Disclaimer: Note that these questions are just sample questions to help you to pass the NMC CBT exam. They were sent in by a reader
1. According to law in England, UK when you faced with a situation of emergency what is your action?
• Should not assist when it is outside of work environment
• Law insists you to stop and assist
• You are not obliged in any way but as a professional duty advises you to stop and assist
• Do not involve in the situation
2. Which of the following actions jeopardise the professional boundaries between patient and nurse
• Focusing on social relationship outside working environment
• Focusing on needs of patient related to illness
• Focusing on withholding value opinions related to the decisions
3. An elderly client with dementia is cared by hid daughter. The daughter locks him ina room to keep him safe when she goes out to work and not considering any other options. As a nurse what is your action?
• Explain this is a restrain. Urgently call for a safe guarding and arrange a multi-disciplinary team conference
• Do nothing as this is the best way of keeping him safe
• Call police, social services to remove client immediately and refer to safeguarding
• Explain this is a restrain and discuss other possible options
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
• Do nothing as he is confused
• Listen to the client and call safeguarding lead
• Listen to the client and confirm with the carer
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
• Ask her husband about the bruises
• Ask her son/ daughter to translate
• Arrange for interpreter to ask questions in private
• Do not carry any assessment and document this is not possible as the client cannot speak English
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
• Tell her to wait and you need some time to make him drink
• Inform doctor to start iv fluids to prevent dehydration
7. .A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively
• Prioritise people
• Practice effectively
• Preserve safetey
• Promote professionalism and trust
8. Risk for health issues in a person with mental health issues
• Increased than in normal people
• Slightly decreased than in normal people
• Very low as compared to normal people
• Risk is same in people with and without mental illness
9. What is the use of protected meal time?
• Patient get protection from visitors
• Staff get enough time to have their bank
• To give personal hygiene to patients who are confused
• 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 bin ,handrub, gloves gown and mask available in room. Information leaflet attached on door
• Gloves gown and mask given to the patient
• Gloves gown and mask placed inside the room and waste disposal facilitied are kept outside
• waste disposal facilities arranged inside room ,Gloves mask apron and handrub arranged on a trolly ouside room next to door.
14.How can a patient involved in patient centerd care?
• Assessing patient health care needs with the other members of the health care team
• Engaging patient in conversation assessing and identifying needs by involving client focusing on preferences and formulating plan accordingly.
• Engaging patients in discussion and focusing care based on his medical condition
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 not possible
• Tell her it is possible if you provide direct supervision
• Call to the college and ask whether it is possible for a 3rd student to assist the procedure
• Allow her as this is the part of her learning
16.Which drug can be given via NG tube?
• Modified release hypertensive drugs
• Crushing the tablets
• Lactulose syrup
17. Why constipation occurs in oldage?
• Anorexia and weight loss
• Decreased muscle tone and periatalsis
• Increased mobility
• Increased absorption in colon
18.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
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?
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
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?
• Call her husband to know what is happening
• Tell her that you are concerned of her welfare and you may need to share this information appropriately with the people who offer help
• Do nothing as she does not want to speak anything
• Call the police
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?
• Call the prescriber. Report through yellow card scheme and document it in patient notes
• Let the next of kin know about this and document it
• Document this in patient notes and inform the line manager
• Assess for potential harm to client, inform the line manager and prescriber and document in patient notes
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
• Suspend HCA immediately
• Intervene on spot and raise concern immediately to the manager on duty
• Ask the client later on what has happened
• Ignore the student as she is new and does not have any experience
23. a newly admitted client refusing to handover his own medications and this includes controlled drugs. What is your action?
• You have to take it any way and document it
• Call the doctor and inform about the situation
• Document this refusal as these medications are his property and should not do anything without his consent
• Refuse the admission as this is against the policy
24. A nurse is not allowing the client to go to bed without finishing her meal. What is your action as a RN?
• Do nothing as client has to finish her meal which is important for her health
• Challenge the situation immediately as this is related to dignity of the patient and raise your concern
• Do nothing as patient is not under your care
• Wait until the situation is over and speak to the client on what she wants to do
25. A client had fractured hand and being cared at home requiring analgesia. The mediaction was prescribed under PGD. Whaich of the following statements are correct relating to this
• A PGD can be delegated to student nurse who can administer medication with supervision
• PGD’s cannot be delegated to anyone
• This type of prescription is not made under PGD
• This can be delegated to another RN who can administer in view of a competent person
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
• Transcribing is not allowed in any circumstances
• The letter has to be checked by a nurse in charge
• Letter can be sent directly to the patient after transcribing
27. when explaining about travellers’ diarrhoea which of the following is correct?
• Travellers’ diarrhoea is mostly caused by Rotavirus
• Antimotility drugs like loperamide is ineffective management
• Oral rehydration in adults and children is not useful
• 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?
• Weight loss
• Poly urea
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?
• Providing all clients with liquid nutritional supplements
• Assessing all patients using MUST screening tool and by taking patients preferences into consideration
• Checking daily weigh and documenting
• Assessing nutritional status, client preferences and needs, making individual food choices available, checking daily weight and documentation
30. when do you wear clean gloves?
• Assisting with bathing
• Feeding a client
• When there is broken skin on hand
• Any activity which includes physical touch of a client
31. when delegating any task to any one what you must needto consider?
• Delegating according to job description
• Delegating tasks to student nurses they can be able to do
• Delegating tasks only to health care assistans
• 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
• Chest surgery
• Abdominal surgery
• Gynaecological surgery
• Lower limb surgery
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
• Does require hospitalization
• Transmitted only through blood transfusions
• Any planned surgery need to be postponed
34. which of the following statements made by client diagnosed with hepatitis A needs further understanding of the disease.
• Washing hands before cooking food
• Refraining from sexual intimacy and kissing while symptoms still present
• 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
• Provision of computers at every nursing station to search for best evidence while providing care
• Practice based on ritualistic way
• Practice based on what nurse thinks is the best for patient
36. gurgling sound from airway in a postoperative client indicates what
• Complete obstruction of lower airway
• Partial obstruction of upper airway
• Common sign of a post-operative patient
• Indicates immediate insertion of laryngeal 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
• I am sorry to tell you that your mother has gone to heaven
• I am sorry to tell you that your mother is no more
• I am sorry to tell you that your mother passed away
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 statemnts made by nurse would be more empathetic
• Say I will ask the doctor to call you
• You seem stunned. You want me to help you think what you want to do next
• Call me back if you have got any questions
• Say can I help you with funeral arrangements
39. signs and symptoms of septic shock?
• Tachycardia, hypertension, normal WBC, non pyrexial
• Tachycardia, hypotension, increased WBC, pyrexial
• Tachycardia, , increased WBC, normotension, non pyrexial
• Decreased heart rate, decreased blood pressure, normal WBC and pyrexial
40. during busy shift, a nurse loads medication and asks you to administer it. What is your action?
Ask student nurse to help you administer medication
Ask another staff nurse to help you with administering medication
Accept to administer the medication
Refuse to administer the medication
41. a patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?
• Express patients needs and wishes. Acts as a patients representative in expressing their concerns as if they were his own
• Just to accompany the patient
• To take decisions on patients behalf and provide their own judgements as this benefit the client
• Is a expert and representates clients concerns, wishes and views as they can not express by themselves
42. Position to make breating effective?
• -left lateral
• -Right Lateral
• -High sidelying
43. which solution use minimum tissue damage while providing wound care
• Hydrogen peroxide
• Povidine iodine
• Gention violet
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
• 30 sec
45. Reason for dyspnoea in patients who diagnosed with Glomerulonephritis patients?
• Albumin loss increase oncotic pressure causes water retention in cells
• Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli
• Albumin loss has no effect on oncotic pressure
46. An RN is working in a team.Who is responsible for her action?
• Charge nurse
47. Why is it essential to humidify oxygen used during respiratory therapy?
• Oxygen is a very hot gas so if humidification isn’t used, the oxygen will burn the respiratory tract and cause considerable pain for the patient when they breathe.
• 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.
• Humidification cleans the oxygen as it is administered to ensure it is free from any aerobic pathogens before it is inhaled by the patient.
• Humidifying oxygen adds hydrogen to it, which makes it easier for oxygen to be absorbed to the blood in the lungs. This means the cells that need it for intracellular function have their needs met in a more timely manner.
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?
• Shout for help and run to collect the crash trolley.
• Ask the patient to calm down and check her most recent set of bloods and fluid balance.
• 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.
• Check baseline observations and refer to the cardiology team.
49. 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.
50. 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.
51. signs and symptoms of compensated shock
52. signs and symptoms of anemia in old age
53. signs and symptoms of anxiety
54. signs and symptoms of speed shock
55. little or no urine output termed as?
56.cvp line measures?
• Pressure in right atrium
• Pulmonary arteries
• Left ventrivle
• Vena cava
57. Normal value of oxygen saturation
58. Normal value of blood pH