AJINORAH INSTITUTIONS

1. Who would you speak with in end-of-life care?

 Relative
 Patient first
 Patient and relative together

2. Ways to maximize wound healing:

 Daily dressing
 Moist environment
 Good blood flow

3. A patient with a temperature of 34.5C. You already gave the patient a warm blanket & warm
drinks, but the patient is still shivering. What will be your next action?

 Provide extra warmth blanket

 Mobilized the patient
 Give a warm bath
 Get a warming device to give warmth slowly

4. How to take an infected sheet for washing according to the UK Standard?

 Orange bag…
 Take in red plastic bag that disintegrates in high temperature
 Clear bag…
 Use red linen bag that allows washing in high temperature

5. Which instrument is used to visualize the vocal cords during endotracheal procedure?

 Bougie
 Laryngoscope
 Endoscope

6. For revalidation, how can a nurse give 5 pieces of feedback?

 Verbal, written or survey

 Verbal only
 Written or verbally only
7. What will NOT be used for a deaf person?

 Lip reading
 Bacile
 Actions
 Sign language

8. Patient has suicidal thoughts, low mood. When talking to the nurse patient is calm and
cooperative:

 Medium risk
 High risk
 Low risk

9. Spinal fracture patient, how will you ensure airway?

 Head tilt
 Open mouth
 Chin lift
 Jaw thrust

10. When a nurse handover at the end of shift to a colleague. What must be provided?

 Clear digital or written information and instructions

 Verbal digital or written information
 Clear verbal, digital, or written information and instructions
 Clear verbal information and instructions

11. A nursing agency sends a new nurse, while handing over the nurse says this is my first job at
the hospital. What will the nurse do?

 Enquire about the staff and inform authorities

 Leave as she is not responsible
 Handover anyway

12. Pain scale of 5 out of 10, what medication will you give?

 Morphine
 Diclo plus tramadol
 Paracetamol
 Codeine
13. What is the cause of action for the nurse if there is a spillage of hazardous substances?

 Cover displayed with sheets and keep the area clear of people.
 Contact the clinic supervisor for advice and to send someone to help.
 Refer to the guidance on the control of substance hazardous to health regulations.
 Use beach towels to absorb the spillage and dispose of this accordingly.

14. What is the meaning of TNA?

 Trigeminal Neuralgia Association

 Trainee Nursing Associate
 The Nursing Agency

15. A new RN has problems with making assumptions. Which part of the code should she focus
to deliver fundamentals of care effectively?

 Promote safety
 Prioritize people
 Practice effectively
 Prioritize care

16. How do you know NG tube is in place?

 Xray
 Introduce air
 CT Scan
 Check pH of aspirate

17. A staff caring for an isolation patient, where you will keep the records?

 Nurse station
 Outside the wall of room
 Inside the patient room

18. All of the following are part of palliative care or end-of-life care, except?

 Feeding patient
 Giving medication
 Resuscitation
19. Best valid and accurate research method:

 Quasi experimental
 Non-randomized
 Randomized
 Systematic review of descriptive and qualitative method

20. There is a policy that "do not suction" patient on Endotracheal tube in your place of work.
What should you do in an emergency when a patient needs suctioning?

 Do it
 Call the physiotherapist on call if there is an emergency as they are trained for it.
 Watch the patients closely and wait till the next morning.
 Wait for the physiotherapist till the next morning.

21. When a safeguarding incident is being disclosed what action does a nurse take?

 Ensure them that you will not tell anyone else.

 Ensure you tape a conversation on mobile service.
 Pause the person until you can have another present person.
 Explain what you will do next with the information they disclose.

22. Symptoms of bipolar disorder?

 Ecstasy
 Delusions
 Mania and depression
 Hallucinations

23. Which is the first act on all legal issues?

 Equity act
 Equality act
 Health care act
 Safeguard act
24. According to the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations
(RIDDOR) legislation, what will you do when a staff member has an accident at the
workplace causing a fracture of the femur?

 Report the accident

 Record the incidence in a management book
 Report the accident to a doctor on site

25. Management of moderate malnutrition in children:

 Document intake for 3 days

 Supplementary nutrition
 Immediate hospitalization
 Weekly assessment

26. Patient is having breathlessness. Patient is in end-of-life care. The nurse should:

 Put the face of the patient in the electric fan

 Give more sedative
 Put paper bag
 Give high flow oxygen

27. Patients husband that was waited several hours to see his wife and is shouting:

 Accompany him to see his wife

 Give personal space and avoid provocation
 Take him to a private room and discuss with him

28. What policy relating to dress is mandatory in all clinical areas in the hospital?

 Everyone must wear designated uniforms

 Everyone arm must bare below the elbow
 Everyone must wear gloves when examining a patient
 Everyone must wear bespoke hospital footwear

29. When completing handwritten notes, which of the following represents best practice in
documentation?

 Providing a signature, designation and date of birth

 Writing a name, nursing rank and date
 Providing a signature printing a name designation, date, entry of time
 Writing a name, designation date and time of entry
30. When a patient is being monitored in PACU, how frequently do you monitor his BP, PR, RR
and record?

 Every 15 minutes
 Once an hour
 Every 5 minutes
 Continuously

31. When you don’t understand the accent of your patient, what will you do?

 Write whatever you hear

 Seek clarification from patient
 Assume what patient has said

32. Normal urine output in a day?

 2500-3000 mL
 1000-1500 mL
 1500-2000 mL
 2000-2500 mL

33. RN influence on health policy protects the quality of care by access to:

 Resources and opportunity

 Funding
 Fund and opportunity
 Fund and resources

34. What is the response of parents that confirms that the health education message regarding
dehydration has been effective?

 The parents state they would consider restlessness as an early sign of dehydration.
 Dehydration will not be an issue if the child is taking sips of water.
 The parents restrict fluid intake when the child has diarrhea.
 The parents state they will observe the child for darkening urine and an increasing
respiratory rate.

35. One of the patients keeps on complaining regarding the care, what will you do?

 Listen carefully and honest solution

 Tell the patient to write complain and send via email
 Instruct the patient to complain to in-charge
36. Which one is NOT considered a medication?

 Whole blood
 Albumin
 Blood clotting factor
 Antibodies

37. A newly qualified nurse is not yet well versed when it comes to documentation. A nurse in-
charge noticed this was the case and went to report the new nurse to the nurse manager. What
could the newly qualified nurse have done in order to prevent this incident?

 Apologize that she was not able to inform her immediate head beforehand, ask for
policies of the hospital in relation to documentation.
 Ignore the report and just continue with what she was doing.
 She could have told the manager beforehand in order to have support and
additional training

38. How will you assess hemodynamic stability and perfusion?

 GCS
 Skin turgor
 Capillary refill

39. According to Francis Report, Courage is:

 Defines us and our work. People receiving care expect it to be right for them,
consistently, throughout every stage of their life.
 Means all those in caring roles must have the ability to understand an individual’s health
and social needs and the expertise, clinical and technical knowledge to deliver effective
care and treatments based on research and evidence.
 It is a quality made by relationships based on empathy, respect and dignity. It can also be
described as intelligent kindness and is central to how people perceive their care.
 Enables you to do the right thing for the people we care for, to speak up when we
have concerns and to have the personal strength and vision to innovate

40. Difference in health status:

 Health informatics
 Health equities
 Health equalities
 Health inequities
41. What is the average hourly urine production for an adult?

 0-10 mL/hr
 100-200 mL/hr
 40-80 mL/hr
 20-30 mL/hr

42. A working time directive sits under which policy?

 Human resource
 Health and safety
 Freedom of info
 Equality and diversity

43. What is the meaning of CBT?

 Competency Based Test

 Computer Based Test
 Cognitive Behavioral Therapy
 Cognitive Behavioral Test

44. Group A controlled drugs:

 Morphine
 Conjupram
 Codeine
 Midazolam

45. Which of the following is NOT to cater emergency contraception?

 General practitioner
 Emergency department
 Pharmacist
 Sexual Health Team/Clinic

46. Who is NOT allowed to give medication?

 Nurse
 Nurse practitioner
 Health care assistant
 Dietician
47. Nurse committed negligence which resulted in the near death of the patient. What analysis
causes this?

 Root cause analysis

 Critical incident analysis
 Incident cause analysis

48. What will the RN do after they have gotten an NMC pin?

 Orientation
 Induction
 Training
 Endorsement

49. When a patient is having a surgery to switch from male to female you need to teach self-
catheterization. What would you do?

 Get a doctor to teach as you are not competent

 Reads the notes
 Discuss with patient what surgery he is undergone and teach him
 Teach both male and female catheterization

50. How to prevent catheter infection?

 Keep area dry

 Use soap and water
 Sterilize it daily
 Educate patient and family on the care

51. A team leader implements a practice in an area of work. How do they demonstrate its
effectiveness?

 Provide evidence of the improvement through regular audit and feedback to the
team and wider organizations.
 Once the change is embedded ask staff if they are happy with the change and if it has
made a difference.
 Everyone knows that the change was necessary and that it needed to happen so no
evaluation needs to be made.
 The evidence from the research demonstrates the need for a change in practice.
52. Which one of these notifiable diseases needs to be reported on a national level?

 Whooping cough
 Influenza
 Tuberculosis
 Chicken pox

53. Which of the following physical changes should a person taking oral contraceptive should be
educated on?

 Increased bleeding
 Amenorrhea
 DVT
 Weight gain

54. A patient’s elder sister who is a nurse and friend requested for the patient's result. What will
be your action?

 Give it to her since she is your colleague

 Give and end your friendship with her
 Do not give because the patient has not permitted you and explain your
responsibilities
 Do not give but tell her about the result

55. What is the most accurate method to find out bleeding inside the brain?

 MRI
 Xray
 CT Scan
 USG

56. Cause of pediatric cardiac arrest:

 Hypoxia
 Anaphylaxis
 MI
 CHF

57. Abbey’s pain scale is used for:

 Children below 1
 Cognitive disability
  Women in labor
 Children above 8

58. In hypoglycemic patient after giving oral glucose syrup, when will you check next General
Random Blood Sugar (GRBS)?

 After 15-20 mins

 After 5-10 mins
 Immediately
 After 30 mins

59. When assessing an unresponsive patient, what is the appropriate way to get a pain
response?

 Nail bed pressure

 Sternal rub
 Pinching of the era
 A trapezium squeeze

60. Lithium therapy is indicated for:

 Tonic-clonic seizure
 Schizophrenia
 Bipolar disorder
 Depression

61. A clinical need to examine a patient after spine surgery. What will you use to turn them?

 Slide method to the side

 Log roll to the bed
 Hoist to the bed
 Advise the patient to sit at the end of the bed

62. You are carrying out wound dressing with a new product, what is your intervention as a
nurse? competency and skills.

 Do not remove the previous dressing and apply the new products over it
 Talk to the nurse after at the end of the shift about how to do wound care.
 Refer to another practitioner for patient’s safety until you gain your
 Leave the dressing without doing it.
63. Congestive heart failure non-infectious sputum color:

 Black
 Green
 White

64. Who can complete the checklist for a full care assessment?

 Consultant
 Relative
 Junior doctor
 Trained professional

65. Patient has a learning disability, and you instruct him to take his medication. The nurse
should:

 Explain briefly to the patient the importance of his medicine

 Give appropriate level of instruction
 Give leaflet
 Give instruction to the carer

66. Sickle cell disease is most common in which ethnic group?

 Africans
 Latin Americans
 Caucasians

67. What equipment can be used to give 2L of oxygen?

 Continuous positive airway pressure

 Reservoir mask
 Nasal cannula
 Humidified oxygen

68. Reminiscence, de-escalation and distraction are types of?

 Therapy service
 Therapy classes
 Therapeutic intervention
69. Discharge process: When does discharge become difficult?

 Awaiting medication
 Awaiting physician
 Awaiting assessment
 Awaiting carer

70. A confused patient relative requested for fitting bed rail as they have it in their house. What
will the nurse do?

 Put patients’ bed on the floor

 Ignore relative
 Let a competent person assess risk and consider other factors
 Ensure a bed rail is fixed

71. Young, hospitalized children are at risk to develop:

 Cancer
 Will die young
 Poor mental health
 Neurological disorder

72. How many leads are there in ECG?

 14
 8
 10
 12

73. When does a nurse take a patient’s daily weight?

 At the same time everyday

 Before breakfast
 Before bedtime
 After lunch

74. What should the nurse check for a patient with catheter in situ?

 Bruising
  Infection
 Swelling
 Redness

75. Barrel chest is noted on patients with:

 Smokers
 COPD
 Asthma
 Emphysema

76. Optimum position for lung expansion:

 Prone
 Sitting up
 Lying flat
 Lying on one side

77. How long is the Undergraduate/Pre-registration BSC Nursing Program for those on a
standard entry pathway?

 2 years
 3 years
 4 years
 5 years

78. NHS gives the most portion of budget to:

 Elderly chronic disease

 Adolescent
 Blood-borne diseases
 Alcohol and drug abuse

79. Patient is angry. Therapeutic communication used:

 You seem upset…

 You deserve it.
 How are you today?

80. Age of consent for organ donation?

 Above 21
 No consent needed
  Above 18
 Above 16

81. What is the first action a RN should take on a patient who is having a tonic-clonic seizure?

 Call for help, ensure a safe position and apply 15L of oxygen.
 Administer sedative medication dosage in 15L and complete A-E assessment.
 Attach to monitoring, call for help, inform family
 Give the patient something to bite on, call for help and attach monitoring.

82. Pressure sore grades that are regarded as critical incident:

 3
 1, 2, 3 & 4
 4
 3&4

83. What method of long-time feeding is appropriate for a patient with difficulty swallowing in a
chronic condition?

 Parenteral feeding
 Gastrostomy
 IV
 NGT feeding

84. A client is conducting research on 8 patients with complex needs. He wants to know their
views on the health care they receive. What type of research is conducted?

 Qualitative research
 Survey
 Patient questionnaire
 Focus group

85. As a nurse, you are treating a patient who had asthma attack, how would you assess If the
medication is effective?

 Normal blood pressure

 Normal heart rate
 Peak flow
 Patient can walk at a short distance
86. Decerebrated posture in which patients?

 MI
 Stroke
 Hernia
 Brain Stem Damage

87. A client is in the process of turning from male to female. When you want to educate a client
on catheterization as a nurse what will you do?

 Both
 Teach male catheterization
 Teach female catheterization

88. Students did not administer IM in her mid-year performance:

 The nurse should create an opportunity and plan with the other nurses
 Tell her it’s not good
 Tell her she would need to contact the university for the actual plan

89. On resuming as a unit head and you notice you are short staffed. What type of escalation will
the head nurse use?

 Swift escalation
 Rapid escalation
 Prompt escalation
 Immediate escalation

90. Chemotherapy and hormone waste disposal container:

 Purple
 Yellow
 Orange
 Black

91. A patient is on end-of-life care, he has severe pain, he doesn’t know how to use medical
device which is using for pain relief:

 Instruct the patient that the pharmacist will come and explain
 Give leaflet regarding the device
 Explain about medical device and make the patient completely understand
92. Abbey pain scale is used for patients:

 Pregnant women
 Birth to 1 year
 Dementia patients

93. The patient brings his own medication to the hospital and wants to self-administer. What is
your role?

 Allow him
 Explain to patient about medication before he administers it

94. Blanchable skin can be assessed by nurse as:

 Skin that turns red or dark when pressure is applied and returns back suddenly.
 Skin that turns white or pale when pressure is applied and returns back immediately.
 Skin that turns white or pale when pressure is applied and returns back slowly.
 Skin that turns red or dark and returns back slowly.

95. There is a policy that urine should be measured every 2 hours. How would a nurse manager
evaluate compliance?

 Perform clinical audit

 Check nursing notes at the beginning of every shift
 Ask them to verbalize they are doing it

96. The act of speaking out for people and relatives their decision called:

 Confrontation
 Confidentiality
 Advocacy
 Disclosure

97. Whose responsibility when you see evidence of abuse in the community?

 All healthcare workers

 Consultant
 Nurse caring for the patient

98. ABCDE approach. Where does monitoring of urine output belong in that approach?

 C
  B
 E
 D
 A

99. After an audit round, the manager tells a nurse about the outcome and possible development
suggested by the team members. What action will the nurse take?

 Accept and keep the report in a file for reference purpose.

 Thank the manager and tell her that the suggested action will be looked into in due
course.
 Plan how to meet with the manager to discuss the solution.

100. An obese patient with limited communication wants to lose weight, who should the nurse
involve?

 Physiotherapist and social worker

 Physiotherapist, nurse, GP dietician
 Occupation therapist, psychiatrist
 Occupational therapist, GP dietician and social worker

101. Which medication leads black color stool?

 Paracetamol
 Iron
 Furosemide

102. A nurse was flushing an NG tube and noticed the patient was coughing a lot. What
should be the action of the nurse?

 Continue and check the placement with litmus paper.

 Remove it as it might be an indication that the tube is in the airway.
 Continue with the procedure and inform the doctor.

103. Golden treatment for MI:

 Thrombolytic
 Coronary Artery Bypass Graft (CABG)
 Primary Percutaneous Coronary Intervention (PPCI)
 Peripheral Intravenous Catheter (PIC)

104. Endotracheal tube is used for?

  Diagnostic testing
 Feeding unconscious patients
 Ensuring airway

105. The nurse notices that the patient is violent. The nurse should:

 Request for restraint

 Inform the other patient

106. What nursing approach does a nurse take when working with people with learning
disabilities in planning for their personnel needs?

 Give them time to read the leaflet

 Use pictures and easy read materials
 Explain the procedures to their relatives
 Read the leaflet to the client in loud voice

107. You are dressing the wound of a patient on a surgical ward and are require to do so using
the Aseptic Non-Touch Technique (ANTT). Which of the following is the definition of
“asepsis”?

 Free from all microorganisms

 Free from pathogenic organisms in sufficient numbers to cause infection
 Free from marks and stains
 Absence of Systematic Inflammatory Response Syndrome (SIRS) criteria

108. A patient filled a DNR form. What does she mean? patient with end-of-life care becomes
unresponsive, the nurse asks the relative if the

 Do not initiate respiratory resuscitation

 Do not run
 Provide care and safety
 Do not initiate cardiopulmonary resuscitation

109. When do you gain consent from a patient and consider it valid?

 Only before a clinical procedure

 Only after a clinical procedure
 Only if a patient has the mental capacity to give consent
 None of the above
110. What is patient-centered care?

 Caring for patient with dignity and respect

 Understanding patients feeling and providing necessary needs accordingly
 Helping patient to gain insight to her problem

111. When do you see P waves before QRS?

 Flat asystole
 Afibrillation
 Continuous fluctuation
 Fibrillation

112. Which one cannot be given subcutaneously?

 5% Dextrose
 NS
 ND+ Potassium
 25% D

113. How would you provide support for a 16-year-old patient to reduce anxiety during
physical examination?

 Do not intervene and intervene only when the doctor tells you
 Remain with the patient and provide support
 Provide privacy and dignity

114. How does a senior nurse manage the situation when a staff member informs her that she
is pregnant?

 Inform other staff

 Arrange for cover immediately
 Inform the health and safety lead
 Undertake the risk management

115. Who is responsible for starting discharge planning?

 Second contact
 Fourth contact
 Third contact
 First contact
116. In a dehydrated patient, what will you infuse?

 Crystalloid glucose
 Blood transfusion
 Plasma
 Colloid glucose

117. A patient suffered from CVA and is now affected with dysphagia, what should NOT be
an indication to this type of patient?

 Place the patient in sitting/upright position during and after eating

 Instruct the patient to use a straw to drink water
 Water or clear fluid should be given
 Review the patient’s ability to swallow and note the extent of facial paralysis

118. There is a prescription with dose but without number of giving, what should you do?

 Call the prescriber to confirm the dosage

 Omit and leave for the next shift
 Assume the dose based on your experience

119. When a nursing team visits a patient at home, which working principle is used?

 Community working policy

 Common law policy
 Lone working policy
 Direct working policy

120. Dressing for blister:

 Silver dressing
 Hydrocolloid or foam dressing
 No dressing

121. If you’re not competent to transport a sample for investigation, what would you do?

 Take it anyway
 Ask the senior to help you as you do not know
 Inform you do not know and give it to someone else

122. The NHS funds to recruit more phlebotomist, what should be done?
  Provide funds and recruit people
 Provide funds and recruit an individual needed for the job considering personal value
 Provide contract and funds...
 Provide cost savings analysis and expected patient outcome

123. What kind of medication should 2 nurses administer and monitor in the ward?

 Paracetamol
 NSAIDS
 Nifedipine
 Morphine

124. An elderly frail patient is due to be discharged home the patient says that they live alone
but their notes say they live with their family they do not manage alone. What action does a
nurse take?

 Get a patient address and plan a visit to see them

 Check the details on file discuss a home care package
 Tell them it is better if they go into permanent care
 Nothing as patient probably be alright

125. What factor to consider ensuring safe staffing?

 Age group
 Ethnicity
 Skill mix
 Contracted hours

126. What is the purpose of using PPE?

 for display purposes

 a and b
 To prevent the nurse and the patient from infection

127. The patient is for surgery but the nurse suspects that consent is not valid because the
patient does not have the mental capacity. What act?

 Mental Health Act

 Health and Safety at Work Act
 Care Act
 Equality Act
128. Device used for checking Blood Pressure?

 Thermometer
 Sphygmomanometer

129. Which of the following is an example of an open-ended/open-minded question?

 Is there something I can help you with?

 Are you available today, as a friend?
 How may I help you today?
 Do you need anything?

130. Mr. Bill is a known diabetic patient who has had an injury for one week and is not
healing. What is your role as a nurse?

 Measure the wound and note any change in size

 Dress wound and send him home
 Apply tight dressing to prevent infection
 Refer to Mr. Bill to see a GP immediately

131. Who takes care of the nails of Diabetic patients?

 HCA
 Diabetic nurse
 Tissue viability nurse
 Chiropodist/Podiatrist

132. You observe the HCA that he toilets the patient in a commode in the lounge. When
confronted the HCA said that the patient is used to it since the mother does at home. What
should the nurse do?

 Report to safeguarding personnel in charge

 Move patient to a private area and discuss further
 Report to police
 Report to senior nurse

133. How to get BMI?

 Weight x height
 Height divided by waist circumference
 Weight x height squared
134. When a nurse is giving information about the patient medication and the patient
responded that, “The information is not relevant”. What is your action as a nurse?

 Insist that he must listen to you

 Leave the patient and come back later to continue
 Inform the head nurse
 Ask why the patient said information is not relevant

135. A person with BMI of 28 kg/m2 is:

 Overweight
 Obese
 Underweight
 Normal weight

136. What is the most common of STI in UK?

 Syphilis
 HIV
 Chlamydia
 Gonorrhea

137. When you collect, interpret, save and apply information for health purposes is it called?

 Health literacy
 Learning
 Information processing
 Health education

138. Which procedure involves 2 nurses?

 Serving controlled drug

 Counseling the patient
 Admission of patient

139. Post CABG non-infectious sputum color?

 Brown
 Green
 Red
 White
140. The patient’s surgery at 8 am is postponed until afternoon. What should the nurse’s best
response?

 Write in the patient’s note

 Inform family
 Ensure the patient has IV fluids

141. IV morphine was initiated, what should you monitor?

 Respiration
 Skin perfusion
 Consciousness
 BP

142. What should the management provide for the nurse whose child died?

 Vacation leave
 Sick leave
 Debriefing

143. The doctor is busy with his assessments and asks the nurse to insert IV cannula

 Refuse to do it as you are not trained in cannulating patient

 Do it since it’s the doctor’s order
 Do it and ask senior nurse to supervise
 Ask a colleague to supervise

144. You notice that the patient has difficulty understanding the explanation of the doctor
about his surgery. What should the nurse do?

 Provide something to read about the surgery

 Tell the doctor to repeat information
 Validate the patient’s understanding about the surgery with the doctor’s present

145. Which of these are airborne infections?

 Norovirus, influenza
 Norovirus, chickenpox, measles
 Chickenpox, norovirus, influenza
146. The patient using a PCA is on morphine. He experienced dizziness and RR is 7. What
should the nurse do?

 Stop the pump, assess ABCDE and prepare or administer Naloxone

 Stop the pump and administer Naloxone and paracetamol
 Continue the pump and administer Naloxone

147. A nurse will administer a drug through the buccal by:

 Under the tongue

 Absorption from the skin using a patch
 Between the tongue and cheek
 Through the nostrils

148. A nurse working in children ward want to do vital sign for children and notice a distress
child. What is the nurse action?

 Ignore the child and continue the vital sign for others
 Ask the attendant/assistant to do vitals while you attend to distress child.
 Inform the head nurse about the distress child and continue your vitals.
 Attend to the distressed child and take them together to do their vital sign

149. Legal aspect of safeguarding was first mentioned in which?

 Francis Report
 Health and Social Care Act 2012
 Social Value Act 2012
 Care Act 2014

150. You notice that while waiting for surgery the patient is anxious. What is the nurse’ best
response?

 Tell the doctor the patient is anxious

 Provide leaflet for the patient to read and answer questions to alleviate anxiety
 Explain the procedure and ensure the patient understands the surgery well to ease
anxiety
 Refer to senior nurse

151. Roughly, what percentage of room air is oxygen?

 15%
 28%
 10%
 20%/21%
152. How many CPD hours an RN must have if they have over 3 years?

 45 hours
 35 hours
 15 hours
 25 hours

153. Who are at high risk of taking IV drugs?

 People below 16
 Illiterate people
 Poor nutrition

154. COPD is caused by what lifestyle related condition?

 Smoking
 Eating habits

155. What are the signs of postpartum psychosis, EXCEPT?

 Hallucinating
 Depression
 Loss of inhibitions
 Physical discomfort

156. You are with a dementia patient and there is a fire outbreak, what will you do?

 Use your instinct at that time

 Leave the patient and run for your dear life
 Follow the policy and procedure
 Follow other staff

157. A protractor is mentoring a new nurse in the ward and a consultant comes in from rounds.
What is the best action to be taken by the protractor?

 Do the rounds with the consultant and leave the new nurse in the duty room as she knew
 Tell the consultant to come back later
 Volunteer to do the rounds with the consultant and new nurse
 Let the nurse do the rounds with the consultant as this is the best way to learn
158. A 20-year-old male patient has a BMI of 20 kg/m2. He is?

 Normal
 Underweight
 Overweight
 Obese

159. A nurse reported to the head nurse about a colleague bullying her. What should the head
nurse do?

 Advice then to settle amicably

 Warn the colleague
 Investigate and act according to the hospital bully policy

160. Which therapy is NOT used in pyrexia?

 Showering
 Removal of clothing
 Fan therapy
 IV and cold drink

161. Garbo had alcohol intoxication and her mother is worried about his health. What should
the nurse do?

 Educate him on the effect of alcohol and possible rehabilitation

 Respect his decision and do nothing
 Allow her mother to talk to him

162. Having knowledge and using it for the good of the patient is called?

 Health knowledge
 Health education
 Health literacy
 Health intellect

163. A patient refused the injection and asked the nurse, “What injection is this and it might
not be needed”. What should the nurse response?

 Inform GP
 Do not give the injection and record the reason
 Explain briefly what the injection is for and its benefit
164. A pediatric patient with learning disabilities presents with smooth philtrum, low body
weight, hyperactivity and poor concentration. What is the cause of these symptoms?

 Fetal alcohol syndrome

 Pediatric alcoholism
 Pediatric alcohol syndrome
 Fetal ethanol syndrome

165. Mental disorder is more common among which group?

 Elderly
 Women
 Men
 Young people

166. What is the first line treatment for acute asthma?

 NSAIDS, oxygen, adrenaline

 Steroids, oxygen, adrenaline
 Adrenaline, oxygen, paracetamol

167. How can you manage decreased secretions in a patient in the end-of-life?

 Analgesic and repositioning

 Hyoscine hydrobromide and positioning
 Sedation and position
 Airway adjunct and suction

168. Sign of sepsis:

 Blanch skin patches

 Low urine output
 Hypotension
 High urine output

169. The nurse cares for an elderly patient with moderate hearing loss. The nurse should teach
the patient’s family to use which of the following approaches when speaking to the patient?

 lip reading
 Speak louder so that the patient can hear you
 Ask the patient’s relative to assist you
 Go to a different room without noise or less distractions
170. Marrying age in UK? (New)

 18
 21
 16

171. What is a biological hazard?

 HIV
 Linens
 Cytotoxic medicines

172. What is a person’s normal core temperature?

 36-38
 36-37.5
 36.5-38.5
 34-36

173. Scale 2 on the NEWS 2 chart is used for which patient group?

 Those receiving IV therapy

 Those with urinary catheter
 Carbon dioxide retaining patient
 Those who have been exposed to carbon monoxide.

174. What will be your next action? The doctor ordered a patient to be weighed so as to
calculate his drug but patient refuse*

 Report to the doctor and wait for other instructions

 Assume and give the doctor a report
 Report to the nursing team that patient refused care

175. The mother of a patient gives the nurse money. What should the nurse do?

 Say thank you to the mother

 Get the money and put in the team fund
 Buy a personal book and show the mother
 Return the money to the mother

176. DVT occurs in:

 People with varicose veins

  Person who is immobile and with prolong hospitalization
 People who completed a surgery that lasted for 2 hours.
 Person who has loves wearing stocking

177. The following are early signs of Alzheimer’s Disease:

 Language difficulty
 Pacing movement
 Lapses in memory

178. Most common serious injury affecting nurses, health care users and relatives is?

 Neurological disorder
 Needle prick injury
 Split and fall
 Cancer

179. The patient is recovering from a stroke and the nurse encouraged him to join the group,
but the patient refused. What should you do as a nurse?

 Accept the patient’s decision because it’s their right

 Do nothing
 Encourage the patient to sit and ask to join next time

180. A patient was diagnosed with Rheumatoid Arthritis, they asked the nurse the cause. The
nurse response is:

 Autoimmune disorder
 Bacteria
 Exercise and diet
 Medication

181. A patient is being prepared for surgery and was placed on NPO. What is the purpose of
NPO?

 To decrease production of fluids

 Prevention of aspiration pneumonia
 For abdominal procedures
 To facilitate induction of pre-op meds

182. A bed bound patient requested to see a care report card which is on the table away from
the bed. What is the nurse's response?
  Ignore and continue what you’re doing.
 Ask the patient why she’s requesting the report.
 Move the table near the bed
 Shift the table on the bed

183. How can a new staff attain knowledge in the clinical area?

 Induction
 Preceptorship
 Internship
 Study time

184. A patient visited the A&E department. How will you inform the patient’s GP after
discharge?

 Send all the patient’s hospital documents to the GP

 Send a discharge summary

185. The Francis Report was published based on a public inquiry into poor care at?

 University of Southampton NHS Trust

 Newcastle Upon Tyne NHS Trust
 Mid Staffordshire NHS Foundation Trust

186. A patient requires financial education. What does the nurse should be knowledgeable of?

 Knowledge in Health Economics

 Genomics
 Knowledge in Children’s Health
 Knowledge in Anatomy

187. A patient complained about the treatment, what should the head nurse do?

 Tell the nurse to be extra careful so such will not happen next time.
 Investigate but do not implicate the nurse involved
 Investigate and give a constructive and honest opinion.
 Beg patient not to file an official complaint

188. The patient is hesitant to share about their sexual health. What should the nurse do?

 Respect the patient’s preferences

  Carefully explore the patient’s preferences

189. Which verbalization hints depression?

 I am obese
 My father died that’s why I am into reading books
 I am worthless

190. A doctor called 8 patients with dementia to get information for his project. What type of
research study is this?

 Focus group
 Quantitative research
 Group discussion

191. How can the community provide support to a person with mental illness?

 Develop hobby or faith

 Provide close community
 Reduce work loads

192. A patient is on 4 hourly observations. A nurse notices that observations have not been
done for 12 hours. What action does the nurse take?

