Below is cbt sample questions with answers
1. A nurse is assisting the doctor in obtaining history and assessment for a 16y.o patient. As the doctor interviewed the patient, the nurse noted that the patient gets anxious and seemed not to understand the doctor. What is the appropriate action of the nurse?
• During consultation, respect professional boundary, intervene only when asked
• Remain with the patient and doctor. Attempt to rephrase what the doctor said, equally engaging with the patient and doctor so as to promote trust and understanding
• Remain with the patient and the doctor. Do nothing, your presence show a non-verbal support
• Ask the patient later what he does not understand
2. According to Francis Report, Courage is:
• It is that quality made by relationships based on empathy, respect and dignity. It can also be described as intelligent kindness, and is central to how people perceive their care. (THIS IS COMPASSION)
• Defines us and our work. People receiving care expect it to be right for them, consistently, throughout every stage of their life. (THIS IS CARING)
• Means all those in caring roles must have the ability to understand an individual’s health and social needs and the expertise, clinical and technical knowledge to deliver effective care and treatments based on research and evidence (THIS IS COMPETENCE)
• Enables you to do the right thing for the people we care for, to speak up when we have concerns and to have the personal strength and vision to innovate and to embrace new ways of working (ANSWER)
3. A patient is getting opioid for pain at home. How is the controlled medication supplied to the patient as per the standards of medicine Management?
• The community nurse shows her identity card, and signs the form before the pharmacist. The Medicine is then transported separately. After received by the patient, the nurse sign in the administration chart.
• The community nurse show her identity card to the pharmacist, sign the form on receiving of the controlled drug, She then transport the drug to patient’s home, After administration of medication she sign the chart on witness of a competent person.
• The drug is collected by two registered nurses, they both sign the form and then transported the drug to the patient’s home, where the patient sign the medication chart in witness of competent person
• The controlled drug is signed by both the pharmacist and the nurse while collecting, and then it is transported to the patient’s home separately, the drug administration chart is signed by a competent person
4. What activity a nurse should do at first before giving direct care to a patient?
• Check consent
• Wash hands using the 6 steps
• Provide privacy using side curtains
• Talk to the patient
5. Facial edema is caused by what type of illness:
• Right Ventricular Failure
• Left Ventricular Failure
• Pulmonary edema
6. Which among the following is the right angle for administering a subcutaneous injection?
• 45 degrees
• 40 degrees
• 90 degrees
• 15 degrees
7. A child has swallowing problems, whom to refer?
8. Group of people in charge of facilitating skills and knowledge development of student nurses in clinical area:
• Only the nurse manager and mentor of the student
• A specially trained mentor for nursing student
• All Registered Nurses in the area
• The Charge nurse only
9. MRSA is:
• Methicillin Resistant Staphylococcus Aureus
• (some choices I forgot)
10. Patient is experiencing difficulty in eating due to ill-fitting dentures. What are the signs of denture stomatitis?
• White patches on tongue
• Red patches on cheeks and around teeth
• White patches on cheeks and around teeth
• Red patches on tongue
11. Which one is not part of Tuckman’s group formation theory?
12. Which one in the following is not a sign of depression?
• Loss of hope
• Increase energy
• other 2 choices
13. Most common site of aneurysm:
• Circle of willis
• Abdominal Aorta
• (other choices I can’t remember)
14. Early signs of phlebitis:
• Site pain and redness
• Warm and cyanotic
15. Most dangerous site for IM injection:
16. When a risk for abuse patient in hospital, safeguarding is the responsibility of whom?
• Hospital management
• Senior nurse
• All the above
17. Care, Compassion, Competence, Communication, Courage and Commitment, what are all these?
• Nursing Code
• 6 Cs
18. You are working in a very busy community unit, and you are supervising the feeding of residents. What is the most appropriate thing action of the nurse?
• Appoint specially trained person to assist those who have difficulties and problems in feeding
• Ask the chef to serve food that can be easily eaten
• (2 more choices)
19. One patient wants to go home against medical advice. Based on Mental Health Act the nurse is concerned about his mental competency. What is the appropriate action?
• Inform security
• Encourage patient to stay for his or her wellbeing
• Wait for the doctor
• Let him go, because no physical impairment at present that makes him at risk
20. Common medication error in a busy area:
• Poor medication storage
• Failure to document
• Failure to check right dose and identity
21. A 38 yo woman reports of vaginal bleeding 48hrs after normal vaginal delivery. What is this type of post-partum hemorrhage classified as?
• Post-partum age related bleeding
22. Best advice for patient taking Allopurinol:
• Drink plenty of fluids (2-3L per day)
• Daily exposure to sunlight
23. The doctor ordered antibiotics for a patient with sepsis. When should the nurse start the therapy?
• Immediately upon arrival in the ward area
• Immediately after blood culture is taken
• When sepsis is suspected
• Immediately after the receiving the blood culture result
24. Calculate fluid balance: Input 2,738, Output 750
25. Sign of fluid deficit
• Bounding pulse
26. Loss of speech
27. A 45 y.o Asian female patient with mental capacity refused to consent for surgery. The family informed the doctor to go ahead of surgery despite patient’s refusal. What is the appropriate action of the nurse to protect the patient’s rights?
• Make sure the patient is well informed of the consequences of her action and is given enough time to consider the importance of surgery
• The surgeon can decide without patient’s consent
• The family has the right to decide considering their culture
• Go ahead with the surgery without the patient’s consent
28. Working in an elderly nursing unit with patients with hearing and learning disability, the nurse manager is telling you to finish morning bath for all patients before 10 am, asking you to implement task oriented approach.
• Inform the nurse manager to be realistic about the time and inform all staff about new working process.
• Inform the family and the patient
• Inform the charge nurse that this task oriented approach is not practical and it will affect the quality of giving holistic care
• Follow the instructions because the nurse manager is given deadline for the task.
29. Isolation room laundry is separated from normal soiled laundry in the UK by:
• Red plastic bag that disintegrates at high temperature
• Red linen bag that can withstand high temperatures
• White linen bag that can withstand high temperatures
• Yellow plastic bag that cannot withstand high temperatures.
30. If the patient meets medium score in MUST score, what advise you will give?
• Refer to dietician
• Make 3 days food history observation
• Weekly screening after 2 weeks
• Provide food supplements
31. Position of patient when giving eye medication:
• Sitting with head tilted to the right
• Sitting with head tilted backwards and in midline position
32. For a client with Water Score >20 which mattress is the most suitable
• Fluidized Mattress
• Air Mattress
• Dynamic Mattress
• Foam Mattress
33. Loss of epidermis, with shallow blister without slough:
• Stage II Partial Thickness
• Stage 1
• Stage 3 Full thickness
• Stage 4
34. While serving food for patient’s relative, mother is telling no need to give food to her son because he will eat a lot, but her son looks so thin and malnourished. What is the appropriate action for RN?
• This is an adult neglect and abuse. Investigate the case and inform the manager
• This is child neglect and abuse. Raise safeguarding alert, inform your manager for support
• Report the case to Social Services, it is not the nurse responsibility to investigate abuse cases
• Ignore the mother and give food to the child
35. An 18 year old young adult, involved in vehicular accident refused to eat the food which she ordered. What defense mechanism is she using? (NOTE: THE CHOICES WERE STATED IN LENGHTY SENTENCES, BUT MORE OR LESS THESE ARE THE MAIN CHOICES)
36. One patient shared secret information to the RN and wants her to keep it. What is the RN’s response?
• Tell her that if the information is not shared, it will disturb his care or well being
• Tell her that all information should be shared to all health care team
• All information must be kept confidential
• The RN should keep the secret as establishing trust is of important professional integrity
37. An 80 year old woman has lost her husband recently. Her brother comes to see her & finds her very upset. After 2 weeks when her brother calls her up, she says that her husband died yesterday & that she is having urgency for urination & burning sensation while passing urine & that she finds cats & rats in her kitchen. This indicates;
• She is in an early stage of Alzheimer’s disease
• UTI induced delirium
• She is psychologically upset
• She is suffering from Post-Traumatic stress disorder (PTSD)
38. A Dementia patient crying in the midnight, pulling her dresses, what may be unnoticed was caused by:
• Suicidal ideation
39. When an oropharyngeal airway is inserted properly, what is the sign?
• Airway obstruction
• Retching and vomiting
• other 2 choices
40. The common cause of airway obstruction for unconscious patient in supine position:
• Foreign body
• Fall of tongue
• other 2 choices
41. Nursing care is:
• Task oriented
• Using nursing process with medical model
• Patient oriented and individualistic care
• All of the above
42. Head injury patient, GCS 15/15, next GCS should be done at what time?
• After 30 min
• After 5 min
• After 15 min
• After 1 hour
43. Which among these suggests poor leadership?
• Recognition of empathy towards team members
• Recognition and acceptance of underperformance of an individual team member
• Recognition of team leader behavior affecting the performance of team
• Recognition of how well being of team members can affect performance
44. Symptoms of anaphylactic reaction:
• Sudden, sharp hypotension
• Increase in BP
• other 2 choices
45. NMC practice hours needed for 3 years
• 35 hours
• 45 hours
• 40 hours
46. As a community nurse, your patient approached you saying that he developed some allergic reaction when he had taken the newly prescribed drug. What is the appropriate response?
• Call for help, assess the patient in ABCDE. Report using yellow card scheme. Monitor the condition until help arrives.
• Ask him stop medicine. This is the only advice you can give since the patient makes decision at home
• Call the pharmacist
• Ring the GP, remove the medication at home
47. A community health nurse, with a second year nursing students is collecting history in a home. Nurse notices that she is not at all interested in what is going around and is chatting on her phone. What is the ideal response?
48. Now the medical team encourages early ambulation in the post-operative period. Which complication is least prevented by this?
• Tissue wasting
• Wound infection
49. A patient was on morphine in hospital. On discharge doctor prescribes fentanyl patches. At home patient should be observed for which signs of opiate toxicity?
• Shallow, slow respiration, drowsiness, difficulty to walk, speak and think
• Rapid, shallow respiration, drowsiness, difficulty to walk, speak and think
• Rapid wheezy respiration, drowsiness, difficulty to walk, speak and think
• Slow noisy respiration, drowsiness, difficulty to walk, speak and think
50. Contingency theory is:
• 4 CHOICES
51. What areas to consider when making decisions on safeguarding?
• Patient capacity, background, legal status
• Patient age, level of infirmity, environment
• What, who, when
• Type of harm, degree of harm, etc
52. A smoking cessation nurse used this to communicate to and involve her patient in his care:
• Ehealth options
• National Nursing Database
• Care core plans
• Nicotine Replacement Therapy
53. A nurse in acute care setting was not able to give the routine medication for the patient. What is the appropriate action of the nurse?
• Inform the pharmacist
• Inform the Senior nurse that the medicine was not given
• Call the GP and inform that the medicine was not given
• Record the omission on the chart and state the reason
54. Community hospital provides the following types of care:
• Rehabilitation, acute care, primary care, step-down care for patients discharged form hospital, occupational therapy
• Respite care, primary care, psychiatric services
• Rehabilitation, long-term care, step-down care for patients from acute care,
55. Which among the following is not notifiable infectious disease at national level?
• Chicken pox
• Swine flu