CBT Practice test 4 337 NMC CBT Practice Tests CBT Practice test 4 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 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? Accepting the patient’s choice & not intervening Refusing to care for the client because of the client’s noncompliance Reminding the client that the action may be an end-of life decision Asking the spouse to take all the alcohol out of the house 2 / 50 Proper Dressing for wound care should be?(choose five options) Provide thermal insulation Absorbent High humidity Conformable Non Permeable Low humidity Adherent 3 / 50 What stage of pressure ulcer includes tissue involvement and crater formation? stage 4 stage3 stage 1 stage 2 4 / 50 Which are not the benefits of using negative pressure wound therapy? Can be used on untreated osteo myelitis Can reduce use of dressings Can reduce wound odour Increases local blood flow in peri-wound area 5 / 50 How long does proliferative phase of wound healing occur? 24-26days 3-24 days 1-7days 24 hours 6 / 50 When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning? The nurse’s experience The nurse’s emotional feelings Ethical principles & code The policies & practices of the institution 7 / 50 What stage of pressure ulcer includes tissue involvement and crater formation? (CHOOSE 2 ANSWERS) stage 1 stage 4 stage 2 stage 3 8 / 50 A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described? In the reconstructive phase of wound healing. In the haemostasis phase of healing. In the inflammation phase of healing. As an infected wound 9 / 50 A patient developed pressure ulcer. The wound is round, extends to the dermis, is shallow, there is visible reddish to pinkish tissue. What stage is the pressure ulcer? Stage3 Stage 1 Stage 4 Stage 2 10 / 50 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 4th stage 3rd stage 2nd stage partial skin thickness 11 / 50 Clinical bench-marking is: to improve standards in health care To provide a holistic approach to the patient a new initiate in health care system A new set of rule for health care professionals 12 / 50 dressing: Which of the following conditions can be observed in a proper wound non humid,absorbent,aerated non absorbent,humid,aerated absorbent,humid,aerated non humid, non absorbent, aerated 13 / 50 Proper Dressing for wound care should be? (Select x 3 correct answers) Non Permeable/Conformable Low humidity Absorbent / Provide thermal insulation High humidity 14 / 50 A patient with complex, multiple diseases is discharged to a tertiary level care unit what to do? 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 15 / 50 Essence of Care benchmarking is a process of ——-? Assess clinical area against best practice Consultation and patient involvement Comparing, sharing and developing practice in order to achieve and sustain best practice. Review achievement towards best practice 16 / 50 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? Help the patient understand the need for preventive health care. Become creative in meeting patient’s needs. Ensure that the nursing process is complete and includes active participation by the patient and family Empower the patient by providing needed information and support. 17 / 50 Wound proliferation starts after? 1-5 days 3-24 days 24days 18 / 50 Wound care management plan should be done with what type of wound? Infected wound Any type of wound Complex wound 19 / 50 You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply? Skin barrier product Negative pressure dressing Alginate dressing Rapid capillary dressing 20 / 50 clinical practice is based on evidence based practice. Which of the following statements is true about this Practice based on what nurse thinks is the best for patient n adult has just returned to the unit from surgery. The nurse transferred him to his bed but did not put up the side rails. Practice based on ritualistic way Provision of computers at every nursing station to search for best evidence while providing care Clinical practice based on clinical expertise and reasoning with the best knowledge available 21 / 50 A nurse notices a bedsore. It’s a shallow wound, red coloured with no pus. Dermis is lost. At what stage this bedsore is? Stage2- Partial thickness skin lose Stage3- full thickness skin los Stage4- full thickness tissue lose Stage1- non blanchable erythema 22 / 50 All individuals providing nursing care must be competent at which of the following procedures? All of the above Hand hygiene, use of protective equipment, and disposal of waste Disposal of waste and use of protective equipment Hand hygiene and aseptic technique Aseptic technique only 23 / 50 Which solution use minimum tissue damage while providing wound care? Hydrogen peroxide Saline Povidine iodine Gention violet 24 / 50 when breaking bad news over phone which of the following statement is appropriate 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 I am sorry to tell you that your mother died 25 / 50 How long does the ‘inflammatory phase’ of wound healing typically last? 24 hours 1-5days 3-24 days Just minutes 26 / 50 While at outside setup what care will you give as a Nurse if you are exposed to a situation? above what is expected keeping up to professional standards Ignoring the situation Provide care which is at expected level 27 / 50 Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation? report her boyfriend to social services tell her that any information related to her wellbeing will need to be share to the health care team inform her parents about this so she can be advised appropriately keep the information a secret inview of confidentiality 28 / 50 How do you remove a negative pressure dressing? Remove pressure then detach dressing gently remove in a quick fashion Get TVN nurse to remove dressing 29 / 50 Which one of the following types of wound is NOT suitable for negative pressure wound therapy? Partial thickness burns Contaminated wounds Diabetic and neuropathic ulcers Traumatic wounds 30 / 50 When would it be beneficial to use a wound care plan? On all complex wounds. On all infected wounds. On every wound On all chronic wounds 31 / 50 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: 4th stage moisture lesion 2nd stage partial skin thickness 3rd stage 32 / 50 Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery? Tissue adhesive Skin clips Interrupted suture Adhesive skin closure strips 33 / 50 What do you mean by benchmarking tool ? an overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice it is the way of expressing the need of the patient informationonhowtousethebenchmarks a continuum between poor and best practice. 34 / 50 What is Disclosure according to NHS? It is asking action to help people say what they want, secure their rights, represent their interests and obtain the services they need It is a set of rules or a promise that limits access or places restrictions on certain types of information. 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. 35 / 50 When you find out that 2 staffs are on leave for next duty shift and its of staff shortage what to do with the situation? Contact a private agency to provide staff Close the admission until adequate staffs are on duty. Inform the superiors and call for a meeting to solve the issue 36 / 50 A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively Prioritise people Practice effective Promote professionalism and trust Preserve safety 37 / 50 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? Refuse the voucher and inform the ward manager for his gesture Accept the voucher and thank him for this gesture Accept the voucher and give it to ward manager Refuse the voucher and thank him for this gesture 38 / 50 When would it be beneficial to use a wound care plan? (choose three options) duringpre-assessmentadmission during wound infection, dehiscence or evisceration after surgery on initial assessment of wound 39 / 50 Appropriate wound dressing criteria includes all but one: Is non-absorbent Maintains optimum temperature and pH in the wound Allows removal of the dressing without pain or skin stripping. Allows gaseous exchange. Forms an effective barrier to 40 / 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 Document this information on the patient’s chart Tell the patient’s physician Inform the healthcare team who will come in contact with the patient 41 / 50 a client is admitted to the Emergency Department after a motorcycle accident that resulted in the client’s skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. The wound is best described as: Abrasion Unapproxiamted Laceration Eschar 42 / 50 What are the four stages of wound healing in the order they take place? Haemostasis,proliferationphase,inflammationphase,remodellingphasesupport Proliferative phase, inflammation phase, remodelling phase, maturation phase. Inflammatory phase, dynamic stage, neutrophil phase, maturation phase. Haemostasis, inflammation phase, proliferation phase, maturation phase 43 / 50 A clients wound is draining thick yellow material. The nurse correctly describes the drainage as: Purulent Sanguineous Serous sanguineous Serous 44 / 50 The nurse manager of 20 bed coronary care is not on duty when a staff nurse makes serious medication error. The client who received an over dose of the medication nearly dies. Which statement of the nurse manager reflects accountability? Although the nurse manager was on off duty but the nurse supervisor decides to call nurse manager if the time permits the nurse supervisor thinks that the 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 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,nurse manager has no responsibility of what has happened in manager’s absence The nurse manager will be informed of the incident when returning to the work on Monday because the nurse manager was officially off duty when the incident took place. The nurse supervisor on duty will call the nurse manager at home and apprise about the problem Because the nurse manager is not on duty therefore she is not accountable to anything which happens on her absence 45 / 50 What functions should a dressing fulfil for effective wound healing? Absorbent,lowadherence,anaerobic,highhumidity. Insulation,lowhumidity,sterile,highadherence. High humidity, insulation, gaseous exchange, absorbent. Anaerobic, impermeable, conformable, low humidity. 46 / 50 How would you care for a patient with a necrotic wound? Debride and apply a hydrogel dressing. Debride and apply an antimicrobial dressing. Systemic antibiotic therapy and apply a dry dressing Apply a negative pressure dressing. 47 / 50 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? Tell you will come as soon as you can Find thennurse incharge Go immediately to see the patient Check analgesia on the chart 48 / 50 A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role? Just to accompany the patient Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own To take decisions on patients behalf and provide their own judgements as this benefit the client Is an expert and repenetrates clients concerns, wishes and views as they cannot express by themselves 49 / 50 The client fell and was injured. What kind of liability does the nurse have? Negligence Intentional tort None Assault & battery 50 / 50 What do you expect to assess in a grade 3 pressure ulcer? open wound showing tissue open wound exposing muscles open wound exposing bones blistered wound on the skin 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: