A nurse is caring for a patient with end-stage lung disease. The
patient wants to go home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risk and
benefits of the surgery to the family and discusses the patient's wishes with
the family. The nurse is acting as the patient's:
0/1
Educator
Advocate
Primary care
Case manager
Correct answer
Advocate
In the role of patient advocate, the nurse would do which of the
following?
0/1
Emphasise the need for cost-containment measures when making
health care decisions
Override a patient's decision when the patient refuses the
recommended treatment
Support a patient's decision, even if it is not the decision
desired by the nurse
Foster patient dependence on health care providers for decision
making
Correct answer
Support a patient's
decision, even if it is not the decision desired by the nurse
An elderly patient with dementia wants to go home against
medical advice. The family wanted the patient to stay for her to undergo the
needed surgery. What should be the nurse's course of action?
0/1
Liaise with the patient's family as it is important for them to
understand what is happening and what they can do to help
The family should be given the opportunity to talk about their
concerns and be updated with information about the cause and management
If a patient with dementia declines care or treatment the nurse
should encourage the patient to stay and discuss treatment options thoroughly
The nurse should notify the complex discharge coordinator and
security so the patient stays until the doctor is done with consultation
Correct answer
If a patient with dementia
declines care or treatment the nurse should encourage the patient to stay and
discuss treatment options thoroughly
An adult you support has dementia with fluctuating mental
capacity. They have previously stated a desire to move into a care home, but
now, faced with the reality of that decision they want to change their mind.
They seem to have forgotten all the reasons they had for wanting to move, and
the information you provided that helped the come to this decision. What should
you do?
0/1
Talk it through with them again, at a time when you believe they
have the mental capacity to make an informed decision
Say nothing to the person, but go ahead with the plans made You
are confident they made the right decision when they had the mental capacity to
do so It is in their best interests
Tell them it's too late to change their mind, and remind them of
their reasons for making the decision
Respect their wishes, and cancel the arrangements made
Correct answer
Talk it through with them
again, at a time when you believe they have the mental capacity to make an
informed decision
The best way to describe advocacy?
1/1
Liaise between patient and
healthcare team
Decide in behalf of patients
Communicate with family in decision making
All of the above
What is Advocacy according to NHS Trust?
1/1
It is taking action to help people say what they want, secure
their rights, represent their interests and obtain the services they need
This is the divulging or
provision of access to data
It is the response to the suffering of others that motivates a
desire to help
It is a set of rules or a promise that limits access or places
restrictions on certain types of information
Independent Advocacy is:
0/1
Providing general advice
Making decisions for someone
Care and support work
Agreeing with everything a person says and doing anything a person
asks you to do
None of the above
Correct answer
None of the above
A mentally competent client with end stage liver disease
continues to consume alcohol after being informed of the consequences of this
action. What action best illustrates the nurse’s role as a client advocate?
0/1
Asking the spouse to take all the alcohol out of the house
Accepting the patient’s choice and not intervening
Reminding the client that the action may be an end-of life
decision
Refusing to care for the client because of the client’s
noncompliance
Correct answer
Accepting the patient’s
choice and not intervening
A nurse demonstrates patient advocacy by becoming involved in
which of the following activities?
0/1
Taking a public stand on quality issues and educating the public
on "public interest" issues
Teaching in a school of nursing to help decrease the nursing
shortage
Engaging in nursing research to justify nursing care delivery
Supporting the status quo when changes are pending
Correct answer
Taking a public stand on
quality issues and educating the public on "public interest" issues
What is meant by an advocate?
0/1
Someone who develops opportunities for the patient
Someone who has the same beliefs as the patient
Someone who does something on behalf of the patient
Someone who has the same values as the patient
Correct answer
Someone who does something
on behalf of the patient
The nurse is functioning as a patient advocate. Which of the
following would be the first step the nurse should take when functioning in
this role?
0/1
Ensure that the nursing process is complete and includes active
participation by the patient and family
Become creative in meeting patient’s needs
Empower the patient by providing needed information and support
Help the patient understand the need for preventive health care
Correct answer
Empower the patient by
providing needed information and support
Safeguarding is the responsibility of:
0/1
Health care assistants
Registered nurses
Doctors
All of the above
Correct answer
All of the above
In a community hospital, an elderly man approaches you and tells
you that his neighbour has been stealing his money, saying "sometimes I
give him money to buy groceries but he didn't buy groceries and he kept the money"
what is your best course of action for this?
0/1
Raise a safeguarding alert
Just listen but don't do anything
Ignore the old man, he is just having delusions
Refer the old man to the community clergy who is giving him
spiritual support
Correct answer
Raise a safeguarding alert
If you witness or suspect there is a risk to the safety of
people in your care and you consider that there is an immediate risk of harm,
you should:
0/1
Report your concerns immediately, in writing to the appropriate
person
Ask for advice from your professional body if unsure on what
actions to take
Protect client confidentiality
Refer to your employer’s whistleblowing policy
Keep an accurate record of your concerns and action taken
All of the above
Correct answer
All of the above
As you visit your patient during rounds, you notice a thin child
who is shy and not mingling with the group who seemed to be visitors of the
patient. You offered him food but his mother told you not to mind him as he is
not eating much while all of them are eating during that time. As a nurse, what
will you do?
0/1
Inform social service desk on suspected case of child neglect
Ignore incident since the child is under the responsibility of the
mother
Raise the situation to your head nurse and discuss with her what
intervention might be done to help the child
Correct answer
Raise the situation to your
head nurse and discuss with her what intervention might be done to help the
child
You believe that an adult you know and support has been a victim
of physical abuse that might be considered a criminal offence. What should you
do to support the police in an investigation?
0/1
Question the adult thoroughly to get as much information as
possible
Take photographs of any signs of abuse or other potential evidence
before cleaning up the victim or the crime scene
Explain to the victim that you cannot speak to them unless a
police officer is present
Make an accurate record of what the person has said to you
Correct answer
Make an accurate record of
what the person has said to you
If you suspect abuse is happening to someone, and it is not
serious enough to involve the police straight away, who should you inform?
0/1
A manager with safeguarding responsibility (if within an
organisation) or Adult Social Care directly (if you are a member of the public)
No one – it is up to the adult at risk to raise the alert
The adult's next of kin
Everyone with a caring responsibility for the adult
Correct answer
A manager with safeguarding
responsibility (if within an organisation) or Adult Social Care directly (if
you are a member of the public)
In the UK, safeguarding is the responsibility of:
0/1
Nurse assistant
Doctor
Registered Nurse
All of the above
Correct answer
All of the above
In a community setting, an elderly patient reported to you that
he gives shopping money to his neighbours but failed to bring groceries on
frequent occasions. What is your best response on this situation?
0/1
Confront the neighbour
Ignore, maybe he is very old and does not think clearly
Fill up a raising a concern/ safeguarding form, and escalate
Ask patient to report neighbour to police
Correct answer
Fill up a raising a
concern/ safeguarding form, and escalate
You saw a relative of a client has come with her son, who looks
very thin, shy and frightened. You serve them food, but the mother of that
child says "don't give him, he eats too much". You should:
0/1
Raise your concern with your nurse manager about potential for
child abuse and ask for her support
Ignore the mother and ask the relative if the child is abused
Ignore the mother's advice and serve food to the child
Ignore the situation as she is the mother and knows better about
her child
Correct answer
Raise your concern with
your nurse manager about potential for child abuse and ask for her support
Which of the following statements is true?
0/1
Someone is only an abuser if they deliberately intend to cause
harm
Abuse only happens to children
Only people over 70 can be vulnerable
Abuse can occur unintentionally without the person meaning to
cause harm
Correct answer
Abuse can occur
unintentionally without the person meaning to cause harm
Which of the following statements is false?
0/1
Abuse mostly happens in nursing and residential homes
Abuse can take place anywhere there is a vulnerable adult
Abuse can take place in a day care centre
Abuse can be carried out by anyone – doctors, nurses, carers and
even family members
Correct answer
Abuse can take place
anywhere there is a vulnerable adult
You have noticed that the management wants all residents to be
up and about by 8:30 am, so they can be ready for breakfast. Mrs X has refused
to get up at 8 am, and she wants to have a bit of a lie in, but one of the
carers insisted to wash and dress her, and took her to the dining room. What
type of abuse in in place?
0/1
Financial Abuse
Psychological Abuse
Sexual Abuse
Institutional Abuse
Correct answer
Institutional Abuse
During the day, Mrs X was sat on a chair and has a table put in
front of her to stop her getting up and walking about. What type of abuse is
this?
0/1
Physical Abuse
Psychological Abuse
Emotional Abuse
Discriminatory Abuse
Correct answer
Physical Abuse
Michael feels very uncomfortable when the carer visiting him
always gives him a kiss and holds him tightly when he arrives and leaves his
home. What type of abuse is this?
0/1
Emotional Abuse
Psychological Abuse
Discriminatory Abuse
Sexual Abuse
Correct answer
Sexual Abuse
Anna has been told that unless she does what the ward staff tell
her, the consultant will stop her family from visiting. What type of abuse is
this?
0/1
Psychological Abuse
Discriminatory Abuse
Institutional Abuse
Neglect
Correct answer
Psychological Abuse
Christine cannot get herself a drink because of her disability.
Her carers only give her drinks three times a day so she does not wet herself.
What type of abuse is this?
0/1
Physical Abuse
Institutional Abuse
Neglect
Sexual Abuse
Correct answer
Neglect
Gabriella is 26 year old woman with severe learning
disabilities. She is usually happy and outgoing. Her mobility is good, her
speech is limited but she is able to be involved if carers take time to use
simple language. She lives with her mother, and is being assisted with personal
care. Her home care worker has noticed bruising on upper insides of her thighs
and arms. The genital area was red and sore. She told the care worker that a male
care worker is her friend and he has been cuddling her but she does not like
the cuddling because it hurts. What could possibly be the type of abuse
Gabriella is experiencing?
0/1
Discriminatory Abuse
Financial Abuse
Sexual Abuse
Institutional Abuse
Correct answer
Sexual Abuse
You were a new nurse in a geriatric ward. The son of one of your
patients discussed that he has noticed his mother is not being treated well in
the ward, and that she looks very dehydrated and malnourished. How do you deal
with the scenario?
0/1
Do not do anything, because it is not much of a concern
Discuss the case with a colleague
Report this to your supervisor
Make a decision not to intervene – it will be dealt with by
management
Correct answer
Report this to your supervisor
You are nurse at the community care centre and an elderly
complaints to you that his neighbour is stealing money from him. He sends him
for shopping and sometimes the neighbour does not shop and keeps the money with
him. You will:
0/1
Confront the neighbour when he visits you next time
Remain quite and ignore the complaint
Request the elderly to talk to the hospital chaplin for further
assisitance
Raise a complaint in the incident report form and investigate the
matter and inform the concerned
Correct answer
Raise a complaint in the
incident report form and investigate the matter and inform the concerned
An 86-year-old male with senile dementia has been physically
abused and neglected for the past two years by his live in caregiver. He has
since moved and is living with his son and daughter-in-law. Which response by
the client’s son would cause the nurse great concern?
0/1
"How can we obtain reliable help to assist us in taking care
of Dad? We can’t do it alone"
"Dad used to beat us kids all the time I wonder if he
remembered that when it happened to him?"
"I’m not sure how to deal with Dad’s constant repetition of
words"
"I plan to ask my sister and brother to help my wife and me
with Dad on the weekends"
Correct answer
"Dad used to beat us
kids all the time I wonder if he remembered that when it happened to him?"
An adult has just returned to the unit from surgery. The nurse
transferred him to his bed but did not put up the side rails. The client fell
and was injured. What kind of liability does the nurse have?
0/1
None
Negligence
Intentional tort
Assault and battery
Correct answer
Negligence
An elderly client with dementia is cared by his daughter. The
daughter locks him in a room to keep him safe when she goes out to work and not
considering any other options. As a nurse what is your action?
0/1
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
Correct answer
Explain this is a restrain
Urgently call for a safe guarding and arrange a multi-disciplinary team
conference
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
0/1
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
Correct answer
Arrange for interpreter to
ask questions in private
A nurse is not allowing the client to go to bed without
finishing her meal. What is your action as a RN?
0/1
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
Correct answer
Challenge the situation
immediately as this is related to dignity of the patient and raise your concern
In a GP 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?
0/1
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
Correct answer
Tell her that you are
concerned of her welfare and you may need to share this information
appropriately with the people who offer help
You just joined in a new hospital. You see a senior nurse
beating a child with learning disability. Your role:
0/1
Neglect the situation as you are new to the scenario
Intervene at the spot, speak directly to the senior in a
non-confronting manner, and report to management in writing
Inform the ward in-charge after the shift
Correct answer
Intervene at the spot,
speak directly to the senior in a non-confronting manner, and report to management
in writing
A nurse notices a thin emaciated child among the family members
of a patient. The child is weak and withdrawn. When nurse offers some food to
child, mother says do not give as he eats too much. Nurses response:
0/1
Mother needs to take care of her child So neglect the situation
Ask family members about child abuse
Call the local police for help
Inform the manager about suspected child neglect and seek support
Correct answer
Inform the manager about
suspected child neglect and seek support
The nurse restrains a client in a client in a locked room for 3
hours until the client acknowledge who started a fight in the group room last
evening. The nurse’s behaviour constitutes:
0/1
False imprisonment
Duty of care
Standard of care practice
Contract of care
Correct answer
False imprisonment
A client requests you that he wants to go home against medical
advice, what should you do?
0/1
Inform the management
Inform the local police
Call the security guard
Allow the client to go home as he won't pose any threat to self or
others
Correct answer
Inform the management
A patient with Leukaemia was about to receive a transfusion of
blood platelets. The experiences nurse on duty in the ward noticed small clumps
visible in the platelet pack and questions whether the transfusion should
proceed. What should the nurse do?
0/1
Proceed with platelet transfusion and monitor for signs of
rejection
Withhold platelet transfusion and document it on the patient’s
chart
Ring the blood bank and enquire about the platelet pack received
All of the above
Correct answer
Ring the blood bank and
enquire about the platelet pack received
You walk onto one of the bay on your ward and noticed a
colleague wrongly using a hoist in transferring their patient. As a nurse you
will:
0/1
Let them continue with their work as you are not in charge of that
bay
Report the event to the unit manager
Call the manual handling specialist nurse for training
Inform the relatives of the mistake
Correct answer
Report the
event to the unit manager
A patient has just returned from theatre following surgery on
their left arm. They have a PCA infusion connected and from the admission, you
remember that they have poor dexterity with their right hand. They are
currently pain free. What actions would you take?
0/1
Educate the patient's family to push the button when the patient
asks for it
Encourage them to tell the nursing staff when they leave the ward
so that staff can take over
Routinely offer the patient a bolus and document this clearly
Contact the pain team/anaesthetist to discuss the situation and
suggest that the means of delivery are changed
The patient has paracetamol qds written up, so this should be
adequate pain relief
Correct answer
Contact the pain
team/anaesthetist to discuss the situation and suggest that the means of
delivery are changed
One busy day on your shift, a manager told you that all washes
should be done by 10am. What would you do?
0/1
Follow the manager and ensure that everything is done on time
Talk to the manager and tell her that the quality of care will be
compromised if washes are rushed
Ignore the manager and just continue with what you are doing
Provide a written statement of the incident
Correct answer
Talk to the manager and
tell her that the quality of care will be compromised if washes are rushed
The nurse-in-charge or Head nurse wanted to follow a
task-oriented model of care. She wanted everything to be done before 10 am. How
will you best approach the situation?
0/1
Tell other nurses to follow
Inform the patient about the goal
Discuss to her that this has a negative impact on meeting patient
care and outcomes
Disregard her method and do it your way
Correct answer
Discuss to her that this
has a negative impact on meeting patient care and outcomes
A patient needs weighing, as he is due to a drug that is
calculated on body weight. He is experiences a lot of pain on movement so is
reluctant to move, particularly stand up. What would you do?
0/1
Discuss the case with your colleagues and agree to guess his body
weight until he agrees to stand and use the chair scales
Omit the drugs as it is not safe to give it without this
information; inform the doctor and document your actions
Offer the patient pain relief and either use bed scales or a hoist
with scales built in
Document clearly in the patient's notes that a weight cannot be
obtained
Correct answer
Offer the patient pain
relief and either use bed scales or a hoist with scales built in
A registered nurse identifies a care assistant not washing hands
hand before caring an immunocompromised client. Your response?
0/1
Let her do the procedure Correct her later
Inform to ward in charge
Interrupt the procedure, correct her politely, teach her 6 steps
of handwashing and make sure she became competent
Correct answer
Interrupt the procedure,
correct her politely, teach her 6 steps of handwashing and make sure she became
competent
Mr Cross informed you of how upset he was when you commented on
his diabetic foot during your regular home visit. He is considering to see
another tissue viability nurse. How will you best respond to him?
0/1
Apologise for the comments made
Tell him of his overreaction
Explain that his condition will make him over-sensitive to a lot
of things
Apologise and tell him to deal with the event lightly
Correct answer
Apologise for the comments
made
A patient has expressed a value which you do not share and this
has upset you. What do you do?
0/1
Refuse to take care of the patient
Care for the patient as it is in your professional code to care
for a person of different values
Report to the ward manager the difference in values, seek support
and see how you can learn from the situation
Correct answer
Report to the ward manager
the difference in values, seek support and see how you can learn from the
situation
A doctor is about to apply oxygen therapy to patient via nasal
cannula at 2L per minute when he was called on an emergency and he gave the
task to you. However you are not trained. What should you do?
0/1
Inform your supervisor that the doctor left you to do
Apply the cannula since you have seen it done before
Do not give because you’re not trained and assessed as competent
Have a friend help you apply it
Correct answer
Inform your supervisor that
the doctor left you to do
The doctor is about to insert an IV cannula when he was called
to assist in an emergency. The nurse is not experienced in peripheral
cannulation. What should the nurse do?
0/1
Inform the supervisor that the doctor left you to do it
Apply the canula since you have seen it done before
Do not give because you’re not trained and assessed as competent
Have a friend help you apply it
Correct answer
Inform the supervisor that
the doctor left you to do it
A patient in your care knocks their head on the bedside locker
when reaching down to pick up something they have dropped. What do you do?
0/1
Let the patient’s relatives know so that they don’t make a
complaint and write an incident report for yourself so you remember the details
in case there are problems in the future
Help the patient to a safe comfortable position, commence
neurological observations and ask the patient’s doctor to come and review them,
checking the injury isn’t serious When this has taken place, write up what
happened and any future care in the nursing notes
Discuss the incident with the nurse in charge, and contact your
union representative in case you get into trouble
Help the patient to a safe comfortable position, take a set of
observations and report the incident to the nurse in charge who may call a
doctor Complete an incident form At an appropriate time, discuss the incident
with the patient and, if they wish, their relatives
Correct answer
Help the patient to a safe
comfortable position, take a set of observations and report the incident to the
nurse in charge who may call a doctor Complete an incident form At an
appropriate time, discuss the incident with the patient and, if they wish,
their relatives
A carer has reported that she has seen a resident fall off his
bed. What initial assessment should be done?
0/1
Check the patient’s Early Warning Score along with the Glasgow
Coma Scale immediately
Ask the patient if he is in pain; if so, administer painkillers
immediately
Dial 999 and request for an ambulance to take your patient to the
hospital
Contact the out-of-hours GP and request for a home visit
Correct answer
Check the patient’s Early
Warning Score along with the Glasgow Coma Scale immediately
The nurse sat an older man on the toilet in a six-bed hospital
bay. Using her judgement, she recognised that he was at risk of falling and so
left the toilet door ajar. In the meantime, the nurse went to make his bed on
the other side of the bay. On turning around, she noticed that the patient had
fallen onto the toilet floor. What should be her initial intervention?
0/1
Immobilise the patient and conduct a thorough assessment, checking
for injuries
Call for help immediately
Press the emergency call button immediately
Check the patient for injuries and transfer him to the wheelchair
Correct answer
Immobilise the patient and
conduct a thorough assessment, checking for injuries
Mr Z called for your assistance and wanted you to sit with him
for a bit. He has disclosed confidential information about his personal life.
Which of the following should you urgently deal with?
1/1
History of gall stones
Presence of pacemaker
Suicidal connotations
Loss of appetite due to depression
A nurse is not trained to do the procedure of IV cannulation ,
still she tries to do the procedure. You are the colleague of this nurse. What
will be your action?
1/1
You should tell that nurse to not to do this again
You should report the
incident to someone in authority
You must threaten the nurse, that you will report this to the
authority
You should ignore her act
Bystander informs you that the patient is in severe pain. Your
response:
0/1
Tell him that he would come as soon as possible
Record in the chart and inform doc and in charge
Tell that she would give the next dose of analgesic when it’s time
Go instantly to the patient and assess the condition
Correct answer
Go instantly to the patient
and assess the condition
Barbara was screaming in pain later in the day despite the PCA
in-situ. You refer back to your nurse in charge for a stronger pain killer. She
refused to call the doctor because her pain relief was reassessed earlier. What
will you do next?
0/1
Continue to refer back to her until she calls the doctor
Encourage Barbara to continuously use the PCA
Give Barbara some sedatives to keep her calm
Wait until her pain stops
Correct answer
Encourage Barbara to
continuously use the PCA
The nurse needs to validate which of the following statements
pertaining to an assigned client?
0/1
The client has a hard, raised, red lesion on his right hand
A weight of 185 lbs is recorded in the chart
The client reported an infected toe
The client's blood pressure is 124/70 It was 118/68 yesterday
Correct answer
The client reported an
infected toe
You have admitted a post-caesarian patient on epidural
analgesia. Few hours later, the pump alarmed indicating the infusion is about
to finish. Upon checking, you noticed there is still about 100 mls of solution
left in the bag. You will:
0/1
Adjust the infusion rate
Check the line for the presence of air
Check prescription
Wait until the pump stops
Correct answer
Check the line for the presence of air
Mr Smith has just been certified dead by the General
Practitioner. However, no arrangements have been made by the family. What
should you do first?
1/1
Check patient’s records for
the next of kin details, and contact them to discuss about funeral services
Ring the co-operative and arrange for the undertaker to pick up Mr
Smith as soon as possible
Contact the GP and discuss about how to deal with Mr Smith
Contact your manager and enquire about dealing with Mr Smith
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 the process. Which of the following would
be most helpful to the grieving family during this difficult time?
0/1
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 call other family members for
advice
Correct answer
Provide care to the
deceased client in a careful and loving way
When breaking bad news over phone which of the following
statement is appropriate
0/1
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
Correct answer
I am sorry to tell you that
your mother died
A nurse from Medical-surgical unit asked to work on the
orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience.
Which client should be assigned to the medical-surgical nurse?
0/1
A client with a cast for a fractured femur and who has numbness
and discoloration of the toes
A client with balanced skeletal traction and who needs assistance
with morning care
A client who had an above-the-knee amputation yesterday and has a
temperature of 1014F
A client who had a total hip replacement 2 days ago and needs
blood glucose monitoring
Correct answer
A client who had a total
hip replacement 2 days ago and needs blood glucose monitoring
An RN from the women's health clinic is temporarily reassigned
to a medical-surgical unit. Which of these client assignments would be most
appropriate for this nurse?
0/1
A newly diagnosed client with type 2 diabetes mellitus who is
learning foot care
A client from a motor vehicle accident with an external fixation
device on the leg
A client admitted for a barium swallow after a transient ischemic
attack
A newly admitted client with a diagnosis of pancreatic cancer
Correct answer
A client from a motor
vehicle accident with an external fixation device on the leg
Nurses are not using a hoist to transfer patient. They said it
was not well maintained. What would you do?
0/1
Make a written report
Complain verbally
Take a picture for evidence
Do nothing
Correct answer
Make a written report
You were on duty, and you have noticed that the syringe driver
is not working properly. What should you do?
0/1
Ask someone to fix it
Report this to your supervisor immediately
Leave this for the senior staff to sort out
Recommend a person to repair it
Correct answer
Report this to your
supervisor immediately
You noticed medical equipment not working while you joined a new
team and the team members are not using it. Your role?
0/1
During audit raise your concern
Inform in written to management
Inform NMC
Take photograph
Correct answer
Inform in written to
management
A nurse is preparing to deliver a food tray to a client whose
religion is Jewish. The nurse checks the food on the tray and notes that the
food on the tray and notes that the client has received a roast beef dinner
with whole milk as a beverage. Which action will the nurse take?
0/1
Deliver the food tray to the client
Call the dietary department and ask for a new meal tray
Replace the whole milk with fat free milk
Ask the dietary department to replace the roast beef with pork
Correct answer
Call the dietary department
and ask for a new meal tray
A patient with a nutritional deficit and a MUST Score of 2 and
above is of high risk. What should be done?
0/1
Refer the patient to the dietician, the Nutritional Support Team
and implement local policy
Observe and document dietary intake for three days
Repeat screening weekly or monthly depending on the patient’s food
intake during the last 72 hours
All of the above
Correct answer
Refer the patient to the
dietician, the Nutritional Support Team and implement local policy
Mrs Hannigan has been assessed to be on nutritional deficit with
a MUST Score of 1, which means that she is on medium risk. One of your
interventions is to modify her diet for her to meet her nutritional needs. What
should you consider?
0/1
Mrs Hannigan’s meal preferences
Mrs Hannigan’s intake and output records
Mrs Hannigan’s x-ray results
A and B
B and C
Correct answer
A and B
An 82 year old lady was admitted to the hospital for assessment
of her respiratory problems. She has been a long term smoker in spite of her
daughter advising her to stop. Based on your assessment, she has lost a
substantial amount of weight. How will you assess her nutritional status?
0/1
Check her height and weight, so you can determine her BMI, BMI
Score and Nutritional Care Plan
Use the respiratory and perfusion assessment chart on admission
Check if she is struggling to chew and swallow, and make a
referral to the Speech and Language Therapist
All of the above
Correct answer
Check her height and
weight, so you can determine her BMI, BMI Score and Nutritional Care Plan
An adult patient with Nasogastric Tube died in a medical ward
due to aspiration of fluids. Staff nurse on duty believes that she has flushed
the tube and believed it is patent. What should not have been done?
0/1
Nothing should be introduced down the tube before gastric
placement is confirmed
Internal guidewires should not be lubricated before gastric
placement is confirmed
Auscultate the patient’s stomach as you push some air in, and if
you cannot hear anything, flush it
It is important to check the position of the tube by measuring the
pH value of stomach contents
Correct answer
Auscultate the patient’s
stomach as you push some air in, and if you cannot hear anything, flush it
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?
0/1
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
When doing your drug round at midday, you have noticed one of
your patient coughing more frequently whilst being assisted by a nursing
student at mealtime. What is your initial action at this situation?
0/1
Tell the student to feed the patient slowly to help stop coughing
Ask the student to completely stop feeding
Ask student to allow patient some sips of water to stop coughing
Ask student to stop feeding and assess patients swallowing
Correct answer
Ask student to stop feeding
and assess patients swallowing
You are the nurse on Ward C with 14 patients. Your fellow
incoming nurses called in sick and cannot come to work on your shift. What will
be your best action on this situation?
0/1
Review patient intervention, set priorities, ask the supervisor to
hand over extra staff
Continue with your shift and delegate some responsibilities to the
nursing assistant
Fill out an incident form about the staffing condition
Ask the colleague to look for someone to cover
Correct answer
Review patient
intervention, set priorities, ask the supervisor to hand over extra staff
As the nurse on duty, you have noted that there has been an
increasing number of cases of pressure sores in your nursing home. Which of the
following is the best intervention?
0/1
Collaboration with the Multidisciplinary Team
Patient Advocacy
Reduce fragmentation and costs
Identify opportunities and develop policies to improve nursing
practice
Correct answer
Identify
opportunities and develop policies to improve nursing practice
One of your health care assistants came to you saying that she
could not continue with her rounds due to a bad back. What will you do first?
0/1
Document the incident and report to the manager
Ring for agency staff to cover the shift
Assess your colleague’s back and administer pain killers
Send her home and cover her work yourself to help the team
Correct answer
Document the incident and
report to the manager
The hospice nurse has been working for two weeks without a day
off. During this time, she has been present at the deaths of seven of her
clients. Which of the following might be beneficial for this nurse?
0/1
Nothing
Provide her with an assistant
Suggest she take a few days off
Assign her to clients that aren't going to die for awhile
Correct answer
Suggest she take a few days
off
A patient with complex, multiple diseases is discharged to a
tertiary level care unit what to do?
0/1
Inform the tertiary unit about patient arrival
Call for a multidisciplinary meeting with professional who took
care of patient to discuss the patient care modalities that everyone accepts
Inform to patient relatives about the situation
Correct answer
Call for a
multidisciplinary meeting with professional who took care of patient to discuss
the patient care modalities that everyone accepts
You were the nurse on duty and it’s time to take your patient’s
vital signs. Upon checking, you noted that the patient was given Digoxin and
now has a heart rate of 50 BPM. What will you do with the next dose of Digoxin?
0/1
Omit then document
Omit then double the next dose; document
Administer then document
Administer then recheck VS
Correct answer
Omit then document
Mr James, a patient in the community phoned you asking for
advise as he is experiencing some side effects of the medications he was given.
What will be your best action on this situation?
0/1
Call the doctor and wait for advice
Tell the patient to stop taking the drug
Attend to the patient and make necessary intervention for the side
effect
Ask the patient to call the emergency service/ambulance
Correct answer
Attend to the patient and
make necessary intervention for the side effect
After having done your medication round, you have realised that
your patient has experienced the adverse effect of the drug. What will be your
initial intervention?
1/1
You must do the physical
observations and notify the General practitioner
You must ring the General Practitioner and request for a home
visit
You must administer medication from the Homely Remedy Pod after
having spoken to the General Practitioner
You must observe your patient until the General Practitioner
arrives at your nursing home
Cherry has been prescribed with Estradiol tablet to be inserted
twice a week at night. You entered her bedroom and noticed she is fast asleep.
What would you do?
0/1
Try to gently wake her up and insert her vaginal tablets
Allow her to get some sleep
and try to insert the vaginal tablet on your next turn rounds
Speak to her and ask her to spread her legs, so you can insert her
vaginal tablet
Document that the tablet cannot be administered at all because the
patient has refused
The MARS says that Benedict is on TID Macrogol. You have notice
that the nurses have been writing “A” for refused. What do you do?
0/1
Write “A” on the MARS, because Benedict is expected to refuse it
Offer the Macrogol, and write “A” if the patient refuses it
Check bowel charts and cancel Macrogol on MARS if bowels are fine
Change the prescription to PRN
Correct answer
Offer the Macrogol, and
write “A” if the patient refuses it
Maria has ran out of Cavilon Cream. You have noted that her
groins are very red and sore. You can see that David has spare Cavilon tubes
after checking the stocks. What will you do?
