CBT 1000

patient just had just undergone lumbar laminectomy, what is the best nursing intervention? A) move the body as a unit B) move one body part at a time C) move the head first and the feet last D) never move the patient at all B) Inadvertent puncture of the kidney and cardiac arrest

A) move the body as a unit

The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client's statements indicates the need for additional teaching? A. "I'm wearing a support bra." B. "I'm expressing milk from my breast." C. "I'm drinking four glasses of fluid during a 24-hour period." D. "While I'm in the shower, I'll allow the water to run over my breasts."

C. "I'm drinking four glasses of fluid during a 24-hour period."

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

a) Physical Abuse

Bonus hehehehe

Bleh

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)

a) Lifestyle

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

a) Loss of muscle mass

In reporting contagious diseases, which of the following will need attention at national level: a) Measles b) Tuberculosis c) chicken pox d) Swine flu

a) Measles b) Tuberculosis

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

a) Feeding via Radiologically inserted Gastostomy (RIG)

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

a) Focusing on social relationship outside working environment

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

a) Formal learning

On a psychiatric unit, the preferred milieu environment is BEST describe as: a) Fostering a therapeutic social, cultural, and physical environment. b) Providing an environment that will support the patient in his or her therapeutic needs c) Fostering a sense of well-being and independence in the patient d) Providing an environment that is safe for the patient to express feelings

a) Fostering a therapeutic social, cultural, and physical environment.

Which of the following is an indication for intrapleural chest drain insertion? a) Pneumothorax b) Tuberculosis c) Asthma d) Malignancy of lungs

a) Pneumothorax

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

a) Stoma or catheter bags - The Management of Waste from health, social and personal care -RCN

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

a) Use of hand gel/ alcohol rub -not enough

Mild pain after surgery and pain is reduced by taking which medicine a)paracetamol b)ibuprofen c)paracetamol with codeine d)paracetamol with morphine

a)paracetamol

Patient is post op liver biopsy which is a sign of serious complication? (Select x 2 correct answers) a) CR of 104, RR=24, Temp of 37.5 b) Nausea and vomiting c) Pain d) Bleeding

b and d

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

b) 16 inches

A nurse finds it very difficult to understand the needs of a child with learning disability. She goes to other nurses and professionals to seek help. How u interpret this action a) The nurse is short of self confidence b) A nurse, who is well aware of her limitations seeked help from others. She worked within her competency. c) She doesn't have the kind of courage a nurse should have

b) A nurse, who is well aware of her limitations seeked help from others. She worked within her competency.

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

b) Possessing stock medications

What position should you prepare the patient in pre-op for abdominal Paracentesis? a) Supine b) Supine with head of bed elevated to 40-50cm c) Prone d) Side-lying

b) Supine with head of bed elevated to 40-50cm plus slightly rotated to the side of the procedure

Which one of these notifiable diseases needs to be reported on a national level? a) Chicken pox b) Tuberculosis c) Whooping cough d) Influenza

b) Tuberculosis c) Whooping cough whooping cough -- pertussis -- highly contagious

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.

b) Unofficial training

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

b) Urine

Which color card is used to report adverse drug reaction? a) Green Card b) Yellow Card c) White Card d) Blue Card

b) Yellow Card

In the News observation system, what is AVUP? a) A replacement for GCS b) An assessment for confusion c) Assessment for the level of consciousness

c) Assessment for the level of consciousness

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

c) Use red linen bag that allows washing in high temperatures

a Patient who has had Parkinson's disease for 7 years has been experiencing aphasia. Which health professional should make a referral to with regards to his aphasia? a) Occupational therapist b) Community matron c) Psychiatrist d) Speech and language therapist

d) Speech and language therapist

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

d) Swing through gait

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

d) To regulate nurses and midwives in the UK to protect the public

Common cause of airway obstruction in an unconscious patient a) Oropharyngeal tumor b) Laryngeal cyst c) Obstruction of foreign body d) Tongue falling back

d) Tongue falling back

A 45-year old patient was diagnosed to have Piles (Haemorrhoids). During your health education with the patient, you informed him of the risk factors of Piles. You would tell him that it is caused by all of the following except: a) Straining when passing stool b) being overweight c) Lack of fibre in the diet d) prolonged walking

d) prolonged walking

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 e) A, B and C

d) skin and mucosal changes only

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

e) Ketoacidosis

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

a) absorbent, humid, aerated

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

a) it can pose as a threat to the public and when it is ordered by the court

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

b) Gastroscopy

Who is responsible in disposing sharps? a) Registered nurse b) Nurse assistant c) Whoever used the sharps d) Whoever collects the garbage

c) Whoever used the sharps

Which is the first drug to be used in cardiac arrest of any aetiology? e) Adrenaline f) Amiodarone g) Atropine h) Calcium chloride

e) Adrenaline Adrenalinge Amiodarone Lidocaine Atropine

Which of the major theories of aging suggests that older adults may decelerate the aging process? 1) Disengagement theory 2) Activity theory 3) Immunology theory 4) Genetic theory

2) Activity theory

Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach? 1) Case management 2) Primary nursing 3) Differentiated practice 4) Functional method

3) Differentiated practice

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.

A) A micro-organism that is capable of causing infection, especially in vulnerable individuals, but not normally in healthy ones.

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

A) Inc Pco2, dec O2

While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should: A. Ask the client to void. B. Assess the blood pressure for hypotension. C. Administer oxytocin. D. Check for vaginal bleeding

A. Ask the client to void.

Which statement is not true about acute illness? A. A disease with a rapid onset and/or a short course one. B. It will eventually resolve without any medical supervision.

A. A disease with a rapid onset and/or a short course one.

All but one describes holistic care: A. A system of comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs. B. It embraces all nursing practice that has enhancement of healing the whole person from birth to death as it's goals. C. An all nursing practice that has healing the person as its goal. D. It involves understanding the individual as a unitary whole in mutual process with the environment.

A. A system of comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? A. A tracheotomy set B. A padded tongue blade C. An endotracheal tube D. An airway

A. A tracheotomy set

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.

A. Attempt to replace the cord.

When using crutches, what part of the body should absorb the patient's weight? A. Armpits B. Hands C. Back D. Shoulders

B. Hands

A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living? A. High-seat commode B. Recliner C. TENS unit D. Abduction pillow

A. High-seat commode

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

A. Input exceeds output

The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig's sign is charted if the nurse notes: A. Pain on flexion of the hip and knee B. Nuchal rigidity on flexion of the neck C. Pain when the head is turned to the left side D. Dizziness when changing positions

A. Pain on flexion of the hip and knee letter B is brudzinski

A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor: A. Platelet count B. White blood cell count C. Potassium levels D. Partial prothrombin time (PTT)

A. Platelet count

You were administering a pre-operative medication to a patient via IM route. Suddenly, you developed a needle-stick injury. Which of the following interventions will not be appropriate for you to do? A. Prevent the wound to bleed B. Wash the wound using running water and plenty of soap C. Do not suck the wound D. Dry the wound and over it with a waterproof plaster or dressing

A. Prevent the wound to bleed

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. Prevention of aspiration pneumonia

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. Providing a calm environment

How should eye drops be administered? A. Pulling on the lower eyelid and administering the eye drops B. Pulling on the upper eyelid and administering the eye drops C. Tip the patients head back and administer the eye drops into the cornea D. Tip the patients head to the side and administer the eye drops into the nasolacrimal system

A. Pulling on the lower eyelid and administering the eye drops

A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate postoperative period for the nurse to take is: A. The blood pressure B. The temperature C. The urinary output

A. The blood pressure

The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis? A. Rectal itching B. Nausea C. Oral ulcerations D. Scalp itching

A. Rectal itching

The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating: A. Fruits B. Salt C. Pepper D. Ketchup

C. Pepper

Early signs of phlebitis would include: A. slight pain and redness B. increased WBC C. Pyrexia D. swelling

A. slight pain and redness

The degree of injection when giving subcutaneous insulin injection on a site where you can grasp 1 inch of tissue? B) 45degrees C) 40degrees D) 25degrees

B) 45degrees use 90 deg if you can grasp 2 inches of tissue, if 1, use 45 deg

After iv dose patient develops, rashes, itching, flushed skin A) septecimia B) adverse reaction

B) adverse reaction

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.

B. Apply an internal fetal monitor.

The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication? A. Treatment is not recommended for children less than 10 years of age. B. Bed linens should be washed in hot water. C. Medication therapy will continue for one year. D. Intravenous antibiotic therapy will be ordered.

B. Bed linens should be washed in hot water.

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

B. Dietician

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

B. Dietitian

The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit? A. Pain B. Disalignment C. Cool extremity D. Absence of pedal pulses

B. Disalignment

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

B. Encourage Barbara to continuously use the PCA

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

B. HIV

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when: A. Estrogen levels are low B. Lutenizing hormone is high C. The endometrial lining is thin D. The progesterone level is low

B. Lutenizing hormone is high

The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this 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

B. Measure the fetal activity

Among the following drugs, which does not cause falls in an elderly? A. Diuretics B. NSAIDS C. Beta blockers D. Hypnotics

B. NSAIDS

The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the: A. Feet B. Neck C. Hands D. Sacrum

B. Neck

The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the: A. Feet B. Neck C. Hands D. Sacrum

B. Neck -- Right sidede H.E.A.D Hepatomegaly Edema Ascites Distended veins

Which action is contraindicated in the client with epiglottis? A. Ambulation B. Oral airway assessment using a tongue blade C. Placing a blood pressure cuff on the arm D . Checking the deep tendon reflexes.

B. Oral airway assessment using a tongue blade

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

B. Refuse the voucher and thank him for this gesture

While giving an IV infusion your patient develops speed shock. What is not a sign and symptoms of this? A. Circulatory collapse B. Peripheral edema C. Facial flushing D. Headache

B. Peripheral edema

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.

B. Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

Which finding should the nurse report to the provider prior to a magnetic resonance imaging MRI? A. History of cardiovascular disease B. Allergy to iodine and shellfish C. Permanent pacemaker in place D Allergy to dairy products

C. Permanent pacemaker in place

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

B. Placing the client in a supine position

The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor? A. Diabetes B. Prinzmetal's angina C. Cancer D. Cluster headaches

B. Prinzmetal's angina

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

B. Referral can be made to the local NHS Stop smoking service

A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching? A. Take the medication with milk. B. Report chest pain. C. Remain upright after taking for 30 minutes. D. Allow six weeks for optimal effects

B. Report chest pain Celecoxib increases the risk of heart attack

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.

B. Report the finding to the doctor.

Patient had undergone post lumbar tap and is exhibiting increase HR, decrease BP, and alteration in consciousness and dilated pupils. What is the patient likely experiencing? A. Headache B. Shock C. Brain herniation D. Hypotension

B. Shock

What fluid should ideally be used when irrigating eyes? A. sterile 0.9% sodium chloride B. Sterile water C. Chloramphenicol drops D. tap water

B. Sterile water

UK policy for needle prick injury includes all but one: A. Encourage the wound to bleed B. Suck the wound C. Wash the wound using running water and plenty of soap D. Don't scrub the wound while washing it

B. Suck the wound

An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess: A. The client's knowledge of the signs of preterm labor B. The client's feelings about the pregnancy C. Whether the client was using a method of birth control D. The client's thought about future children

B. The client's feelings about the pregnancy

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.

B. The membranes are still intact.

A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to: A. Prevent the need for dressing changes B. Reduce edema at the incision C. Provide for wound drainage D. Keep the common bile duct open

C. Provide for wound drainage

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

B. The presence of fetal heart tones

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.

B. The umbilical cord needs time to separate.

The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to: A. Administer a prescribed antibiotic. B. Wash her hands for two minutes before care. C. Wear a mask when providing care. D. Ask the client to cover her mouth when she coughs

B. Wash her hands for two minutes before care.

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

B. Wrapping the newborn snugly in a blanket

Respiratory protective equipment include: A. gloves B. mask C. apron D. paper towels

B. mask

What is not a good route for IM injection? A. upper arm B. stomach C. thigh D. buttocks

B. stomach

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

C) Compartment syndrome

How many phases of korotkoff sounds are there? A. 3 B. 4 C. 5 D. 6

C. 5

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

C. Cyanosis of the feet and hands

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.

C. Affected parents have a one in four chance of passing on the defective gene.

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal? A. Slow pulse B. Anorexia C. Bulging eyes D. Weight gain

C. Bulging eyes

The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that: A. Taking a hot bath will decrease stiffness and spasticity. B. A schedule of strenuous exercise will improve muscle strength. C. Rest periods should be scheduled throughout the day. D. Visual disturbances can be corrected with prescription glasses

C. Rest periods should be scheduled throughout the day

The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes? A. Order a chest x-ray. B. Reinsert the tube. C. Cover the insertion site with a Vaseline gauze. D. Call the doctor.

C. Cover the insertion site with a Vaseline gauze. Immediately apply pressure to chest tube insertion

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.

C. Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client? A. Place the client in Trendelenburg position for postural drainage. B. Encourage coughing and deep breathing every two hours. C. Elevate the head of the bed 30°. D. Encourage the Valsalva maneuver for bowel movements.

C. Elevate the head of the bed 30° Prolactinoma - tumor @ pituitary gland at the base of the brain

The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of: A. Mongolian spots B. Scrotal rugae C. Head lag D. Polyhydramnios

C. Head lag

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

C. Hypoglycemic, large for gestational age

Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ? A. Antivirals B. Antibiotics C. Immunosuppressants D. Analgesics

C. Immunosuppressants

Nursing process is best illustrated as: A. Patient with medical diagnosis B. task oriented care C. Individualized approach to care D. All of the above

C. Individualized approach to care

A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy: A. Is the opening on the client's left side B. Is the opening on the distal end on the client's left side C. Is the opening on the client's right side D. Is the opening on the distal right side

C. Is the opening on the client's right side

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

C. Presence of white patches inside the mouth

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

C. Quit smoking

A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the: A. Age of the client B. Frequency of intercourse C. Regularity of the menses D. Range of the client's temperature

C. Regularity of the menses

The body part that would most likely display jaundice in the dark-skinned individual is the: A. Conjunctiva of the eye B. Soles of the feet C. Roof of the mouth D. Shins

C. Roof of the mouth

How to position patient for abdominal tap A. Supine B. Prone C. Supine with HOB 40-50 degree elevated D. Sitting

C. Supine with HOB 40-50 degree elevated

An infant's Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is: A. The baby is hypothermic. B. The baby is experiencing bradycardia. C. The baby's hands and feet are blue. D. The baby is lethargic.

C. The baby's hands and feet are blue.

A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia? A. The client collects stamps as a hobby. B. The client recently lost his job as a postal worker. C. The client had radiation for treatment of Hodgkin's disease as a teenager. D. The client's brother had leukemia as a child.

C. The client had radiation for treatment of Hodgkin's disease as a teenager.

Which of these is not a symptom of an ectopic pregnancy? A. Pain B. Bleeding C. Vomiting D. Diarrhoea

C. Vomiting

A Ibuprofen 200mg tablet has been prescribed. You only have a 400mg coated ibuprofen tablet. What should you do? A. Give half of the tablet B. crush the tablet and give half of the amount C. order the different dose of tablet from pharmacy D. omit

C. order the different dose

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

C. patches of shiny redness on the palette and gums

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

D) 6-8 hours

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

D) All the above

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

D) All the above

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.

D) The person is already detained/ being treated under the mental health act.

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

D) Whether the client has been infected with TB bacteria

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

D) high p02 and low pC02

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

D. 24 pounds

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend? A. A family vacation in the Rocky Mountains B. Chaperoning the local boys club on a snow-skiing trip C. Traveling by airplane for business trips D. A bus trip to the Museum of Natural History

D. A bus trip to the Museum of Natural History

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

D. All of the above

What is clinical benchmarking? A. The practice of being humble enough to admit that someone else is better at something and being wise enough to try to learn how to match and even surpass them at it. B. A systematic process in which current practice and care are compared to, and amended to attain, best practice and care C. A system that provides a structured approach for realistic and supportive practice development D. All of the above

D. All of the above

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

D. All of the above

Which of the following should be considered before giving digoxin? 1. Allergies 2. Drug interactions 3. Other interactions with food or substances like alcohol and tobacco 4. Medical problems (Thyroid problem, Kidney disease, etc.) A. 1&2 B. 3&4 C. 1, 3, & 4 D. All of the above

D. All of the above

Which of the following items of subjective client data would be documented in the medical record by the nurse? A. Client's face is pale B. Cervical lymph nodes are palpable C. Nursing assistant reports client refused lunch D. Client feel nauseated

D. Client feel nauseated

A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority? A. Impaired physical mobility related to decreased endurance B. Hypothermia r/t decreased metabolic rate C. Disturbed thought processes r/t interstitial edema D. Decreased cardiac output r/t bradycardia

D. Decreased cardiac output r/t bradycardia

All are risk factors of Coronary Artery Disease except: A. Obesity B. Smoking C. High Blood Pressure D. Female

D. Female

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.

D. Her contractions are five minutes apart.

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

D. Lifestyle

Which of the following is not a part of the 6 rights of medication administration? A. Right time B. Right route C. Right medication D. Right reason

D. Right reason

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.

D. There is uteroplacental insufficiency.

Where is the best site for examining for the presence of petechiae in an African American client? A. The abdomen B. The thorax C. The earlobes D. The soles of the feet

D. The soles of the feet

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

E) All of the above

It is unsafe for a spinal tap to be undertaken if the patient: A. Has bacterial meningitis B. Papilloedema C. Intracranial mass is suspected D. Site skin infection E. All the above

E. All the above

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 and 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

a and c

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

a. Encourage the patient to express her feelings about the job loss b. Contact social services to assist the patient with accessing available resources

You were on your medication rounds and the emergency alarm goes off. What will you do first? a.) Lock your trolley b.) Rush to your patient's bedroom c.) Check first if everyone had their meds d.) a and c

a.) Lock your trolley

Mrs X is diabetic and on PEG feed. Her blood sugar has been high during the last 3 days. She is on Nystatin Oral Drops QID, regular PEG flushes and insulin doses. Her Humulin dose has been increased from 12 iu to 14 iu. The nurse practitioner has advised you to monitor her BM's for the next two days. What will be your initial intervention if her BM drops to 2.8 mmol after 2 morning doses of 14 iu? a.) Offer her a chocolate bar and a glass of orange juice b.) Flush glucose syrup through her PEG Tube c.) Ring the nurse practitioner and ask if the insulin dose can be dropped to 12 iu d.) Contact the General Practitioner and request for a visit

b.) Flush glucose syrup through her PEG Tube

The MARS says that Benedict is on TID Macrogol. You have notice that the nurses have been writing "A" for refused. What do you do? a.) Write "A" on the MARS, because Benedict is expected to refuse it. b.) Offer the Macrogol, and write "A" if the patient refuses it. c.) Check bowel charts and cancel Macrogol on MARS if bowels are fine. d.) Change the prescription to PRN.

b.) Offer the Macrogol, and write "A" if the patient refuses it.

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

c. Great Man

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

d) 6 to 8

Which of these medications is not administer with digoxin? a) Diuretics b) Corticosteroids c) Antibiotics d) NSAID's

d) NSAID's

Why are support stockings used? a) To aid mobility b) To promote arterial flow c) To aid muscle strength d) To promote venous flow

d) To promote venous flow

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

d.) Ask one of the staff who is off-sick to do an afternoon shift on same day

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

e) all of the above

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

g) All of the above

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

d.) Triage system in the A&E

You are the night nurse in a nursing home. Maxine, 81 years old, has been prescribed with Lorazepam PRN. You have assessed her to be wandering and talking to staff. When do you administer the Lorazepam? a.) Immediately due to wandering b.) As soon as possible so she can go to bed c.) When you see signs of confusion d.) When you see signs of agitation

d.) When you see signs of agitation

A patient is agitated and is unable to settle. She is also finding it difficult to sleep, reporting that she is in pain. What would you do at this point? a) Ask her to score her pain, describe its intensity, duration, the site, any relieving measures and what makes it worse, looking for non verbal clues, so you can determine the appropriate method of pain management. b) Give her some sedatives so she goes to sleep. c) Calculate a pain score, suggest that she takes deep breaths, reposition her pillows, return in 5 minutes to gain a comparative pain score. d) Give her any analgesia she is due. If she hasn't any, contact the doctor to get some prescribed. Also give her a warm milky drink and reposition her pillows. Document your action. 754. How should we transport controlled drugs? Select which d

) Ask her to score her pain, describe its intensity, duration, the site, any relieving measures and what makes it worse, looking for non verbal clues, so you can determine the appropriate method of pain management.

A patient recently admitted to hospital, requesting to self-administer the medication, has been assessed for suitability at Level 2 This means that: a) The registrant is responsible for the safe storage of the medicinal products and the supervision of the administration process ensuring the patient understands the medicinal product being administered b) The patient accepts full responsibility for the storage and administration of the medicinal products c) None of the above - The registrant is responsible for the safe storage of the medicinal products. At administration time, the patient will ask the registrant to open the cabinet or locker. The patient will then self-administer the medication under the supervision of the registrant

) None of the above - The registrant is responsible for the safe storage of the medicinal products. At administration time, the patient will ask the registrant to open the cabinet or locker. The patient will then self-administer the medication under the supervision of the registrant

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

c) Yellow and black stripe

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

d) All of the above

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

a) 40%

Patient developed elevated temperature and pain in the loin during blood transfusion. This is indicative of: a) Severe blood transfusion reaction b) Common blood transfusion reaction

a) Severe blood transfusion reaction

The contingency theory of management moves the manager away from which of the following approaches? 1) No perfect solution 2) One size fits all 3) Interaction of the system with the environment 4) A method or combination of methods that will be most effective in a given situation

3) Interaction of the system with the environment

Ms. jane is to have a pelvic exam, which of the following should the nurse do first 1) Have the client remove all her clothes, socks & shoes 2) Have the client go to the bathroom & void saving a sample 3) Place the client in lithotomy position on the exam table 4) Assemble all the equipment needed for the examination

3) Place the client in lithotomy position on the exam table

When would an orthostatic blood pressure measurement be indicated? A) If the patient has a recent history of falls. B) If the patient has a history of dizziness or syncope on changing position. C) If the patient has a history of hypertension. D) If the patient has a history of hypotension

B) If the patient has a history of dizziness or syncope on changing position.

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) Legislative body to control nurses

Orthostatic hypotension is diagnosed if the systolic blood pressure drops by how many mmHg? A) 20 B) 25 C) 30 D) 35

A) 20 -- 20mmhg in systolic and 10mmhg in diastolic

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

A) A prescription is required including route, method and how long

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

A) Advance the stronger leg first up to the step then advance the crutches & the weaker extremity.

A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital sign hereafter. What phrase of nursing process is being implemented here by the nurse? A) Assessment B) Diagnosis C) Planning D) Implementation

A) Assessment

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) Long-term goals B) Short-term goals C) Nursing orders D) Nursing dianosis/problem list

A) Long-term goals

Which of the following can a patient not have if they have a pacemaker in situ? A) MRI B) X ray C) Barium swallow D) CT

A) MRI

Precise indicator of anticoagulation status when on oral anticoagulants A) Ptt B) aPTT C) ct

A) Ptt

During cardiopulmonary resuscitation: A) chest compression should be 5-6 cm deep at a rate of 100-120 compression per minute B) a ratio of 2 ventilation to 15 cardiac compression is required C) the hands should be placed over the lower third of the sternum to do chest compression D) check for normal breathing for 1 full minute to diagnose cardiac arrest

A) chest compression should be 5-6 cm deep at a rate of 100-120 compression per minute - 5 cycles in 2 minutes - 100-120 bpm - per cycle is 30:2, 30 compressions 2 breaths - 5-6cm (2-2.5 in

What could be the reason why you instruct your patient to retain on its original container and discard nitroglycerine meds after 8 weeks? A) removing from its darkened container exposes the medicine to the light and its potency will decrease after 8 weeks B) it will have a greater concentration after 8weeks

A) removing from its darkened container exposes the medicine to the light and its potency will decrease after 8 weeks

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

A) tell her that any information related to her well being will need to be share to the health care team

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

A) urinary tract infection leading to delirium

The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching? A. "I will drink 500mL of fluid or less each day." B. "I will wear support hose." C. "I will check my blood pressure regularly." D. "I will report ankle edema."

A. "I will drink 500mL of fluid or less each day."

The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best? A. "It will be alright for your friends to autograph the cast." B. "Because the cast is made of plaster, autographing can weaken the cast." C. "If they don't use chalk to autograph, it is okay." D. "Autographing or writing on the cast in any form will harm the cast."

A. "It will be alright for your friends to autograph the cast."

The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after: A. 1900 B. 1200 C. 1000 D. 0700

A. 1900

The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication: A. 30 minutes before a meal B. With each meal C. In a single dose at bedtime D. 30 minutes after meals

A. 30 minutes before a meal

The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication: A. 30 minutes before meals B. With each meal C. In a single dose at bedtime D. 60 minutes after meals

A. 30 minutes before meals

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. Active

A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client's cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is: A. Alteration in coping related to pain B. Potential for injury related to precipitate delivery C. Alteration in elimination related to anesthesia D. Potential for fluid volume deficit related to NPO status

A. Alteration in coping related to pain

A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis? A. Alteration in nutrition B. Alteration in bowel elimination C. Alteration in skin integrity D. Ineffective individual coping

A. Alteration in nutrition

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

A. Apologise for the comments made

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: Proximal third section of the small intestines A. Apply the new tie before removing the old one. B. Have a helper present. C. Hold the tracheotomy with the nondominant hand while removing the oldtie. D. Ask the doctor to suture the tracheostomy in place.

A. Apply the new tie before removing the old one.

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan? A. Assess for signs of abnormal bleeding. B. Anticipate an increase in the Coumadin dosage. C. Instruct the client regarding the drug therapy. D. Increase the frequency of neurological assessments.

A. Assess for signs of abnormal bleeding. INR: 0.8-1.1 PT: 11-12.5 IF taking heparin, INR of 2-3.5

The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should: A. Assess the client for allergies. B. Bolus the client with IV fluid. C. Tell the client he will be asleep. D. Insert a urinary catheter.

A. Assess the client for allergies. -- for the dye

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. Assess the fetal heart tones.

When do you see problems or potential problems? A. Assessment B. Planning C. Implementation D. Evaluation

A. Assessment

The home health nurse is visiting a client with autoimmune thrombocytopenic purpura(ATP). The client's platelet count currently is 80,000. It will be most important to teach the client and family about: A. Bleeding precautions B. Prevention of falls C. Oxygen therapy D. Conservation of energy

A. Bleeding precautions

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. Call the emergency service.

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.

A. Check the client for bladder distention.

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. Down syndrome

Which is not an indication for lumbar tap? A. For patients with increased ICP B. For diagnostic purposes C. Introduction of spinal anaesthesia for surgery D. Introduction of contrast medium

A. For patients with increased ICP

A client with Addison's disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (SoluMedrol). Which of the following interventions would the nurse implement? A. Glucometer readings as ordered B. Intake/output measurements C. Evaluating the sodium and potassium levels D. Daily weights

A. Glucometer readings as ordered

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

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

What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis? A. Hypertension B. Lassitude C. Fatigue D. Vomiting and diarrhea

A. Hypertension

The primary reason for rapid continuous rewarming of the area affected by frostbite is to: A. Lessen the amount of cellular damage B. Prevent the formation of blisters C. Promote movement D. Prevent pain and discomfort

A. Lessen the amount of cellular damage

Correct position for abdominal paracentesis. A. Lie the patient supine in bed with the head raised 45-50 cm with a backrest B. Sitting upright at 45 to 60 C. Sitting upright at 60 to 75° D. Sitting upright at 75 to 90°

A. Lie the patient supine in bed with the head raised 45-50 cm with a backrest

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

A. Low birth weight

The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use: A. Mydriatics to facilitate removal B. Miotic medications such as Timoptic C. A laser to smooth and reshape the lens D. Silicone oil injections into the eyeball

A. Mydriatics to facilitate removal Mydriatrics = dilations Miotics - constriction

The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)? A. Report muscle weakness to the physician. B. Allow six months for the drug to take effect. C. Take the medication with fruit juice. D. Report difficulty sleeping.

A. Report muscle weakness to the physician

The nurses on the day shift report that the controlled drug count is incorrect. What is the most appropriate nursing action? A. Report the discrepancy to the nurse manager and pharmacy immediately B. Report the incident to the local board of nursing C. Inform a doctor D. Report the incident to the NMC

A. Report the discrepancy to the nurse manager and pharmacy immediately

What are the key nursing observations needed for a patient receiving opioids frequently? A. Respiratory rate, bowel movement record and pain assessment and score. B. Checking the patent is not addicted by looking at their blood pressure. C. Lung function tests, oxygen saturations and addiction levels. D. Daily completion of a Bristol stool chart, urinalysis, and a record of the frequency with which the patient reports breakthrough pain.

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

Which of the following is a potential complication of putting an oropharyngeal airway adjunct: A. Retching, vomiting B. Bradycardia C. Obstruction D. Nasal injury

A. Retching, vomiting

During the assessment of a labouring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position? A. Right breech presentation B. Right occipital anterior presentation C. Left sacral anterior presentation D. Left occipital transverse presentation

A. Right breech presentation

A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client? A. Sexual dysfunction related to radiation therapy B. Anticipatory grieving related to terminal illness C. Tissue integrity related to prolonged bed rest D. Fatigue related to chemotherapy

A. Sexual dysfunction related to radiation therapy

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. Sitting upright at 30 to 45°

Describe the breathing pattern when a patient is suffering from Opioid toxicity: A. Slow and shallow B. fast and shallow C. slow and deep D. Fast and deep

A. Slow and shallow

A client with bladder cancer is being treated with iridium seed implants. The nurse's discharge teaching should include telling the client to: A. Strain his urine B. Increase his fluid intake C. Report urinary frequency D. Avoid prolonged sitting

A. Strain his urine Brachytherapy = seeds smaller than rice The seeds deliver high hose of radiation

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. Supplemental oxygen

The nurse is assessing the deep tendon reflexes of a client with pre-eclampsia. 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.

A. The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

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

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

Your patient has been prescribed Tramadol 50 mgs tablet for pain relief. Upon receipt of the tablets from the pharmacist you will: A.Record this in the controlled drug register book with the pharmacist witnessing B. Put it in the patient's medicine pod C. Store it in ward medicine cupboard D. Ask the pharmacist to give it to the patient

A.Record this in the controlled drug register book with the pharmacist witnessing

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

A. Within 72 hours of delivery

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. passing small amounts of urine frequently

Causes of gingival bleeding A. poor removal plaque B. poor flossing C. poor nutrition D. poor taking of drugs

A. poor removal plaque

Which of the following diet instructions should be given to the client with recurring urinary tract infections? A. Increase intake of meats. B. Avoid citrus fruits. C. Perform pericare with hydrogen peroxide. D. Drink a glass of cranberry juice every day.

D. Drink a glass of cranberry juice every day.

On which step of the WHO analgesic ladder would you place tramadol and codeine? a) Step 1: Non Opioid Drugs b) Step 2: Opioids for Mild to Moderate Pain c) Step 3: Opioids for Moderate to Severe Pain d) Herbal medicine

b) Step 2: Opioids for Mild to Moderate Pain

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

B) Breathing exercise

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

B) Call the dietary department and ask for a new meal tray

How should be the surrounding area of a patient with dementia? A) Increased stimuli B) Creative environment C) Restrict activities

B) Creative environment

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

B) Determine the patency of the patient's nasogastric tube.

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.

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.

Monica is going to receive blood transfusion. How frequently should we do her observation? A) Temperature and Pulse before the blood transfusion begins, then every hour, and at the end of bag/unit B) Temperature, pulse, blood pressure and respiration before the blood transfusion begins, then after 15 min, then as indicated in local guidelines, and finally at the end of bag/unit. C) Temperature, pulse, blood pressure and respiration and urinalysis before the blood transfusion, then at end of bag. D) Pulse, blood pressure and respiration every hour, and at the end of the bag

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

After two weeks of receiving lithium therapy, a patient in the psychiatric unit becomes depressed. Which of the following evaluations of the patient's behavior by the nurse would be MOST accurate? A) The treatment plan is not effective; the patient requires a larger dose of lithium. B) This is a normal response to lithium therapy; the patient should continue with the current treatment plan. C) This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.

B) This is a normal response to lithium therapy; the patient should continue with the current treatment plan.

Mrs Red's doctor is suspecting an aortic aneurysm after her chest x-ray. Which of the most common type of aneurysm? A) cerebral B) abdominal C) femoral D) thoracic

B) abdominal

Which of the following is a severe complication during 24 hrs post liver biopsy? A) pain at insertion site B) nausea and vomiting C) back pain D) bleeding

B) nausea and vomiting

When the doc will prescribe a broad-spectrum antibiotic? A) on admission B) when septicemia is suspected C) when the blood culture shows positive growth of organism

B) when septicemia is suspected

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.

B. A state when fluid intake is greater than output.

The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important? A. "Have you noticed a change in sleeping habits recently?" B. "Have you had a respiratory infection in the last six months?" C. "Have you lost weight recently?" D. "Have you noticed changes in your alertness?"

B. "Have you had a respiratory infection in the last six months?"

. One of your patient has challenged your recent practice of administering a subcutaneous low-molecular weight heparin (LMWH) without disinfecting the injection site. The guidelines for nursing procedures do not recommend this method. Which of the following response will support your action? A. "We were taught during our training not to do so as it is not based on evidence." B. "Our guidelines, which are based on current evidence, recommends a non-disinfection method of subcutaneous injection." C. "I am glad you called my attention. I will disinfect your injection site next time to ensure your safety and peace of mind." D. "Disinfecting the site for subcutaneous injection is a thing of the past. We are in an evidence-based practice now."

B. "Our guidelines, which are based on current evidence, recommends a non-disinfection method of subcutaneous injection."

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives? A. Weight gain should be reported to the physician. B. An alternate method of birth control is needed when taking antibiotics. C. If the client misses one or more pills, two pills should be taken per day for one week. D. Changes in the menstrual flow should be reported to the physician.

B. An alternate method of birth control is needed when taking antibiotics

A patient is rapidly deteriorating due to drug over dose what to do? A. Assess ABCDE, call help, keep anaphylactic kit B. Call for help, keep anaphylactic kit, assess ABCDE C. Assess ABCDE, keep anaphylactic kit, inform doctor, call for help

B. Call for help, keep anaphylactic kit, assess ABCDE

A client with a diagnosis of HPV is at risk for which of the following? A. Hodgkin's lymphoma B. Cervical cancer C. Multiple myeloma D. Ovarian cancer

B. Cervical cancer

The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should: A. Utilize an infusion pump. B. Check the blood glucose level. C. Place the client in Trendelenburg position. D. Cover the solution with foil.

B. Check the blood glucose level.

A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be? A. Obtain a crash cart. B. Check the calcium level. C. Assess the dressing for drainage. D. Assess the blood pressure for hypertension.

B. Check the calcium level.

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.

B. Check the vital signs.

As a newly qualified nurse, what would you do if a patient vomits when taking or immediately after taking tablets? A. Comfort the patient, check to see if they have vomited the tablets, & ask the doctor to prescribe something different as these obviously don't agree with the patient B. Check to see if the patient has vomited the tablets & if so, document this on the prescription chart. If possible, the drugs may be given again after the administration of antiemetics or when the patient no longer feels nauseous. It may be necessary to discuss an alternative route of administration with the doctor C. In the future administer antiemetics prior to administration of all tablets D. Discuss with pharmacy the availability of medication in a liquid form or hide the tablets in food to take the taste away.

B. Check to see if the patient has vomited the tablets & if so, document this on the prescription chart. If possible, the drugs may be given again after the administration of antiemetics or when the patient no longer feels nauseous. It may be necessary to discuss an alternative route of administration with the doctor

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

B. Clear amniotic fluid

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

B. Client with a central venous catheter (CVC)

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

B. Complete an abdominal assessment

During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? A. Administer an antibiotic. B. Contact the physician for an order for immune globulin. C. Administer an antiviral. D. Tell the client that he should remain in isolation for two weeks.

B. Contact the physician for an order for immune globulin.

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

B. Fetal bradycardia

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

B. Fetal heart tones

The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: A. Using oil- or cream-based soaps B. Flossing between the teeth C. The intake of salt D. Using an electric razor

B. Flossing between the teeth

During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is: A. Syphilis B. Herpes C. Gonorrhea D. Condylomata

B. Herpes

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

B. Hypersomnolence

The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to: A. Place the client in Trendelenburg position. B. Increase the infusion of normal saline. C. Administer atropine intravenously. D. Move the emergency cart to the bedside.

B. Increase the infusion of normal saline.

A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following? A. Hypovolemia B. Laryngeal edema C. Hypernatremia D. Hyperkalemia

B. Laryngeal edema

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

D. Elevated hepatic enzymes

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

B. Measures the activity of the fetus

969. The best method of evaluating the amount of peripheral edema is: A. Weighing the client daily B. Measuring the extremity C. Measuring the intake and output D. Checking for pitting

B. Measuring the extremity

A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do? A. Document clearly in the patient's notes that a weight cannot be obtained B. Offer the patient pain relief and either use bed scales or a hoist with scales built in C. Discuss the case with your colleagues and agree to guess his body weight until he agrees to stand and use the chair scales D. Omit the drugs as it is not safe to give it without this information; inform the doctor and document your actions

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

Hospital discharge planning for a patient should start: A. When the patient is medically fit B. On the admission assessment C. When transport is available

B. On the admission assessment

The client with AIDS should be taught to: A. Avoid warm climates. B. Refrain from taking herbals. C. Avoid exercising. D. Report any changes in skin color

B. Refrain from taking herbals.

The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia? A. BP 146/88 B. Respirations 28 shallow C. Weight gain of 10 pounds in six months D. Pink complexion

B. Respirations 28 shallow

Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia? A. Oral mucous membrane, altered related to chemotherapy B. Risk for injury related to thrombocytopenia C. Fatigue related to the disease process D. Interrupted family processes related to life-threatening illness of a family member

B. Risk for injury related to thrombocytopenia

A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question? A. TB skin test B. Rubella vaccine C. ELISA test D. Chest x-ray

B. Rubella vaccine this is contraindicated for history of a severe anaphylactic rx

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

B. Testing the acidity/alkalinity of aspirate using blue litmus paper

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

B. Turn the client to her left side.

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

B. secondary postpartum haemorrhage

. A patient with burns is given anesthesia using 50%oxygen and 50%nitrous oxide to reduce pain during dressing. how long this gas is to be inhaled to be more effective? A) 30 sec B) 60sec C) 1-2min D) 3-5min

C) 1-2min

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).

C) 4 (1 each side, 1 at head, 1 at feet).

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

C) 45

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

C) Contact the pain team/anaesthetist to discuss the situation and suggest that the means of delivery are changed.

Which drug can be given via NG tube? A) Modified release hypertensive drugs C) Crushing the tablets D) Lactulose syrup E) Insulin

C) Crushing the tablets

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

C) Drug overdose

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

C) Four point gait

Before giving direct care to the patient, u should A) Wear mask, aprons B) Wash hands with alchohol rub C) Handwashing using 6 steps D) Take all standard precautions

C) Handwashing using 6 steps

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

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

Patient usually urinates at night Nurse identifies this as: A) Polyuria B) Oliguria C) Nocturia

C) Nocturia

Which of the following is a potential complication of putting an oropharyngeal airway adjunct: A) Retching, vomiting B) Bradycardia C) Obstruction D) Nasal injury

C) Obstruction

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

C) Respect patients decision. She has the right to accept or deny

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.

C) The surgeon should mark the skin

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

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

Hypokalemia can occur in which situation? A) Addissons disease B) When use spironolactone C) When use furosemide

C) When use furosemide -- issa loop diuretics not a potassium sparring one :(

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

C) Wound infection

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

C) airway patency

If Tony's heart rate slows down, this is referred to as: A) hypertension B) hypotension C) bradycardia D) tachycardia

C) bradycardia

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

C) move both legs together

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

C) push walker forward when using

Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell's traction? A. 16-year-old female with scoliosis C. 10-year-old male with sarcoma D. 6-year-old male with osteomylitis

C. 10-year-old male with sarcoma D. 6-year-old male with osteomyliti

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

C. A cup of yogurt

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

C. Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes? A. Intrauterine device B. Oral contraceptives C. Diaphragm D. Contraceptive sponge

C. Diaphragm

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)..

C. Dinoprostone (Prostin E.)

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.

C. Discuss the risk of operation if it won't push through.

IV injection need to be reconsidered when,? A. Medicine is available in tab form B. Poor alimentary absorption C. Drug interaction due to GI secretions

C. Drug interaction due to GI secretions

Your patient has a bulky oesophageal tumour and is waiting for surgery. When he tries to eat, food gets stuck and gives him heartburn. What is the most likely route that will be chosen to provide him with the nutritional support he needs? A. Nasogastric tube feeding. B. Feeding via a percutaneous endoscopic gastrostomy (PEG). C. Feeding via a radiologically inserted gastrostomy (RIG). D. Continue oral food

C. Feeding via a radiologically inserted gastrostomy (RIG).

Which observation in the newborn of a diabetic mother would require immediate nursing intervention? A. Crying B. Wakefulness C. Jitteriness D. Yawning

C. Jitteriness

The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with: A. Severe anemia B. Arteriosclerosis C. Liver failure D. Parathyroid disorder

C. Liver failure

A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding? A. Place the client in a sitting position. B. Administer acetaminophen (Tylenol). C. Pinch the soft lower part of the nose. D. Apply ice packs to the forehead

C. Pinch the soft lower part of the nose. Minimum of 5 mins

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.

C. Reposition the client.

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.

C. The client reported an infected toe

A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as: A. The client is at risk for opportunistic diseases. B. The client is no longer communicable. C. The client's viral load is extremely low so he is relatively free of circulating virus.

C. The client's viral load is extremely low so he is relatively free of circulating virus.

A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is: A. The infant is at low risk for congenital anomalies. B. The infant is at high risk for intrauterine growth retardation. C. The infant is at high risk for respiratory distress syndrome. D. The infant is at high risk for birth trauma.

C. The infant is at high risk for respiratory distress syndrome.

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.

C. The nurse inserts a Foley catheter.

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

C. The presence of green-tinged amniotic fluid

The rationale for inserting a French catheter every hour for the client with epidural anaesthesia is: A. The bladder fills more rapidly because of the medication used for the epidural. B. Her level of consciousness is such that she is in a trancelike state. C. The sensation of the bladder filling is diminished or lost. D. She is embarrassed to ask for the bedpan that frequently.

C. The sensation of the bladder filling is diminished or lost.

A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is: A. Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels. B. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. C. Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels. D. Total Parenteral Nutrition leads to further pancreatic disease.

C. Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood tinged hemoptysis, fatigue, and night sweats. The client's symptoms are consistent with a diagnosis of: A. Pneumonia B. Reaction to antiviral medication C. Tuberculosis D. Superinfection due to low CD4 count

C. Tuberculosis

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.

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

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 D. Asking relatives to wash their hands when visiting patients in the clinical setting

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

You noticed that a colleague committed a medication administration error. Which should be done in this situation? A. You should provide a written statement and also complete a Trust incident form. B. You should inform the doctor. C. You should report this immediately to the nurse in charge. D. You should inform the patient.

C. You should report this immediately to the nurse in charge

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

c) A, B, & D

You are monitoring a patient in the ICU when suddenly his consciousness drops and the size of one his pupil becomes smaller what should you do? A) Call the doctor B) Refer to neurology team C) Continue to monitor patient using GCS and record D) Consider this as an emergency and prioritize ABC

D) Consider this as an emergency and prioritize ABC

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

D) Coping mechanism

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.

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.

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.

D. Because of a number of underlying problems with BP control.

The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency? A. Enlarged spleen B. Elevated blood pressure C. Bradycardia D. Beefy tongue

D. Beefy tongue

A nurse is caring for clients in the mental health clinic. A women comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is MOST appropriate? A. "Did your company give you a severance package?" B. "Focus on the fact that you have a healthy, happy family." C. "Losing a job is common nowadays." D. "Tell me what happened."

D. "Tell me what happened."

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

D. A recurrent rate of 90-100bpm at the end of the contractions

A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse: A. Handles the cast with the fingertips B. Petals the cast C. Dries the cast with a hair dryer D. Allows 24 hours before bearing weight

D. Allows 24 hours before bearing weight

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

D. Antiemetic or opioid medication

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

D. Any of the above

You are caring for a patient with a history of COAD who is requiring 70% humidified oxygen via a facemask. You are monitoring his response to therapy by observing his colour, degree of respiratory distress and respiratory rate. The patient's oxygen saturations have been between 95% and 98%. In addition, the doctor has been taking arterial blood gases. What is the reason for this? A. Oximeters may be unreliable under certain circumstances, e.g. if tissue perfusion is poor, if the environment is cold and if the patient's nails are covered with nail polish. B. Arterial blood gases should be sampled if the patient is receiving >60% oxygen. C. Pulse oximeters provide excellent evidence of oxygenation, but they do not measure the adequacy of ventilation. D. Arterial blood gases measure both oxygen and carbon dioxide levels and therefore give an indication ofboth ventilation and oxygenation

D. Arterial blood gases measure both oxygen and carbon dioxide levels and therefore give an indication ofboth ventilation and oxygenation

The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take? A. Allow the client to keep the fruit. B. Place the fruit next to the bed for easy access by the client. C. Offer to wash the fruit for the client. D. Ask the family members to take the fruit home.

D. Ask the family members to take the fruit home. might carry bacteria bc raw and fresh

Signs and symptoms of early fluid volume deficit, except. A. Decreased urine output B. Decreased pulse rate C. Concentrated urine D. Decreased skin turgor

D. Decreased skin turgor

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.

D. Fetal development depends on adequate insulin regulation.

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 anti-embolic stockings & that are removed daily C. Ensure that she is wearing anti-embolic 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 anti-embolic stockings

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 anti-embolic stockings

A patient was recommended to undergo lumbar puncture. As the nurse caring for this patient, what should you not expect as its complications: A. Swelling and bruising B. Headache C. Back pain D. Infection

D. Infection

A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? A. The client should be placed in a room with negative pressure. B. Infection Requires close contact; therefore, the door may remain open. C. Transmission is highly likely, so the client should wear a mask at all times. D. Infection Requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown

D. Infection Requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown

The client with a pacemaker should be taught to: A. Report ankle edema B. Check his blood pressure daily C. Refrain from using a microwave oven D. Monitor his pulse rate

D. Monitor his pulse rate

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

D. Mother's desire to breastfeed

Which is not an expected side effect of lumbar tap? A. Headache B. Back pain C. Swelling and bruising D. Nausea and vomiting

D. Nausea and vomiting

How should we transport controlled drugs? Select which does not apply: A. Controlled drugs should be transferred in a secure, locked or sealed, tamper-evident container. B. A person collecting controlled drugs should be aware of safe storage and security and the importance of handing over to an authorized person to obtain a signature. C. Have valid ID badge D. None of the above

D. None of the above

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: A. Turning the client to the left side B. Milking the tube to ensure patency C. Slowing the intravenous infusion D. Notifying the physician

D. Notifying the physician Lungs: sunguineous output of 1500 cc or 200 cc per hour

The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor? A. Pain at the site B. Warm fingers C. Pulses rapid D. Paresthesia of the fingers

D. Paresthesia of the fingers

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

D. Potential fluid volume deficit related to decreased fluid intake

. A client with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to: A. Treat iron-deficiency anemia caused by chemotherapeutic agents B. Create a synergistic effect that shortens treatment time C. Increase the number of circulating neutrophils D. Reverse drug toxicity and prevent tissue damage

D. Reverse drug toxicity and prevent tissue damage

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

D. Sudden, stabbing pain in the lower quadrant

All but one are signs of opioid toxicity: A. CNS depression (coma) B. Pupillary miosis C. Respiratory depression (cyanosis) D. Tachycardia

D. Tachycardia

A patient is prescribed metformin 1000mg twice a day for his diabetes. While talking with the patient he states "I never eat breakfast so I take a 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

D. Tell him to take one tablet in the morning and one tablet in the evening as ordered

A full-term male has hypospadias. Which statement describes hypospadias? A. The urethral opening is absent B. The urethra opens on the top side of the penis C. The urethral opening is enlarged D. The urethra opens on the under side of the penis

D. The urethra opens on the under side of the penis

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

D. To detect neurological defects

How do you value dignity & respect in nursing care? Select which does not apply: A. We value every patient, their families or carers, or staff. B. We respect their aspirations and commitments in life, and seek to understand their priorities, needs, abilities and limits. C. We find time for patients, their families and carers, as well as those we work with. D. We are honest and open about our point of view and what we can and cannot do.

D. We are honest and open about our point of view and what we can and cannot do.

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? D) Administer the prescribed antiemetic to the patient. E) Determine the patency of the patient's nasogastric tube. F) Instruct the patient to take deep breaths. G) Assess the patient for pain

E) Determine the patency of the patient's nasogastric tube.

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

E. all of the above

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

F) All of the above

The nurse monitors the serum electrolyte level of a client who is taking digoxin. Which of the following electrolytes imbalances is common cause of digoxin toxicity? a) Hypocalcemia b) Hypomagnesemia c) Hypokalaemia d) Hyponatremia

Hypokalaemia

Who has the overall responsibility for the safe and appropriate management of controlled drugs within the clinical area? a) All registered nurses b) The nurse in charge c) The consultant d) All staff

Idk

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

c) Chills and sweats Not sure between a and d :(

Signs of hypovolemc 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

ambot unsay answer ani

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

b) Partial obstruction of upper airway

A client is diagnosed with hepatitis A. which of the following statements made by client indicates understanding of the disease a) Sexual intimacy and kissing is not allowed b) Does require hospitalization c) Transmitted only through blood transfusions d) Any planned surgery need to be postponed

a) Sexual intimacy and kissing is not allowed

You are transcribing medications from prescription chart to a discharge letter. Before sending this letter what action must be taken? a) A registrant should sign this letter b) Transcribing is not allowed in any circumstances c) The letter has to be checked by a nurse in charge d) Letter can be sent directly to the patient after transcribing

a) A registrant should sign this letter

Most commonly aneurysms can develop on? Select x 2 answers a) Abdominal aorta b) Circle of Willis c) Intraparechymal aneurysms d) Capillary aneurysms

a) Abdominal aorta b) Circle of Willis

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

b) Tachycardia, hypotension, increased WBC, pyrexial

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

b) he is brushing too hard

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

a) Inoculate the aerobic culture first

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) Assess neurovascular status to the hand

What are the steps of the nursing Process? a) Assessing, diagnosing, planning, implementing, and evaluating b) Assessing, planning, implementing, evaluating, documenting c) Assessing, observing, diagnosing, planning, evaluating d) Assessing, reacting, implementing, planning, evaluating

a) Assessing, diagnosing, planning, implementing, and evaluating

A client is having diagnosed atrial activity. identify the ECG a) Atrial fibrillation b) cardiac arrest c) ventricular tachycardia d) asystole

a) Atrial fibrillation

A patient was diagnosed to have Chron's disease. What would the patient be manifesting? a) Blood and mucous in the faeces b) Fatigue c) Loss of appetite d) Urgent bowel

a) Blood and mucous in the faeces

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

b) heart burn

A patient develops shortness breath after administering 3rd dose of penicillin. The patient is unwell. Ur response a) Call for help, ensure anaphylaxis pack is available, assess ABC, dnt leave the patient until medical help comes b) Assesss ABC, make patient lie flat, reassure and continue observing

a) Call for help, ensure anaphylaxis pack is available, assess ABC, dnt leave the patient until medical help comes

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

a) Care, Compassion, Competence, Communication, Courage, Commitment - DoH-"Compassion in Practice"

Registrants must only supply and administer medicinal products in accordance with one or more of the following processes, except: a) Carer specific direction (CSD) b) Patient medicines administration chart (may be called medicines administration record MAR) c) Patient group direction (PGD) d) Medicines Act exemption

a) Carer specific direction (CSD)

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

a) Blood glucose levels, full blood count, stoma site and bodyweight

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.

a) Blood glucose levels, full blood count, stoma site and bodyweight.

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

a) Chest surgery

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) Insulin b) Sulphonylureas c) Prandial glucose regulators

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.

a) "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."

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

a) 0.5 - 1ml/Kg/hr of the patient's body weight

When do you plan a discharge? a) 24 hrs within admission b) 72 hrs within admission c) 48 hrs within admission d) 12 hrs within admission

a) 24 hrs within admission

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

a) 3-24 days

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) 35 Units

. In caring for a patient, the nurse should? a) whenever possible provide care that is culturally sensitive and according to patients preference b) ask the patient and their family about their culture c) be aware of the patient's culture d) disregard the patient's culture

a b c

Which of the following population group is at risk of developing cardiovascular disease? choose 3 a) Obese, male, diabetic, hypertensive, sedentary lifestyle b) female, forty, fertile c) smoker, diabetic and alcoholic d) drug user, male, hypertensive

a c d

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) Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager

A mentally capable client in a critical condition is supposed to receive blood transfusion. But client strongly refuses the blood product to be transfused. What would be the best response of the nurse? a) Accept the client's decision and give information on the consequences of his actions b) Let the family decide c) Administer the blood product against the patients decision d) The doctor will decide

a) Accept the client's decision and give information on the consequences of his actions

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

a) Accepting

The term gavage indicates a) Administration of a liquid feeding into the stomach b) Visual examination of the stomach c) irrigation of the stomach with solution d) A surgical opening through the abdomen to stomach 897. What would be your main objectives in providing st

a) Administration of a liquid feeding into the stomach Gavage - force feeding Lavage -- cleaning or rinsing

Which is the first drug to be used in cardia arrest of any aetiology? a) Adrenaline b) Amiodarone c) Atropine d) Calcium chloride

a) Adrenaline -- AALA Adrenaline Amniodarone Lidocaine Atropine

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

a) Alcohol abuse

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 2 nd year d) Nurses/midwifes undertaking Mentorship Preparations e) All midwifery pre-registrations students throughout training f) Nurses/midwives undertaking SOM Preparation.

a) All consolidation students who started an NMC approved undergraduate programme which commenced after September 2007.

Why is it important to manually assess pulse rate? a) Amplitude, volume and irregularities cannot be detected using automated electronic methods b) Tachycardia cannot be detected using automated electronic methods c) Bradycardia cannot be detected using automated electronic method d) It is more reassuring to the patient

a) Amplitude, volume and irregularities cannot be detected using automated electronic methods

A 27- year old adult male is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses his nutritional health? a) Anthropometric measurements b) Bleeding gums c) Dry skin d) Facial rubor

a) Anthropometric measurements

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

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)

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

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

What does the term 'breakthrough pain' mean, and what type of prescription would you expect for it? a) A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has no regular time of administration of analgesia. b) Pain on movement which is short lived, with a q.d.s. prescription, when necessary. c) Pain that is intense, unexpected, in a location that differs from that previously assessed, needing a review before a prescription is written. d) A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has 4 hourly frequency of analgesia if necessary

a) Ask her to score her pain, describe its intensity, duration, the site, any relieving measures and what makes it worse, looking for non verbal clues, so you can determine the appropriate method of pain management.

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) Ask the client to sign an authorization & have someone review the chart with cousin

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

a) Ask the patient the assistance he needs

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

a) Ask the wife to give him fluid, and enquire about his fluid preferences and usual drinking time

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

a) Clean around the urethral meatus prior to sample collection and get a midstream/clean catch urine specimen.

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 n adult has just returned to the unit from surgery. The nurse transferred him to his bed but did not put up the side rails.

a) Clinical practice based on clinical expertise and reasoning with the best knowledge available

You are the named nurse of Colin admitted at Respiratory ward because of chest infection. His also suffers from Parkinson's syndrome. What medications will you ensure Colin has taken on regular time to control his 'shaking'? a) Co-careldopa (Sinemet) b) Co-amoxiclave (augmentin) c) Co-codamol d) Co-Q10

a) Co-careldopa (Sinemet)

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

a) Collect at least 10 mL of blood

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

a) Comparing, sharing and developing practice in order to achieve and sustain best practice.

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

a) Compassion, support & reassurance to the client

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

a) Complete an abdominal assessment

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

a) Confusion

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) Continuously

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

a) Country Club Management

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) Custard

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

a) Data Protection Act 2005

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.

a) Developing the most effective teams

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

a) Discuss with the manager that task oriented nursing may ruin the holistic care that we provide here in this tertiary level.

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

a) Do not reveal your profession of being a Nurse on social site d) Keep your profile private

The wife of a client with PTSD (post-traumatic stress disorder) communicate to the nurse that she is having trouble dealing with her husband's condition at home. Which of the following suggestions made by the nurse is CORRECT? a) Do not touch or speak to your husband during an active flashback. Wait until it is finished to give him support." b) Discourage your husband from exercising, as this will worsen his condition c) Encourage your husband to avoid regular contact with outside family members d) Keep your cupboards free of high-sugar and high-fat foods

a) Do not touch or speak to your husband during an active flashback. Wait until it is finished to give him support."

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.

a) Document clearly the reason for not cutting his toe nails and refer him to a chiropodist.

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) Don't do it as you are not competent or trained for that & write incident report & inform the supervisor

The nurse has made an error in documenting client care. Which appropriate action should the nurse take? a) Draw a line through error, initial, date and document correct information b) Document a late addendum to the nursing note in the client's chart c) Tear the documented note out of the chart d) Delete the error by using whiteout

a) Draw a line through error, initial, date and document correct information

What advice do you need to give to a patient taking Allopurinol? (Select x 3 correct answers) a) Drink 8 to 10 full glasses of fluid every day, unless your doctor tells you otherwise. b) Store allopurinol at room temperature away from moisture and heat. c) Avoid being near people who are sick or have infections d) Skin rash is a common side effect, it will pass after a few days

a) Drink 8 to 10 full glasses of fluid every day, unless your doctor tells you otherwise. b) Store allopurinol at room temperature away from moisture and heat. c) Avoid being near people who are sick or have infections

Which of the following medications are safe to be administered via a naso-gastric 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

a) Drugs that can be absorbed via this route, can be crushed and given diluted or dissolved in 10-15 ml of water

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

a) Due to immature T cells

A patient suffered from stroke and is unable to read and write. This is called a) Dysphasia b) Dysphagia c) Partial aphasia d) Aphasia

a) Dysphasia -- difficulty in comprehension, language disorder

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

a) Early defibrillation to restart the heart.

If a patient feels a cramping sensation in their abdomen after a colonoscopy, it is advisable that they should do/have which of the following? a) Eat and drink as soon as sedation has worn off. b) Drink 500 mL of fluid immediately to flush out any gas retained in the abdomen. c) Have half hourly blood pressure performed for 12 hours. d) Be nursed flat and kept in bed for 12 hours.

a) Eat and drink as soon as sedation has worn off.

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).

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

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.

a) Ensure that the nursing process is complete and includes active participation by the patient and family

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

a) Ethical principles & code

A patient got admitted to hospital with a head injury. Within 15 minutes, GCS was assessed and it was found to be 15. After initial assessment, a nurse should monitor neurological status a) Every 15 minutes b) 30 minutes c) 45 minutes d) 60 minutes

a) Every 15 minutes

When a patient is being monitored in the PACU, how frequently should blood pressure, pulse and respiratory rate be recorded? a) Every 5 minutes b) Every 15 minutes c) Once an hour d) Continuously

a) Every 5 minutes

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 multi-disciplinary 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

a) Explain this is a restrain. Urgently call for a safe guarding and arrange a multi-disciplinary team conference

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

The nurse restrains a client in a client in a locked room for 3 hours until the client acknowledge wo 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

a) False imprisonment

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

a) False imprisonment

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

a) Go over & tell the nursing assistants that their actions are inappropriate especially in a public place

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 complications

a) Helping to improve advocacy

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

a) High humidity c) Non Permeable d) Conformable f) Absorbent g) Provide thermal insulation

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

a) High humidity c) Non Permeable/ Conformable d) Absorbent / Provide thermal insulation

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.

a) High humidity, insulation, gaseous exchange, absorbent.

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

a) I am sorry to tell you that your mother died

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

a) Identifies patients at risk of deterioration.

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) In the inflammation phase of healing.

A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure? a) Inadvertent puncture of the pleura, a blood vessel or bile duct b) Inadvertent puncture of the heart, oesophagus or spleen. c) Cardiac arrest requiring resuscitation. d) Inadvertent puncture of the kidney and cardiac arrest

a) Inadvertent puncture of the pleura, a blood vessel or bile duct

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

a) Incomplete data

John is also prescribed some medications for his Gout. Which of the following health teaching will you advise him to do? a) Increase fluid intake 2 - 3 liters per day b) Have enough sunshine c) Avoid paracetamol (first line analgesic) d) avoid dairy products

a) Increase fluid intake 2 - 3 liters per day

A patient doesn't take a tablet which is prescribed by a doc. Nurse should a) Inform the incident to senior nurse and ward in charge b) Inform pharmacist c) Do not inform anybody...routinely chart 703. Oral corticosteriods side effect

a) Inform the incident to senior nurse and ward in charge

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.

a) Inform the superiors and call for a meeting to solve the issue

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) Inform the tertiary unit about patient arrival

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.

a) It is asking action to help people say what they want, secure their rights, represent their interests and obtain the services they need

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

a) Keeping airway intact

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

a) Laundry

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

a) Leaders behaviour influence team members b) Leaders grasp the whole picture and their respective roles d) The leader sees the kind of situation, the setting, and their roles

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

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

Which of the following is at a greater risk for developing coronary artery disease? a) Male, obese, sedentary lifestyle b) Female, obese, non sedentary lifestyle

a) Male, obese, sedentary lifestyle

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.

a) Mark should be sat up if he is experiencing airway and breathing problems.

What does intermediate care not consist of? a) Maximise dependent living b) Prevent unnecessary acute hospital admission c) Prevent premature admission to long-term residential care d) Support timely discharge form hospital

a) Maximise dependent living

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

a) Median nerve

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

a) NMC

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

a) Never have relationship with previous patient b) Never post pictures concerning your practice

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

a) Numbness and tingling b) Cool dusky toes c) Pain d) Toes swelling

Patient has next dose of Digoxin but has a CR=58 a) Omit dose, record why, and inform the doctor b) Give dose and tell the doctor c) Give dose as prescribed

a) Omit dose, record why, and inform the doctor

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

a) Only if a patient has the mental capacity to give consent

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.

a) Patient is incontinent

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) Please leave and I will speak with you when I am done."

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

a) Poor nutrition/fluid intake

The nurse is preparing the move an adult who has right sided paralysis from the bed into a wheel chair. Which statement best describe action for the nurse to take? a) Position the wheelchair on the left side of the bed. b) Keep the head of the bed elevated 10 degrees. c) Protect the patients left arm with a sling during transfer. d) Bend at the waist while helping the client into a standing position

a) Position the wheelchair on the left side of the bed.

CVP line measures? a) Pressure in right atrium b) Pulmonary arteries c) Left ventricle d) Vena cava

a) Pressure in right atrium -- measures right atrial pressure

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

a) Prick tip of index finger

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) Prioritise people

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

a) Prioritise people, practise effec

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

a) Psychological Abuse

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

a) Raise a safeguarding alert

You saw a relative of a client has come with her son, who looks very thin, shy & frightened. You serve them food, but the mother of that child says "don't give him, he eats too much". You should: a) Raise your concern with your nurse manager about potential for child abuse & ask for her support b) Ignore the mother & ask the relative if the child is abused. c) Ignore the mother's advice & serve food to the child. d) Ignore the situation as she is the mother & knows better about her child.

a) Raise your concern with your nurse manager about potential for child abuse & ask for her support

An assessment of the abdomen of a patient with peritonitis you would expect to find a) Rebound tenderness and guarding b) Hyperactive, high-pitched bowel sounds and a firm abdomen c) A soft abdomen with bowel sounds every 2 to 3 seconds d) Ascites and increased vascular pattern on the skin

a) Rebound tenderness and guarding

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

a) Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role

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

a) Recognize the cultural issue related to patient care

Patients with gastrointestinal bleeding may experience acute or chronic blood loss. Your patient is experiencing hematochezia. You recognise this by: a) Red or maroon- coloured stool rectally b) Coffee ground emesis c) Black, tarry stool d) Vomiting of bright red or maroon blood

a) Red or maroon- coloured stool rectally

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.

a) Red plastic bag that disintegrates at high temperature

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

a) Remove pressure then detach dressing gently

What are the key nursing observations needed for a patient receiving opioids frequently? a) Respiratory rate, bowel movement record and pain assessment and score. b) Checking the patent is not addicted by looking at their blood pressure. c) Lung function tests, oxygen saturations and addiction levels d) Daily completion of a Bristol stool chart, urinalysis, and a record of the frequency with which the patient reports breakthrough pain

a) Respiratory rate, bowel movement record and pain assessment and score.

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

a) Review patient intervention, set priorities, ask the supervisor to hand over extra staff

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.

a) Say " I observe you don't seem as usual. Are you sure you are okay?"

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

a) Seek the infection control nurse's advice regarding isolation

On physical examination of a 16 year old female patient, you notice partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of: a) Self-induced vomiting and she likely has bulimia nervosa b) A genetic disorder and her siblings should also be tested c) Self-mutilation and correlates with anxiety d) A connective tissue disorder and she should be referred to dermatology

a) Self-induced vomiting and she likely has bulimia nervosa

A patient was on morphine at hospital. On discharge doctor prescribes fentanyl patches. At home patient should be observed for which sign of opiate toxicity? a) Shallow, slow respiration, drowsiness, difficulty to walk, speak and think b) Rapid, shallow respiration, drowsiness, difficulty to walk, speak and think c) Rapid wheezy respiration, drowsiness, difficulty to walk, speak and think

a) Shallow, slow respiration, drowsiness, difficulty to walk, speak and think

You have just administered an antibiotic drip to you patient. After few minutes, your patient becomes breathless and wheezy and looks unwell. What is your best action on this situation? a) Stop the infusion, call for help, anaphylactic kit in reach, monitor closely b) continue the infusion and observe further c) check the vital signs of the patient and call the doctor d) stop the infusion and prepare a new set of drip

a) Stop the infusion, call for help, anaphylactic kit in reach, monitor closely

What is the preferred position for abdominal Paracenthesis? a) Supine with head slightly elevated b) Supine with knees bent c) Prone d) Side-lying

a) Supine with head slightly elevated

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

a) Take a deep breath, hold it, & bear down

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

a) Take long strides

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) Taking a public stand on quality issues and educating the public on" public interest" issues

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

a) Talk to the patient about the situation, to re- establish and maintain professional boundaries and relationship d) inform line manager of the incident

What would be your main objectives in providing stoma education when preparing a patient with a stoma for discharge home? a) That the patient can independently manage their stoma, and can get supplies. b) That the patient has had their appliance changed regularly, and knows their community stoma nurse. c) That the patient knows the community stoma nurse, and has a prescription. d) That the patient has a referral to the District Nurses for stoma care

a) That the patient can independently manage their stoma, and can get supplies.

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

a) The diaphragm

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) The feed

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

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

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

a) The mentor

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

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

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

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

Which of the following situations on a psychiatric unit are an example of trusting patient nurse relationship? a) The patient tells the nurse he feels suicidal b) The nurse offers to contact the doctor if the patient has a headache c) The nurse gives the patient his daily medications right on schedule d) The nurse enforces rules strictly on the unit

a) The patient tells the nurse he feels suicidal

A 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) Let the patient go c) Encourage the patient to wait, by telling the need for treatment

c) Encourage the patient to wait, by telling the need for treatment

Which of the following situations on a psychiatric unit are an example of a trusting a patient-nurse relationship? a) The patient tells the nurse that he feels suicidal b) The nurse offers to contact the doctor if the patient has a headache c) The nurse gives the patient his daily medication right on schedule d) The nurse enforce rules strictly on the unit

a) The patient tells the nurse that he feels suicidal

How do the structures of the human body work together to provide support and assist in movement? a) The skeleton provides a structural framework. This is moved by the muscles that contract or extend and in order to function, cross at least one joint and are attached to the articulating bones. b) The muscles provide a structural framework and are moved by bones to which they are attached by ligaments. c) The skeleton provides a structural framework; this is moved by ligaments that stretch and contract. d) The muscles provide a structural framework, moving by contracting or extending, crossing at least one joint and attached to the articulatingbones.

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.

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

a) There should be 48 hours after active symptoms should disappear prior to visiting patient

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) Touch

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

a) True

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

a) Ulcerative colitis

Which is the best site for giving IM injection on buttocks a) Upper outer quadrant b) Upper inner quadrant c) Lower outer quadrant d) Lower inner quadrant

a) Upper outer quadrant

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.

a) Use short statements and closed questions in a well lit, quiet, familiar environment.

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.

a) Wear gloves and apron and inform the laboratory that you are sending the specimen.

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 and complete a datix form d) Wear gloves and apron, place specimen in a blue bag & complete a datix form

a) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens

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

a) When effectively anonymized.

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

a) When other methods of continence management have failed

When should adult patients in acute hospital settings have observations taken? a) When they are admitted or initially assessed. A plan should be clearly documented which identifies which observations should be taken & how frequently subsequent observations should be done b) When they are admitted & then once daily unless they deteriorate c) As indicated by the doctor d) Temperature should be taken daily, respirations at night, pulse & blood pressure 4 hourly

a) When they are admitted or initially assessed. A plan should be clearly documented which identifies which observations should be taken & how frequently subsequent observations should be done

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

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

After having done your medication rounds, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention? a) You must do the physical observations and notify the General Practitioner. b) You must ring the General Practitioner and request for a home visit. c) You must administer medication from the Homely Remedy Pod after having spoken to the General Practitioner. d) You must observe your patient until the General Practitioner arrives at your nursing home.

a) You must do the physical observations and notify the General Practitioner

After having done your medication round, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention? a) You must do the physical observations and notify the General practitioner b) You must ring the General Practitioner and request for a home visit c) You must administer medication from the Homely Remedy Pod after having spoken to the General Practitioner. d) You must observe your patient until the General Practitioner arrives at your nursing home

a) You must do the physical observations and notify the General practitioner

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

a) a tool to evaluate the effectiveness of interventions, and to know what needs to be improved

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

a) an overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice

A client immediately following LP developed deterioration of consciousness, bradycardia, increased systolic BP. What is this normal reaction a) client has brain stem herniation b) spinal headache

a) client has brain stem herniation

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

a) communication act

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

a) diminished skin turgor

Glasgow Coma score (GCS) is made up of 3 component parts and these are: a) eye opening response/motor response/verbal response b) eye opening response/verbal response/pupil reaction to light c) eye opening response/motor response/pupil reaction to light d) eye opening response/limb power/verbal response

a) eye opening response/motor response/verbal response

Tony is prescribed Lanoxin 500 mcg PO. What vital sign will you asses prior to giving the drug? a) heart rate and rhythm b) respiration rate and depth c) temperature

a) heart rate and rhythm

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) hypoxemia b) tachycardia and hyperventilation c) hypotension

In DVT TEDS stockings affect circulation by: a) increasing blood flow velocity in the legs by compression of the deep venous system - thromboembolism-deterrent hose b) decreasing blood flow velocity in legs by compression of the deep venous system

a) increasing blood flow velocity in the legs by compression of the deep venous system - thromboembolism-deterrent hose

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

a) mentor

What do you mean by MRSA? a) methicillin-resistant staphyloccocusaureu b) multiple resistant staphylococcus antibiotic

a) methicillin-resistant staphyloccocusaureu

Oral corticosteriods side effect a) mood variation b) edema

a) mood variation

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 e) When would it be beneficial to use a wound care plan?

a) on initial assessment of wound c) after surgery d) during wound infection, dehiscence or evisceration

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

a) provide a safe place for the employees

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

a) red plastic bag designed to disintegrate when exposed to heat

When administering injection in the buttocks, it should be given: a) right upper quadrant b) left upper quadrant c) right lower quadrant d) left lower quadrant

a) right upper quadrant b) left upper quadrant

Jim is to receive his eyedrops after his cataract operation. What is the best position for Jim to assume when instilling the eyedrops? a) sitting position, head tilted backwards b) supine position for comfort c) standing position to facilitate drainage d) recovery position

a) sitting position, head tilted backwards

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

a) supermarket

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

a) supervise the entire procedure and the sign the chart

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

a) swelling of tongue and rashes b) dyspnoea, hypotension and tachycardia d) cold and clammy skin

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

a) tell her that any information related to her wellbeing will need to be share to the health care team

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.

a) the movement of air into and out of the lungs to continually refresh the gases there, commonly called 'breathing'

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

a) the scaphoid bone

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

a) to improve standards in health care

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

a) water-soluble alginate polythene bag before being placed in the appropriate linen bag, no more than ¾ full

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.

a. Recognizes staff for going beyond expectations by giving them citations

Your patient has been prescribed Tramadol 50 mgs tablet for pain relief. a. Record this in the controlled drug register book with the pharmacist witnessing b. Put it in the patient's medicine pod c. Store it in ward medicine cupboard d. Ask the pharmacist to give it to the patient

a. Record this in the controlled drug register book with the pharmacist witnessing

Annie is on Cefalexin QID. You were working on a night shift and have noticed that the previous nurse has not signed for the last two doses. What should you do? a.) Document the incident and speak to your Manager b.) Check the rota, find out when he is back and leave a note on the MARS for him to sign c.) Find out what the whistle blowing policy is about d.) Ask the qualified nurse to sign it on handover if it is definitely been administered

a.) Document the incident and speak to your Manager

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.

ambot unsay anwer

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"

b) " Would you like to talk to the nurse who works with HIV- positive patient's ?"

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."

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

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

b) 21%

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

b) 2nd stage partial skin thickness

Approximately6 how many people in the UK are malnourished? a) 1 million b) 3 million c) 5 million d) 7 million

b) 3 million

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

b) 3-24 days

In a fully saturated haemoglobin molecule, responsible for carrying oxygen to the body's tissues, how many of its haem sites are bound with oxygen? a) 2 b) 4 c) 6 d) 8

b) 4

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

b) 45 cm

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

b) 5 portions per serving

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

b) 5-a-day fruits and vegetable portions

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

b) 6-12 hours

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%

b) 6.4%

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

b) 60%

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

b) A client from a motor vehicle accident with an external fixation device on the leg

Which of the following is the most common aneurysm site? a) Hepatic Artery b) Abdominal aorta c) Renal arch d) Circle of Wills

b) Abdominal aorta

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.

b) Abuse can take place anywhere there is a vulnerable adult.

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

b) Accepting the patient's choice & not intervening

During blood transfusion, a patient develops pyrexia, and loin pain. Rn interprets the situation as a) Common reaction to transfusion b) Adverse reaction to blood transfusion c) Patient has septicaemia

b) Adverse reaction to blood transfusion

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

b) Advocate

Which of the following is considered a medication? a) Whole blood b) Albumin c) Blood Clotting Factors d) Antibodies

b) Albumin --increases blood volume of plasma

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

b) Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli

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

b) Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli

Patient is given penicillin. After 12 hrs he develops itching, rash and shortness of breath. what could be the reason? a)Speed shock b) Allergic reaction

b) Allergic reaction

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

d) Task - individual - load - environment

What is comprehensive nursing assessment? a) It provides the foundation for care that enables individuals to gain greater control over their lives and enhance their health status. b) An in-depth assessment of the patient's health status, physical examination, risk factors, psychological and social aspects of the patient's health that usually takes place on admission or transfer to a hospital or healthcare agency. c) An assessment of a specific condition, problem, identified risks or assessment of care; for example, continence assessment, nutritional assessment, neurological assessment following a head injury, assessment for day care, outpatient consultation for a specific condition. d) It is a continuous assessment of the patient's health status accompanied by monitoring and observation of specific problems identified.

b) An in-depth assessment of the patient's health status, physical examination, risk factors, psychological and social aspects of the patient's health that usually takes place on admission or transfer to a hospital or healthcare agency

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.

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

What are the key reasons for administering medications to patients? a) To provide relief from specific symptoms, for example pain, and managing side effects as well as therapeutic purposes. b) As part of the process of diagnosing their illness, to prevent an illness, disease or side effect, to offer relief from symptoms or to treat a disease c) As part of the treatment of long term diseases, for example heart failure, and the prevention of diseases such as asthma. d) To treat acute illness, for example antibiotic therapy for a chest infection, and side effects such as nausea.

b) As part of the process of diagnosing their illness, to prevent an illness, disease or side effect, to offer relief from symptoms or to treat a disease

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.

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.

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

b) Aspirating gastric juice and then checking for ph<4 d) X-ray

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

b) Assess competence of student

While having lunch at the cafeteria, your co-worker suddenly collapsed. As a nurse, what would you do? a) You are on lunch, no actions should be taken b) Assess for any danger c) Tap the patient to check for consciousness d) Call for help

b) Assess for any danger

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.

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.

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

b) Atheroma changes in vessel walls

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

b) Authorian

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

b) Autonomy & informed consent

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

c) Exercise & drink 2-3 litres of fluid per day

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

b) Because the nurse manager is not on duty therefore she is not accountable to anything which happens on her absence

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.

b) Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation

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

b) Capacity

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

b) Challenge the situation immediately as this is related to dignity of the patient and raise your concern

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

b) Client only

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

b) Clipping

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

b) Consideration

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

b) Contaminated wounds

You were running a shift and a pack of controlled drugs were delivered by the chemist/pharmacist whilst you were giving the morning medications. What would you do first? a) keep the controlled drugs in the trolley first, then store it after you have done morning drugs b) Count the controlled drugs, store them in controlled drug cabinet and record them on the controlled drug book c) Count the controlled drugs, store them in the medication trolley and record them on the controlled drug book d) Record them in the controlled drug book and delegate one of the carers to store them in the controlled drug cabinet

b) Count the controlled drugs, store them in controlled drug cabinet and record them on the controlled drug book

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

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.

A patient was brought to the A&E and manifested several symptoms: loss of intellect and memory; change in personality; loss of balance and co-ordination; slurred speech; vision problems and blindness; and abnormal jerking movements. Upon laboratory tests, the patient got tested positive for prions. Which disease is the patient possibly having? a) Acute Gastroenteritis b) Creutzfeldt-Jakob Disease c HIV/AIDS Fatigue Urgent bowel

b) Creutzfeldt-Jakob Disease

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.

b) Debride and apply a hydrogel dressing.

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

b) Decreased muscle tone and periatalsis

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

b) Delegation is the same as work allocation

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

b) Dermis

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

b) Dietitian

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

b) Placed in dissolvable red linen bag and washed at high temperature

A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells. "I don't want to answer any more questions! There are too many voices in this room!" Which of the following assessment questions should the nurse as NEXT? a) Are the voices telling you to do things? b) Do you feel as though you want to harm yourself or anyone else? c) Who else is talking in this room? It's just you and me d) I don't hear any other voices

b) Do you feel as though you want to harm yourself or anyone else?

A nurse documents vital signs without actually performing the task. Which action should the charge nurse take after discussing the situation with the nurse? a) Charge the nurse with malpractice b) Document the incident c) Notify the board of nursing d) Terminate employment

b) Document the incident

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

b) Dorothea Orem - self care Martha Rogers- unitary human being Florence Nightingale - environment Cister Callista Roy - adaption model

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

b) Due to immature T cells

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

b) Dysuria

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)

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)

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

b) Encourage the patient to stay for his well being

A 25 year old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? a) Taking hourly blood pressures with mechanical cuff b) Encouraging fluid intake of at least 200mL per hour c) Position in high folwlers with knee gatch raised d) Administering Tylenol as orderd

b) Encouraging fluid intake of at least 200mL per hour Hydration is very important to prevent thrombis formation

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

b) Equality Act

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

b) Essential, as it is the matter of patient's health

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

b) Eukaryocyte

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.

b) Expectations about a particular role; interpersonal conflict will emerge

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

b) Foam dressing, pressure relieving mattress, nutritional support

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

b) Forearm extensor muscles

What steps would you take if you had sustained a needlestick injury? a) Ask for advice from the emergency department, report to occupational health and fill in an incident form. b) Gently make the wound bleed, place under running water and wash thoroughly with soap and water. Complete an incident form and inform your manager. Co-operate with any action to test yourself or the patient for infection with a bloodborne virus but do not obtain blood or consent for testing from the patient yourself; this should be done by someone not involved in the incident. c) Take blood from patient and self for Hep B screening and take samples and form to Bacteriology. Call your union representative for support. Make an appointment with your GP for a sickness certificate to take time off until the wound site has healed so you dont contaminate any other patients. Wash the wound with soap and water. Cover any wound with a waterproof dressing to prevent entry of any other foreign material

b) Gently make the wound bleed, place under running water and wash thoroughly with soap and water. Complete an incident form and inform your manager. Co-operate with any action to test yourself or the patient for infection with a bloodborne virus but do not obtain blood or consent for testing from the patient yourself; this should be done by someone not involved in the incident.

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

b) Haemostasis, inflammation phase, proliferation phase, maturation phase

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?"

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.

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

b) High-specification foam mattresses c) Dynamic support surface

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

b) Hip

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

b) Hydrogel dressing

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

b) Hypnotics

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

b) Hypnotics

A young adult is being treated for second and third degree burns over 25% of his body and is now read for discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfaction that he is prepared for home care when he makes which statement? a) I will need to take sponge baths at home to avoid exposing the wound's to unsterile bath water b) If any healed areas break open I should first cover them with sterile dressing and then report it c) I must wear my Jobst elastic garment all day and an only remove it when I'm going to bed d) I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours

b) If any healed areas break open I should first cover them with sterile dressing and then report it

In what instances shouldn't you position a patient in a side-lying position? a) If they are pregnant b) If they have a spinal fracture c) If they have pressure sore d) If they have lower limb pain

b) If they have a spinal fracture

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

b) Inform the client about the preparing to come forth next appointment for further discussion on the treatment planned

A patient approached you to give his medications now but you are unable to give the medicine. What is your initial action? a) Inform the doctor b) Inform your team leader c) Inform the pharmacist d) Routinely document meds not given

b) Inform your team leader

Prothrombin time is essential during anticoagulation therapy. In oral anticoagulation therapy which test is essential? a) Activated Thromboplastin Time - The partial thromboplastin time (PTT) test is a blood test that is done to investigate bleeding disorders and to monitor patients taking ananticlotting drug (heparin). b) International Normalized Ratio - The Prothrombin time (PT) test, standardised as the INR test is most often used to check how well anticoagulant tablets such as warfarin and phenindione are working

b) International Normalized Ratio - The Prothrombin time (PT) test, standardised as the INR test is most often used to check how well anticoagulant tablets such as warfarin and phenindione are working

U just joined in a new hospital. U see a senior nurse beating a child with learning disability. Ur role a) Neglect the situation as u r new to the scenario b) Intervene at the spot, speak directly to the senior in a non-confronting manner, and report to management in writing c) Inform the ward in-charge after the shift

b) Intervene at the spot, speak directly to the senior in a non-confronting manner, and report to management in writing

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

b) Intramuscular route for adrenaline is not recommended during cardiac arrest after anaphylactic reaction.

What are the potential benefits of self-administration of medicines by patients? a) Nurses have more time for other aspects of patient care and it therefore reduces length of stay. b) It gives patients more control and allows them to take the medications on time, as well as giving them the opportunity to address any concerns with their medication before they are discharged home. c) Reduces the risk of medication errors, because patients are in charge of their own medication. d) Creates more space in the treatment room, so there are fewer medication errors

b) It gives patients more control and allows them to take the medications on time, as well as giving them the opportunity to address any concerns with their medication before they are discharged home

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.

b) It includes a range of short-term treatment or rehabilitative services designed to promote independence.

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.

b) It seems to me that you feel frustrated. What can I help you with to care for our patients?"

What Is not a cause of postural hypotension? a) The time of day b) Lack of exercise c) Temperature d) Recent food intake

b) Lack of exercise

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

b) Late grievance with signs of dementia

After the suicide of her best friend Marry feels a sense of guilt, shame and anger because she had not answered the phone when her friend called shortly before her death. Which of the following statements is the most accurate when talking about Mary's feelings? a) Marry's feelings are normal and are a form of perceived loss b) Marry's feelings are normal and are a form of situational loss. c) Marry's feelings are not normal and are a form of situational loss. d) Marry's feelings are not normal and are a form of physical loss

b) Marry's feelings are normal and are a form of situational loss.

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

b) Measure the fetal activity

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

b) Mental capacity Act (2005)

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

b) NMC

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

b) Nausea and vomiting

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

b) Negligence

The client fell and was injured. What kind of liability does the nurse have? a) None b) Negligence c) Intentional tort d) Assault & battery

b) Negligence

You are caring for a patient with a tracheostomy in situ who requires frequent suctioning. How long should you suction for? a) If you preoxygenate the patient, you can insert the catheter for 45 seconds. b) Never insert the catheter for longer than 10-15 seconds. c) Monitor the patient's oxygen saturations and suction for 30 seconds d) Suction for 50 seconds and send a specimen to the laboratory if the secretions are purulent

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

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.

b) Nurse are obligated to respect client's privacy and confidentiality

nOne of the following is not true about a delegation responsibility of a medication registrant: a) Nurses are accountable to ensure that the patient, carer or care assistant is competent to carry out the task. b) Nurses can delegate medication administration to student nurses / nurses on supervision. c) Nurses can delegate medication administration to unregistered practitioners to assist in ingestion or application of the medicinal product. d) All of the above

b) Nurses can delegate medication administration to student nurses / nurses on supervision

Hospital discharge planning for a patient should start: a) When the patient is medically fit b) On the admission assessment c) When transport is available

b) On the admission assessment

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

b) Only under close, direct supervision

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

b) Oxygen is highly flammable and there is a risk of fire

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

b) PGD's cannot be delegated to anyone

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

c) The hand grips

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.

b) Prepare these managers so that they will focus on maintaining standards of care

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

b) RN is accountable for care assistant's actions

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

b) Registered Nurse

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

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

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) Displacement

b) Repression

A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for the client? a) Reverse isolation b) Respiratory isolation c) Standard precautions d) Contact isolation

b) Respiratory isolation

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

b) Retching and vomiting

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

b) Safety

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

b) Secondary

There is a child you are taking care of at home who has a history of anaphylactic shock from certain foods, the nurse is feeding him lunch, he looks suddenly confused, breathless and acting different, the nurse has access to emergency drugs access and the mobile phone, what will she do? a) She will keep the child awake by talking to him and call 911 for help b) She will raise the child's legs and administer Adrenaline and call the emergency services c) The nurse will keep the child in standing position and try to reassure the child

b) She will raise the child's legs and administer Adrenaline and call the emergency services

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

b) Sit them at least 45-degree angle

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.

b) Sit them at least at a 45° angle.

What is the best position in applying eye medications? a) Sitting position with head tilt to the right b) Sitting position with head tilt backwards c) Prone position with head tilt to the left

b) Sitting position with head tilt backwards

A patient is on Inj. Fentanyl skin patch common side effect of the fentanyl overdose is a) Fast and deep breathing, dizziness, sleepiness b) Slow and shallow breathing, dizziness, sleepiness c) Noisy and shallow breathing, dizziness, sleepiness d) Wheeze and shallow breathing, dizziness, sleepiness

b) Slow and shallow breathing, dizziness, sleepiness Basta opiods, increase respi distress (slow and shallow) antidote: naloxone

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

b) Some metal screws and pins will be attached to your hip to help with the healing of your broken bone.

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

b) Someone who is competent

Who should do the assessment in a patient with dysphagia a) Neurologic physiotherapist b) Speech therapist c) Occupation therapist

b) Speech therapist

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

b) Stage 2

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

b) Stage2- Partial thickness skin lose

John, 18 years old is for discharge and will require further dose of oral antibiotics. As his nurse, which of the following will you advise him to do? a) Take with food or after meals and ensure to take all antibiotics as prescribed b) Take all antibiotics and as prescribed c) Take medicine during the day and ensure to finish the course of medication d) Take medicine and stop when he feels better

b) Take all antibiotics and as prescribed

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

b) Tell her it is possible if you provide direct supervision

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

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

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.

b) Temperature of 38.5°C, shivering, tachycardia and hypertensive.

Fred is going to receive a blood transfusion. How frequently should we do his observations? a) Temperature and pulse before the blood transfusion begins, then every hour, and at the end of bag/unit. b) Temperature, pulse, blood pressure and respiration before the blood transfusion begins, then after 15 minutes, then as indicated in local guidelines, and finally at the end of the bag/unit. c) Temperature, pulse, blood pressure and respiration and urinalysis before the blood transfusion, then at end of bag. d) Pulse, blood pressure and respiration every hour, and at the end of the bag.

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

Pharmocokinetics can be described as: a) The study of the effects of drugs on the function of living systems b) The absorption, distribution, metabolism and excretion of drugs within ghe body: what the body does to drug c) The studyof mechanism of the action of drugs and other biochemical physiological effects: 'what the drug does to the body' d) All of the above

b) The absorption, distribution, metabolism and excretion of drugs within ghe body: what the body does to drug

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.

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.

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.

b) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart.

What are the professional responsibilities of the qualified nurse in medicines management? a) Making sure that the group of patients that they are caring for receive their medications on time. If they are not competent to administer intravenous medications, they should ask a competent nursing colleague to do so on their behalf. b) The safe handling and administration of all medicines to patients in their care. This includes making sure that patients understand the medicines they are taking, the reason they are taking them and the likely side effects. c) Making sure they know the names, actions, doses and side effects of all the medications used in their area of clinical practice. d) To liaise closely with pharmacy so that their knowledge is kept up to date.

b) The safe handling and administration of all medicines to patients in their care. This includes making sure that patients understand the medicines they are taking, the reason they are taking them and the likely side effects.

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

b) The smallest size necessary

Your patient has Diverticulitis for about a decade now. You have assessed her to be having soft stools of Type 4/5. Which of the following will need urgent intervention? a) She is losing a lot of electrolytes in her body, and this needs to be replaced. b) There is no urgency in this case, because patients with Diverticulitis are expected to have soft to loose stools. c) She needs to be prescribed with fluid retention pills. d) There is no urgency in this case because the stool is quite hard, and it should be fine.

b) There is no urgency in this case, because patients with Diverticulitis are expected to have soft to loose stools.

Anti-embolic stockings an effective means of reducing the potential of developing a deep vein thrombosis because: a) They promote arterial blood flow. b) They promote venous blood flow. c) They reduce the risk of postoperative swelling. d) They promote lymphatic fluid flow, and drainage

b) They promote venous blood flow.

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

c) When there is broken skin on hand

You are caring for a patient who has had a recent head injury and you have been asked to carry out neurological observations every 15 minutes. You assess and find that his pupils are unequal and one is not reactive to light. You are no longer able to rouse him. What are your actions? a) Continue with your neurological assessment, calculate your Glasgow Coma Scale (GCS) and document clearly. b) This is a medical emergency. Basic airway, breathing and circulation should be attended to urgently and senior help should be sought. c) Refer to the neurology team. d) Break down the patient's Glasgow Coma Scale as follows: best verbal response V = XX, best motor response M = XX and eye opening E = XX. Use this when you hand over.

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

After two weeks of receiving lithium therapy, a patient in the psychiatric unit becomes depressed. Which of the following evaluations of the patient's behavior by the nurse would be MOST accurate? a) The treatment plan is not effective; the patient requires a larger dose of lithium. b) This is a normal response to lithium therapy; the patient should continue with the current treatment plan. c) This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior. d) The treatment plan is not effective; the patient requires an antidepressant

b) This is a normal response to lithium therapy; the patient should continue with the current treatment plan

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

b) Tissue adhesive

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

b) To be answerable to oneself and others for one's own actions."

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

b) Use soap & water

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 b) Obtain a urinalysis monthly c) Wipe from back to front after voiding

b) Void every three hours

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.

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

A nurse is not trained to do the procedure of IV cannulation , still she tries to do the procedure . You are the colleague of this nurse. What will be your action? a) You should tell that nurse to not to do this again b) You should report the incident to someone in authority c) You must threaten the nurse, that you will report this to the authority d) You should ignore her act

b) You should report the incident to someone in authority

In doing neurological assessment, AVPU means: a) awake, voice, pain, unresponsive b) alert, voice, pain, unresponsive c) awake, verbalises, pain, unresponsive d) alert, verbalises, pain, unresponsive

b) alert, voice, pain, unresponsive

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

b) aseptic non-touch technique

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

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

While changing tubing and cap change on a patient with central line on right subclavian what should the nurse do to prevent complication a) ask patient to breath normally b) ask patient to hold the breath and bear down c) inhale slowly

b) ask patient to hold the breath and bear down -- applies to all tubings (catheterization)

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

b) assessment

You are the named nurse of Mr Corbyn who has just undergone an abdominal surgery 4 hours ago. You have administered his regular analgesia 2 hours ago and he is still complaining of pain. Your most immediate, most appropriate nursing action? a) call the doctor b) assist patient in a comfortable position c) give another dose d) look for a heating pad

b) assist patient in a comfortable position c) give another dose

The correct management of an adult patient in ventricular fibrillation (VF) cardiac arrest includes: a) an initial shock with a manual defibrillator or when prompted by an automated external defibrillator (AED) b) atropine 3 mg IV c) adenosine 500 mcg IV d) adrenaline 1 mg IV before first shock

b) atropine 3 mg IV

A client immediately following LP developed deterioration of consciousness, bradycardia, increased systolic BP. What is this: a) normal reaction b) client has brain stem herniation c) spinal headache

b) client has brain stem herniation

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

b) give him pain relief

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

b) identify the inefficiency that needs improvement or correction

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 e) take photograph

b) inform in written to management

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

b) intestinal obstruction

Which is not a cause of postural hypotension? a) the time of day b) lack of exercise c) temperature d) recent food intake

b) lack of exercise

Independent and supplementary nurse and midwife are those who are? a) nurse and midwife student who cleared medication administration exam b) nurses and midwives educated in appropriate medication prescription for certain pharmaceuticals c) registrants completed a programme to prescribe under community nurse practitioner's drug formulary d) nurses and midwives whose name is entered in the register

b) nurses and midwives educated in appropriate medication prescription for certain pharmaceuticals

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

b) open wound showing tissue

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

b) provide a high standard of practice and care when required

What is the best nursing action for this insertion site. You have observed an IV catheter insertion site w/ erythema, swelling, pain and warm. a) start antibiotics b) re-site cannula c) call doctor d) elevate

b) re-site cannula

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 nurse for training d) inform the relatives of the mistake

b) report the event to the unit manager

Mrs Red is complaining of shortness of breath. On assessment, her legs are swollen indicative of tissue oedema. What do you think is the possible cause of this? a) left side heart failure b) right side heart failure c) renal failure d) liver failure

b) right side heart failure

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.

b) secondary post partum haemorrhage

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

b) sound problem-solving skills and strong people skills

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

b) stage 2

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

b) stage 2 c) stage 3

What is not a good route for IM injection? a) upper arm b) stomach c) thigh d) buttocks

b) stomach

What is an indication that a suicidal patient has an impending suicide plan: a) She/he is cheerful and seems to have a happy disposition b) talk or write about death, dying or suicide c) threaten to hurt or kill themselves d) actively look for ways to kill themselves, such as stockpiling tablets

b) talk or write about death, dying or suicide

Taking a nursing history prior to the physical examination allows a nurse to establish a rapport with the patient and family. Elements of the history include all of the following except: a) the client's health status b) the course of the present illness c) social history d) Cultural beliefs and practices

b) the course of the present illness

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

b) washing your hands with soap and water

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

b) withhold people's rights to be fully involved in decisions about their care

Which of the following people is not exempted from paying a prescribed medication? a) children under the age of 16 b) women of child bearing age c) people who are receiving support allowance d) pensioners of age 65 and above

b) women of child bearing age

Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which of the following medial conditions? a) A diagnosis of AIDS and cytomegalovirus b) A positive PPD with an abnormal chest x-ray c) A tentative diagnosis of viral pneumonia d) Advanced carcinoma of the lung

c) A tentative diagnosis of viral pneumonia

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."

b. "Your cat sounded like very dear to you. Can I ask your neighbour to check?"

All but one is an indication for pleural tubing: a. Pneumothorax b. Abnormal blood clotting screen or low platelet count c. Malignant pleural effusion. d. Post-operative, for example thoracotomy, cardiac surgery

b. Abnormal blood clotting screen or low platelet count

. A sexually active female , who has been taking oral contraceptives develops diarrohea. Best advice a. Advise her to refrain from sex till next periods b. Advice to switch to other measures like condoms, as diarrohea may reduce the effect of oral contraceptives

b. Advice to switch to other measures like condoms, as diarrohea may reduce the effect of oral contraceptives

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

b. Complete an abdominal assessment

A diabetic patient with suspected liver tumor has been prescribed with Trphasic CT scan. Which medication needs to be on hold after the scan? a. Furosemide b. Metformin c. Docusate sodium d. Paracetamol

b. Metformin - causes risk for lactic acidosis -should stop 48 hours prior to the CT scan

A patient on your ward complains that her heart is 'racing' and you find that the pulse is too fast to manually palpate. What would your actions be? a) Shout for help and run to collect the crash trolley. b) Ask the patient to calm down and check her most recent set of bloods and fluid balance. c) A full set of observations: blood pressure, respiratory rate, oxygen saturation and temperature. It is essential to perform a 12 lead ECG. The patient should then be reviewed by the doctor. d) Check baseline observations and refer to the cardiology team.

c) A full set of observations: blood pressure, respiratory rate, oxygen saturation and temperature. It is essential to perform a 12 lead ECG. The patient should then be reviewed by the doctor.

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

b. Tissue Viability Nurse

Which drug to be avoided by a patient on digoxin? a) corticosteroid b) nsaid

b. nsaids not sure tho

Cherry has been prescribed with Estradiol tablet to be inserted twice a week at night. You entered her bedroom and noticed she is fast asleep. What would you do? a.) Try to gently wake her up and insert her vaginal tablets. b.) Allow her to get some sleep and try to insert the vaginal tablet on your next turn rounds. c.) Speak to her and ask her to spread her legs, so you can insert her vaginal tablet. d.) Document that the tablet cannot be administered at all because the patient has refused.

b.) Allow her to get some sleep and try to insert the vaginal tablet on your next turn rounds.

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

b.) Intramuscular route for adrenaline is not recommended during cardiac arrest after anaphylactic reaction.

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."

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."

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."

c) "Upon entering the room, the patient was found lying on the floor."

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

c) 1-5 days

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

c) 10 steps

As a registered nurse, you are expected to calculate fluid volume balance of a patient whose input is 2437 ml and output is 750 ml a) 1887 (Negative Balance) b) 1197 (Negative Balance) c) 1887 (Positive Balance) d) 1197 (Positive Balance)

c) 1887 (Positive Balance) -- closest answer Answer: 1687

You have observed an IV catheter insertion site w/ erythema, swelling, pain and warm? What VIP score would you document on his notes? a) 5 b) 2 c) 3 d) 4

c) 3 Note: 0 1 2 - pain, swelling, erythema 3 - 4 - pain, erythema, induration, palpable venous cord 5- same with 4 plus pyrexia

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

c) 5 servings

Medication errors account for around a quarter of the incidents that threaten patient safety. In a study published in 2 000 it was found that 10% of all patients admitted to hospital suffer an adverse event (incident. How much of these incidents were preventable? a) 20% b) 30% c) 50% d) 60%

c) 50%

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

c) 6 - 8

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

c) A 18 year old drug user postoperative from removal of a bullet in the leg

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

c) Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements

An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Centre for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to: a) Trust the nurse who will solve his problem b) Learn to live with anxiety and tension c) Accept responsibility for his actions and choices d) Use the members of the therapeutic milieu to solve his problems

c) Accept responsibility for his actions and choices

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

c) Acknowledges and accepts members mistakes - without any corrections

What is atrial fibrillation? a) heart condition that causes, b) An irregular and often abnormally slow heart rate c) An irregular and often abnormally fast heart rate d) A regular heart rhythm with an abnormally slow heart rate e) A regular heart rhythm with an abnormally fast heart rate

c) An irregular and often abnormally fast heart rate -- 100-175 bpm/min

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

c) Antibiotic alters her GI flora which made Clostridium-difficile to multiply

Which of the following descriptors is most appropriate to use when stating the "problem" part of nursing diagnosis? a) Oxygenation saturation 93% b) Output 500 ml in 8 hours c) Anxiety

c) Anxiety

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

c) Any type of wound

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

c) Arrange for interpreter to ask questions in private

In interpreting ECG results if there is clear evidence of atrial disruption this is interpreted as? a) Cardiac Arrest b) Ventricular tach c) Atrial Fibrillation d) Complete blockage of the heart

c) Atrial Fibrillation

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

c) Before Body Fluid Exposure Risk (MUST be after body fluid exposure)

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

c) Below the level of the patient's bladder to reduce backflow of urine

What is the name given to a decreased pulse rate or heart rate? a) Tachycardia b) Hypotension c) Bradycardia d) Arrhythmia

c) Bradycardia

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

c) Can be used on untreated osteomyelitis

Johan, 25 year old, was admitted at Medical Assessment Unit because of urine infection. During your assessment, he admitted using cannabis under prescription for his migraine and still have some in his bag. What is your best reply to him about the cannibis? a) Cannibis is a class C drug under the UK Misuse of Drugs Act 1971. b) A custodial sentence of 28 days i s now given to anyone in possession 3 times or more c) Cannabis is a class B drug under the UK Misuse of Drugs Act 1971 d) Possession of cannabis will incur a penalty of 3 months imprisonment with £2 000 fine

c) Cannabis is a class B drug under the UK Misuse of Drugs Act 1971

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

c) Check the patient's blood glucose

A patient in your care is on regular oral morphine sulphate. As a qualified nurse, what legal checks do you need to carry out every time you administer it, which are in addition to those you would check for every other drug you administer? a) Check to see if the patient has become tolerant to the medication so it is no longer effective as analgesia. b) Check to see whether the patient has become addicted. c) Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; together, check the correct prescription and the identity of the patient. d) Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; then ask the patient to prove their identity to you

c) Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; together, check the correct prescription and the identity of the patient.

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

c) Children who are intellectually developed and understand matters can give consent

What is the best way to avoid a haematoma forming when undertaking venepuncture? a) Tap the vein hard which will 'get the vein up', especially if the patient has fragile veins. This will avoid bruising afterwards. b) It is unavoidable and an acceptable consequence of the procedure. This should be explained and documented in the patient's notes. c) Choosing a soft, bouncy vein that refills when depressed and is easily detected, and advising the patient to keep their arm straight whilst firm pressure is applied. d) Apply pressure to the vein early before the needle is removed, then get the patient to bend the arm at a right angle whilst applying firm pressure

c) Choosing a soft, bouncy vein that refills when depressed and is easily detected, and advising the patient to keep their arm straight whilst firm pressure is applied.

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.

c) Clean the meatus and catch a specimen of the urine midstream

What law should be taken into consideration when a patient has hearing difficulties and would need hearing aids? a) Mental capacity Act b) Equality act c) Communication law

c) Communication law

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

c) Confidentiality

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

c) Country Club Management

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

c) Crutches and the right leg then advance the left leg

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

c) Crying

What do the adverse effects of hypotension include? a) Decreased conscious level, reduced blood flow to vital organs and renal failure. b) The patient could become confused and not know who they are. c) Decreased conscious level, oliguria and reduced coronary blood flow. d) The patient feeling very cold

c) Decreased conscious level, oliguria and reduced coronary blood flow

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 ahs poor fitting dentures. Which of the following is the least likely risk to the service user? a) Malnutrition b) Hyperglycemia c) Dehydration d) Hypoglycaemia

c) Dehydration

You have discovered that the last dose of intravenous antibiotic administered to service user was the wrong dose. Which of the following should you do? a) Document the event in the service user's medical record only. b) File an incident report, and document the event in the service user's medical record. c) Document in the service user's medical record that an incident report was filed. d) File an incident report, but don't document the even on the service user's record, because information about the incident is protected.

c) Document in the service user's medical record that an incident report was filed.

A newly admitted client refusing to handover his own medications and this includes controlled drugs. What is your action? a) You have to take it any way and document it b) Call the doctor and inform about the situation c) Document this refusal as these medications are his property and should not do anything without his consent d) Refuse the admission as this is against the policy

c) Document this refusal as these medications are his property and should not do anything without his consent

You are about to administer Morphine Sulphate to a paediatric patient. The information written on the control drug book was not clearly written - 15mg or 0.15 mg. What will you do first? a) Not administer the drug, and wait for the General Practitioner to do his rounds b) Administer 0.15 mg, because 15 mg is quite a big dose for a paediatric patient c) Double check the medication label and the information on the controlled drug book; ring the chemist the verify the dosage d) Ask a senior staff to read the medication label for you

c) Double check the medication label and the information on the controlled drug book; ring the chemist the verify the dosage

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

c) Dynamic Mattress

The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? a) Roast beef, gelatin salad, green beans, and peach pie b) Chicken salad sandwich, coleslaw, French fries, ice cream c) Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie d) Pork chop, creamed potatoes, corn, and coconut cake

c) Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

What type of diet would you recommend to your patient who has a newly formed stoma? a) Encourage high fibre foods to avoid constipation. b) Encourage lots of vegetables and fruit to avoid constipation. c) Encourage a varied diet as people can react differently. d) Avoid spicy foods because they can cause erratic function.

c) Encourage a varied diet as people can react differently.

An antihypertensive medication has been prescribed for a client with HTN. The client tells the clinic nurse that they would like to take an herbal substance to help lower their BP. The nurse should take which action? a) Tell the client that herbal substances are not safe & should never be used b) Teach the client how to take their BP so that it can be monitored closely c) Encourage the client to discuss the use of an herbal substance with the health care provider

c) Encourage the client to discuss the use of an herbal substance with the health care provider

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

c) Face the patient and speak slowly using a slightly lowered voice.

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

c) Feeding the client with dementia

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

c) Fill up a raising a concern/ safeguarding form, and escalate

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

c) Good nursing & midwifery practice & a key tool in safeguarding the health &wellbeing of the public

People with blood group A are able to receive blood from the following: a) Group A only b) Groups AB or B c) Groups A or O d) Groups A, B or O

c) Groups A or O

What is the most common complication of venepuncture? a) Nerve injury b) Arterial puncture c) Haematoma d) Fainting

c) Haematoma

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

c) Hand hygiene, use of protective equipment, and disposal of waste

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

c) Hand hygiene, use of protective equipment, and disposal of waste

Which condition is not a cause of diarrhea? a) Ulcerative colitis b) Intestinal obstruction c) Hashimotos disease d) Food allergy

c) Hashimotos disease -- Immune system attacks the thyroid

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

c) Help client back to bed immediately

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

c) Henri Fayol

You have been asked to give Mrs Patel her mid-day oral metronidazole. You have never met her before. What do you need to check on the drug chart before you administered? a) Her name and address, the date of the prescription and dose. b) Her name, date of birth, the ward, consultant, the dose and route, and that it is due at 12.00. c) Her name, date of birth, hospital number, if she has any known allergies, the prescription for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given d) Her name and address, date of birth, name of ward and consultant, if she has any known allergies specifically to penicillin, that prescription is for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given and who gave it so you can check with them how she reacted.

c) Her name, date of birth, hospital number, if she has any known allergies, the prescription for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given

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

c) High Pulse, low BP

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

c) High risk of malnutrition

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

c) His/her competence and skills

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?"

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."

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

c) Immediate nurse manager

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

c) Immediately after contact with body fluids, mucous membranes and non-intact skin

When should prescribed antibiotics to be administered to a septicemic patient a) Immediately after admission b) After getting blood culture result c) Immediately following blood drawn for culture

c) Immediately following blood drawn for culture

A patient puts out his arm so that you can take his blood pressure. What type of consent is this? a) Verbal b) Written c) Implied d) None of the above, consent is not required.

c) Implied

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.

c) Increase in diastolic BP

Nursing process is best illustrated as: a) Patient with medical diagnosis b) task oriented care c) Individualized approach to care d) All of the above

c) Individualized approach to care

A patient suffered from CVA and is now affected with dysphagia. What should not be an intervention to this type of patient? a) Place the patient in a sitting position / upright during and after eating. b) Water or clear liquids should be given. c) Instruct the patient to use a straw to drink liquids. d) Review the patient's ability to swallow, and note the extent of facial paralysis.

c) Instruct the patient to use a straw to drink liquids.

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

c) Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent

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

c) It is a process of learning, a different culture to adapt to a new or change in environment

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

c) It is a tool for educating prospective nurses and midwives

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

c) Laceration

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.

c) Laissez-faire.

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

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

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

c) Male & female patients require anaesthetic lubricating gel

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.

c) Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act's code of practice

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.

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

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.

c) Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions.

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

c) Negligence

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.

c) Observe the patients breathing for ease and comfort, rate and pattern.

When is the time to take the vital signs of the patients? Select which does not apply: a) At least once every 12 hours, unless specified otherwise by senior staff. b) When they are admitted or initially assessed. c) On transfer to a ward setting from critical care or transfer from one ward to another. d) Every four hours

c) On transfer to a ward setting from critical care or transfer from one ward to another.

Which sign or symptom is a key indication of progressive arterial insufficiency? a) Oedema b) Hyperpigmentation of the skin c) Pain d) Cyanosis

c) Pain - painful cramping on hips, thighs and calf

Dennis was admitted because of acute asthma attack. Later on in your shift, he complained of abdominal pain and vomited. He asked for pain relief. Which of the following prescribed analgesia will you give him? a) Fentanyl buccal patch b) Ibuprofen enteric coated capsules c) Paracetamol suppositories d) Oromorphine

c) Paracetamol suppositories

Dennis was admitted because of acute asthma attack. later on in your shift he complained of abdominal pain and vomited. He asked for pain relief. Which of the following prescribed analgesia will you give him? a) Fetanyl buccal patch b) Ibuprofen enteric coated capsule c) Paracetamol suppositories d) Oromorphine

c) Paracetamol suppositories

After lumbar laminectomy, which the appropriate method to turn the patient? a) Patient holds at the side of the bed, with crossed knees try to turn by own b) Head is raised & knees bent, patient tries to make movement c) Patient is turned as a unit

c) Patient is turned as a unit

Nursing care should be a) Task oriented b) Caring medical and surgical patient c) Patient oriented, individualistic care d) All

c) Patient oriented, individualistic care

Which finding should the nurse report to the provider to a magnetic resonance imaging MRI? a) History of cardiovascular disease b) Allergy to iodine and shellfish c) Permanent pacemaker in place d) Allergy to dairy products

c) Permanent pacemaker in place

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

c) Politely signal the student and encourage him by actively including him in the discussion

Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? a) Steak b) Cottage cheese c) Popsicle d) Lima beans

c) Popsicle the only liquid form

External factors which increase the risk of pressure damage are: a) Equipment, age and pressure b) Moisture, pressure and diabetes c) Pressure, shear and friction d) Pressure, moisture and age

c) Pressure, shear and friction

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

c) Pseudomembranous colitis -pseudomembranous colitis (PMC) is an acute, exudative colitis usually caused by Clostridium difficile. PMC can rarely be caused by other bacteria,

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

c) Red shiny patches around the palate of tooth

A 17-year old patient who was involved in an orthopaedic accident is observed not eating the meals that she previously ordered and refuses to take a bath even if she is already in recovery stage. As a nurse what do you think is the best explanation for her reaction to the accident that happened to her? a) Supression b) Undoing c) Regression d) Repression

c) Regression

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

c) Respect the request, if possible arrange the consultation with a female doc

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

c) Reward poor performance

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

c) Saline

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

c) She is experiencing shock and disbelief related to her husband's death.

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

c) She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time

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

c) Sodium

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.

c) Someone who does something on behalf of the patient

A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse's assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first? a) Adjust the room temperature b) Give a bolus of IV fluids c) Start O² d) Administer meperidine (Demerol) 75 mg IV push

c) Start O²

Which among the following is a cause of Hemorrhoids? a) High fibre rich diet b) Non- processed food c) Straining while passing stools d) Unsaturated fats in the diet

c) Straining while passing stools

The following fruits can be eaten by a person with Crohn's Disease except: a) Mango b) Papaya c) Strawberries d) Cantaloupe

c) Strawberries Avoid fruits with skin and seeds

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

c) Support a patient's decision, even if it is not the decision desired by the nurse

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

c) Support groups and alternative medicine

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

c) Tell her to use other methods like condom because diarrhoea lessens the effects of OCP

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

c) Tell the physician that the consent form is not signed

A patient is being discharged form the hospital after having coronary artery bypass graft (CABG). Which level of the health care system will best serve the needs of this patient at this point? a) Primary care b) Secondary care c) Tertiary care d) Public health care

c) Tertiary care

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 doing 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

c) That the pH of gastric aspirate is <4, and the measurement on the NG tube is the same length as the time insertion

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

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.

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.

c) The clinical presentation of mental illness in older adults differs form that in other age groups

The nurse is admitting a client, on initial assessment the nurse tries to inquire the patient if he has been taking alternative therapies and OTC drugs but the client becomes angry and refuses to answer saying thenurse is doing so because he belongs to an ethnic minority group, what is the nurse's best response? a) The nurse will stop asking questions as it is upsetting to the patient b) Wait and give some time for the client to get adjusted to modern ways of hospitalisation c) The nurse will politely explain to the patient about alternative therapies such as St.Johns Wort which interact with drugs d) The nurse will assign another nurse to ask questions

c) The nurse will politely explain to the patient about alternative therapies such as St.Johns Wort which interact with drugs

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.

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.

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

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.

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

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

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

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

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. d) All of these

c) The patient's body weight is supported by the hands when advancing his weaker leg.

An adult has experienced a CVA that has resulted in right side weakness. The nurse is preparing to move the patients right side of the bed so that he may then be turned to his left side. The nurse knows that an important principle when moving the patient is? a) To keep the feet close together b) To bend from waist c) To move body weight when moving objects d) A twisting motion will save steps

c) To move body weight when moving objects

Which of the following statements made by client diagnosed with hepatitis A needs further understanding of the disease. a) Washing hands before cooking food b) Refraining from sexual intimacy and kissing while symptoms still present c) Towels and flannels can be shared with children

c) Towels and flannels can be shared with children

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

c) Try to re-establish the therapeutic communication and relationship with patient and inform the manager for support

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

c) Value is placed on the accomplished of tasks and on interpersonal relationships between leader and group members and among group members

The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: a) Atrial flutter b) A sinus rhythm c) Ventricular tachycardia d) Atrial fibrillation

c) Ventricular tachycardia

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

c) Waste which may be 'treated

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

c) You are not obliged in any way but as a professional duty advises you to stop and assist

What does AVPU mean? a) alert verbalization pain unconscious b) awake voice pain unconscious c) alert voice pain unresponsive d) awake verbalization pain unconscious

c) alert voice pain unresponsive

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

c) ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care

patient bring own medication to hospital and wants to self-administer what is your role ? allow him a) give medications back to relatives to take back b) keep it in locker, use from medication trolley c) explain to patient about medication before he administer it

c) explain to patient about medication before he administer it

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

c) help in admitting the patients

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

c) hypertension and tachycardia

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

c) it must be in a double self-sealing bag

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

c) loosening of teeth

Which of the following drugs will require 2 nurses to check during preparation and administration? a) oral antibiotics b) glycerine suppositories c) morphine tablet d) oxygen

c) morphine tablet

As you visit your patient during rounds, you notice a thin child who is shy and not mingling with the group who seemed to be visitors of the patient. You offered him food but his mother told you not to mind him as he is not eating much while all of them are eating during that time. As a nurse, what will you do? a) inform social service desk on suspected case of child neglect b) ignore incident since the child is under the responsibility of the mother c) raise the situation to your head nurse and discuss with her what intervention might be done to help the child

c) raise the situation to your head nurse and discuss with her what intervention might be done to help the child

A suicidal Patient is admitted to psychiatric facility for 3 days when suddenly he is showing signs of cheerfulness and motivation. The nurse should see this as: a) That treatment and medication is working b) She has made new friends c) she has finalize suicide plan

c) she has finalize suicide plan

Patient had CVA, who will assess swallowing capability? a) physiotherapy nurse b) psychotherapy nurse c) speech and language therapist d) neurologic nurse

c) speech and language therapist

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

c) visit him when she is symptom free after 48 hours

It is important to read the label on every IV bag because: a. Different IV solutions are packaged similarly b. The label contains the expiration date of the IV fluid c. A and B d. A only 732. Which

c. A and B

In a nursing and residential home setting, how will you manage your time and prioritise patients' needs whilst doing your medication rounds in the morning? a. Start administering medications from the patient nearest to the treatment room. b. Start administering medications to patients who are in the dining room, as this is where most of them are for breakfast. c. Check the list of patients and identify the ones who have Diabetes Mellitus and Parkinson's disease. d. All of the above.

c. Check the list of patients and identify the ones who have Diabetes Mellitus and Parkinson's disease.

You are about to administer Morphine Sulfate to a paediatric patient. The information written on the controlled drug book was not clearly written - 15 mg or 0.15 mg. What will you do first? a. Not administer the drug, and wait for the General Practitioner to do his rounds b. Administer 0.15 mg, because 15 mg is quite a big dose for a paediatric patient c. Double check the medication label and the information on the controlled drug book; ring the chemist to verify the dosage d. Ask a senior staff to read the medication label with you

c. Double check the medication label and the information on the controlled drug book; ring the chemist to verify the dosage

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

d) All RNS

Your hospital supports the government's drive on breastfeeding. One of your patient being treated for urinary tract infection was visited by her husband and their 4 month old baby. She would like to breastfeed her baby. What advise will you give her? a. it is ok to breastfeed as long as it is done privately b. it is ok to breastfeed because the hospital supports this practice c. refrain from breastfeeding as of now because of her UTI treatment d. breast milk is the best and she can feed her baby anytime they visit

c. refrain from breastfeeding as of now because of her UTI treatment

Manu is in persistent pain and has Oromorph PRN. All your carers are on their rounds, and you are about to administer this drug. What would you do? a.) Dispense 10 mL Oromorph and administer immediately to relieve pain b.) Dispense 10 mL Oromorph and call one of the carers to witness c.) Call one of the carers to witness dispensing and administering the drug

c.) Call one of the carers to witness dispensing and administering the drug

Maria has ran out of Cavilon Cream. You have noted that her groins are very red and sore. You can see that David has spare Cavilon tubes after checking the stocks. What will you do? a.) Borrow a tube from David's stock as Maria's groins are red and sore b.) Use Canesten for now and apply Cavilon once stock has arrived c.) Request for a repeat prescription from the GP, and have the stock delivered by the chemist d.) Ring the GP and ask him to see Maria's groins, then prescribe Cavilon

c.) Request for a repeat prescription from the GP, and have the stock delivered by the chemist

Mrs Z has been very chesty the last few days. She has been having difficulty with breathing. You have referred her to the GP, and requested for a home visit. What would probably be prescribed by the GP? a.) Stalevo 200 b.) Digoxin 40 mg c.) Trimethoprim 100 mg d.) Simvastatin 100 mg

c.) Trimethoprim 100 mg

General guidance for the storage of controlled drugs should include the following except: a.) cupboards must be kept locked when not in use b.) keys must only be available to authorised member of staff c.) regular drugs can also be stored in the controlled drug storage d.) the cupboard must be dedicated to the storage of controlled drugs

c.) regular drugs can also be stored in the controlled drug storage

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."

d) "It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form."

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?"

d) "Would you like me to rub your back for you?"

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

d) A client who had a total hip replacement 2 days ago & needs blood glucose monitoring

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

d) A decreased glomerular filtration rate

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

d) A qualified healthcare professional with appropriate training

What are the most common types of medication error? a) Nurses being interrupted when completing their drug rounds, different drugs being packaged similarly and stored in the same place and calculation errors. b) Unsafe handling and poor aseptic technique. c) Doctors not prescribing correctly and poor communication with the multidisciplinary team. d) Administration of the wrong drug, in the wrong amount to the wrong patient, via the wrong route

d) Administration of the wrong drug, in the wrong amount to the wrong patient, via the wrong route

When explaining about travellers' diarrhoea which of the following is correct? a) Travellers' diarrhoea is mostly caused by Rotavirus b) Antimotility drugs like loperamide is ineffective management c) Oral rehydration in adults and children is not useful d) Adsorbents such as kaolin is ineffective and not advised

d) Adsorbents such as kaolin is ineffective and not advised

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.

d) After a bee sting, do not touch the stinger for about a maximum of 3 hours.

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

d) All

The medicine and Healthcare Products Regulatory Agency (MHRA) is responsible for what? a) Licensing medicinal products b) Regulating the manufacture, distribution and importation of medicines c) Regulating which medicine require a prescription and which can be available without a prescription and under what circumstances d) All of the above

d) All of the above

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

d) All of the above

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

d) All of the above

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

d) All of the above

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

d) All of the above

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

d) Allow the client to go home as he won't pose any threat to self or others

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

d) Analysing

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

d) Any of the above

543. 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

d) Aseptic technique

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

d) Ask the patient about his diet preferences

As a RN when you are administering medication, you made an error. Taking health and safety of the patient into consideration, what is your action? a) Call the prescriber. Report through yellow card scheme and document it in patient notes b) Let the next of kin know about this and document it c) Document this in patient notes and inform the line manager d) Assess for potential harm to client, inform the line manager and prescriber and document in patient notes

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

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

d) Assessing nutritional status, client preferences and needs, making individual food choices available, checking daily weight and documentation

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

d) Assessment, source isolation, universal precautions

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 903. Which condition is not a cause of diarrhea?

d) Assessment, source isolation, universal precautions Source Isolation - prevents spread from one patient to another

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

d) Bedding weight that forces the toes into plantar flexion

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

d) Beneficence

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

d) Blood glucose levels, full blood count, stoma site and body weight

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

d) CSF leakage

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

d) CSF leakage

A 43 year old African American male is admitted with sickle cell anemia. The nurse plans to assess the circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use? a) Body temperature of 99ºF or less b) Toes moved in active range of motion c) Sensation reported when soles of feet are touched d) Capillary refill of < 3 seconds

d) Capillary refill of < 3 seconds

On checking the stock balance in the controlled drug record book as a newly qualified nurse, you and a colleague notice a discrepancy. What would you do? a) Check the cupboard, record book and order book. If the missing drugs aren't found, contact pharmacy to resolve the issue. You will also complete an incident form. b) Document the discrepancy on an incident form and contact the senior pharmacist on duty. c) Check the cupboard, record book and order book. If the missing drugs aren't found the police need to be informed. d) Check the cupboard, record book and order book and inform the registered nurse or person in charge of the clinical area. If the missing drugs are not found then inform the most senior nurse on duty. You will also complete an incident form.

d) Check the cupboard, record book and order book and inform the registered nurse or person in charge of the clinical area. If the missing drugs are not found then inform the most senior nurse on duty. You will also complete an incident form.

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

d) Chemical debridement

When selecting a stoma appliance for a patient who has undergone a formation of a loop colostomy, what factors would you consider? a) Patient dexterity, consistency of effluent, type of stoma b) Patient preference, type of stoma, consistency of effluent, state of peristomal skin, dexterity of the patient c) Patient preference, lifestyle, position of stoma, consistency of effluent, state of peristomal skin, patient dexterity, type of stoma d) Cognitive ability, lifestyle, patient dexterity, position of stoma, state of peristomal skin, type of stoma, consistency of effluent, patient preference

d) Cognitive ability, lifestyle, patient dexterity, position of stoma, state of peristomal skin, type of stoma, consistency of effluent, patient preference

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

d) Communication and teamwork

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

d) Creutzfeldt Jakob disease

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

d) Cyanosis

Patient manifests phlebitis in his IV site, what must a nurse do? a) Re-site the cannula b) Inform the doctor c) Apply warm compress d) Discontinue infusion

d) Discontinue infusion

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

d) Dispersal

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.

d) Documenting that the task has been completed.

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

d) Dynamic mattress

When caring for clients with psychiatric diagnoses, the nurse recalls that the purpose of psychiatric diagnoses or psychiatric labelling to: a) Identify those individuals in need of more specialized care. b) Identity those individuals who are at risk for harming others c) Define the nursing care for individuals with similar diagnoses d) Enable the client's treatment team to plan appropriate and comprehensive care

d) Enable the client's treatment team to plan appropriate and comprehensive care

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

d) Encourage the patient to disclose this information to her physician

Patients with gastric ulcers typically exhibit the following symptoms: a) Epigastric pain worsens before meals, pain awakening patient from sleep an melena b) Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever c) Boring epigastric pain radiating to back and left shoulder, bluish-grey discoloration of periumbilical area and ascites d) Epigastric pains worsens after eating and weight loss

d) Epigastric pains worsens after eating and weight loss

Where is revision on the nursing process done? During: a) Diagnosis b) Planning c) Implementation d) Evaluation

d) Evaluation

A nurse is advised one hour vital charting of a patient, how frequently it should be recorded? a) Every 3 hours b) Every shift c) Whenever the vital signs show deviations from normal d) Every one hour

d) Every one hour

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

d) Functional method

Mr Jones has been having Type 6 and 7 stools today. As you are doing his medications, which of the following would you not omit? a.) Docusate Sodium 2 Capsules b.) Lactulose 5 mL c.) Senna 10 mL d.) Simvastation 100 mg

d.) Simvastation 100 mg

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

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

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

d) Give assignments clearly, taking staff expertise into consideration

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

d) Glycerine and lemon swabs

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

d) Go immediately to see the patient

Bystander informs you that the patient is in severe pain. Ur 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

d) Go instantly to the patient and assess the condition

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

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 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

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

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

d) High sidelying

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

d) Hypotension

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.

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.

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

d) Increase in preventive services

Which of the following cannot be seen in a depressed client? a) Inactivity b) Sad facial expression c) Slow monotonous speech d) Increased energy

d) Increased energy

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

d) Institutional Abuse

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

d) Is an expert and represents clients concerns, wishes and views as they cannot express by themselves

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

d) Is expert and representative's clients concerns, wishes and views as they cannot express by themselves

Which statement is not true about acute illness? a) A disease with a rapid onset and/or a short course one. b) It will eventually resolve without any medical supervision. c) It is rapidly progressive and in need of urgent care. d) It is prolonged, do not resolve spontaneously, and is rarely captured completely.

d) It is prolonged, do not resolve spontaneously, and is rarely captured completely.

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.

d) It is responsible for regulating hospitals or other healthcare settings.

Which statement is not correct about the nursing process? a) An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care. b) It uses a systematic, holistic, problem solving approach in partnership with the patient and their family. c) It is a form of documentation. d) It requires collection of objective data

d) It requires collection of objective data.

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

d) Justified by public interest law and order

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

d) Keeping up to professional standards

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

d) Ketones

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

d) Lack of trust in the team members

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

d) Long term goals

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

d) Long-life fruit juice and filtered water

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

d) Movement of body part away from the body's midline

Which is not an expected side effect of lumbar tap? a) Headache b) Back pain c) Swelling and bruising d) Nausea and vomiting

d) Nausea and vomiting

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

d) Non-rebreathing masks

A nurse explains to a student that the nursing process is a dynamic process. Which of the following actions by the nurse best demonstrates this concept during the work shift? a) Nurse and client agree upon health care goals for the client b) Nurse reviews the client's history on the medical record c) Nurse explains to the client the purpose of each administered medication d) Nurse rapidly reset priorities for client care based on a change in the client's condition

d) Nurse rapidly reset priorities for client care based on a change in the client's condition

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

d) Talk to her in private and make her aware that such behaviours could actually belittle the profession

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.

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.

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

d) Patients get enough time to eat food without distractions while staff focus on people who needs help with eating

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

d) Peripheral oedema

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

d) Please leave and I will speak with you when I am done

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

d) Protein excretion exceeds 2 g/day

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

d) Purulent

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

d) Repression

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

d) Return demonstration

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.

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.

A nurse assists the physician is performing liver biopsy. After the biopsy the nurse places the patient in which position? a) Supine b) Prone c) Left-side lying d) Right-side lying

d) Right-side lying

Risk for health issues in a person with mental health issues a) Increased than in normal people b) Slightly decreased than in normal people c) Very low as compared to normal people d) Risk is same in people with and without mental illness

d) Risk is same in people with and without mental illness

a 30 year old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client? a) Side-lying with knees flexed b) Knee chest c) High fowlers with knees flexed d) Semi flowlers with legs extended on the bed

d) Semi flowlers with legs extended on the bed

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

d) Serious adverse reaction

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

d) Serious adverse reaction

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

d) Sexual Abus

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

d) Sip feed

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

d) Skin barrier product

Which of the following is NOT a symptom of impacted earwax? a) Dizziness b) Dull hearing c) Reflux cough d) Sneezing

d) Sneezing

A patient is prescribed methformin 1 000mg 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.

d) Tell him to take one tablet in the morning and one tablet in the evening as ordered.

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

d) Teratogenicity

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 others c) the client can sign a written request for discharge d) The client cannot be released without medical advice

d) The client cannot be released without medical advice

A client has been voluntary 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 others c) The client can sign a written request for discharge d) The client cannot be released without medical advice.

d) The client cannot be released without medical advice.

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

d) The feed

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

d) The fluid input has exceeded the output

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

d) The fluid output has exceeded the input

Why would the intravenous route be used for the administration of medications? a) It is a useful form of medication for patients who refuse to take tablets because they don't want to comply with treatment b) It is cost effective because there is less waste as patients forget to take oral medication c) The intravenous route reduces the risk of infection because the drugs are made in a sterile environment & kept in aseptic conditions d) The intravenous route provides an immediate therapeutic effect & gives better control of the rate of administration as a more precise dose can be calculated so treatment can be more reliable e) more precise dose can be calculated so treatment can be more reliable

d) The intravenous route provides an immediate therapeutic effect & gives better control of the rate of administration as a more precise dose can be calculated so treatment can be more reliable

You are caring for a Hindu client and it's time for drug administration; the client refuses to take the capsule referring to the animal product that might have been used in its making, what is the appropriate action for the nurse to perform? a) She will not administer and document the ommissions in the patients chart b) The nurse will ignore the clients request and administer forcebily c) The nurse will open the capsule and administer the powdered drug d) The nurse will establish with the pharamacist if the capsule is suitable for vegetarians

d) The nurse will establish with the pharamacist if the capsule is suitable for vegetarians

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

d) The organization benefits by achieving its goals more efficiently

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'

d) To go up the stairs, place the cane & affected extremity down on the step. Then step down the unaffected extremity'

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

d) Transport the victim to the operating room for surgery

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

d) Urinary obstruction

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

d) Urinary obstruction

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

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

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.

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 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.

d) Utilizing a variety of educational materials.

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

d) Visionary and interpersonal skills

Which of the following sets of needs should be included in your service user's person centred care plan? a) social, spiritual and academic needs b) medical, psychological and financial needs c) physical, medical, social, psychological and spiritual needs d) a and b only e) all of the above

d) a and b only

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.

d) a method of combination of methods that will be most effective in a given situation.

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

d) a patient with Stephen Johnson Syndrome

How to act in an emergency in a health care set up? a) according to the patient's condition b) according to instruction c) according to situation d) according to our competence

d) according to our competence

How the nurse assesses the quality of care given A) reflective process b) clinical bench marking c) peer and patient response d) all the above

d) all the above

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

d) alternating pressure

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

d) ask student to stop feeding and assess patients swallowing

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.

d) call for help, give oxygen, administer adrenaline 500 mcg IM, give salbutamol nebs if prescribed.

Management of moderate malnutrition in children? a) supplimentary nutrition b) immediate hospitalization c) weekly assessment d) document intake for three days

d) document intake for three days

Which is the most dangerous site for intramuscular injection? a) ventrogluteal b) deltoid c) rectus femoris d) dorsogluteal

d) dorsogluteal - sciatic nerve, former site Note: Ventrogluteal - site of choice Deltoid - easy access Rectus femoris - self administer, for infants

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

d) encourage the patient to wait by telling the need for treatment

What instructions should you give a client receiving oral Antibiotics? a) Consume it all at once b) take the antibiotic with glass of water c) Take the medication with meals and consume all the antibiotics d) take the medication as prescribed and complete the course

d) take the medication as prescribed and complete the course

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

d) transform weight to walker and walk

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

d) using a 4 point gait

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

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

Which of the following should be considered before giving digoxin? a) Allergies b) Drug interactions c) Other interactions with food or substances like alcohol and tobacco d) Medical problems (Thyroid problems, kidney disease, etc. e) All of the above.

e) All of the above.

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

e) Is non-absorbent

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

e) None of the above

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

e) None of the above

Dehydration is of particular concern in ill health. If a patient is receiving intravenous (IV) fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in a positive fluid balance? B) The fluid output has exceeded the input. c) The doctor may consider increasing the IV drip rate. d) The fluid balance chart can be stopped as positive in this instance means good. e) The fluid input has exceeded the output.

e) The fluid input has exceeded the output.

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) Tap water only e) long-life fruit juice and filtered water

e) long-life fruit juice and filtered water

Maisie is 86 years old, and has been in the nursing home for 5 years now. She has been complaining of burning sensation in her chest and sour taste at the back of her throat. What would she most likely to be prescribed with? a.) Ranitidine b.) Zantac c.) Paracetamol d.) Levothyroxine e.) a and b f.) b and

e.) a and b for hear burn

The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by: d) Cats e) Dogs f) Turtles g) Birds 944.

g) Birds

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? e) Assault f) Slander g) Negligence h) tort

g) Negligence