The nursing process involves the following:
0/1
Assessment, diagnosis, planning, intervention and evaluation
Assessment, differentiation, planning, intervention, evaluation
Assessment, planning, intervention, evaluation
Assessment, planning, referring, evaluation
Correct answer
Assessment, diagnosis,
planning, intervention and evaluation
What are the steps of the nursing process?
0/1
Assessing, diagnosing, planning, implementing, and evaluating
Assessing, planning, implementing, evaluating, documenting
Assessing, observing, diagnosing, planning, evaluating
Assessing, reacting, implementing, planning, evaluating
Correct answer
Assessing, diagnosing,
planning, implementing, and evaluating
When do you see problems or potential problems?
0/1
Assessment
Planning
Implementation
Evaluation
Correct answer
Assessment
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
thereafter. What phrase of nursing process is being implemented here by the
nurse?
0/1
Assessment
Diagnosis
Planning
Implementation
Correct answer
Assessment
Constipation needs to be sort out during:
0/1
Planning
Assessment
Implementation
Evaluation
Correct answer
Assessment
At what stage of the nursing process does the revision of the
care plan occur?
0/1
Assessment
Planning
Implementation
Evaluation
Correct answer
Evaluation
When do you plan a discharge?
0/1
24 hours within admission
72 hours within admission
48 hours within admission
12 hours within admission
Correct answer
24 hours within admission
Hospital discharge planning for a patient should start:
0/1
When the patient is medically fit
On the admission assessment
When transport is available
Correct answer
On the admission assessment
Which statement is not correct about the nursing process?
0/1
An organised, systematic and deliberate approach to nursing with
the aim of improving standards in nursing care
It uses a systematic, holistic, problem solving approach in
partnership with the patient and their family
It is a form of documentation
It requires collection of objective data
Correct answer
It requires collection of
objective data
What is comprehensive nursing assessment?
0/1
It provides the foundation for care that enables individuals to
gain greater control over their lives and enhance their health status
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
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
It is a continuous assessment of the patient’s health status
accompanied by monitoring and observation of specific problems identified
Correct answer
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
Nursing process is best illustrated as:
1/1
Patient with medical diagnosis
Task oriented care
Individualised approach to
care
All of the above
Which of the following descriptors is most appropriate to use
when stating the "problem" part of a nursing diagnosis?
0/1
Grimacing
Anxiety
Oxygenation saturation 93%
Output 500 mL in 8 hours
Correct answer
Anxiety
To prepare a client for discharge home from an acute care
facility, a nurse knows that the planning process must begin at what point?
0/1
The night before discharge
Upon admission to the hospital
Prior to discharge
When the client indicates the readiness for discharge planning and
teaching
Correct answer
Upon admission to the
hospital
Making sure that people are involved in and central to their
care is now recognised as a key component of developing high quality health
care. This is because it is hoped that putting people at the centre of their
care will:
0/1
·
Help people get the care they wanted when they are enrolled in the
NHS
·
Help improve the quality of the services available
·
Help people be more active in looking for health care providers
themselves
·
Help reduce some of the pressures on providing social services
Correct answer
Help improve the quality of
the services available
As a nurse, you make sure that the patient and public safety is
protected. Thus, you work within the limits of your competence, exercising your
professional 'duty of candour' and raising concerns immediately whenever you
come across situations that put patients or public safety at risk. Which is the
least effective way to protect a patient's safety?
0/1
·
Support the exchange of information at all levels without fear and
against authority gradients - is known to be associated with constant awareness
to the possibility of hazard or harm
·
Support for continual learning, growth and adaptation even under
stress by valuing relevant knowledge, skills and observations even at the
lowest levels of hierarchy
·
Support the willingness and capacity to look beyond first
impressions, labels and old beliefs - organisations must remain closely in
touch with activities and facts on the ground in the daily operations
·
Support the openness culture that encourages clear lines to report
concerns and reinforces the attitudes that prevent safeguarding concerns from
scrutiny where staff at all levels feel confident that they can voice their
concerns without fear of victimization
Correct answer
Support the openness
culture that encourages clear lines to report concerns and reinforces the
attitudes that prevent safeguarding concerns from scrutiny where staff at all
levels feel confident that they can voice their concerns without fear of
victimisation
The nurse wants to involve a patient in a programme of care
geared towards the patient to quit smoking. The nurse should make use of which
of the following in communicating to or involving patient in the plan of care:
0/1
National nursing database
Ehealth services
Nicotine replacement therapy
Core care plans
Correct answer
Core care plans
One of the principal responsibilities of a nurse is to educate
patients, however, time and work-related constraints can interfere with the provision
of patient education. Which of the following is most crucial and can influence
the patient's ability to retain pre-operative information?
0/1
Timing of the education
Educational level of the patient and family
The information is appropriate for the patient's understanding
All of the options above
Correct answer
Timing of the education
Who should be responsible in proper disposal of sharps
0/1
Healthcare assistant
Doctor
Registered Nurse
The professional who used the sharp
Correct answer
The professional who used
the sharp
Who is responsible in disposing sharps?
0/1
Registered nurse
Nurse assistant
Whoever used the sharps
Whoever collects the garbage
Correct answer
Whoever used the sharps
How can risks be reduced in the healthcare setting?
1/1
·
By adopting a culture of
openness and transparency and exploring the root causes of patient safety
incidents
·
Healthcare will always involve risks so incidents will always
occur; we need to accept this
·
Healthcare professionals should be encouraged to fill in incident
forms; this will create a culture of ‘no blame’
·
By setting targets which measure quality
All but one describes holistic care:
1/1
v 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
v It embraces all
nursing practice that has enhancement of healing the whole person from birth to
death as it’s goals
v An all nursing practice that has healing the person as
its goal
v It involves
understanding the individual as a unitary whole in mutual process with the
environment
Adam, 46 years old is of Jewish descent. As his nurse, how will
you plan his dietary needs?
0/1
Assume he strictly needs Jewish food
Ask relatives to bring food from kosher market
Ask a rabbi to help you plan
Ask the patient about his diet preferences
Correct answer
Ask the patient about his
diet preferences
Patient-centred care is best defined as:
0/1
Care is focused on the doctor
Care is focused on the health team
Care is focused on the patient
Care is focused on the environment
Correct answer
Care is focused on the
patient
Which of the following is not a component of end of life care?
0/1
Resuscitation and defibrillation
Reduce pain
Maintain dignity
Provide family support
Correct answer
Resuscitation and
defibrillation
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?
1/1
·
Ask the patient the
assistance he needs
·
Delegate someone to feed him
·
Ask the relatives to assist in feeding him
·
Look for volunteer to assist with his needs
The rehabilitation nurse wishes to make the following entry into
a client's plan of care: "Client will reestablish 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?
0/1
·
Long-term goals
·
Short-term goals
·
Nursing orders
·
Nursing diagnosis/problem list
Correct answer
Long-term goals
After instructing the client on crutch walking technique, the
nurse should evaluate the client's understanding by using which of the following
methods?
0/1
Have client explain produce to the family
Achievement of 90 on written test
Explanation
Return demonstration
Correct answer
Return demonstration
A nurse should be able to show awareness of his/her role in
health promotion and supporting a healthy lifestyle. Whilst providing health
education to a group of patients with cancer about management of their
non-healing wounds, it is important for one to:
0/1
Consider individual wound management priorities
Review the patient’s treatment plan
Determine the locations of the wounds
Verify the types of cancer
Correct answer
Consider individual wound
management priorities
It is important to read the label on every IV bag because:
0/1
Different IV solutions are packaged similarly
The label contains the expiration date of the IV fluid
A and B
A only
Correct answer
A and B
Julie, 50 years old, was admitted to the hospital with
gastrointestinal bleed presumed to be oesophageal varices. It has been
recommended that she needs to be transfused with blood; however, due to her
religious and personal beliefs, she needed volume expanding agents.
Unfortunately, she died a few hours after admission. Before dying, she said
that it was God’s will, which she believed was right. Which of the following
statements is false?
0/1
·
Health professionals should be aware of imposing one’s world view
upon others and strive to be more receptive and sensitive to the needs of
others
·
Individual choice, consent and the right to refuse treatment is
important
·
It is important for all health professionals to do any means to
keep a patient alive regardless of traditions and beliefs
·
None of the Above
Correct answer
It is important for all
health professionals to do any means to keep a patient alive regardless of traditions
and beliefs
Pauleena, 57 years old, suffered from a very dense left sided
Cerebrovascular Accident / Stroke. She was unconscious and unresponsive for
several days with IV fluids for hydration. Since her recovery from stroke, she
has been prescribed to commence enteral feeding through a fine bore nasogastric
tube, in which she signed her consent in front of her who have always been
supportive of her decisions. However, she tends to pull out her NGT when she is
by herself in her room. She died of malnutrition after a few days. Which of the
following statements is true?
0/1
·
Nurses should have the empathy to listen to more than just the
spoken word
·
Nurses should practice in accordance to Pauleena’s best interest
while providing support to the family and listening to their concerns and
wishes
·
Pauleena needs to be supported with questions related to mortality
and meaning of life Therapautic communication is also essential
·
All of the above
Correct answer
All of the above
Which of the following sets of needs should be included in your
service user’s person centred care plan?
0/1
·
Social, spiritual and academic needs
·
Medical, psychological and financial needs
·
Physical, medical, social, psychological and spiritual needs
·
A and B only
·
All of the above
Correct answer
Physical, medical, social,
psychological and spiritual needs
What is likely to be true of a nurse's duties when she acts as a
case manager providing community-based nursing services to a specific group of
individuals?
0/1
·
The nurse will care for clients at the center, in their homes, and
in the hospital
·
The nurse sees only clients who come to the office
·
The nurse works independently of other health care professionals
·
The nurse will not continue client care if it involves long-term
needs
Correct answer
The nurse will care for
clients at the center, in their homes, and in the hospital
A client is to be discharged home from a hospital using crutches
or a wheelchair. The client lives alone with three cats. Which assessment
parameter is most important on the initial home visit?
0/1
·
Whether the client will be able to keep medical appointments
·
Whether the client desires spiritual counseling
·
Whether the home has stairs and/or throw rugs
·
Whether the client has financial resources for payment
Correct answer
Whether the home has stairs
and/or throw rugs
To provide effective feedback to a client, the nurse will focus
on:
0/1
·
The present and not the past
·
Making inferences of the behaviors observed
·
Providing solutions to the client
·
The client
Correct answer
The present and not the
past
Which of the following actions jeopardise the professional
boundaries between patient and nurse
0/1
·
Focusing on social relationship outside working environment
·
Focusing on needs of patient related to illness
·
Focusing on withholding value opinions related to the decisions
Correct answer
Focusing on social
relationship outside working environment
In using social media like Facebook, these are the best way to
adhere to your Code of Conduct as a nurse, except?
1/1
·
Never have relationship with previous patient
·
Never post pictures concerning your practice
·
Never tell you are a nurse
·
Always rely solely in your FBs privacy setting
The worst advice you can give a student nurse with regards to
the use of social networking sites like Facebook?
1/1
·
Do not identify yourself as
a nurse
·
Do not engage in a personal discussion or relationship with a
patient or former patient
·
Do not post a picture of a patient's child even if they allow you
to
·
You can rely on the sites privacy settings
As an RN in charge you are worried about a nurse's act of being
very active on social media site, that it affect the professionalism. Which one
of these is the worst advice you can give her?
1/1
·
Do not reveal your
profession of being a Nurse on social site
·
Do not post any pictures of client's even if they have given you
permission
·
Do not involve in any conversions with client's or their relatives
through a social site
·
Keep your profile private
Nurses assume responsibility on patient with cane. Which of the
following is the nurse’s topmost priority in caring for a patient with cane?
0/1
·
Mobility
·
Safety
·
Nutrition
·
Rest periods
Correct answer
Safety
In the context of assessing risks prior to moving and handling,
what does T-I-L-E stand for?
0/1
·
Task – individual – lift – environment
·
Task – intervene – load – environment
·
Task – intervene – load – equipment
·
Task – individual – load – environment
Correct answer
Task – individual – load –
environment
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?
0/1
·
You are going to have an ORIF done to correct your fracture
·
Some metal screws and pins will be attached to your hip to help
with the healing of your broken bone
·
The operation will require a metal fixator implanted to your femur
and adjacent bones to keep it secured
·
The ORIF procedure will be done under general anaesthesia by an
orthopaedic surgeon
Correct answer
Some metal screws and pins
will be attached to your hip to help with the healing of your broken bone
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?
1/1
·
Smoking cessation will help prevent further asthma attack
·
Referral can be made to the
local NHS Stop Smoking Service
·
Discuss with her the NICE recommendations on smoking cessation
·
It is not common for people like her to stop smoking
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 you interpret this action
0/1
·
The nurse is short of self confidence
·
A nurse, who is well aware of her limitations sought help from
others She worked within her competency
·
She doesn’t have the kind of courage a nurse should have
Correct answer
A nurse, who is well aware
of her limitations sought help from others She worked within her competency
Monica is going to receive blood transfusion. How frequently
should we do her observation?
0/1
Temperature and pulse before the blood transfusion begins, then
every hour, and at the end of bag/unit
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
Temperature, pulse, blood pressure and respiration and urinalysis
before the blood transfusion, then at end of bag
Pulse, blood pressure and respiration every hour, and at the end
of the bag
Correct answer
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
During blood transfusion, a patient develops pyrexia, and loin
pain. Nurse interprets the situation as
0/1
·
Common reaction to transfusion
·
Adverse reaction to blood transfusion
·
Patient has septicaemia
Correct answer
Adverse reaction to blood
transfusion
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?
1/1
·
Nurse and client agree upon health care goals for the client
·
Nurse reviews the client's history on the medical record
·
Nurse explains to the client the purpose of each administered
medication
·
Nurse rapidly reset
priorities for client care based on a change in the client's condition
Nursing care should be:
0/1
·
Task oriented
·
Caring medical and surgical patient
·
Patient oriented, individualistic care
·
All
Correct answer
Patient oriented,
individualistic care
How the nurse assesses the quality of care given?
0/1
·
Reflective process
·
Clinical bench marking
·
Peer and patient response
·
All the above
Correct answer
All the above
A patient doesn't take a tablet which is prescribed by the
doctor. Which action by the nurse would be most appropriate?
0/1
·
Report the incident to senior nurse or ward in charge
·
Inform the pharmacist
·
Do nothing and respect the patients choice
·
Routinely document this in the medicine chart and also record it
in the nurses notes
Correct answer
Routinely document this in
the medicine chart and also record it in the nurses notes
After the death of a 46-year-old male client, the nurse
approaches the family to discuss organ donation options. The family consents to
organ donation and the nurse begins to process. Which of the following would be
most helpful to the grieving family during this difficult time?
1/1
Calling the client, a donor
Provide care to the
deceased client in a careful and loving way
Encourage the family to make a quick decision
Tell them that there is no time to all other family members for
advice
While providing care to a terminally ill client, the nurse has
asked questions about death. Which of the following would be beneficial to
support the client’s spiritual needs?
0/1
·
Nothing
·
Ask if they want to die
·
Ask if they want anything special before they die
·
Provide support, compassion, and love
Correct answer
Provide support,
compassion, and love
Under the Yellow Card Scheme you must report the following
except:
0/1
·
Faulty brakes on a wheelchair
·
Suspected side effects to blood factor, except immunoglobulin
products
·
Counterfeit or fake medicines or medical devices
Correct answer
Suspected side effects to
blood factor, except immunoglobulin products
Mrs X informs the nurse that she has lost her job due to
excessive absences related to her wound. The nurse should:
1/1
·
Encourage the patient to
express her feelings about the job loss
·
Contact social services to assist the patient with accessing
available resources
·
Evaluate Mrs X’s understanding of her wound management
·
Explain to Mrs X that she can no longer be seen at the clinic
without a job
Margaret has been diagnosed with Hepatic Adenoma. Her results
are as follows – benign tumor as shown on triphasic CT Scan and alpha feto
proteins within normal range. She is asymptomatic and does not appear jaundice,
but she appears to be very anxious. As a nurse, what will you initially do?
0/1
·
Sit down with Margaret and discuss about her fears; use
therapeutic communication to alleviate anxiety
·
Refer her to a psychiatrist for treatment
·
Discuss invasive procedure with patient, and show her videos of
the operation
·
Take her to the surgeon’s clinic and discuss about consent for
invasive procedure
Correct answer
Sit down with Margaret and
discuss about her fears; use therapeutic communication to alleviate anxiety
One of your residents has been transferred from the hospital to
your nursing home after having been admitted for a week due to a chest
infection. On transfer, you have noted that he had several dressings on his
thighs, which he has not had before. What should you do?
0/1
·
If the dressings are intact, document it on the nursing notes and
indicate that the dressings need to be changed after 48 hours
·
Change the dressings if they look soiled and document this on the
wound assessment form
·
Remove the dressings whether they are intact or not, assess the
wounds, document this on the wound assessment form and redress the wounds
·
All of the above
Correct answer
Remove the dressings whether
they are intact or not, assess the wounds, document this on the wound
assessment form and redress the wounds
During your medical rounds, you have noted that Mrs X was upset.
She has verbalised that she misses her family very much, and that no one has
been to visit lately. What would likely be your initial intervention?
1/1
·
Contact Mrs X’s family and encourage them to visit her during the
weekend
·
Sit next to Mrs X and
listen attentively Allow her to talk about things that cause her anxiety
·
Collaborate with the GP for a care plan review and request for
antidepressants to be prescribed
·
All of the above
·
None of the above
On admission of a service user, you have done an informal risk
assessment for pressure sores, and you have noted that the patient is currently
not at risk. What will be your next step?
0/1
·
Include the Repositioning Chart on your patient’s daily notes, and
instruct your carers/HCA’s to turn your patient every two hours
·
Alert the General Practitioner about your patient’s condition
·
Reassess your patient on a regular basis and document your
observations
·
Modify your patient’s diet to maintain intact skin integrity
Correct answer
Reassess your patient on a
regular basis and document your observations
You were on your rounds with one of the carers. You were turning
a patient from his left to his right side. What would you do?
0/1
·
Both of you can stay on one side of the bed as you turn your
patient
·
You go on the opposite side of the bed and use the bed sheet to
turn your patient
·
You keep the bed as low as possible because the patient might fall
·
You go on the opposite side and grab the slide sheet to use
Correct answer
You go on the opposite side
and grab the slide sheet to use
The nurse is preparing to move an adult who has right sided
paralysis from the bed into a wheel chair. Which statement describes the best
action for the nurse to take?
0/1
·
Position the wheel chair on the left side of the bed
·
Keep the head of the bed elevated 10 degree
·
Protect the client’s left arm with a sling during the transfer
·
Bend at the waist while helping the client into a standing
position
Correct answer
Position the wheel chair on
the left side of the bed
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?
0/1
·
Assess neurovascular status to the hand
·
Ask the client to massage the fingers
·
Encourage the client to take the prescribed analgesic
·
Elevate the arm on a pillow to reduce oedema
Correct answer
Assess neurovascular status
to the hand
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?
1/1
·
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
One of your young patient displayed an overt sexual behaviour
directly to you. How will you best respond to this?
0/1
·
Talk to the patient about the situation, to re- establish and
maintain professional boundaries and relationship
·
Ignore the behaviour as this is part of the development process
·
Report the patient to their relatives
·
Inform line manager of the incident
Correct answer
Talk to the patient about
the situation, to re- establish and maintain professional boundaries and
relationship
The patient under a nurse's care is showing sexual behaviours
toward him/her, what should the nurse do?
0/1
·
File an incident report, do not care for the patient anymore
·
Write the patient's behaviour on the patient's chart
·
This is normal as the patient is sick, later as the medication
kicks off it will soon be over
·
Talk to the patient about the behaviour, attempt to re-establish
professional relationship, talk to the line manager
Correct answer
Talk to the patient about
the behaviour, attempt to re-establish professional relationship, talk to the
line manager
Post surgery, the doctor tells the patient that treatment is not
working. The doctor instructed the nurse to stay with the patient until the
nurse specialist arrive. What should the nurse do?
1/1
·
Document outcomes in the patient's chart
·
Sit silently with patient until nurse specialist arrives
·
Ask the patient if he wants
to discuss what the doctor said
·
Do not leave the patient unattended and try to answer his
questions
A registered nurse is new to the diagnosis of her patient. What
is the best response of the nurse?
0/1
·
The nurse should come early for her shift and spend more time to
care for the patient
·
The nurse should spend an hour in library, learn about the new
diagnosis and then take care of the patient
·
The nurse should clarify her doubts with her senior on duty and
with the doctors about the diagnosis and plan nursing care accordingly
·
The nurse should request the other staff to continue with the
shift as she lacks knowledge about the diagnosis
Correct answer
The nurse should clarify
her doubts with her senior on duty and with the doctors about the diagnosis and
plan nursing care accordingly
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?
0/1
·
Ignore the client and let her cry in the hallway
·
Inform the client about the preparing to come forth next
appointment for further discussion on the treatment planned
·
Take her to a room and try to understand her worries and do the
needful and assist her with further information if required
·
Explain her about the list of cancer treatments to survive
Correct answer
Take her to a room and try
to understand her worries and do the needful and assist her with further
information if required
A patient has sexual interest in you. What would you do?
0/1
·
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
·
Never attend that patient
·
Try to re-establish the therapeutic communication and relationship
with patient and inform the manager for support
·
Inform police
Correct answer
Try to re-establish the
therapeutic communication and relationship with patient and inform the manager
for support
A client is diagnosed with cancer and is told by surgery
followed by chemotherapy will be necessary, the client states to the nurse,
"I have read a lot about complementary therapies. Do you think I should
try it?". The nurse responds by making which most appropriate statement?
0/1
·
It is a tendency to view one's own ways as best
·
You need to ask your physician about it
·
I would try anything that I could if I had cancer
·
There are many different forms of complementary therapies, let's
talk about these therapies
Correct answer
There are many different
forms of complementary therapies, let's talk about these therapies
An antihypertensive medication has been prescribed for a client
with hypertension. The client tells the clinic nurse that they would like to take
an herbal substance to help lower their blood pressure. The nurse should take
which action?
0/1
·
Tell the client that herbal substances are not safe and should
never be used
·
Teach the client how to take their BP so that it can be monitored
closely
·
Encourage the client to discuss the use of an herbal substance
with the health care provider
·
Tell the client that if they take the herbal substance they will
need to have their BP checked frequently
Correct answer
Encourage the client to
discuss the use of an herbal substance with the health care provider
Mrs. A is posted for CT scan. Patient is afraid cancer will
reveal during her scan. She asks "why is this test". What will be
your response as a nurse?
0/1
·
Tell her that you will arrange a meeting with a doctor after the
procedure
·
Give a health education on cancer prevention
·
Ignore her question and take her for the procedure
·
Understand her feelings and tell the patient that it is normal
procedure
Correct answer
Understand her feelings and
tell the patient that it is normal procedure
A patient with a Bipolar Disorder makes a sexually inappropriate
comment to the nurse. One should take which of the following actions?
0/1
·
Ignore the comment because the client has a mental health disorder
and cannot help it
·
Report the comment to the nurse manager
·
Ignore the comment, but tell the incoming nurse to be aware of the
client’s propensity to make inappropriate comments
·
Tell the client that is it inappropriate for clients to speak to
any nurse that way
Correct answer
Tell the client that is it
inappropriate for clients to speak to any nurse that way
Betty has been assessed to be very confused and with impaired
mobility. She wants to go to the dining room for her meal, but she wants a
cardigan before doing so. What will you do?
0/1
·
Give her wet wipes for her hands before dinner
·
Disregard the cardigan and take her to the dining room
·
Ask her what she means by a cardigan
·
Make her comfortable in a wheelchair, and cover her legs with a
blanket
Correct answer
Ask her what she means by a
cardigan
You were assisting Mrs X with personal care and hygiene. She has
been assessed to have mental capacity. In her wardrobe, you have seen a dress
that is quite difficult to wear and a pair of trousers, which is quite easy to
put on. You are trying to make a decision which one to put on her. Which of the
following is a person centred intervention?
0/1
·
Ask her what she prefers; show her the clothes and let her choose
·
Let Mrs X wear her trousers
·
Explain to her that the dress is so difficult to put on
·
Tell her that the trousers will make her more comfortable if she
chooses it
Correct answer
Ask her what she prefers;
show her the clothes and let her choose
One of your residents in the nursing home has requested for a glass
of whiskey before she goes to bed. What would you do?
0/1
·
Refuse to give it / ignore the request
·
Explain that the whiskey will cause her harm
·
Give her a shot of whiskey, as requested
·
Give her a glass of apple juice and tell her it is whiskey
Correct answer
Give her a shot of whiskey,
as requested
A client, who has had visitors the last two evenings during the
unit's regular evening visitors hours, 6:00 p.m. to 8:00 p.m., asks, "What
time can I have visitors this evening?" Which of the following would be
the best response to this question?
0/1
·
"Don't you remember what time you visitor have been
coming?"
·
You are worried about visiting hours
·
You want to know when you can have visitors?
·
Visiting hours are from 6:00 pm to 8:00 pm
Correct answer
Visiting hours are from
6:00 pm to 8:00 pm
A critically ill client asks the nurse to help him die. Which of
the following would be an appropriate response for the nurse to give this
client?
0/1
·
"Tell me why you feel death is your only option"
·
"How would you like to do this?"
·
"Everyone dies sooner or later"
·
"Assisted suicide is illegal in this country"
Correct answer
"Tell me why you feel
death is your only option"
The 4-year-old son of a deceased male is asking questions about
his father. Which of the following activities would be beneficial for this
young child to participate in?
0/1
·
Nothing because he is too young to understand death
·
Tell him his father has gone away, never to return
·
Tell him his father is sleeping
·
Explain that his father has died and give him the option of
attending the funeral
Correct answer
Explain that his father has
died and give him the option of attending the funeral
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 doesnot want the nurse to tell anyone. She says
that she had tried to donate blood and tested positive for HIV. What is best
action of the nurse to take?
0/1
·
Document this information on the patient’s chart
·
Tell the patient’s physician
·
Inform the healthcare team who will come in contact with the
patient
·
Encourage the patient to disclose this information to her
physician
Correct answer
Encourage the patient to
disclose this information to her physician
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 the nurse
is doing so because he belongs to an ethnic minority group, what is the nurse’s
best response?
0/1
·
The nurse will stop asking questions as it is upsetting to the patient
·
Wait and give some time for the client to get adjusted to modern
ways of hospitalization
·
The nurse will politely explain to the patient about alternative
therapies such as St Johns Wort which interact with drugs
·
The nurse will assign another nurse to ask questions
Correct answer
The nurse will politely
explain to the patient about alternative therapies such as St Johns Wort which
interact with drugs
Which is the most appropriate phrase to communicate?
0/1
·
"I'm sorry, your mother died"
·
"I'm sorry, your mother gone to heaven"
·
"I'm sorry, your mother is no longer with us"
·
"I'm sorry, your mother passed away"
Correct answer
"I'm sorry, your
mother died"
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?
1/1
·
"We were taught during our training not to do so as it is not
based on evidence"
·
"Our guidelines, which
are based on current evidence, recommends a non-disinfection method of
subcutaneous injection"
·
"I am glad you called my attention I will disinfect your
injection site next time to ensure your safety and peace of mind"
·
"Disinfecting the site for subcutaneous injection is a thing
of the past We are in an evidence-based practice now"
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?
0/1
·
"Did your company give you a severance package?"
·
"Focus on the fact that you have a healthy, happy
family"
·
"Losing a job is common nowadays"
·
"Tell me what happened"
Correct answer
"Tell me what
happened"
When do we need to document?
0/1
·
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
·
Every hour
·
When there are significant changes to the patient’s condition
·
At the end of the shift
Correct answer
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
In a patient with hourly monitoring, when does a nurse formally
document the monitoring?
0/1
·
Every hour
·
When there are significant changes to the patient’s condition
·
At the end of the shift
·
Mid of shift
Correct answer
Every hour
NMC defines record keeping as all of the following except:
0/1
·
Helping to improve advocacy
·
Showing how decisions related to patient care were made
·
Supporting effective clinical judgements and decisions
·
Helping in identifying risks, and enabling early detection of
complication
Correct answer
Helping to improve advocacy
You are transcribing the patient's medications to the discharge letter.
What should you ensure before the letter is sent?
1/1
·
The next of kin's details are included in the letter
·
The letter is checked by a registered practitioner for accuracy
·
It cannot be sent because transcription is not allowed in any
circumstances
·
The letter is signed off by
the nurse-in-charge
A nurse documented on the wrong chart. What should the nurse do?
0/1
·
Immediately inform the nurse in charge and tell her to cross it
all off
·
Throw away the page
·
Write line above the writing; put your name, job title, date, and
time
·
Ignore the incident
Correct answer
Write line above the
writing; put your name, job title, date, and time
When is the time to take the vital signs of the patients? Select
which does not apply:
0/1
·
At least once every 12 hours, unless specified otherwise by senior
staff
·
When they are admitted or initially assessed
·
On transfer to a ward setting from critical care or transfer from
one ward to
·
Every four hours
Correct answer
Every four hours
All should be seen in a good documentation except:
0/1
·
Legible handwriting
·
Name and signature, position, date and time
·
Abbreviations, jargon, meaningless phrases, irrelevant speculation
and offensive subjective statements
·
A correct, consistent, and factual data
Correct answer
Abbreviations, jargon,
meaningless phrases, irrelevant speculation and offensive subjective statements
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:
0/1
·
The client’s health status
·
The course of the present illness
·
Social history
·
Cultural beliefs and practices
Correct answer
The client’s health status
Adequate record keeping for a medical device should provide evidence
of:
0/1
·
A unique identifier for the device, where appropriate
·
A full history, including date of purchase and where appropriate
when it was put into use, deployed or installed
·
Any specific legal requirements and whether these have been met
·
Proper installation and where it was deployed
·
Schedule and details of maintenance and repairs
·
The end-of-life date, if specified
·
All of the above
Correct answer
All of the above
A registered nurse had a very busy day as her patient was sick,
got intubated and had other life saving procedures. She documented all the
events and by the end of the shift recognized that she had documented in other
patient's record. What is best response of the nurse?
0/1
She should continue documenting in the same file as the medical
document cannot be corrected
She should tear the page from the file and start documenting in
the correct record
She should put a straight cut over her documentation and write as
wrong, sign it with her NMC code, date and time
She should write as wrong documentation in a bracket and continue
Correct answer
She should put a straight
cut over her documentation and write as wrong, sign it with her NMC code, date
and time
A patient in one of your bays has called for staff. She needed
assistance with “spending a penny”. What will you do?
0/1
·
Ask her if she wants a hot or cold drink, and give her one as
requested
·
Assist her to walk to the vending machine, and let her choose what
she wants to buy
·
Assist her to walk to the toilet, and provide her with some
privacy
·
Help her find her purse, and ask her what time she will be ready
to go out
Correct answer
Assist her to walk to the
toilet, and provide her with some privacy
You are working in a nursing home (morning shift), and one of
your residents is still in the hospital. Nothing has been documented since
admission. What would you do?
0/1
·
Ring the family and find out what happened to the resident
·
Speak to your manager and tell her about it
·
Ring the ward and request for an update from the nurse on duty
·
Document that the resident is still in the hospital
Correct answer
Speak to your manager and
tell her about it
After the handover, you noticed that the outgoing nurse
documented an intervention on a wrong patient chart. What should you do to
correct it, maintain safety and continuation of care?
0/1
·
Discard the paper/ document
·
Cross the wrong entry with
a line, indicated it is an error, write the date, time, name and signature,
document the care correctly
·
Leave it, never alter patient record
·
Inform the nurse manager, let her draw a line on the entry and
place her name and signature
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?
0/1
·
Incomplete data
·
Generalise from experience
·
Identifying with the client
·
Lack of clinical experience
After finding the patient, which statement would be most
appropriate for the nurse to document on a datix/incident form?
0/1
·
"The patient climbed over the side rails and fell out of
bed"
·
"The use of restraints would have prevented the fall"
·
"Upon entering the room, the patient was found lying on the
floor"
·
"The use of a sedative would have helped keep the patient in
bed"
Correct answer
"Upon entering the
room, the patient was found lying on the floor"
A nurse documents vital signs without actually performing the
task. Which action should the charge nurse take after discussing the situation
with the nurse?
0/1
·
Charge the nurse with malpractice
·
Document the incident
·
Notify the board of nursing
·
Terminate employment
Correct answer
Document the incident
The nurse has made an error in documenting client care. Which
appropriate action should the nurse take?
0/1
·
Draw a line through error, initial, date and document correct
information
·
Document a late addendum to the nursing note in the client’s chart
·
Tear the documented note out of the chart
·
Delete the error by using whiteout
Correct answer
Draw a line through error,
initial, date and document correct information
Which of the following items of subjective client data would be
documented in the medical record by the nurse?
0/1
·
Client's face is pale
·
Cervical lymph nodes are palpable
·
Nursing assistant reports client refused lunch
·
Client feel nauseated
Correct answer
Client feel nauseated
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?
0/1
Document the incident and speak to your Manager
Check the rota, find out when he is back and leave a note on the
MARS for him to sign
Find out what the whistle blowing policy is about
Ask the qualified nurse to sign it on handover if it is definitely
been administered
Correct answer
Document the incident and
speak to your Manager
Providing patient centred nursing care is an expectation for all
nurses. For a patient with pyrexia, which of the following is the ritual
nursing intervention?
0/1
·
Administer antipyretics
·
Remove heavy blankets
·
Direct fan therapy
·
Indirect fan therapy
Correct answer
Direct fan therapy
You are taking the rectal temperature of an elderly patient when
it is registered moderate hypothermia of 34 degrees Celcius. What should be the
most appropriate action by the nurse?
1/1
·
Programme the reheating device to increase temperature as fast as
possible
·
Programme the reheating device to register the temperature to 36
degrees
·
Programme the reheating device to increase temperature 2 degrees
per hour
·
Programme the reheating
device to register the temperature to increase at 0.5 to 1 degree per hour
When do you consider using clean gloves acceptable as methods
for preventing infection?
0/1
·
Dressing a necrotic wound
·
Assessing IV insertion site
·
Obtaining urine sample
·
Accessing a central venous device
Correct answer
Accessing a central venous
device
To address individual and family responses to health problems,
theory-based nursing practice is important for designing and implementing
nursing interventions. Dorothea Orem identified a theory of nursing practice.
Which of the following statements best exemplify Orem's theory?
0/1
·
Promotes nursing care that increases a patient's self-care
abilities
·
Helps nurses provide culture-specific care that assists patients
to achieve and maintain health
·
Assists nurses to identify behaviours associated with various
stages of coping with death and dying
·
Facilities identification of a child's stage of development so
that appropriate nursing care is planned
Correct answer
Promotes nursing care that
increases a patient's self-care abilities
Which nursing action is associated with Faye Glenn Abdellah's
Patient-Centred Approach to Nursing?
1/1
·
The nurse identifies that although the patient has a serious
chronic illness, the patient states that he feels healthy because he can meet
the responsibilities required of him as a husband and a father
·
The nurse collects data
about a patient and organises it into overt and covert problems as addressing
the covert problems may solve the overt problems as well
·
The nurse plots a patient's health status in the quadrant of poor
health with a very unfavourable environment
·
The nurse determines that the patient's need for oxygen is the
priority with reference to the 21 nursing problems
Which statement by a nurse meets Virginia Henderson's Principles
and Practice of Nursing?
0/1
·
I see that you have applied makeup today for the first time since
your surgery.
·
I am your nurse for the next 12 hours. You can use your call bell
to page me when you need assistance.
·
Your wife can visit everyday between 10 in the morning and 8 at
night.
·
A physical therapist will be in today to complete an evaluation so
we can start planning your care.
Correct answer
I am your nurse for the
next 12 hours. You can use your call bell to page me when you need assistance.
A nurse is caring for an older adult newly admitted to the
hospital. The nurse understands the importance of organising data and then
prioritising needs based on Roper-Logan-Tierney Model for Nursing. Based on the
collected data, which nursing action addresses the basic assumptions related to
this theory?
0/1
·
Encourage the patient to increase oral fluid intake
·
Seek an order for oxygen via nasal cannula
·
Activate the bed alarm on the patient's bed
·
Take vital signs every four hours
Correct answer
Seek an order for oxygen
via nasal cannula
The nurse is conducting a patient-centred interview on a
teenager who conveys that she is not getting relief from shortness of
breatheven if she uses the prescribed inhaler. The nurse then decides to ask
the patient to demonstrate how she uses the inhaler and what she does when she
gets no relief. On the basis of Gordon's Functional Health Patterns, which
pattern is the nurse assessing?
0/1
·
Health perception-health management pattern
·
Value-belief pattern
·
Cognitive-perceptual pattern
·
Coping-stress tolerance pattern
Correct answer
Health perception-health
management pattern
The nurse reviewed the patient's clinical record and assessed
the patient. Which statement by the patient indicates the conflict of ego
integrity versus despair according to Erik Erikson's Theory of Development?
1/1
·
I really don't trust any of my doctors and their treatment plan.
·
I don't care what the doctor says, I will do it my war or no way.
·
I hope that in my next lifetime
I get the chance to become a doctor.
·
I feel that I will never get better because nothing ever goes well
for me.
Which statement is accurate in relation to the concepts of
health and wellness indicated in the presented theoretical framework?
0/1
·
Implies that people are unhealthy if they are unable to fulfill
their roles in society
·
Promotes meeting basic-level needs first and then progressing to
higher level needs
·
Supports teaching about how to alter internal and external factors
to facilitate adaptations
·
Facilitates prediction of whether patients will likely improve in
health or experience a decline based on level of support
Correct answer
Facilitates prediction of
whether patients will likely improve in health or experience a decline based on
level of support
A nurse is evaluating patient outcomes associated with learning
about hypertension and self-care. Which outcome indicates success in the
utilisation of the role-modeling theory?
0/1
·
Patient explains how to interpret the serving size on a food label
to calculate the caloric value of the nutrient
·
Patient is able to identify five foods high in salt that should be
avoided when receiving a low sodium diet
·
Patient is able to assess that his blood pressure is within normal
limits after accurately obtaining a blood pressure reading using a
sphygmomanometer
·
Patient adheres to a weight-reduction diet, as evidenced by a
weekly 2-lb weight loss
Correct answer
Patient is able to assess
that his blood pressure is within normal limits after accurately obtaining a
blood pressure reading using a sphygmomanometer
Which is an example of an independent nursing intervention?
0/1
·
Administering enema
·
Changing a soiled dressing
·
Delegating the giving of bath to an unregistered practitioner
·
Assisting a patient with a transfer from a bed to a chair
Correct answer
Assisting a patient with a transfer from a bed to a chair
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