CBT Practice test 4 1512 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 What stage of pressure ulcer includes tissue involvement and crater formation? (CHOOSE 2 ANSWERS) stage 4 stage 1 stage 3 stage 2 2 / 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. Ensure that the nursing process is complete and includes active participation by the patient and family Become creative in meeting patient’s needs. Empower the patient by providing needed information and support. 3 / 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 2nd stage partial skin thickness 3rd stage moisture lesion 4 / 50 What is Disclosure according to NHS? 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. It is a set of rules or a promise that limits access or places restrictions on certain types of information. It is asking action to help people say what they want, secure their rights, represent their interests and obtain the services they need 5 / 50 Clinical bench-marking is: To provide a holistic approach to the patient A new set of rule for health care professionals a new initiate in health care system to improve standards in health care 6 / 50 What functions should a dressing fulfil for effective wound healing? Anaerobic, impermeable, conformable, low humidity. Absorbent,lowadherence,anaerobic,highhumidity. Insulation,lowhumidity,sterile,highadherence. High humidity, insulation, gaseous exchange, absorbent. 7 / 50 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 All of the above Disposal of waste and use of protective equipment 8 / 50 Which are not the benefits of using negative pressure wound therapy? Can reduce use of dressings Can be used on untreated osteo myelitis Can reduce wound odour Increases local blood flow in peri-wound area 9 / 50 Which solution use minimum tissue damage while providing wound care? Hydrogen peroxide Saline Povidine iodine Gention violet 10 / 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? Stage3- full thickness skin los Stage4- full thickness tissue lose Stage2- Partial thickness skin lose Stage1- non blanchable erythema 11 / 50 How do you remove a negative pressure dressing? remove in a quick fashion Remove pressure then detach dressing gently Get TVN nurse to remove dressing 12 / 50 Proper Dressing for wound care should be?(choose five options) Non Permeable Conformable Low humidity Absorbent Adherent Provide thermal insulation High humidity 13 / 50 A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role? Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own Is an expert and repenetrates clients concerns, wishes and views as they cannot express by themselves Just to accompany the patient To take decisions on patients behalf and provide their own judgements as this benefit the client 14 / 50 The client fell and was injured. What kind of liability does the nurse have? None Assault & battery Intentional tort Negligence 15 / 50 Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery? Interrupted suture Skin clips Adhesive skin closure strips Tissue adhesive 16 / 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 3rd stage 2nd stage partial skin thickness 4th stage 17 / 50 Essence of Care benchmarking is a process of ——-? Consultation and patient involvement Comparing, sharing and developing practice in order to achieve and sustain best practice. Review achievement towards best practice Assess clinical area against best practice 18 / 50 How would you care for a patient with a necrotic wound? Apply a negative pressure dressing. Systemic antibiotic therapy and apply a dry dressing Debride and apply an antimicrobial dressing. Debride and apply a hydrogel dressing. 19 / 50 How long does proliferative phase of wound healing occur? 24 hours 24-26days 3-24 days 1-7days 20 / 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? Alginate dressing Skin barrier product Negative pressure dressing Rapid capillary dressing 21 / 50 Which one of the following types of wound is NOT suitable for negative pressure wound therapy? Partial thickness burns Traumatic wounds Diabetic and neuropathic ulcers Contaminated wounds 22 / 50 Proper Dressing for wound care should be? (Select x 3 correct answers) Non Permeable/Conformable Absorbent / Provide thermal insulation Low humidity High humidity 23 / 50 What do you mean by benchmarking tool ? it is the way of expressing the need of the patient an overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice informationonhowtousethebenchmarks a continuum between poor and best practice. 24 / 50 How long does the ‘inflammatory phase’ of wound healing typically last? 24 hours Just minutes 1-5days 3-24 days 25 / 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 Tell the patient’s physician Document this information on the patient’s chart 26 / 50 What are the four stages of wound healing in the order they take place? Inflammatory phase, dynamic stage, neutrophil phase, maturation phase. Proliferative phase, inflammation phase, remodelling phase, maturation phase. Haemostasis,proliferationphase,inflammationphase,remodellingphasesupport Haemostasis, inflammation phase, proliferation phase, maturation phase 27 / 50 What do you expect to assess in a grade 3 pressure ulcer? open wound exposing muscles open wound showing tissue blistered wound on the skin open wound exposing bones 28 / 50 When would it be beneficial to use a wound care plan? (choose three options) duringpre-assessmentadmission on initial assessment of wound after surgery during wound infection, dehiscence or evisceration 29 / 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? Reminding the client that the action may be an end-of life decision Refusing to care for the client because of the client’s noncompliance Accepting the patient’s choice & not intervening Asking the spouse to take all the alcohol out of the house 30 / 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? Close the admission until adequate staffs are on duty. Contact a private agency to provide staff Inform the superiors and call for a meeting to solve the issue 31 / 50 A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively Preserve safety Prioritise people Promote professionalism and trust Practice effective 32 / 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 33 / 50 dressing: Which of the following conditions can be observed in a proper wound non humid, non absorbent, aerated non absorbent,humid,aerated absorbent,humid,aerated non humid,absorbent,aerated 34 / 50 When would it be beneficial to use a wound care plan? On all infected wounds. On all chronic wounds On all complex wounds. On every wound 35 / 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 policies & practices of the institution Ethical principles & code The nurse’s emotional feelings 36 / 50 when breaking bad news over phone which of the following statement is appropriate I am sorry to tell you that your mother died I am sorry to tell you that your mother passed away I am sorry to tell you that your mother is no more I am sorry to tell you that your mother has gone to heaven 37 / 50 clinical practice is based on evidence based practice. Which of the following statements is true about this Practice based on ritualistic way Provision of computers at every nursing station to search for best evidence while providing care 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. Clinical practice based on clinical expertise and reasoning with the best knowledge available 38 / 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. As an infected wound In the inflammation phase of healing. In the haemostasis phase of healing. 39 / 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? Accept the voucher and give it to ward manager Refuse the voucher and thank him for this gesture Refuse the voucher and inform the ward manager for his gesture Accept the voucher and thank him for this gesture 40 / 50 Appropriate wound dressing criteria includes all but one: Allows removal of the dressing without pain or skin stripping. Maintains optimum temperature and pH in the wound Forms an effective barrier to Allows gaseous exchange. Is non-absorbent 41 / 50 A patient with complex, multiple diseases is discharged to a tertiary level care unit what to do? Inform to patient relatives about the situation 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 42 / 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 Go immediately to see the patient Check analgesia on the chart Find thennurse incharge 43 / 50 Wound care management plan should be done with what type of wound? Any type of wound Complex wound Infected wound 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? 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. 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 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 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 4 Stage 2 Stage 1 46 / 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: Unapproxiamted Laceration Eschar Abrasion 47 / 50 What stage of pressure ulcer includes tissue involvement and crater formation? stage 1 stage 2 stage 4 stage3 48 / 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 keep the information a secret inview of confidentiality 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 49 / 50 Wound proliferation starts after? 3-24 days 1-5 days 24days 50 / 50 A clients wound is draining thick yellow material. The nurse correctly describes the drainage as: Serous sanguineous Purulent Sanguineous Serous 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: