CBT Practice test 3 378 NMC CBT Practice Tests CBT Practice test 3 The NBC CBT Practice Test is a valuable resource for nurses preparing to take the Computer Adaptive Test required for registration with the Nursing and Midwifery Council (NMC) in the UK. 1 / 50 How to give respect & dignity to the client? Giving advice on health care issues Compassion, support & reassurance to the client Behaving in a professional manner Communicate effectively with them 2 / 50 A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response? Inform to ward in charge Let her do the procedure. Correct her later Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent 3 / 50 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: let them continue with their work as you are not in charge of that bay call the manual handling specialist nurse for training report the event to the unit manager inform the relatives of the mistake 4 / 50 One busy day on your shift, a manager told you that all washes should be done by 10am. What would you do? Ignore the manager and just continue with what you are doing. Talk to the manager and tell her that the quality of care will be compromised if washes are rushed. Provide a written statement of the incident. Follow the manager and ensure that everything is done on time. 5 / 50 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? Help the patient to a safe comfortable position, take a set of observations & 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 & if they wish, their relatives Let the patient’s relatives know so that they don’t make a complaint & 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 & ask the patient’s doctor to come & review them, checking the injury isn’t serious. when this has taken place , write up what happened & any future care in the nursing notes Discuss the incident with the nurse in charge , & contact your union representative in case you get into trouble 6 / 50 You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role? take photograph inform NMC during audit raise your concern inform in written to management 7 / 50 Role conflict can occur in any situation in which individuals work together. The predominant reasons that role conflict will emerge in collaboration is that people have different: Expectations about a particular role; interpersonal conflict will emerge Values, beliefs, and work experiences that influence their ability to collaborate. Levels of education and preparation Levels of experience and exposure of working in interdisciplinary teams 8 / 50 Bystander informs you that the patient is in severe pain. Ur response Tell that she would give the next dose of analgesic when it’s time Go instantly to the patient and assess the condition Tell him that he would come as soon as possible Record in the chart and inform doc and in charge 9 / 50 The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? "Never gets into a disagreement with a staff member." "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." "Give your best nurses extra attention and rewards for their help." "Don’t be too soft on the staff, if they make a mistake, be certain to reprimand them immediately." 10 / 50 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 Displacement Repression Denial Suppression 11 / 50 A nurse documents vital signs without actually performing the task. Which action should the charge nurse take after discussing the situation with the nurse? Notify the board of nursing Terminate employment Charge the nurse with malpractice Document the incident 12 / 50 One of your young patient displayed an overt sexual behaviour directly to you. How will you best respond to this? report the patient to their relatives Talk to the patient about the situation, to re- establish and maintain professional boundaries and relationship ignore the behaviour as this is part of the development process inform line manager of the incident 13 / 50 A nurse manger achieves a higher management position in the organisation, there is a need for what type of skills? Personal and communication skills Conceptual and interpersonal skills Communication and technical skills Visionary and interpersonal skills 14 / 50 The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response Inform police Respect the request, if possible arrange the consultation with a female doc Just neglect the request Tell her that, only male doctor is available and he is takin care of many female staffs daily 15 / 50 A client on your medical surgical unit has a cousin who is physician & wants to see the chart. Which of the following is the best response for the nurse to take Ask the client to sign an authorization & have someone review the chart with cousin Call the attending physician & have the doctor speak with the cousin Call the attending physician & have the doctor speak with the cousin Ask the client to sign an authorization & have someone review the chart with cousin 16 / 50 The following are qualities of a good leader, except: Acknowledges and accepts members mistakes – without any corrections Does not accept criticisms from members His behaviour contributes to the team Shows empathy to members 17 / 50 The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements? “It is my responsibility to witness the signature of the client before surgery is performed. “It is my responsibility to ensure that the consent form has been signed and attached to the patient’s chart prior to surgery.” “It is my responsibility to answer questions that the patient may have prior to surgery.” “It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form.” 18 / 50 You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do? encourage all the staff who are present to do their best to attend to the needs of the patients refuse to take charge of the next shift ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover 19 / 50 A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization? The client retains all of his or her rights The client cannot be released without medicala dvice the client can sign a written request for discharge the client has a right to leave if not a danger to self or others 20 / 50 A client requests you that he wants to go home against medical advice, what should you do? Call the security guard Inform the local police Inform the management Allow the client to go home as he won’t pose any threat to self or others 21 / 50 Clinical audit is best described as: a tool to set a guidelines or protocol in clinical practice 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 22 / 50 A 23-year-old-woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse’s responsibility concerning written consent? The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart. The nurse should verify that the patient or a family member has signed the consent form. The nurse should explain the procedure to the patient and ask her to sign the consent form. The nurse should tell the physician that the patient agrees to have the examination. 23 / 50 A young woman has suffered fractured pelvis in an accident , she has been hospitalized for 3 days , when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. what is best action of the nurse to take? Encourage the patient to disclose this information to her physician Inform the healthcare team who will come in contact with the patient Document this information on the patient’s chart Tell the patient’s physician 24 / 50 Who will you inform first if there is a shortage in supplies in your shift? Purchasing personnel Nursing assistant Supplier Immediate nurse manager 25 / 50 After finding the patient, which statement would be most appropriate for the nurse to document on a datix/incident form? “Upon entering the room, the patient was found lying on the floor.” “The patient climbed over the side rails and fell out of bed.” “The use of restraints would have prevented the fall.” “The use of a sedative would have helped keep the patient in bed.” 26 / 50 The famous 14 Principles of Management was first defined by HenriFayol Elton Mayo JamesWatt Adam Smith 27 / 50 A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should: Continue delivering care as this will not affect the quality of care you are rendering your patient Ignore the criticism as this is a case of a team issue Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager 28 / 50 If you were explaining anxiety to a patient, what would be the main points to include? Anxiety has three aspects: physical – bodily sensations related to flight & fight response, behavioural – such as avoiding the situation, & cognitive (thinking) – such as imagining the worst Anxiety has three aspects: physical – such as running away, behavioural – such as imagining the worse (catastrophizing) , & cognitive ( thinking) – such as needing to urinate. Anxiety is all in the mind, if they learn to think differently, it will go away Signs of anxiety include behaviours such as muscle tension. palpitations, a dry mouth, fast shallow breathing, dizziness & an increased need to urinate or defaecate 29 / 50 The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defence mechanisms? Identification Displacement Introjection Repression 30 / 50 One of the main responsibilities of an employer should be: create ways to make networks provide a safe place for the employees create opportunities for growth provide entertainment to employees 31 / 50 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? Keep your profile private Do not involve in any conversions with client’s or their relatives through a social site 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 post any pictures of client’s even if they have given you permission 32 / 50 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 who had an above-the-knee amputation yesterday & has a temperature of 101.4F A client with balanced skeletal traction & who needs assistance with morning care A client who had a total hip replacement 2 days ago & needs blood glucose monitoring 33 / 50 The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following? Incomplete data Generalize from experience Identifying with the client Lack of clinical experience 34 / 50 The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 406. they are using her name & discussing intimate details about her illness which of the following actions are best for the nurse to take? Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed Tell the nursing assistant’s supervisor about the incident. It is the supervisor’s responsibility to address the issue Say nothing. it is not the nurses job, he or she is not responsible for the assistant’s action Go over & tell the nursing assistants that their actions are inappropriate especially in a public place 35 / 50 A nurse case manager receives a referral to provide case management services for an adolescent mother who was recently diagnosed with HIV. Which statement indicates that the patient understands her illness? “I will wear gloves when I’m caring for my baby, because I could infect my baby with AIDS.” “My CD4 count is 800 and my T cells are greater than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.” “I can never have sex again, so I guess I will always be a single parent.” “My CD4 count is 200 and my T cells are less than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.” 36 / 50 A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make. “ you are a long way from dying” “ Would you like to talk to the nurse who works with HIV- positive patient’s ?” “Where there is life there is hope” “ not everyone who is HIV positive will develop AIDS & die” 37 / 50 A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST? Please leave and I will speak with you when I am done." I’m sorry, but HIPPA says that you can’t be here. Do you mind leaving?" You may sit with us as long as you are quiet." I need you to leave us alone." 38 / 50 A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by: Sharing the information with all members of the healthcare team Summarizing the information, the client provides during assessments and documenting this summary in the chart. Explaining the exact limits of confidentiality in the exchanges between the client and the nurse. Limiting discussion about clients to the group room and hallways. 39 / 50 The rehabilitation nurse wishes to make the following entry into a client’s plan of care: “Client will re-establish a pattern of daily bowel movements without straining within two months.” The nurse would write this statement under which section of the plan of care? 28 Short-term goals Nursing diagnosis/problem list Nursing order Long term goals 40 / 50 Compassion in Practice – the culture of compassionate care encompasses: Competence,Communication,Courage Care, Courage, Commitment Care, Compassion, Competence, Communication, Courage, Commitment – DoH–“Compassion in Practice Care, Compassion, Competence 41 / 50 A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient’s wife comforting other family members. Which of the following interpretations of this behaviour is MOST justifiable? She is demonstrating resolution of her husband’s death. She has already moved through the stages of the grieving process. She is repressing anger related to her husband’s death. She is experiencing shock and disbelief related to her husband’s death. 42 / 50 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? fill out an incident form about the staffing condition 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 ask the colleague to look for someone to cover 43 / 50 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 Inform police Never attend that patient Try to re-establish the therapeutic communication and relationship with patient and inform the manager for support 44 / 50 A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make. “ Would you like to talk to the nurse who works with HIV- positive patient’s ?” “ you are a long way from dying” “Where there is life there is hope” “ not everyone who is HIV positive will develop AIDS & die” 45 / 50 What are the characteristics of effective collaboration? Humor, trust, and valuing diverse, complementary knowledge Common purpose and goals All of the above Clinical competence of each provider 46 / 50 Role conflict can occur in any situation in which individuals work together. The predominant reason that role conflict will emerge in collaboration is that people have different Values, beliefs, and work experiences that influences their ability to collaborate. Expectations about a particular role; interpersonal conflict will emerge Levels of experience and exposure of working in interdisciplinary teams Levels of education and preparation 47 / 50 You are a new and inexperienced staff, which of the following actions will you do during your first day on the clinical area? Acknowledge your limitations, seek supervision from your team leader answer all enquiries from the patients Help in admitting the patients volunteer to do the drug rounds 48 / 50 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 admitted client with a diagnosis of pancreatic cancer A client admitted for a barium swallow after a transient ischemic attack 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 49 / 50 The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST? fine, we’re better off without you anyway” Why don’t you take a dinner break and come back? It will seem more manageable with a normal blood sugar. I can understand why you’re upset, but I’m tired too and I’m not quitting.” It seems to me that you feel frustrated. What can I help you with to care for our patients?” 50 / 50 The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behaviour constitutes: Duty of care False imprisonment Standard of care practice Contract of care By subscribing you confirm that you accept our terms & conditions and have read our Privacy Policy Your score is Share Your Result. LinkedIn Facebook Twitter Follow Us. 0% Restart quiz Share on: