CBT Mock Test 8 - 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. How long does proliferative phase of wound healing occur? 3-24 days 24-26 days 1-7 days 24 hours Question Title * 2. Compassion is best described as: showing empathy when delivering care not answering relatives queries giving patient some monies to buy unhealthy food providing care without gaining consent Question Title * 3. In caring for a patient, the nurse should? whenever possible provide care that is culturally sensitive and according to patients preference ask the patient and their family about their culture be aware of the patient’s culture disregard the patient’s culture Question Title * 4. 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 * 5. 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 Long-life fruit juice and filtered water Question Title * 6. A nurse assists the physician is performing liver biopsy. After the biopsy the nurse places the patient in which position? Supine Prone Left-side lying Right-side lying Question Title * 7. A Registered nurse is new to the diagnosis of her patient. What is the best response of the nurse? The nurse should come early for her shift & spend more time to care for the patient The nurse should spend an hour in library, learn about the new diagnosis & then take care of the patient The nurse should clarify her doubts with her senior on duty & with the doctors about the diagnosis & plan nursing care accordingly The nurse should request the other staff to continue with the shift as she lacks knowledge about the diagnosis Question Title * 8. Certain infectious diseases should be notified at international level. Though it is doctor's responsibility, as a registered nurse you should be aware about the diseases that require national notification. Which among the following is notifiable infectious disease at a national level? Tuberculosis Influenza Chicken pox Swine flu Question Title * 9. The first techniques used examining the abdomen of a client is: Palpation Auscultation Percussion Inspection Question Title * 10. 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 hereafter. What phrase of nursing process is being implemented here by the nurse? Assessment Diagnosis Planning Implementation Question Title * 11. When communicating with children, what most important factor should the nurse take into consideration? Developmental level Physical development Non verbal cues Parental involvement Question Title * 12. Which of the following would be an appropriate strategy in reorienting a confused patient to where her room is? Place picture of her family on the bedside stand Put her name in a large letters on her forehead Remind the patient where her room is Let the other residents know where the patient's room is Question Title * 13. A nurse has been told that a client's communications are tangential. The nurse would expect that the clients verbal responses to questions would be: Long and wordy Loosely related to the questions Rational and logical Simplistic, short and incomplete Question Title * 14. A nurse delegates duties to a health assistant, what NMC standard she should keep in mind while doing this? She transfers the accountability to care assistant RN is accountable for care assistants actions No need to assess the competency, as the care assistant is expert in her care area Healthcare assistant is accountable to only her senior Question Title * 15. Which of the following approaches creates a barrier to communication? Using to many different skills during a single interaction Giving advise rather than encouraging the patient to problem solve Allowing the patient to become too anxious before changing the subject Focusing on what the patient is saying rather than on the skill used Question Title * 16. 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? 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 Question Title * 17. An example of a positive outcome of a nurse-health team relationship would be: Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role Becoming an effective change agent in the community An increased understanding of the family dynamics that affect the client An increased understanding of what the client perceives as meaningful from his or her perspective Question Title * 18. A patient has sexual interest in you. What would you do? 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 Question Title * 19. Communication is not the message that was intended but rather the message that was received. The statement that best helps explain this is Clean communication can ensure the client will receive the message intended Sincerity in communication is the responsibility of the sender and the receiver Attention to personal space can minimize misinterpretation of communication Contextual factors, such as attitudes, values, beliefs, and self-concept, influence communication Question Title * 20. When communicating with someone who isn't a native English speaker, which of the following is NOT advisable? Using a translator Use short, precise sentences Relying on their family or friends to help explain what you mean Write things down Question Title * 21. Which of the following is NOT an example of non-verbal communication? Dress Facial expression Posture Tone Question Title * 22. The nurse is discussing problem-solving strategies with a client who recently experienced the death of a family member and the loss of a full-time job. The client says to the nurse. 'I hear what you're saying to me, but it just isn't making any sense to me. I can't think straight now." The client is expressing feelings of: Rejection Overload Disqualification Hostility Question Title * 23. The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of Denial Repression Suppression Displacement Question Title * 24. You are assisting a doctor who is trying to assess and collect information from a child who does not seem to understand all that the doctor is telling and is restless. What will be your best response? Stay quiet and remain with the doctor Interrupt the doctor and ask the child the questions Remain with the doctor and try to gain the confidence of the child and politely assess the child's level of understanding and help the doctor with the information he is looking for Make the child quiet & ask his mother to stay with him Question Title * 25. 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? 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 Question Title * 26. According to NMC Standards code and conduct, a registered nurse is EXCLUDED from legal action in which one of these? Fixed penalty for speeding Possessing stock medications Convicted for fraud Convicted for theft Question Title * 27. A client is brought to the emergency room by the emergency medical services after being hit by car. The name of the client is not known. The client has sustained a severe head injury, multiple fractures and is unconscious. An emergency craniotomy is required, regarding informed consent for the surgical procedure, which of the following is the best action? Call the police to identify the client and locate the family Obtain a court order for the surgical procedure Ask the emergency medical services team to sign the informed consent Transport the victim to the operating room for surgery Question Title * 28. A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response in which of he following? It is subjective perspective of the person's heritage and sense of belonging to a group It is a group of individuals in a society that is culturally distinc and has a unique identity It is a process of learning, a different culture to a dapt to a new or change in environment It is a group that share some of the characteristics of the larger population group of which it is a part Question Title * 29. 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? "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" Question Title * 30. 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? 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 Question Title * 31. When would an orthostatic blood pressure measurement be indicated? If the patient has a recent history of falls If the patient has a history of dizziness or syncope on changing position If the patient has a history of hypertension If the patient has a history of hypotension Question Title * 32. A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient's record. What is best response of the nurse? She should continue documenting in the same file as the medical document cannot be corrected She should tear the page from the file & start documenting in the correct record She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time She should write as wrong documentation in a bracket & continue Question Title * 33. According to NMC, RN must have to update their skills and knowledge throughout their professional career. On hourly basis, a minimum of how much should an RN possess in 3 years: 25 hrs 35 hrs 55 hrs 45 hrs Question Title * 34. How to give respect & dignity to the client? Compassion, support & reassurance to the client Communicate effectively with them Behaving in a professional manner Giving advice on health care issues Question Title * 35. Which of the step is NOT involved in Tuckman's group formation theory Accepting Norming Storming Forming Question Title * 36. An adult has been medicated for her surgery. The operating room (OR) nurse, when going through the client's chart, realizes that the consent form has not been signed. Which of the following is the best action for the nurse to take? Assume it is emergency surgery & the consent is implied Get the consent form & have the client sign it Tell the physician that the consent form is not signed Have a family member sign the consent form Question Title * 37. A mentally capable client in a critical condition is supposed to receive blood transfusion. But client strongly refuses the blood product to be transfused. What would be the best response of the nurse? Accept the client's decision and give information on the consequences of his actions Let the family decide Administer the blood product against the patients decision The doctor will decide Question Title * 38. An antihypertensive medication has been prescribed for a client with HTN. The client tells the clinic nurse that they would like to take an herbal substance to help lower their BP. The nurse should take which action? Tell the client that herbal substances are not safe & 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 Question Title * 39. A police officer approached the nurses' station asking for information on a specific client. The nurse knows that she can give the necessary information if: The police shows his identification The police officer has the right to such information There is a clear risk of safety and potential harm to the public The hospital manager authorized to give the information Question Title * 40. When communicating with the a client who speaks a different language, which best practice should the nurse implement? Speak loudly & slowly Arrange for an interpreter to translate Speak to the client & family together Stand close to the client & speak loudly Question Title * 41. The code is the foundation of Dress code Personal document Good nursing & midwifery practice & a key tool in safeguarding the health & well being of the public Hospital administration Question Title * 42. According to the nursing code of ethics, the nurse's first allegiance is to the: Client and client's family Client only Healthcare organization Physician Question Title * 43. 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? A client with a cast for a fractured femur & who has numbness & discoloration of the toes A client with balanced skeletal traction & who needs assistance with morning care A client who had an above-the-knee amputation yesterday & has a temperature of 101.4F A client who had a total hip replacement 2 days ago & needs blood glucose monitoring Question Title * 44. A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to Role modeling behaviors of the preceptor The philosophy of the new nurse's school of nursing The orientation provided to the new nurse Lack of trust in the team members Question Title * 45. The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to? Practical Nurse Registered Nurse Nursing assistant Volunteer Question Title * 46. 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? 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 Question Title * 47. A dose of 100 ml of injection Metronidazole is to be infused over half an hour. How much amount of the medicine will be given in an hour? 50 ml 150 ml 200 ml 300 ml Question Title * 48. An infusion of 24 mg of Inj. Furosemide is ordered for 12 hrs. How much dose is infused in an hour? 4 mg/hr 2 mg/hr 3 mg/hr 1 mg/hr Question Title * 49. As a registered nurse, you are expected to calculate fluid volume balance of a patient whose input is 2437 ml and output is 750 ml 1887 (Negative Balance) 1197 (Negative Balance) 1887 (Positive Balance) 1197 (Positive Balance) Question Title * 50. Which of the following is the most common aneurysm site? Hepatic Artery Abdominal aorta Renal arch Circle of Wills Question Title * 51. We are always striving to improve our service and support to overseas nurses. Any feedback or suggestions that you might have can be made in the comment box below. If you are not registered with MMA Healthcare Recruitment and would like to receive a copy of our free CBT study guide, please provide your name and e-mail address.http://www.mmarecruitment.com/ Page1 / 1 100% of survey complete. Done