NMC -CBT 110 Questions

Q1.A patient is prescribed 120mg tab.Available dose is 40mg.How many tablets for a single dose?
D/H×Q=A
120/40=3 tablets.
Q2.A patient is advised 120mg tab.Available dose is 30mg.How many tablets for a single dose?
D/H×Q=A
120/30=4 tablets
Q3. 1500ml IV fluid to be infused over 8 hours. Calculate the ml/hr to be given in an infusion pump?
Total volume/Time in hours=1500/8=187.5ml/hr
Q4.Inj.Metrogyl 100ml to be infused over half an hour.How many ml/hr to be set in an infusion pump?
100÷30×60=200ml/hr
Q5.Prescription 2.5mg/hr.How much will be given in 24 hours?
2.5×24=60mg
Q6.Calculate fluid balance.Intake=2738ml
Output=750ml?
2738-750=1988ml
Q7.A patient weighing 55kg is prescribed 3mg/kg of medicine.How many mg will be given?
55×3=165mg
Q8.Prescribed dose is 50mg three times daily.Available is 125mg/5ml.how much will be for a single
dose?
D/H×Q=A
50÷125×5=2ml.
Q9.How can a nurse provide support for a blind patient taking oral fluids?
Ask the patient if he need any assistance.
Q10.Which should be considered for a 15 year old girl asking for contraceptive advice?
A.Faser guidelines
B.Gillick guidelines
Answer is A
Q11.In Early warning score system,what ACVPU stands for?
A.Awake,cooperation,verbalisation,pain,unconsciousness
B.Alert,compatibility,verbalisation,pain,unconsciousness
C.Awake,communication,voice,pain,unconsciousness.
D.Alert,confused,voice,pain,unconsciousness.
Answer is D
Q12.A widow lady with dementia and recent UTI complains that she saw something running in the
kitchen?
Manifesting delirium due to infection.
Q13.Medicine not administered because of unavailability in the stock.To whom should inform?
Document the reason for omission,inform prescriber and senior nurse.
Q14.Patient newly diagnosed with oesophageal cancer should decide on treatment,broken down and
cries.What is the most appropriate nurses action?
Acknowledge the decision,provide private room to discuss with the family.
Q15.COPD patients will exhibit?
High PCO2 and low PO2
Q.16 Why adjuvants like anticonvulsants and antidepressants are given in palliative care?
To aid/increase the effectiveness of opioids.
Q17.An elderly patient complaints that his neighbor is stealing his money,not buying food?
 Inform patient's GP,identify local safeguarding policy and act accordingly.
Q18.What is the cause of gingival bleeding?
Poor removal of plaque.
Q19.What is best advice that can given for a COPD patient on discharge?
Cessation of smoking.
Q20.A nurse visit a patient and finds that her daughter has bruises and looks thin.what should be done?
Identify local safeguarding policy and raise alert, ask assistance from line manager,inform social
services and police.
Q21.What are the factors that should be considered in safeguarding concerns in adults?
A.Type of harm,source of harm,degree of harm.
B.why,what,where.
Answer is A.
Q21.Who is responsible for educating and supervising students?
All RNs
(All other options are: only mentors,only supervisors).
Q22.What all symptoms will be shown by a patient with depression?
A.Behavioural
B.Cognitive
C.Physical
D.All the above
Answer is D
Q23.Patient with CVA has difficulty in swallowing.To whom will be referred?
Speech and language Therapist.
Q24.A patient is agitated and want to discharge himself.What should be done?
Let him go as there is no signs of physical risk and if not,it will be deprivation of liberty.
Q25.What is the most appropriate advice that can be given to a woman taking OCP on holiday?
A.Ask her to go for other methods of contraception like condoms as there is risk for diarrhea during
holidays.
B.Take extra pills as it will not be available abroad or expensive.
Answer is A.
(I opted A beacuse there is risk for travellers' diarrhea during holidays and it is reported that its incidence
is high.And the option A says that 'as there is risk for diarrhea during holidays' and the question doesn't
says the duration of holiday-short or long so that to take extra pills)
Q26.
Standard precaution measures include?
Hand hygiene,Use of PPE,safe handling and disposal of waste.
Q27.The recommended servings of fruits and vegetables in a day?
five 80g servings of fruit and vegetable a day.
Q28. What to do for wrong documentation?
Draw line through entry, state that it is error, write name, signature, job title, date and time.
Q29.What is the standard practice followed in handwritten documentation?
Print your name,signature,designation,date and time.
Q30.A consent is VALID when the patient?
Has mental capacity, voluntary and informed.
Q31.Manager asks to wash all the patients before 10 am.What is the most appropriate response?
Talk to the manager,tell him that holistic care will be compromised.
Q32.A newly appointed staff makes repeated errors leaving patient's safety at risk. As a line manager
what will you do?
 Talk to her privately, identify her difficulties, provide support and appropriate training.
Q33. Student nurses perform wrong procedure. What should be done?
Stop them, provide training and assess competency.
Q34.A patient is for surgery but her BMI is low.To whom should be referred?
Dietitian
Q35.Subcutaneous insulin injection should be given at?
90 degree
Q36.What is patient centered care?
Take patient as whole and deliver appropriate care.
Q37.When should a nurse administer broad spectrum antibiotics for a patient with sepsis?
Immediately after collecting blood samples for culture.
Q38.What is advocacy in nursing?
To inform,mediate and support on behalf of the patient.
Q39.Patient refused antihypertensive tablet and her daughter asks to crush the tablet.What will the most
appropriate response?
Tell her that it will alter its therapeutic effect and refuse to disguise.
Q40.A patient want to share a secret.What will be your response?
Tell her that only relevant information will be shared with others.
Q41.Community hospitals provide:?
Rehabilitation,respite care,primary care,acute care,Physiotherapy.
Q42.Which condition requires chest compressions and ventilations rather than defibrillation?
Asystole
Q43.Patient's initial GCS is 15.How frequently should be monitored then?
30 minutes
Q44.A patient deemed to have capacity refuses blood transfusion on the basis of religion.What will you
do?
Accept his decision as he is aware of the consequences.
Q45.Surgical wound dressing criterias?
high humidity,high adherence,sterile,insulation,absorbent
Q.46 What will you consider while delegating a task?
The person's competency to perform.
Q47.Average heart rate of 1-2year old?
110bts/min
Q48.16 year old is anxious during physical examination.
Stay with the patient, don't intervene directly, provide support by non verbal communication.
Q49.How is compassion defined?
Maintain dignity, empathy and intelligent kindness.
Q50.How will you organize a patient's care plan?
Assess needs, diagnose, implement and evaluate.
Q51.How will you regard a patient's end of life care?
Treat with dignity and respect.
Q52.Why the family is encouraged to talk with a coma patient?
As they can hear (sense of hearing is the last to deteriorate for coma patients)

Q53.What is the common cause of air way obstruction in unconscious patients?

Tongue falling back causing obstruction.
Q54.A patient with blood transfusion complaints pyrexia and lower back pain? what will be the reason?
 Severe transfusion reaction (anaphylaxis)
Q55.What is the nurse's role in caring for a patient with severe anaphylactic reaction?
Call for help, assess abcd, keep anaphylactic kit ready, stay with the patient until help arrives.
Q56.Which condition exhibits edema in legs as a sign?
Right ventricular failure.
Q57.What will you do if a patient doesn't know English?
Book an interpreter, explain the process maintaining confidentiality, allow patient to ask doubts and
clarify. Usually RN arrange for language interpreter
Q58.What should be done if you are given a new wound dressing pack?
Refer to another practitioner and do only once you are competent.
Q59.You are assigned to a patient with unfamiliar diagnosis?
Read the care plan and notes, act within your competence, ask help from senior nurse when needed.
Q60.
Patient had allergic reaction to medicine at home?
Act to prevent harm, inform prescriber who can report to MHRA through Yellow Card Scheme.
Q61. MUST (Malnutrition universal Screening Tool) medium risk?
Record dietary intake for 3 days.
Q62.What is the best site for IM buttock injections?
Upper outer quadrant
Q63.Patient reported bleeding after 48 hrs post delivery?
Secondary postpartum hemorrhage
Q64.What is the proper way of instilling eye drops?
Sit back with neck slightly hyperextended or lie down.
Q65.Teaching for patient on Allupurinol?
Drink 2 to 3 L of water per day.
Q66.Signs of Phlebitis?
Pain and redness
Q67.5 moments of hand hygiene
Before and after patient contact,before clean/aseptic procedures,after body fluid exposure risk,after
touching patient's surroundings.
Q68.Common aneurysm location in elderly?
Aortic and cerebral.
Q69.Patient is concerned about stoma care at home?
Assess patient's knowledge on stoma care and provide education.
Q70.Patient is on cardiac glycoside, digoxin.
Monitor heart rate and rhythm.
Q71.Most appropriate advise to a patient's daughter who has diarrhoea and want to visit the hospital?
Advise to visit after 48 hrs symptom free.
Q.72 Hoist not working and not maintained.What will you do?
Make a written report to the manager.
Q73.How to collect urine for female patient?
Clean the uretheral meatus with soap and water, get midstream urine.
Q74.Severe antibiotic adverse reaction?
Sudden,sharp BP fall
Q75.As a comptent nurse,what will you do before oropharyngeal airway (OPA) insertion?
Head tilt chin lift,look for any foreign object that can be pushed into the larynx.
Q76.How to prevent infection in a patient with urinary catheter?
Teach patient,family and carers regarding the safe management of catheter.
Q77.What is the agent that can be transmitted to the fetus from a mother who consumes alcohol?
Teratogen
Q78.Most common risk factors for CHF?
Male,hypertensive,smoking,Hypercholesterolemia.
Q79.How to check respiratory rate?
Check for complete 60 seconds or 1 minute
Q80.What does comprehensive assessment include?
Physical,social,psychological,spiritual....needs.
Q81.Nursing assistant not washing hands before a procedure?
Interrupt in between, teach hand hygiene and assess compliance.
Q82.How to deal a student using mobile phone while assessment in the community?
Ask to keep phone away, help to focus on assessment and encourage participation.
Q83.What is professionalism?
Autonomous evidence based decision taken by a group sharing common values and education.
Q84.When to disclose patient's information?
When it seems risk to patient and public safety.
(There was one another similar question with a different scenario)
Q85.A patient's son complained that his mother is not washed?
Investigate, give honest response, ensure that she gets wash.
Q86.Side effects of fentanyl skin patch?
Slow shallow breathing,increased sleepiness,dizziness,difficulty to walk,think.
Q87.NEWS score is 5?
Refer immediately to be assessed by physician.
Q88.Ruptured serum filled blister.which stage of pressure ulcer?
Stage 2(Partial thickness)
Q89.What is the minimum hours of practice required in 3 years?
450 hours
Q90.How will you justify your chosen site for Inj.Vitamin B12 in elderly?
Deltoid,well developed.
Q91.How will you approach a patient whose sexuality conflicts with your beliefs and values?
Approach by accepting the diversity and difference.
Q92.How will you involve a patient in his plan of care with regard to cessation of smoking?
Core care plan
Q93.What criterias should be met by a patient post abdominal surgery to be shifted from PACU to ward?
Fully conscious,no signs of airway obstruction,no bleeding,all vital signs stable,no vomiting.
Q94.What will you if you found a nurse shouting at an old patient?
Intervene on the spot, talk with the nurse in a non-confrontational manner, report to senior nurse.
Q95.What is the importance of NEWS (National Early Warning Signs)?
To detect early deterioration.
Q96.What are steps in MUST?
BMI,unplanned weight loss,acute disease effect,overall risk of malnutrition,management guidelines to
develop care plan.
Q97.Why nitroglycerin should be kept in its original container?
When exposed to light,it will lose its effectiveness.
Q98.Which is considered as more important in 6C's?
Everything is equally important.
Q99.What do you mean by 'Integrated care' to an elderly patient in the community who has complex care
needs?
 Case manager will assess the care needs, arrange meetings which includes formal and informal
caregivers.
Q100.How to provide care for patient with lung cancer?
Administer prescribed oxygen, nebulisations, reassurance, sitting with support of pillows.
Q101.A female patient request for a female doctor to do physical examination.What will you do?
Assess the patient first and call for female doctor if it is safe to wait.
Q102.The doctor informed the patient that his surgery was unsuccessful. What will be the most
appropriate response to provide support as a nurse?
Ask the patient whether he want to discuss what the doctor said.
Q102.How will meet the spiritual needs of a patient?
Accept patient's needs and provide services accordingly.
Q103.If a patient requires complex discharge needs. what will you do?
Arrange a discharge meeting with health care team, patient, family and care givers.
Q104.What are the benefits of early ambulation post surgery?
Improve muscle function and reduce hospital stay.
Q105.As an in-charge what will you do when two staffs inform that they are sick?
Inform senior nurse and line manager, arrange a meeting to decide a plan for proper patient care.
Q106.What discharge instruction will you provide for a patient on antibiotics?
Take as prescribed, don't take alcohol and complete the dose.
Q107.What is the reason for diarrhea after taking antibiotics?
As a result of multiplication of clostridium difficile which tend to destroy normal bacteria in the gut.
Q108.Self-employed nurse working in different areas cause harm to a patient. Who is responsible for
indemnity?
Self-employed nurse must have their own indemnity arrangements.
Q109.What is your responsibility if a patient is confused at night?
Reorient the patient, remind him where he is, direct to the room, assess for incontinence, pain and need
for medication.
Q110.Signs and symptoms of anaphylaxis after 3rd dose of penicillin?
Swollen tongue

Additional: NEW CBT July 2020

Drug Calculations : composed 6-7 questions

1. Age group risk for malnutrition= Elderly in hospitals and care homes
2. How to properly use the hoist=it should be well-maintained and compatability of the bed and the
sling should be checked. And the one using it must have been trained.
3. Quality of wound dressing- High humidity, insulation, gaseous exchange, absorbent
4. Goal for one who has stoma= independently change the stoma and secure supplies by themselves
5. Medium risk malnutrition- review diet intake for 3 days
6. Normal BMI value= for healthy person 18-25, BMI overweight 25-30 , Obese 30 above
7. Raise Safeguarding for someone whose money was being stolen by caregivers
8. Raise safe-guarding for abused children and women
9. Contraceptives use who has diarrhea with taking pills- use condom
10. NEWS SCORE: actions can be done for someone who scored 5 –Refer immediately to be assessed by
physician.
11. Concerns for delegation-someone who is competent
12. What is compassion-intelligent kindness
13. How to manage medical records ( I and O at pt bedside) nurses noted or medical chart should be at
nurse station accessed only by medical professional appropriate
14. Source isolation –nursed the patient in isolation to prevent transmission from patient to others
15. Nursing assistant failed to wash hands beforehand -(intervene and address to wrong act)
16. Adverse reactions of blood transfusion- lower back pain and pyrexia
17. Standard precautions—handwashing, PPE, proper waste and sharp disposal
18. Nursing Advocacy – To inform,mediate and support on behalf of the patient.
19. One that is deemed not qualified for self-admisnistration of drug –one assessed as mentally
incapacitated
20. One that has dementia and wants to be discharged – encourage to stay in hospital
21. Opioid toxicity sign and symptoms-shallow breathing
22. Post-operative hypotension management –IV administration
23. Hepatitis A pt-do not share towels/flannels
24. A pt develops shortness of breath after 3rd dose of penicillin and pt is unwell- Call for help , ensure
anaphylaxis pack is ready, assess ABC, don’t leave the pt until medical help comes
25. You’re RN in community and you’re giving health educ. and you notice that student is using his phone
to text what should you do?- Politely signal her and encourage him by actively including him in
discussion
26. Correct position for Eye drops administration-supine or sitting hyper extended neck
27. Nurse to insert oropharyngeal tube first action to do before insertion- Head tilt, check for any foreign
body objects in mouth
28. Neutropenia-risk for infection
29. Mother visited midwife with 3 day old baby –nurse findings that is priority-baby quiet and still even
when awake
30. Gingival bleeding-poor flossing and removal of plaque
31. Levothyroxine-taken one hour before breakfast
32. What is clinical supervision
33. What is risk asssement
34. Informed consent from patient so family can access information of his medical condition
35. MHRA- the Medicines and Healthcare products Regulatory Agency ( MHRA ), the UK's regulator of medicines,
medical devices and blood components for transfusion, responsible for ensuring their safety, quality and
effectiveness.
36. What to do if you made error on care notes-write a line through incorrect data signed date and time
37. Unconscious pt-tongue falling back
38. Management of DVT –analgesics (pain), anticoagulant-(heparin injection), wear antiembolic stockings
39. Common dominant signs for type 1 diabetes-ketones and waisting
40. Positions for breathing efficiency-High side lying