NMC CBT Practice test 2 694 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 A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? Teaching in a school of nursing to help decrease the nursing shortage Taking a public stand on quality issues and educating the public on” public interest” issues Engaging in nursing research to justify nursing care delivery Supporting the status quo when changes are pending 2 / 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? Team management Country Club Management Organization Man Impoverished Management 3 / 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 When there are significant changes to the patient’s condition Everyhour At the end of the shift 4 / 51 What are essential competencies for today’s nurse manag vision and goals Self and group awareness Strategic planning and design Communication and teamwork 5 / 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 Understand complex health care environments. Maintain in an autocratic approach to influence results. Give assignments clearly, taking staff expertise into consideration 6 / 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. 7 / 51 The characteristic of an effective leader include: attention to detail all of the above sound problem-solving skills and strong people skills emphasis on consistant job perfomance 8 / 51 What is the most important issue confronting nurse managers using situational leadership? Leadership style differs for a group whose members are at different levels of maturity 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. Value is placed on the accomplised of task and on interpersonal relationship between leader and group membersand among group members 9 / 51 When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? Laissez-faire. Participative Authorian Democratic 10 / 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? Country Club Management Team management Impoverished Management Organization Man 11 / 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 12 / 51 A nurse documented on the wrong chart. What should the nurse do? Throw away the page Immediately inform the nurse in charge and tell her to cross it all off. Write line above the writing; put your name, job title, date, and time. Ignore the incident. 13 / 51 Independent Advocacy is: Making decisions for someone Providing general advice None of the above * Care and support work Agreeing with everything a person says and doing anything a person asks you to do 14 / 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 Practical Nurse Volunteer 15 / 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 potential solutions and strategies for the change process identify the inefficiency that needs improvement or correction plan strategies to implement the change 16 / 51 Describe the primary focus of a manager in a knowledge work environment. Developingthemosteffectiveteams Understanding the history of the organization. Taking risks Routine work 17 / 51 Which option best illustrates a positive outcome for managed care? Involvement in the political process Reshaping current policy. Cost-benefit analysis. Increaseinpreventativeservices 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 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 Override a patient’s decision when the patient refuses the recommended treatment 19 / 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: work with others to protect and promote the health and wellbeing of those in your care always act lawfully, whether those laws relate to your professional practice or personal life provide a high standard of practice and care when required be personally accountable for actions and omissions in your practice 20 / 51 An example of a positive outcome of a nurse-health team relationship would be: 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 An increased understanding of what the client perceives as meaningful from his or her perspective Becoming an effective change agent in the community 21 / 51 What do you mean by a bad leadership? Reward poor performance Appreciate better work Appreciate intuitiveness 22 / 51 NMC defines record keeping as all of the following except: 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 Helping to improve advocacy 23 / 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 Compassion Consideration Communication 24 / 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? Assault Negligence Slander Tort 25 / 51 Adequate record keeping for a medical device should provide evidence of: A unique identifier for the device, where appropriate The end-of-life date, if specified All of the above Schedule and details of maintenance and repairs Proper installation and where it was deployed Any specific legal requirements and whether these have been met A full history, including date of purchase and where appropriate when it was put into use, deployed or installed 26 / 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 communicating the importance of a caring environment The manager understands the organization’s values and how they mesh with the manger’s values. The manager is unwilling to listen to staff concerns unless they have an impact on costs. 27 / 51 Describe the primary focus of a manager in a knowledge work environment. Routinework. Developing the most effective teams Understanding the history of the organization. Taking risks 28 / 51 What is accountability? Ethical and moral obligations permeating the nursing profession A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). To be answerable to oneself and others for one’s own actions.” The process of applying knowledge and expertise to a clinical situation to develop a solution 29 / 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 Educator Advocate Care giver 30 / 51 According to the nursing code of ethics, the nurse’s first allegiance is to the: Physician client and clients family Healthcareorganization Client only 31 / 51 A nurse demonstrates patient advocacy by becoming involved in which of the following activities? 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. Teaching in school of nursing to help decrease the nursing shortage 32 / 51 Which option best illustrates a positive outcome for managed care? Reshaping current policy Cost-benefit analysis. Increaseinpreventiveservices Involvement in the political process. 33 / 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? What is the purpose of clinical audit? Ask your colleague to do it Complain to the supervisor that doctor left you in middle of the procedure Do it Don’t do it as you are not competent or trained for that & write incident report & inform the supervisor 34 / 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 Always rely SOLELY in your FBs privacy setting Never post pictures concerning your practice Never tell you are a nurse 35 / 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 Delegates gain new skills facilitating upward mobility The client feels more of their needs are met 36 / 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 write as wrong documentation in a bracket & continue She should tear the page from the file & start documenting in the correct record She should continue documenting in the same file as the medical document cannot be corrected She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time 37 / 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 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. Prepare these managers to interact with hospital administration. 38 / 51 Which of the following is a specific benefit to an organization when delegation is carried out effectively? 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 The client feels more of their needs are met 39 / 51 What are essential competencies for today’s nurse manager? Communication and teamwork A vision and goal strategic planning and design Self and group awareness 40 / 51 What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit? I can’t believe you need help with such a simple task. Didn’t you learn that in school?” The others work many extra shifts, why can’t you?” I know I told you that you could have the weekend off, but I really need you to work.” 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.” 41 / 51 All should be seen in a good documentation except: Name and signature, position, date and time A correct, consistent, and factual data Abbreviations,jargon,meaninglessphrases,irrelevantspeculationand offensive subjective statements legible handwriting 42 / 51 What is meant by an advocate? Someone who does something on behalf of the patient Someone who has the same beliefs as the patient Someone who develops opportunities for the patient Someone who has the same values as the patient. 43 / 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? Beneficence Fidelity Autonomy Veracity 44 / 51 A nurse delegates duty to a health assistant. What NMC standard she should keep in mind while doing this? RN is accountable for care assistant’s actions No need to assess the competency, as the care assistant is expert in her care area She transfers the accountability to care assistant 45 / 51 What are the key competencies and features for effective collaboration? High level of trust and honesty, giving and receiving feedback, and decision making. Effective communication, cooperation, and decreased competition for scarce resources. Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions. Effective communication skills, mutual respect, constructive feedback, and conflict management.Effective communication skills, mutual respect, constructive feedback, and conflict management. 46 / 51 What is Advocacy according to NHS Trust? 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 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. 47 / 51 Which strategy could the nurse use to avoid disparity in health care delivery? Campaignforfixednursepatientratios Recognize the cultural issue related to patient care Request more health plan options Careformorepatientsevenifqualitysuffers 48 / 51 While at outside setup what care will you give as a Nurse if you are exposed to a situation? Ignoring the situation Keeping up to professional standards Above what is expected Provide care which is at expected level 49 / 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? "Give your best nurses extra attention and rewards for their help." "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." "Never get into a disagreement with a staff member. "Don’t be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 50 / 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? 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. Ignore the incident and just continue with what she was doing. Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation 51 / 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? Having the new nurse tell the physician the task has been completed Telling the unit manager, the task has been completed Supervising the performance of the new nurse Documenting that the task has been completed. 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: