age of 12 who are believed to have enough intelligence, competence and understanding to fully appreciate what's involved in their treatment. b) Children under the age of 16 who are believed to have enough intelligence, competence and understanding to fully appreciate what's involved in their treatment c) Children under the age of 18 who are believed not to have enough intelligence, competence and understanding to fully appreciate what's involved in their treatment. d) Children under the lawful age of consent who are believed not to have enough intelligence, competence and understanding to

What is meant by an advocate? a) Someone who develops opportunities for the patient b) Someone who has the same beliefs as the patient c) Someone who does something on behalf of the patient d) Someone who has the same values as the patient.

What is not a sign of meconium aspiration a) Floppy in appearance b) Apnoea c) Crying

What is not included in the care package in a nursing home? a) Laundry b) Food c) Nursing Care d) Social Activities

What is positive fluid balance? a) A deficit in fluid volume. b) A state when fluid intake is greater than output. c) Retention of both electrolytes and water in proportion to the levels in the extracellular fluid. d) A state where the body has less water than it needs to function properly.

What is respiration? a) the movement of air into and out of the lungs to continually refresh the gases there, commonly called 'breathing' b) movement of oxygen from the lungs into the blood, and carbon dioxide from the lungs into the blood, commonly called 'gaseous exchange' c) movement of oxygen from blood to the cells, and of carbon dioxide from the cells to the blood d) the transport of oxygen from the outside air to the cells within tissues, and the transport of carbon dioxide in the opposite direction.

What is right in case of consent among children under 18. a) Only children between 16-18 are competent to give it. b) Parents are responsible to give consent with children c) Children who are intellectually developed and understand matters can give consent

What is the best way to prevent a patient who is receiving an enteral feed from aspirating? a) Lie them flat. b) Sit them at least at a 45° angle. c) Tell them to lie on their side. d) Check their oxygen saturations.

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) Counting the number of respiratory cycles in 1 minute. One cycle is equal to the complete rise and fall of the patient's chest. c) Not telling the patient as this may make them conscious of their breathing pattern and influence the accuracy of the rate. d) Placing your hand on the patient's chest and counting the number of respiratory cycles in 30 seconds and multiplying by 2

What is the most common cause of hypotention in elderly? a) Decreased response in adrenaline & noradrenaline b) Atheroma changes in vessel walls c) hyperglycaemia d) Age

What is the most important guiding principle when choosing the correct size of catheter? a) The biggest size tolerable b) The smallest size necessary c) The potential length of use of the catheter d) The build of the patient

What is the most important issue confronting nurse managers using situational leadership? a) Leaders can choose one of the four leadership styles when faced with a new situation. b) Personality traits and leader's power base influence the leader's choice of style c) Value is placed on the accomplished of tasks and on interpersonal relationships between leader and group members and among group members d) Leadership style differs for a group whose members are at different levels of maturity

What is the purpose of The NMC Code? a) It outlines specific tasks or clinical procedures b) It ascertains in detail a nurse's or midwife's clinical expertise c) It is a tool for educating prospective nurses and midwives

What is the role of the NMC? a) To represent or campaign on behalf of nurses and midwifes b) To regulate hospital or other healthcare settings in the UK c) To regulate health care assistance d) To regulate nurses and midwives in the UK to protect the public

What is the use of protected meal time? a) Patient get protection from visitors b) Staff get enough time to have their bank c) To give personal hygiene to patients who are confused d) Patients get enough time to eat food without distractions while staff focus on people who needs help with eating

What may not be cause of diarrheoa? a) colitis b) intestinal obstruction c) food allergy d) food poisoning

What medications would most likely increase the risk for fall? a) Loop diuretic b) Hypnotics c) Betablockers d) Nsaid

What percentage of patients in hospital in England, at the time of the 2011 National Prevalence survey, had an infection? a) 4.6% b) 6.4% c) 14% d) 16%

What percentage of the air we breath is made up of oxygen? a) 16% b) 21% c) 26% d) 31

What serious condition is a possibility for patients positioned in the Lloyd Davies position during surgery? a) Stroke b) Cardiac arrest c) Compartment syndrome d) There are no drawbacks to the Lloyd Davies position

What should be included in a prescription for oxygen therapy? a) You don't need a prescription for oxygen unless in an emergency. b) The date it should commence, the doctor's signature and bleep number. c) The type of oxygen delivery system, inspired oxygen percentage and duration of the therapy. d) You only need a prescription if the patient is going to have home oxygen

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) Review the results of routine investigations. c) Observe the patient's breathing for ease and comfort, rate and pattern. d) check for any drains e) all of the above

What should be included in your initial assessment of your patients respiratory status? a) Review the patients notes and charts, to obtain the patients history. b) Review the results of routine investigations. c) Observe the patients breathing for ease and comfort, rate and pattern. d) Perform a systematic examination and ask the relatives for the patient's history.

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

What specifically do you need to monitor to avoid complications & ensure optimal nutritional status in patients being enterally fed? a) Daily urinalysis, ECG, Protein levels and arterial pressure b) Assess swallowing, patient choice, fluid balance, capillary refill time c) Eye sight, hearing, full blood count, lung function and stoma site d) Blood glucose levels, full blood count, stoma site and body weight

What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed? a) Blood glucose levels, full blood count, stoma site and bodyweight 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

What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed? a) Blood glucose levels, full blood count, stoma site and bodyweight. 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.

What stage of pressure ulcer includes tissue involvement and crater formation? a) stage 1 b) stage 2 c) stage 3 d) stage 4

c d

What stage of pressure ulcer includes tissue involvement and crater formation? (CHOOSE 2 ANSWERS) a) stage 1 b) stage 2 c) stage 3 d) stage 4

When should a penile sheath be considered as a means of managing incontinence? a) When other methods of continence management have failed b) Following the removal of a catheter c) When the patient has a small or retracted penis d) When a patient requests it

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?"

What would make you suspect that a patient in your care had a urinary tack infection? a) The patient has spiked a temperature, has a raised white cell count (WCC), has new-onset confusion & the urine in the catheter bag is cloudy b) The doctor has requested a midstream urine specimen c) The patient has a urinary catheter in situ & the patient's wife states that he seems more forgetful than usual d) The patient has complained of frequency of faecal elimination & hasn't been drinking enough

What would make you suspect that a patient in your care had a urinary tract infection? a) The doctor has requested a midstream urine specimen. b) The patient has a urinary catheter in situ, and the patients wife states that he seems more forgetful than usual. c) The patient has spiked a temperature, has a raised white cell count (WCC), has new-onset confusion and the urine in his catheter bag is cloudy. d) The patient has complained of frequency of faecal elimination and hasn't been drinking enough.

What would you do if a patient with diabetes and peripheral neuropathy requires assistance cutting his toe nails? a) Document clearly the reason for not cutting his toe nails and refer him to a chiropodist. b) Document clearly the reason for not cutting his nails and ask the ward sister to do it. c) Have a go and if you run into trouble, stop and refer to the chiropodist. d) Speak to the patient's GP to ask for referral to the chiropodist, but make a start while the patient is in hospital.

When an oropharyngeal airway is inserted properly, what is the sign a) Airway obstruction b) Retching and vomiting c) Bradycardia d) Tachycardia

When assessing a labouring client, the nurse finds a prolapsed cord. The nurse should: a) Attempt to replace the cord. b) Place the client on her left side. c) Elevate the client's hips.

When breaking bad news over phone which of the following statement is appropriate a) I am sorry to tell you that your mother died b) I am sorry to tell you that your mother has gone to heaven c) I am sorry to tell you that your mother is no more d) I am sorry to tell you that your mother passed away

When carrying out a catheterization, on which patients would you use anaesthetic lubricating gel prior to catheter insertion? a) Male patients to aid passage, as the catheter is longer b) Female patients as there is an absence of lubricating glands in the female urethra, unlike the male urethra c) Male & female patients require anaesthetic lubricating gel d) The use of anaesthetic lubricating gel is not advised due to potential adverse reactions

When collecting an MSU from a male patient, what should they do prior to the specimen being collected? a) Clean the meatus and catch a specimen from the last of the urine voided b) Clean the meatus and catch a specimen from the first stream of urine (approx.30mls) c) Clean the meatus and catch a specimen of the urine midstream d) Ask the patient to void into a bottle and pour urine specimen into the specimen container.

When communicating with children, what most important factor should the nurse take into consideration? a) Developmental level b) Physical development c) Nonverbal cues d) Parental involvement

When dealing with a patient who has a biohazard specimen, how will you ensure proper disposal? Select which does not apply: a) the specimen must be labelled with a biohazard b) the specimen must be labelled with danger of infection c) it must be in a double self-sealing bag d) it must be transported to the laboratory in a secure box with a fastenable lid

When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding of learning styles by: a) Administering a pre- and post-test assessment. b) Allowing patient's time to voice their opinions c) Providing a snack with a low glycaemic index. d) Utilizing a variety of educational materials.

When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding oflearning styles by: a) Administering a pre- and post-test assessment. b) Allowing patient's time to voice their opinions. c) Providing a snack with a low glycaemic index. d) Utilizing a variety of educational materials.

When disposing of waste, what colour bag should be used to dispose of offensive/ hygiene waste? a) Orange b) Yellow c) Yellow and black stripe d) Black

When do we need to document? a) As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client b) Every hour c) When there are significant changes to the patient's condition d) At the end of the shift

When do you gain consent from a patient and consider it valid? a) Only if a patient has the mental capacity to give consent b) Only before a clinical procedure c) None of the above

When do you wear clean gloves? a) Assisting with bathing b) Feeding a client c) When there is broken skin on hand d) Any activity which includes physical touch of a client

When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation? a) tell the student to feed the patient slowly to help stop coughing b) ask the student to completely stop feeding c) ask student to allow patient some sips of water to stop coughing d) ask student to stop feeding and assess patients swallowing

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 form that in other age groups d) When physical deterioration becomes a significant feature of an elder's life, the risk of comorbid psychiatric illness arises.

Which of the following is a potential complication of putting an oropharyngeal airway adjunct: a) Retching, vomiting b) Bradycardia c) Obstruction d) Nasal injury

Which of the following is a sign of dehydration in the elderly? a) diminished skin turgor b) hypertension c) anxiety attacks d) pyrexia

Which of the following is a specific benefit to an organization when delegation is carried out effectively? a) Delegates gain new skills facilitating upward mobility b) The client feels more of their needs are met c) Managers devote more time to tasks that cannot be delegated d) The organization benefits by achieving its goals more efficiently

Which of the following is an average heart rate of a 1-2 year old child? a) 110-120 bpm b) 60-100 bpm c) 140-160 bpm d) 80-120 bpm

Which of the following is an important principle of delegation? a) No transfer of authority exists when delegating b) Delegation is the same as work allocation c) Responsibility is not transferred with delegation d) When delegating, you must transfer authority

Which of the following is no longer a recommended method of mouth care? a) Chlorhexidine solution and foam sticks b) Sodium bicarbonate c) Normal saline mouth wash d) Glycerine and lemon swabs

Which of the following is not a cause of gingival bleeding? a) Vigorous brushing of teeth b) Intake of blood thinning medications (warfarin, aspirin, and heparin) c) Vitamin deficiency (Vitamins C and K) d) Lifestyle

Which of the following is not a criteria for anaphylactic reaction: a) Sudden onset and rapid progression of symptoms b) life threatening airway and/ or breathing and/or circulation problems c) skin and/or mucosal changes ( flushing, urticaria and angioedema) d) skin and mucosal changes only e) A and B only f) all of the above g) A, B and C

Which of the following is not normally considered to be a high risk fluid? a) Cerebrospinal fluid b) Urine c) Peritoneal fluid d) Semen e) All of the above

Which of the following medications are safe to be administered via a nasogastric tube? a) Drugs that can be absorbed via this route, can be crushed and given diluted or dissolved in 10-15 ml of water b) Enteric-coated drugs to minimize the impact of gastric irritation c) A cocktail of all medications mixed together, to save time and prevent fluid over loading the patient d) Any drugs that can be crushed

Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery? a) Skin clips b) Tissue adhesive c) Adhesive skin closure strips d) Interrupted suture

Which of the following nursing theorists developed a conceptual model based on the belief that all persons should strive to achieve self-care? a) Martha Rogers b) Dorothea Orem c) Florence Nightingale d) Cister Callista Roy

Which of the following oxygen masks is able to deliver between 60-90% of oxygen when delivered at a flow rate of 10 - 15L/min? a) Simple semi rigid plastic masks b) Nasal cannulas c) Venture high flow mask d) Non-rebreathing masks

Which of the following statements is false? a) Abuse mostly happens in nursing and residential homes. b) Abuse can take place anywhere there is a vulnerable adult. c) Abuse can take place in a day care centre. d) Abuse can be carried out by anyone - doctors, nurses, carers and even family members.

Which of the following techniques is advisable when obtaining a urine specimen in order to minimize the contamination of a specimen? a) Clean around the urethral meatus prior to sample collection and get a midstream/clean catch urine specimen. b) Clean around the urethral meatus prior to sample collection and collect the first portion of urine as this is where the most bacteria will be. c) Do not clean the urethral meatus as we want these bacteria to analyse as well. d) Dip the urinalysis strip into the urine in a bedpan mixed with stool

Which of the following would indicate an infection? a) Hot, sweaty, a temperature of 36.5°C, and bradycardic. b) Temperature of 38.5°C, shivering, tachycardia and hypertensive. c) Raised WBC, elevated blood glucose and temperature of 36.0°C. d) Hypotensive, cold and clammy, and bradycardic.

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

Which of the steps is NOT involved in Tuckman's group formation theory? a) Accepting b) Norming c) Storming d) Forming

Which of these is not a symptom of an ectopic pregnancy? a) Pain b) Bleeding c) Vomiting d) Diarrhoea

Which one of the following types of wound is NOT suitable for negative pressure wound therapy? a) Partial thickness burns b) Contaminated wounds c) Diabetic and neuropathic ulcers d) Traumatic wounds

Which option best illustrates a positive outcome for managed care? a) Involvement in the political process. b) Reshaping current policy. c) Cost-benefit analysis. d) Increase in preventive services

Which selection would provide the most calcium for the client who is four months pregnant? a) A granola bar b) A bran muffin c) A cup of yogurt d) A glass of fruit juice

Which solution use minimum tissue damage while providing wound care? a) Hydrogen peroxide b) Povidine iodine c) Saline d) Gention violet

You are in a registered nurse in a community giving health education to a patient and you notice that the student nurse is using his cell phone to text, what should you do? a) Tell the student to leave and emphasize what a disappointment she is b) Report the student to his Instructor after duty c) Politely signal the student and encourage him by actively including him in the discussion

You have assigned a new student to an experienced health care assistant to gain some knowledge in delivering patient care. The student nurse tells you that the HCA has pushed the client back to the chair when she was trying to stand up. What is your action a) As soon as possible after an event has happened (to provide current (up to date) information about the care and condition of the patient or client) b) Every hour c) When there are significant changes to the patient's condition d) At the end of the shift

Why is it essential to humidify oxygen used during respiratory therapy? a) Oxygen is a very hot gas so if humidification isnt used, the oxygen will burn the respiratory tract and cause considerable pain for the patient when they breathe. b) Oxygen is a dry gas which can cause evaporation of water from the respiratory tract and lead to thickened mucus in the airways, reduction of the movement of cilia and increased susceptibility to respiratory infection. c) Humidification cleans the oxygen as it is administered to ensure it is free from any aerobic pathogens before it is inhaled by the patient.

Why is pyrexia not always evident in the elderly? a) Due to immature T cells b) Due to mature T cells c) Due to immature D cells d) Due to mature D cells

Why is pyrexia not evident in the elderly? a) Due to lesser body fat b) Due to immature T cells c) Due to aged hypothalamus d) Due to biologic changes

Why should healthcare professionals take extra care when washing and drying an elderly patients skin? a) As the older generation deserve more respect and tender loving care (TLC). b) As the skin of an elder person has reduced blood supply, is thinner, less elastic and has less natural oil. This means the skin is less resistant to shearing forces and wound healing can be delayed. c) All elderly people lose dexterity and struggle to wash effectively so they need support with personal hygiene. d) As elderly people cannot reach all areas of their body, it is essential to ensure all body areas are washed well so that the colonization of Gram-positive and negative micro-organisms on the skin is avoided.

Wound care management plan should be done with what type of wound? a) Complex wound b) Infected wound c) Any type of wound

Wound proliferation starts after? a) 1-5 days b) 3-24 days c) 24 days

You are a new and inexperienced staff, which of the following actions will you do during your first day on the clinical area? a) Acknowledge your limitations, seek supervision from your team leader b) volunteer to do the drug rounds c) help in admitting the patients d) answer all enquiries from the patients

You are assisting a doctor who is trying to assess and collect information from a child who does not seem to understand all that the doctor is telling and is restless. What will be your best response? a) Stay quiet and remain with the doctor b) Interrupt the doctor and ask the child the questions c) Remain with the doctor and try to gain the confidence of the child and politely assess the child's level of understanding and help the doctor with the information he is looking for d) Make the child quiet & ask his mother to stay with him

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) Sit her upright, listen to her chest and refer to the chest physiotherapist. b) Suggest that the patient takes her Ventolin inhaler and continue to monitor the patient. 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) Reassure the patient: you know from reading her notes that stress and anxiety often trigger her asthma.

You are caring for a patient in isolation with suspected Clostridium difficile. What are the essential key actions to prevent the spread of infection? a) Regular hand hygiene and the promotion of the infection prevention link nurse role. b) Encourage the doctors to wear gloves and aprons, to be bare below the elbow and to wash hands with alcohol hand rub. Ask for cleaning to be increased with soap-based products. c) seek the infection prevention team to review the patient's medication chart and provide regular teaching sessions on the 5 moments of hand hygiene. Provide the patient and family with adequate information. d) Review antimicrobials daily, wash hands with soap and water before and after each contact with the patient, ask for enhanced cleaning with chlorine-based products and use gloves and aprons when disposing of body fluids.

You are caring for a patient who is known to have dementia. What particular issues should you consider prior to discharge. a) You involve in his care: Independent Mental Capacity Advocacy Service (Mental Capacity Act 2005) b) You involve other support services in his discharge: The hospital discharge team, social services, the metal health team

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

You are looking after a 75 year old woman who had an abdominal hysterectomy 2 days ago. What would you do reduce the risk of her developing a deep vein thrombosis (DVT)? a) Give regular analgesia to ensure she has adequate pain relief so she can mobilize as soon as possible. Advise her not to cross her legs b) Make sure that she is fitted with properly fitting antiembolic stockings & that are removed daily c) Ensure that she is wearing antiembolic stockings & that she is prescribed prophylactic anticoagulation & is doing hourly limb exercises d) Give adequate analgesia so she can mobilize to the chair with assistance, give subcutaneous low molecular weight heparin as prescribed. Make sure that she is wearing antiembolic stockings

You are looking after a 76-year old woman who has had a number of recent falls at home. What would you do to try & ensure her safety whilst she is in hospital? a) Refer her to the physiotherapist & provide her with lots of reassurance as she has lost a lot of confidence recently b) Make sure that the bed area is free of clutter. Place the patient in a bed near the nurse's station so that you can keep an eye on her. Put her on an hourly toileting chart. obtain lying & standing blood pressures as postural hypotension may be contributing to her falls c) Make sure that the bed area is free of clutter & that the patient can reach everything she needs, including the call bell. Check regularly to see if the patient needs assistance mobilizing to the toilet. ensure that she has properly fitting slippers & appropriate walking aids d) Refer her to the community falls team who will asses her when she gets home

You are looking after a postoperative patient and when carrying out their observations, you discover that they are tachycardic and anxious, with an increased respiratory rate. What could be happening? What would you do? a) The patient is showing symptoms of hypovolaemic shock. Investigate source of fluid loss, administer fluid replacement and get medical support. b) The patient is demonstrating symptoms of atelectasis. Administer a nebulizer, refer to physiotherapist for assessment. c) The patient is demonstrating symptoms of uncontrolled pain. Administer prescribed analgesia, seek assistance from medical team. d) The patient is demonstrating symptoms of hyperventilation. Offer reassurance, administer oxygen

You are looking after an emaciated 80-year old man who has been admitted to your ward with acute exacerbation of chronic obstructive airways disease (COPD). He is currently so short of breath that it is difficult for him to mobilize. What are some of the actions you take to prevent him developing a pressure ulcer? a) He will be at high risk of developing a pressure ulcer so place him on a pressure relieving mattress b) Assess his risk of developing a pressure ulcer with a risk assessment tool. If indicated, procure an appropriate pressure -relieving mattress for his bed & cushion for his chair. Reassess the patient's pressure areas at least twice a day & keep them clean & dry. Review his fluid & nutritional intake & support him to make changes as indicated. c) Assess his risk of developing a pressure ulcer with a risk assessment tool & reassess every week. Reduce his fluid intake to avoid him becoming incontinent & the pressure areas becoming damp with urine d) He is at high risk of developing a pressure ulcer because of his recent acute illness, poor nutritional intake & reduced mobility. By giving him his prescribed antibiotic therapy, referring him to the dietician & physiotherapist, the risk will be reduced.

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 a) Tell her it is not possible b) Tell her it is possible if you provide direct supervision c) Call to the college and ask whether it is possible for a 3rd student to assist the procedure d) Allow her as this is the part of her learning

You are preparing to consider a Tuberculin (Mantoux) skin test to a client suspected of having TB. The nurse knows that the test will reveal which of the following? a) How long the client has been infected with TB b) Active TB infection c) Latent TB infection d) Whether the client has been infected with TB bacteria

You are the nurse assigned in recovery room or post anaesthetic care unit. The main priority of care in such area is: a) Keeping airway intact b) keeping patient pain free c) keeping neurological condition stable d) keeping relatives informed of patient's condition

You are the nurse in charge of the unit and you are accompanied by 4th year nursing students. a) Allow students to give medicine b) Assess competence of student c) Get consent of patient d) Have direct supervision

You are the nurse on Ward C with 14 patients. Your fellow incoming nurses called in sick and cannot come to work on your shift. What will be your best action on this situation? a) Review patient intervention, set priorities, ask the supervisor to hand over extra staff b) continue with your shift and delegate some responsibilities to the nursing assistant c) fill out an incident form about the staffing condition d) ask the colleague to look for someone to cover

You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do? a) encourage all the staff who are present to do their best to attend to the needs of the patients b) ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover c) refuse to take charge of the next shift

You are told a patient is in "source isolation". What would you do & why? a) Isolating a patient so that they don't catch any infections b) Nursing an individual who is regarded as being particularly vulnerable to infection in such a way as to minimize the transmission of potential pathogens to that person. c) Nursing a patient who is carrying an infectious agent that may be risk to others in such a way as to minimize the risk of the infection spreading elsewhere in their body. d) Nurse the patient in isolation, ensure that you wear apprpriate personal protective equipment (PPE) & adhere to strict hygiene ,for the purpose of preventing the spread of organism from that patient to others.

You can delegate medication administration to a student if: a) The student was assessed as competent b) Only under close, direct supervision c) The patient has only oral medication

You have just finished dressing a leg ulcer. You observe patient is depressed and withdrawn. You ask the patient whether everything is okay. She says yes. What is your next action? a) Say " I observe you don't seem as usual. Are you sure you are okay?" b) Say "Cheer up , Shall I make a cup of tea for you?" c) Accept her answer & leave. attend to other patients d) Inform the doctor about the change of the behaviour.

You were asked by the nursing assistant to see Claudia whom you have recently given trimetophrim 200 mgs PO because of urine infection. When you arrived at her bedside, she was short of breath, wheezy and some red patches evident over her face. Which of the following actions will you do if you are suspecting anaphylaxis? a) call for help and give oxygen b) give oxygen and salbutamol nebs if prescribed and call for help c) give oxygen, administer adrenaline 500 mcg IM, give salbutamol nebs if prescribed and call for help d) call for help, give oxygen, administer adrenaline 500 mcg IM, give salbutamol nebs if prescribed.

Your nurse manager approaches you in a tertiary level old age home where complex cases are admitted, and she tells you that today everyone should adopt task - oriented nursing to finish the tasks by 10 am what's your best action a) Discuss with the manager that task oriented nursing may ruin the holistic care that we provide here in this tertiary level. b) Ask the manager to re-consider the time bound, make sure that all staffs are informed about task oriented nursing care

Your patient has a bulky oesophageal tumor and is waiting for surgery. When he tries to eat, food gets stuck and gives him heart burn. What is the most likely route that will be chosen to provide him with the nutritional support he needs? a) Feeding via Radiologically inserted Gastostomy (RIG) b) Nasogastric tube feeding c) Feeding via a Percutaneous Endoscopic Gastrostonomy (PEG) d) Continue oral

Your patient has bronchitis and has difficulty in clearing his chest. What position would help to maximize the drainage of secretions? a) Lying on his side with the area to be drained uppermost after the patient has had humidified air b) Lying flat on his back while using a nebulizer c) Sitting up leaning on pillows and inhaling humidified oxygen d) Standing up in fresh air taking deep breaths

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