NMC CBT Practice test 2 2275 NMC CBT Practice Tests NMC CBT Practice test 2 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 / 51 As a nurse, the people in your care must be able to trust you with their health and well being. In order to justify that trust, you must not: always act lawfully, whether those laws relate to your professional practice or personal life provide a high standard of practice and care when required work with others to protect and promote the health and wellbeing of those in your care be personally accountable for actions and omissions in your practice 2 / 51 In an emergency department doctor asked you to do the procedure of cannulation and left the ward. You haven’t done it before. What would you do? Do it Complain to the supervisor that doctor left you in middle of the procedure What is the purpose of clinical audit? Don’t do it as you are not competent or trained for that & write incident report & inform the supervisor Ask your colleague to do it 3 / 51 Describe the primary focus of a manager in a knowledge work environment. Developing the most effective teams Understanding the history of the organization. Routinework. Taking risks 4 / 51 Describe the primary focus of a manager in a knowledge work environment. Routine work Developingthemosteffectiveteams Understanding the history of the organization. Taking risks 5 / 51 What is accountability? Ethical and moral obligations permeating the nursing profession The process of applying knowledge and expertise to a clinical situation to develop a solution To be answerable to oneself and others for one’s own actions.” A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). 6 / 51 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 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 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 7 / 51 While at outside setup what care will you give as a Nurse if you are exposed to a situation? Ignoring the situation Provide care which is at expected level Keeping up to professional standards Above what is expected 8 / 51 A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager’s authority because of the age difference. How can this nurse manager best exercise authority? Use critical thinking to solve problems on the unit Maintain in an autocratic approach to influence results. Understand complex health care environments. Give assignments clearly, taking staff expertise into consideration 9 / 51 A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with the family. The nurse is acting as the patient’s: Case manager Advocate Educator Care giver 10 / 51 What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit? I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs.” I know I told you that you could have the weekend off, but I really need you to work.” The others work many extra shifts, why can’t you?” I can’t believe you need help with such a simple task. Didn’t you learn that in school?” 11 / 51 A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following?a identify the inefficiency that needs improvement or correction plan strategies to implement the change identify potential solutions and strategies for the change process 12 / 51 The nursing staff communicates that the new manager has a focus on the “bottom line,” and little concern for the quality of care. What is likely true of this nurse manager? The manager is looking at the total care picture The manager is unwilling to listen to staff concerns unless they have an impact on costs. The manager is communicating the importance of a caring environment The manager understands the organization’s values and how they mesh with the manger’s values. 13 / 51 A nurse documented on the wrong chart. What should the nurse do? Write line above the writing; put your name, job title, date, and time. Throw away the page Ignore the incident. Immediately inform the nurse in charge and tell her to cross it all off. 14 / 51 All should be seen in a good documentation except: Abbreviations,jargon,meaninglessphrases,irrelevantspeculationand offensive subjective statements A correct, consistent, and factual data legible handwriting Name and signature, position, date and time 15 / 51 Ms. Jones is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? Country Club Management Impoverished Management Organization Man Team management 16 / 51 NMC defines record keeping as all of the following except: Helping to improve advocacy Supporting effective clinical judgements and decisions Showing how decisions related to patient care were made Helping in identifying risks, and enabling early detection of complications 17 / 51 The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle? Autonomy Veracity Beneficence Fidelity 18 / 51 In the role of patient advocate, the nurse would do which of the following? Foster patient dependence on health care providers for decision making Override a patient’s decision when the patient refuses the recommended treatment Emphasize the need for cost-containment measures when making health care decisions Support a patient’s decision, even if it is not the decision desired by the nurse 19 / 51 Adequate record keeping for a medical device should provide evidence of: All of the above A full history, including date of purchase and where appropriate when it was put into use, deployed or installed Proper installation and where it was deployed A unique identifier for the device, where appropriate Any specific legal requirements and whether these have been met The end-of-life date, if specified Schedule and details of maintenance and repairs 20 / 51 The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work? Prepare these managers to interact with hospital administration. Prepare these managers so that they will focus on maintaining standards of care Prepare these managers to oversee the entire health care organization Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. 21 / 51 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? "Don’t be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." "Never get 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." 22 / 51 The characteristic of an effective leader include: emphasis on consistant job perfomance attention to detail sound problem-solving skills and strong people skills all of the above 23 / 51 Independent Advocacy is: Providing general advice Agreeing with everything a person says and doing anything a person asks you to do Making decisions for someone None of the above * Care and support work 24 / 51 An example of a positive outcome of a nurse-health team relationship would be: Becoming an effective change agent in the community An increased understanding of what the client perceives as meaningful from his or her perspective an increased understanding of the family dynamics that affect the client Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role 25 / 51 Which option best illustrates a positive outcome for managed care? Increaseinpreventiveservices Involvement in the political process. Reshaping current policy Cost-benefit analysis. 26 / 51 What is Advocacy according to NHS Trust? It is taking 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 27 / 51 Which of the following is a specific benefit to an organization when delegation is carried out effectively? The client feels more of their needs are met Managers devote more time to tasks that cannot be delegated Delegates gain new skills facilitating upward mobility The organization benefits by achieving its goals more efficiently 28 / 51 Information can be disclosed in all cases except: In identifiable form, when it is required for a specific purpose, with the individual’s written consent or with support under the Health Service When the information is required by law or under a court order. Wheneffectivelyanonymized. In Child Protection proceedings if it is considered that the information required is in the public or child’s interest 29 / 51 Which strategy could the nurse use to avoid disparity in health care delivery? Recognize the cultural issue related to patient care Request more health plan options Careformorepatientsevenifqualitysuffers Campaignforfixednursepatientratios 30 / 51 According to the nursing code of ethics, the nurse’s first allegiance is to the: Healthcareorganization client and clients family Physician Client only 31 / 51 What are the key competencies and features for effective collaboration? Effective communication, cooperation, and decreased competition for scarce resources. Effective communication skills, mutual respect, constructive feedback, and conflict management.Effective communication skills, mutual respect, constructive feedback, and conflict management. High level of trust and honesty, giving and receiving feedback, and decision making. Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions. 32 / 51 A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation? Documenting that the task has been completed. Supervising the performance of the new nurse Having the new nurse tell the physician the task has been completed Telling the unit manager, the task has been completed 33 / 51 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? Registered Nurse Nursingassistant Volunteer Practical Nurse 34 / 51 Which of the following is NOT one of the six fundamental values for nursing, midwifery and care staff set out in compassion in Practice Nursing, Midwifery & care staff? Care Communication Compassion Consideration 35 / 51 What is the most important issue confronting nurse managers using situational leadership? Value is placed on the accomplised of task and on interpersonal relationship between leader and group membersand among group members Personality traits and leader’s power base influence the leader’s choice of style Leaders can choose one of the four leadership styles when faced with a new situation. Leadership style differs for a group whose members are at different levels of maturity 36 / 51 In using social media like Facebook, how will you best adhere to your Code of Conduct as a nurse? (CHOOSE 2 ANSWERS) Never have relationship with previous patient Never post pictures concerning your practice Never tell you are a nurse Always rely SOLELY in your FBs privacy setting 37 / 51 When do we need to document? As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client Everyhour At the end of the shift When there are significant changes to the patient’s condition 38 / 51 A nurse delegates duty to a health assistant. What NMC standard she should keep in mind while doing this? She transfers the accountability to care assistant No need to assess the competency, as the care assistant is expert in her care area RN is accountable for care assistant’s actions 39 / 51 What is meant by an advocate? Someone who develops opportunities for the patient Someone who has the same beliefs as the patient Someone who has the same values as the patient. Someone who does something on behalf of the patient 40 / 51 All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she has a limited knowledge of the procedures. What should the manager do in this situation? Ignore the incident and just continue with what she was doing. Assign someone to guide the new staff nurse until she is competent in doing her tasks Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable. Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation 41 / 51 What are essential competencies for today’s nurse manager? A vision and goal Self and group awareness Communication and teamwork strategic planning and design 42 / 51 Which option best illustrates a positive outcome for managed care? Reshaping current policy. Cost-benefit analysis. Increaseinpreventativeservices Involvement in the political process 43 / 51 A client experiences an episode of pulmonary oedema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with? Tort Slander Assault Negligence 44 / 51 A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? Supporting the status quo when changes are pending Taking a public stand on quality issues and educating the public on” public interest” issues Teaching in a school of nursing to help decrease the nursing shortage Engaging in nursing research to justify nursing care delivery 45 / 51 Which of the following is a specific benefit to an organization when delegation is carried out effectively? The organization benefits by achieving its goals more efficiently Managers devote more time to tasks that cannot be delegated The client feels more of their needs are met Delegates gain new skills facilitating upward mobility 46 / 51 What do you mean by a bad leadership? Reward poor performance Appreciate intuitiveness Appreciate better work 47 / 51 When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? Democratic Participative Laissez-faire. Authorian 48 / 51 What are essential competencies for today’s nurse manag Communication and teamwork Strategic planning and design vision and goals Self and group awareness 49 / 51 A nurse demonstrates patient advocacy by becoming involved in which of the following activities? Teaching in school of nursing to help decrease the nursing shortage Engaging in nursing research to justify nursing care delivery Supporting the status quo when changes are pending Taking a public stand and quality issues and educating the public on “public interest” issues. 50 / 51 There have been several patient complaints that the staff members of the unit are disorganized and that “no one seems to know what to do or when to do it.” The staff members concur that they don’t have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing? Bureaucratic. Laissez-faire. Autocratic. Authoritarian. 51 / 51 Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? Organization Man Country Club Management Team management Impoverished Management 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: