CBT Mock Test 2 - 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 Healthcare Recruitment CBT guide. Question Title * 1. What position should you prepare the patient in pre-op for abdominal Paracentesis? Supine Supine with head of bed elevated to 40-50cm Prone Side-lying Question Title * 2. Lumbar post op patient moving and handling Move patient as a unit Move patient close to side rails so he/she could assist herself Move with leg raised/flexed Question Title * 3. What is not a sign of meconium aspiration Floppy in appearance Apnoea Crying Question Title * 4. A suicidal Patient is admitted to psychiatric facility for 3 days when suddenly he is showing signs of cheerfulness and motivation. The nurse should see this as: That treatment and medication is working She has made new friends That she has finalize suicide plan Question Title * 5. Patient has next dose of Digoxin but has a CR=58 Omit dose, record why, and inform the doctor Give dose and tell the doctor Give dose as prescribed Question Title * 6. Patient is in for oxygen therapy A prescription is required including route, method and how long No prescription is required unless he will use it at home. Prescription not required for oxygen therapy Question Title * 7. Adequate record keeping for a medical device should provide evidence of: 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 Question Title * 8. The doctor prescribes a dose of 9 mg of an anticoagulant for a patient being treated for thrombosis. The drug is being supplied in 3mg tablets. How many tablets should you administer? 3 tablets 1.5 tablets 6 tablets Question Title * 9. The doctor prescribes 25mg of a drug to be given by injection. It is a drug dispensed in a solution of strength 50mg/ml. How many ml should you administer? 2ml 1.5 ml 0.5 ml – Dose Prescribed: Dose /ml - 25:50=0.5 Question Title * 10. A doctor prescribes an injection of 200 micrograms of drug. The stock bottle contains 1mg/ml. How many ml will you administer? Bear in mind: The 2 dose values must be in the same unit 1mg=1000mcg , 200mcg=0.2mg then dose prescribed:dose/ml – 0.2:1=0.2 20ml 2ml 0.2ml Question Title * 11. 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: Report your concerns immediately, in writing to the appropriate person - Escalating concerns NMC 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 Question Title * 12. In interpreting ECG results if there is clear evidence of atrial disruption this is interpreted as? Cardiac Arrest Ventricular tach Atrial Fibrillation Complete blockage of the heart Question Title * 13. Common signs and symptoms of a hypoglycaemia exclude: Feeling hungry Sweating Anxiety or irritability Blurred vision Ketoacidosis Question Title * 14. Select 4 Common causes for hyperglycaemia include: Not eating enough protein Eating too much carbohydrate Over-treating a hypoglycaemia Stress Infection (for example, colds, bronchitis, flu, vomiting, diarrhoea, urinary infections, and skin infections Question Title * 15. Safeguarding is the responsibility of: health care assistants registered nurses doctors all of the above Question Title * 16. Normal heart rate for 1 to 2 years old? 80 - 140 beats per minute 80 - 110 beats per minute 75 - 115 beats per minute Question Title * 17. In the News observation system, what is AVUP ? A replacement for GCS An assessment for confusion Assessment for the level of consciousness Question Title * 18. Which bag do you place infected linen? water-soluble alginate polythene bag before being placed in the appropriate linen bag, no more than ¾ full orange waste bag, before being placed in the appropriate linen bag, no more than ¾ full white linen bag, after sorting, no more than ¾ full Question Title * 19. Which one of these notifiable diseases needs to be reported on a national level? (Select x 2 correct answers) Chicken pox Tuberculosis Whooping cough Influenza Question Title * 20. Patient is post of repair of tibia and fibula possible signs of compartment syndrome include Numbness and tingling Cool dusky toes Pain Toes swelling All of the above Question Title * 21. Patient developed elevated temperature and pain in the loin during blood transfusion. This is indicative of: Severe blood transfusion reaction Common blood transfusion reaction Question Title * 22. What is the best position in applying eye medications? Sitting position with head tilt to the right Sitting position with head tilt backwards Prone position with head tilt to the left Question Title * 23. Which of the following is at a greater risk for developing coronary artery disease? Male, obese, sedentary lifestyle Female, obese, non sedentary lifestyle Question Title * 24. Most commonly aneurysms can develop on? Select x 2 answers Abdominal aorta Circle of Willis Intraparechymal aneurysms Capillary aneurysms Question Title * 25. On assessment of the abdomen of a patient with peritonitis you would expect to find Rebound tenderness and guarding Hyperactive, high-pitched bowel sounds and a firm abdomen A soft abdomen with bowel sounds every 2 to 3 seconds Ascites and increased vascular pattern on the skin Question Title * 26. Patients with gastric ulcers typically exhibit the following symptoms: Epigastric pain worsens before meals, pain awakening patient from sleep an melena Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever Boring epigastric pain radiating to back and left shoulder, bluish-grey discoloration of periumbilical area and ascites Epigastric pains worsens after eating and weight loss Question Title * 27. Under the Yellow Card Scheme you must report the following: ( Select x 2 correct answers) Faulty brakes on a wheelchair Suspected side effects to blood factor, except immunoglobulin products Counterfeit or fake medicines or medical devices Question Title * 28. The degree of injection when giving subcutaneous insulin injection on a site where you can grasp 1 inch of tissue? 