0/1
Borrow a tube from David’s stock as Maria’s groins are red and
sore
Use Canesten for now and apply Cavilon once stock has arrived
Request for a repeat prescription from the GP, and have the stock
delivered by the chemist
Ring the GP and ask him to see Maria’s groins, then prescribe
Cavilon
Correct answer
Request for a repeat
prescription from the GP, and have the stock delivered by the chemist
An antihypertensive medication has been prescribed for a client
with hypertension. The client tells the clinic nurse that they would like to
take a 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
You are about to administer Morphine Sulphate to a paediatric
patient. The information written on the control drug book was not clearly
written – 15 mg or 0.15 mg. What will you do first?
0/1
Not administer the drug, and wait for the General Practitioner to
do his rounds
Administer 015 mg, because 15 mg is quite a big dose for a
paediatric patient
Double check the medication label and the information on the
controlled drug book; ring the chemist the verify the dosage
Ask a senior staff to read the medication label for you
Correct answer
Double check the medication
label and the information on the controlled drug book; ring the chemist the
verify the dosage
Which of the following client should the nurse deal with first
0/1
A client who needs to be suctioned
A client who needs her dressing changed
A client who needs to be medicated for incisional pain
A client who is incontinent and needs to be cleaned
Correct answer
A client who needs to be
suctioned
In a nursing and residential home setting, how will you manage
your time and prioritise patients’ needs whilst doing your medication rounds in
the morning?
0/1
Start administering medications from the patient nearest to the
treatment room
Start administering medications to patients who are in the dining
room, as this is where most of them are for breakfast
Check the list of patients and identify the ones who have Diabetes
Mellitus and Parkinson’s disease
All of the above
Correct answer
Check the list of patients
and identify the ones who have Diabetes Mellitus and Parkinson’s disease
There has been a bomb threat at the medical centre. The
emergency response team informs the staff that the threat is legitimate and
that service users should start being evacuated. Which of the following should
you do?
1/1
Ambulatory Patients
Bedridden Patients
ITU Patients
Infants
The nurse is preparing to make rounds. Which client should be
seen first?
0/1
1 year old with hand and foot syndrome
69 year old with congestive heart failure
40 year old resolving pancreatitis
56 year old with Cushing’s disease
Correct answer
69 year old with congestive
heart failure
The client at greatest risk for postoperative wound infection
is:
0/1
A 3-month-old infant postoperative from pyloric stenosis repair
A 78-year-old postoperative from inguinal hernia repair
An 18-year-old drug user postoperative from removal of a bullet in
the leg
A 32-year-old diabetic postoperative from an appendectomy
Correct answer
An 18-year-old drug user
postoperative from removal of a bullet in the leg
While assisting a client from bed to chair, the nurse observes
that the client looks pale and is beginning to perspire heavily. The nurse
would then do which of the following activities as a reassessment?
0/1
Help client into the chair but more quickly
Document client’s vital signs taken just prior to moving the
client
Help client back to bed immediately
Observe clients skin color and take another set of vital signs
Correct answer
Observe clients skin color
and take another set of vital signs
A resident is due for discharge from your nursing home. You have
been his keyworker for the last five years, and his family has been
appreciative of the care you have provided. One of the relatives has offered
you cash in an envelope after saying goodbye. What should you do?
0/1
Say thank you, but refuse the offer politely
Say thank you and accept the offer
Accept the offer, and share it to your colleagues
Accept the offer and keep it to yourself
Correct answer
Say thank you, but refuse
the offer politely
One of your patient was pleased with the standard of care you
have provided him. As a gesture, he is giving you a £50 voucher to spend. What
is your most appropriate action on this situation?
1/1
Accept the voucher and thank him for this gesture
Refuse the voucher and
thank him for this gesture
Accept the voucher and give it to ward manager
Refuse the voucher and inform the ward manager for his gesture
A young adult is being treated for second and third degree burns
over 25% of his body and is now ready for discharge. The nurse evaluates his
understanding of discharge instructions relating to wound care and is satisfied
that he is prepared for home care when he makes which statement?
0/1
“I will need to take sponge baths at home to avoid exposing the
wounds to unsterile bath water.”
“If any healed areas break open I should first cover them with a
sterile dressing and then report it.”
“I must wear my Jobst elastic garment all day and can only remove
it when I’m going to bed.”
“I can expect occasional periods of low-grade fever and can take
Tylenol every 4 hours.”
Correct answer
“If any healed areas break open I should first cover them with a sterile dressing and then report it.”
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