NMC CBT Sample Questions
1. According to law in England, UK when you faced with a situation of emergency what is your action?
•You are not obliged in any way but as a professional duty advises you to stop and assist
2. Which of the following actions jeopardise the professional boundaries between patient and nurse
•Focusing on social relationship outside working environment
3. An elderly client with dementia is cared by his daughter. The daughter locks him in a room to keep him safe
•Explain this is a restrain. Urgently call for a safe guarding and arrange a multi-disciplinary team conference
4. An elderly client tells you that the carer is using his money when going for shopping and not buying him any food. The client appears malnourished and weighing only 35 kgs. As a newly qualified nurse what is your action?
•Listen to client and raise concern with line manager
5. 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
•Arrange for interpreter to ask questions in private
6. 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?
•Ask the wife to give him fluid, and enquire about his fluid preferences and usual drinking time
7. A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively
8. Risk for health issues in a person with mental health issues
•Increased than in normal people
9. What is the use of protected meal time?
•Patients get enough time to eat food without distractions while staff focus on people who needs help with eating
10. Food rich in antioxidants
Tomato broccoli carrot
11. Prions are present in
12. A slow and progressive disease with no definite cure,only symptomatic Management?
13. An infectious patient is kept in isolation and are advised to take standard precaution. How maintained?
waste disposal facilities arranged inside room ,Gloves mask apron and handrub arranged on a trolly ouside room next to door.
14. How can you encourage elderly to get involved in patient centerd care?
•Engaging to elderly patient in conversation assessing and identifying needs by involving client focusing on preferences and formulating plan accordingly.
15. You are mentoring a 3rd year student nurse, the student request that she want to assist a procedure with tissue viability nurse, howcan you deal with this situation
•Tell her it is possible if you provide direct supervision
16. Which drug can be given via NG tube?
17. Why constipation occurs in oldage?
•Decreased muscle tone and peristalsis
18. Independent and supplementary nurse and midwife are those who are?
nurse and midwife student who cleared medication administration exam
nurses and midwives educated in appropriate medication prescription for certain pharmaceuticals
19. 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?
d. should have asked another staff nurse to be a chaperone while assisting a procedure
20. 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?
•Tell her that you are concerned of her welfare and you may need to share this information appropriately with the people who offer help
21. As a RN when you are administering medication, you made an error. Taking health and safety og the patient into consideration, what is your action?
•Assess for potential harm to client, inform the line manager and prescriber and document in patient notes
22. 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
•Intervene on spot and raise concern immediately to the manager on duty
23. A newly admitted client refusing to handover his own medications and this includes controlled drugs. What is your action?
•Document this refusal as these medications are his property and should not do anything without his consent
24. A nurse is not allowing the client to go to bed without finishing her meal. What is your action as a RN?
•Challenge the situation immediately as this is related to dignity of the patient and raise your concern
25. A client had fractured hand and being cared at home requiring analgesia. The mediaction was prescribed under PGD.
•PGD’s cannot be delegated to anyone
*there was another question stating immunization under pgd to be delegated to a student nurse, same answer PGD CANNOT BE DELEGATED TO ANYONE.
26. You are transcribing medications from prescription chart to a discharge letter. Before sending this letter what action must be taken?
•A registrant should sign this letter
27. When explaining about travellers’ diarrhoea which of the following is correct?
•Adsorbents such as kaolin is ineffective and not advised
28. Most of the s/s are common in both type1 and type 2 diabetes. Which of the following symptom is more common in typ1 than type2?
29. 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?
Assessing all patients using MUST screening tool and by taking patients preferences into consideration
•Assessing nutritional status, client preferences and needs, making individual food choices available, checking daily weight and documentation *I chose this answer over the other one because I think it”s more comprehensive, also NOT ALL patients are to be assessed using MUST screening tool. #mytotdou
30. When do you wear clean gloves?
•When there is broken skin on hand
31. When delegating any task to any one what you must need to consider?
•Before delegating tasks to anyone, have to make sure that person is competent and able to carry the task
32. If a client is experiencing hypotension post operatively, the head is not tilted in which of the following surgeries
33. A client is diagnosed with hepatitis A. which of the following statements made by client indicates understanding of the disease
•Sexual intimacy and kissing is not allowed
34. Which of the following statements made by client diagnosed with hepatitis A needs further understanding of the disease.
•Towels and flannels can be shared with children
35. Clinical practice is based on evidence based practice. Which of the following statements is true about this
•Clinical practice based on clinical expertise and reasoning with the best knowledge available
36. Gurgling sound from airway in a postoperative client indicates what
•Partial obstruction of upper airway
37. When breaking bad news over phone which of the following statement is appropriate
•I am sorry to tell you that your mother died
38. After breaking bad news of expected death to a relative over phone , she says thanks for letting us know and becomes silent. Which of the following statements made by nurse would be more empathetic?
•You seem stunned. You want me to help you think what you want to do next
39. Signs and symptoms of septic shock?
•Tachycardia, hypotension, Tachypnea increased WBC, pyrexial (hypo, tachy, tachy)
40. During busy shift, a nurse loads medication and asks you to administer it. What is your action?
Refuse to administer the medication
41. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?
•Is a expert and representates clients concerns, wishes and views as they can not express by themselves
42. Position to make breating effective?
43. which solution use minimum tissue damage while providing wound care
44. 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
45. Reason for dyspnoea in patients who diagnosed with Glomerulonephritis patients?
•Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli
46. An RN is working in a team.Who is responsible for her action?
47. Why is it essential to humidify oxygen used during respiratory therapy?
•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.
48. 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 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.
49. What is the most accurate method of calculating a respiratory rate?
Counting the number of respiratory cycles in 1 minute. One cycle is equal to the complete rise and fall of the patient’s chest.
50. Signs and symptoms of compensated shock
• Tachycardia, Normotensive
51. Signs and symptoms of anemia in old age
• Fatigue, Difficulty of breathing, tachycardia
52. Signs and symptoms of anxiety except
53. cvp line measures?
•Pressure in right atrium
54. Normal value of oxygen saturation
56.Normal value of blood pH
57. Little or no urine output termed as?
58. If not properly managed, stress could lead to?
• Heart problems and Higher risk of Infection
59. TVN is not around during the discussion
• Lead the discussion
60. Neutropenic patient priority dx?
a. Risk for falls
b. Risk for malutrition
c. Risk for pain
d. Risk for infection – Just a wild guess
61. Which one of the following you cannot allow to self administer medication?
a. Elderly patient
b. Alcohol dependent patient
c. Confused patient – Just a wild guess
d. Drug abused patient
62. Neutopenic patient to be discharged at home, your instructions?
• Monitor temp twice a day and report if above 2celcius than normal
63. Sickle cell anemia client is well aware of his condition and care, admitted to the ER for the first time due to acute pain.
a. Immediately administer morphine, kept him warm, encourage oral intake, and follow distraction therapy methods.
b. Start hydration, iv fluids followed by analgesics using nsaids, oxygen therapy.
c. Administer analgesics within 30 mins of arrival, kept warm, oxygen therapy, assess pain scale. *I chose this because the pt. only reported acute pain which can be relieved using mild analgesics, had the question stated severe pain, I would’ve chosen option A, also it is more comprehensive. #mytotdou
64. Transformational Leadership
• Monitoring/shows interest in the development of the staff/subordinates.
65. Role modeling means?