45 degrees 40 degrees 25 degrees Question Title * 29. A patient suffered from stroke and is unable to read and write. This is called Aphasia (sometimes called dysphasia Dysphagia Partial aphasia Question Title * 30. Hypoglycaemia in patients with diabetes is more likely to occur when the patients take: (Select x 3 correct answers) Insulin Sulphonylureas Prandial glucose regulators Metformin Question Title * 31. Patients with gastrointestinal bleeding may experience acute or chronic blood loss. Your patient is experiencing hematochezia. You recognise this by: Red or maroon- coloured stool rectally Coffee ground emesis Black, tarry stool Vomiting of bright red or maroon blood Question Title * 32. The worst advice you can give a student nurse with regards to the use of social networking sites like Facebook? Select x 2 correct answers. 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 Question Title * 33. It is unsafe for a spinal tap to be undertaken if the patient: Has bacterial meningitis Papilloedema Intracranial mass is suspected Site skin infection All the above Question Title * 34. On physical examination of a 16 year old female patient, you notice partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of: Self-induced vomiting and she likely has bulimia nervosa A genetic disorder and her siblings should also be tested Self-mutilation and correlates with anxiety A connective tissue disorder and she should be referred to dermatology Question Title * 35. 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? 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 Question Title * 36. Prothrombin time is essential during anticoagulation therapy. In oral anticoagulation therapy which test is essential? Activated Thromboplastin Time - The partial thromboplastin time (PTT) test is a blood test that is done to investigate bleeding disorders and to monitor patients taking ananticlotting drug (heparin). International Normalized Ratio - The Prothrombin time (PT) test, standardised as the INR test is most often used to check how well anticoagulant tablets such as warfarin and phenindione are working Question Title * 37. Conditions producing orthostatic hypotension in the elderly: Aortic stenosis Arrhythmias Diabetes Pernicious anaemia Advanced heart failure All of the above Question Title * 38. Waterlow score of 20 indicates what type of mattress to use? Select x 2 Standard-specification foam mattresses High-specification foam mattresses Dynamic support surface Question Title * 39. Enteral feeding patient checks patency of tube placement by: x 2 correct answers Pulling on the tube and then pushing it back in place Aspirating gastric juice and then checking for ph <4 Infusing water or air and listening for gurgles X-ray Question Title * 40. A patient is assessed as lacking capacity to give consent if they are unable to: Understand information about the decision and remember that information Use that information to make a decision Communicate their decision by talking, using sign language or by any other means All the above Question Title * 41. Proper Dressing for wound care should be? (Select x 3 correct answers) High humidity Low humidity Non Permeable/ Conformable Adherent Absorbent / Provide thermal insulation Question Title * 42. You are monitoring a patient in the ICU when suddenly his consciousness drops and the size of one his pupil becomes smaller what should you do? Refer to neurology team Continue to monitor patient using GCS and record Consider this as an emergency, prioritize abc & Call the doctor Question Title * 43. Patient is post op liver biopsy which is a sign of serious complication? (Select x 2 correct answers) CR of 104, RR=24, Temp of 37.5 Nausea and vomiting Pain Bleeding Question Title * 44. Enteral feeding patient checks patency of tube placement by: (Select x 2 correct answers) Pulling on the tube and then pushing it back in place Aspirating gastric juice and then checking for ph <4 Infusing water or air and listening for gurgles X-ray Question Title * 45. Nurse is teaching patient about crutch walking which is incorrect? Take long strides Take small strides Instruct to put weight on hands Question Title * 46. What advice do you need to give to a patient taking Allopurinol? (Select x 3 correct answers) Drink 8 to 10 full glasses of fluid every day, unless your doctor tells you otherwise. Store allopurinol at room temperature away from moisture and heat. Avoid being near people who are sick or have infections Skin rash is a common side effect, it will pass after a few days Question Title * 47. What do you expect patients with COPD to manifest? Inc Pco2, dec O2 Dec Pco2, inc o2 Inc pco2, inc o2 Dec pco2, dec o2 Question Title * 48. As a nurse, what health teachings will you give to a COPD patient? Encourage to stop smoking Administer oxygen inhalation as prescribed Enroll in a pulmonary rehabilitation programme All the above Question Title * 49. A relative of the patient was experiencing vomiting and diarrhea and wished to visit her mother who was admitted. As a nurse, what will you advise to the patient's relative? There should be 48 hours after active symptoms should disappear prior to visiting patient Inform relative it is fine to visit mother as long as she uses alcohol before entering ward premises Question Title * 50. For an average person from Uk who has non-insulin dependent diabetes, how many servings of fruits and vegetables per day should they take? 1 serving 3 servings 5 servings 7 servings 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/ Done