CBT Mock Test 6 - NMC Part 1 Test of Competence NOTE: This is a “mock” test based on some of the references given in the NMC Blue Print. The test covers 4 Domains and 1 field specific competency relating to your specialism – in this case ‘Adult Nursing’. The questions provided is only a guide, individuals should review the all study material and modules provided in MMA Recruitment CBT guide. Question Title * 1. Which of the following are barriers to effective communication? Cultural differences Unfamiliar accents Overly technical language and terminology Hearing problems Question Title * 2. Which behaviours will encourage a patient to talk about their concerns? Giving reassurance and telling them not to worry. Asking the patient about their family and friends. Tell the patient you are interested in what is concerning them and that you are available to listen. Tell the patient you are interested in what is concerning them and if they tell you, they will feel better. Question Title * 3. What is the difference between denial and collusion? Denial is when a healthcare professional refuses to tell a patient their diagnosis for the protection of the patient whereas collusion is when healthcare professionals and the patient agree on the information to be told to relatives and friends. Denial is when a patient refuses treatment and collusion is when a patient agrees to it. Denial is a coping mechanism used by an individual with the intention of protecting themselves from painful or distressing information whereas collusion is the withholding of information from the patient with the intention of ‘protecting them’. Question Title * 4. If you were explaining anxiety to a patient, what would be the main points to include? Signs of anxiety include behaviours such as muscle tension, palpitations, a dry mouth, fast shallow breathing, dizziness and an increased need to urinate or defaecate. Anxiety has three aspects: physical -bodily sensations related to flight and fight response, behavioural -such as avoiding the situation, and cognitive (thinking) -such as imagining the worst. Anxiety is all in the mind, if they learn to think differently, it will go away. Anxiety has three aspects: physical -such as running away, behavioural -such as imagining the worse (catastrophizing),and cognitive (thinking) -such as needing to urinate. Question Title * 5. What factors are essential in demonstrating supportive communication to patients? Listening, clarifying the concerns and feelings of the patient using open questions. Listening, clarifying the physical needs of the patient using closed questions Listening, clarifying the physical needs of the patient using open questions. Listening, reflecting back the patient's concerns and providing a solution. Question Title * 6. What infection is thought to be caused by prions? Leprosy Pneumocystis jirovecii Norovirus Creutzfeldt Jakob disease None of the above Question Title * 7. If a patient requires protective isolation, which of the following should you advise them to drink? Filtered water only Fresh fruit juice and filtered water Bottled water and tap water Tap water only Long-life fruit juice and filtered water Question Title * 8. All individuals providing nursing care must be competent at which of the following procedures? Hand hygiene and aseptic technique Aseptic technique only Hand hygiene, use of protective equipment, and disposal of waste Disposal of waste and use of protective equipment All of the above Question Title * 9. For which type of waste should orange bags be used? Waste that requires disposal by incineration Offensive/hygiene waste Waste which may be ‘treated Offensive waste Question Title * 10. What percentage of patients in hospital in England, at the time of the 2011 National Prevalence survey, had an infection? 4.6% 6.4% 14% 16% Question Title * 11. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following actions first? Administer the prescribed antiemetic to the patient. Determine the patency of the patient's nasogastric tube. Instruct the patient to take deep breaths. Assess the patient for pain Question Title * 12. Which of the following nursing theorists developed a conceptual model based on the belief that all persons should strive to achieve self-care? Martha Rogers Dorothea Orem Florence Nightingale Cister Callista Roy Question Title * 13. The term gavage indicates Administration of a liquid feeding into the stomach Visual examination of the stomach irrigation of the stomach with solution A surgical opening through the abdomen to stomach Question Title * 14. Sue’s passed away. Sue handled this death by crying and withdrawing from friend and family. As A nurse you would notice that sue’s intensified grief is most likely a sign of which type of grief? Distorted or exaggerated Grief Anticipatory Grief Chronic or Prolonged Grief Delayed or Inhibited Grief Question Title * 15. Missy is 23 years old and looking forward to being married the following day. Missy’s mother feels happy that her daughter is starting a new phase in her life but is feeling a little bit sad as well. When talking to Missy’s mother you would explain this feeling to her as a sign of what? Anticipated Grief Lifestyle Loss Situational Loss Maturational Loss Self Loss All of the above Question Title * 16. After the suicide of her best friend Marry feels a sense of guilt, shame and anger because she had not answered the phone when her friend called shortly before her death. Which of the following statements is the most accurate when talking about Mary’s feelings? Marry’s feelings are normal and are a form of perceived loss Marry’s feelings are normal and are a form of situational loss. Marry’s feelings are not normal and are a form of situational loss. Marry's feelings are not normal and are a form of physical loss. Question Title * 17. What law should be taken into consideration when a patient has hearing difficulties and would need hearing aids? Mental capacity Act Equality act Communication law Question Title * 18. While having lunch at the cafeteria, your co-worker suddenly collapsed. As a nurse, what would you do? You are on lunch, no actions should be taken Assess for any danger Tap the patient to check for consciousness Call for help Question Title * 19. During cardiopulmonary resuscitation: chest compression should be 5-6 cm deep at a rate of 100-120 compression per minute a ratio of 2 ventilation to 15 cardiac compression is required the hands should be placed over the lower third of the sternum to do chest compression check for normal breathing for 1 full minute to diagnose cardiac arrest Question Title * 20. In hospitalised patients: cardiac arrest is usually sudden and unexpected event pulse oximetry is a reliable indicator of ventilation urine output is a good predictor of cardiac output ECG monitoring is always required Question Title * 21. National Early Warning Scoring systems: can help detect deteriorating patients must not be calculated before referring to another team use the patient’s subjective complaints to calculate a score is a tool to measure patient’s comfort level Question Title * 22. The correct management of an adult patient in ventricular fibrillation (VF) cardiac arrest includes: an initial shock with a manual defibrillator or when prompted by an automated external defibrillator (AED) atropine 3 mg IV adenosine 500 mcg IV adrenaline 1 mg IV before first shock Question Title * 23. Which of the following indicates signs of severe Chronic Obstructive Pulmonary disease (COPD)? high p02 and high pC02 low p02 and low pC02 low p02 and high pC02 high p02 and low pC02 Question Title * 24. Severe bleeding is best characterised by: moist skin and pinkish nailbeds dry skin and pinkish nailbeds moist skin and bluish nailbeds dry skin and bluish nailbeds Question Title * 25. In doing neurological assessment, AVPU means: awake, voice, pain, unresponsive alert, voice, pain, unresponsive awake, verbalises, pain, unresponsive alert, verbalises, pain, unresponsive Question Title * 26. When doing your shift assessment, one of your patient has a waterlow score of 20. Which of the following mattress is appropriate for this score? water bed fluidized airbed low air loss alternating pressure Question Title * 27. Mrs. Smith is receiving blood transfusion after a total hip replacement operation. After 15 minutes, you went back to check her vital signs and she complained of high temperature and loin pain. This may indicate: Renal Colic Urine Infection Common adverse reaction Serious adverse reaction Question Title * 28. 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? Discard the paper/ document Cross the wrong entry with a line, indicated it is an error, write the date, time, name & signature, document the care correctly. Leave it, never alter pt record Inform the nurse manager, let her draw a line on the entry and place her name & signature Question Title * 29. Mr Khan, is visiting his son in London when he was admitted in accident and emergency due to abdominal pain. Mr. Khan is from Pakistan and does not speak the English language. As his nurse, what is your best action: Ask the relative Ask a cleaner who speaks the same Ask for an official interpreter Transfer him to another hospital who can communicate with him Question Title * 30. Adam, 46 years old is of Jewish descent. As his nurse, how will you plan his dietary needs? 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 Question Title * 31. Barbara, an elderly patient with dementia, wishes to go out of the hospital. What will be you appropriate action? Call the police, make sure she does not leave Encourage the patient to stay for his well being Inform the police to arrest the patient Allow her to leave, she is stable and not at risk of anything Question Title * 32. Jenny was admitted to your ward with severe bleeding after 48 hours following her labour. What stage of post partum haemorrhage is she experiencing? Primary Secondary Tertiary Emergency Question Title * 33. effectively plan the therapy for Jenny, which of the following indicator will you consider checking together with prothrombin time (PT)? Activated prothrombin time Bleeding time Thrombin time INR Question Title * 34. Who is responsible for the strict disposal of sharps? Registered Nurse Nurse assistant Doctor The one who used the sharps Question Title * 35. As an infection prevention and control protocol, linens soiled with infectious bodily fluids should be disposed of in what means? Placed in yellow plastic bag to be disposed of Placed in dissolvable red linen bag and washed at high temperature Placed in yellow linen bag, and washed at high temperature Placed in red plastic bag to be incinerated at high temperature Question Title * 36. In the UK, safeguarding is the responsibility of: Nurse assistant Doctor Registered Nurse All of the above Question Title * 37. Which of the following is a potential complication of putting an oropharyngeal airway adjunct: Retching, vomiting Bradycardia Obstruction Nasal injury Question Title * 38. John, 18 years old is for discharge and will require further dose of oral antibiotics. As his nurse, which of the following will you advise him to do? Take with food or after meals and ensure to take all antibiotics as prescribed Take all antibiotics and as prescribed Take medicine during the day and ensure to finish the course of medication Take medicine and stop when he feels better Question Title * 39. John is also prescribed some medications for his Gout. Which of the following health teaching will you advise him to do? Increase fluid intake 2 - 3 liters per day Have enough sunshine Avoid paracetamol (first line analgesic) avoid dairy products Question Title * 40. Jim is to receive his eyedrops after his cataract operation. What is the best position for Jim to assume when instilling the eyedrops? sitting position, head tilted backwards supine position for comfort standing position to facilitate drainage recovery position Question Title * 41. The current Chief Nursing Officer of England called for all nurses to be care- makers and encouraged to embed the 6 Cs in their practice. 6 Cs mean: care, compassion, competence, communication, courage, commitment care, cure, compassion, competence, communication, commitment care, competence, compassion, communication, commitment, cohesion care, collaboration, communication, compassion, commitment, competence Question Title * 42. Which of the following is an average heart rate of a 1-2 year old child? 110-120 bpm 60-100 bpm 140-160 bpm 80-120 bpm Question Title * 43. The following are qualities of a good leader, except: Shows empathy to members His behaviour contributes to the team Acknowledges and accepts members mistakes - without any corrections Does not accept criticisms from members Question Title * 44. Clinical audit is best described as: a tool to evaluate the effectiveness of interventions, and to know what needs to be improved a tool used to identify the weakest link within the system a standard of which performance is based upon a tool to set a guidelines or protocol in clinical practice Question Title * 45. Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorised as: moisture lesion 2nd stage partial skin thickness 3rd stage 4th stage Question Title * 46. Joshua, son of Breid went to the station to see the nurse as she was complaining of severe pain on her pressure ulcer. What will be your initial action? Check analgesia on the chart Tell you will come as soon as you can Find the nurse in charge Go immediately to see the patient Question Title * 47. Which is not a stage in the Tuckman Theory of contingency? Forming Storming Norming Analyzing Question Title * 48. Joy, a COPD patient is to be discharged in the community. As her nurse, which of the following interventions will you encourage him to do to prevent progression of disease. Oxygen therapy Breathing exercise Cessation of smoking coughing exercise Question Title * 49. Which of the following population group is at risk of developing cardiovascular disease? Obese, male, diabetic, hypertensive, sedentary lifestyle female, forty, fertile smoker, diabetic and alcoholic drug user, male, hypertensive Question Title * 50. In reporting contagious diseases, which of the following will need attention at national level: Measles Tuberculosis chicken pox Swine flu Question Title * 51. 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