 The observations were normal, so no action is needed

 Speak to the who was on duty when the observations were missed and tell her not to do
it.
 Check the observations and report the issue to the ward manager.
 Report the issue to the ward manager and complete an incident form.

193. A patient's HR 150, RR 40, what will you do?

 Initiate hospital central emergency code

 Administer oxygen, position patient flat on bed, attach to monitoring
 Call for help & reassess vital signs
 Bring emergency bell & continuously assess ABCDE

194. Working together to achieve the best interest for people is a collaborative effort among:

 Doctors
 Agencies
  Professionals

195. A patient is returning home from the hospital. They will spend several weeks in a
residential facility, followed by community support. In order to ensure a positive process,
what action does a nurse take?

 Ask the patient to contact their general practitioner to follow up on services needed
 Copy all agencies into the discharge plan correspondence
 Allow the patient to arrange any community service to allow them to be independent
 Give discharge information to the care facility who will liaise with others

196. Which of the following traits could be linked to an assertive approach to communication?
voice and being correctly threatening

 Seeking workable compromise

 Timorous, halting speech with contributions that are vague and unclear
 Using in congruent verbal and nonverbal messages
 Dominating discussion with a raised

197. What are the factors of BMI?

 Height and weight

 Weight and waist
 Height and waist circumference

198. An art loving patient does not communicate verbally with the team, which
communication means is appropriate for him?

 Written communication
 Writing a letter
 Visual art therapy
 Emails

199. Marrying age in UK? (Old)

 18
 21
 16

200. The patient was given different options of diagnostic tests and treatments. The patient
was given:

 Informed consent
  Informed choice
 Informed care

201. A patient presents with confusion, slurred speech, rash, difficulty in breathing that is very
fast. What is likely the condition?

 Measles
 Anaphylaxis
 Sepsis
 Asthma

202. What is the aim of patient collaboration?

 Patient development event

 Patient development experience
 Staff development event

203. Before proceeding to explain the care plan to the patient. What should a nurse ensure?

 Does the patient feel comfortable

 Does the patient have communication aids
 The patient is happy to talk

204. Which is found in higher concentration in the extracellular fluid?

 Sodium
 Calcium
 Chloride
 Potassium

205. Most common vein for phlebotomy?

 Cephalic
 Jugular
 Popliteal
 Femoral

206. Women who are vulnerable to domestic abuse?

 Over 18
 Elderly
 Pregnant women
 Under 18
207. When removing a closed system vacuum wound drain, what should the nurse consider?

 Says routine drain removal is doctor’s role.

 Remove the drain gradually by pulling on it.
 Have the tissue viability nurse to remove it.
 Releases the vacuum and gently remove it

208. In which of the following demonstrates the use of open-ended questions?

 Are you looking for the nurse?

 Do you need help?
 How may I help you?
 What are you looking for?

209. EBP- Evidence Based Practice:

 Collaboration with EBP skills and knowledge

 Only knowledge
 Only skills

210. A patient with stress, anxiety and sleeplessness. Who will he visit?

 A walk-in center
 Emergency department
 A general practitioner
 A 111 service

211. A patient is on pain. What should the nurse consider in assessment?

 Restlessness, DOB and complains of chest pain

 Type of pain and where it radiates

212. Patient came to the hospital and was diagnosed with otitis media. As per NICE Score 2
and given analgesics. Patient complained that he didn't receive any antibiotics. What is the
next step?

 Give discharge summary

 Explain evidence-based practice
 Evidence based practice and discharge instruction
 Explain when need to seek medical attention
213. A 16-year-old needs to be physically examined by the doctor, but she is not cooperating.
What is your action as a nurse?

 Encourage and show support for the child with non-verbal communication like
gestures and stand with the patient.
 Stand still and do nothing
 Encourage the relative to talk and stay with the patient.

214. How often should feedback be given to a new staff nurse?

 Continuously
 At the end of the shift
 When on annual leave

215. A patient visited the clinic and said he’s an alcoholic. What will the nurse advice to
patient to prevent ill-effects of alcohol?

 Alcohol is the most common reasons of vehicular accidents

 Advice the patient to avoid alcohol to save money
 Educate the patient about the negative effects of alcohol in the body
 Refer the patient to an alcohol group

216. A patient disclosed some sensitive information to a nurse and asked the nurse to keep it
secret. As a nurse, what will you do?

 Keep the information confidential

 Tell the patient that all information will be shared with the relevant staff
 Inform the relatives
 Keep the information as the secret to maintaining the dignity of the profession

217. BMI of the patient is 32 and was not given advise to a diet. What is the nurses best
intervention?

 Leave as it is the patient does not need intervention

 Bring the topic on the team meeting and suggest diet with sensitive topic on the BMI
 Continue diet as BMI is normal
 Suggest diet regimen without taking consideration of the BMI

218. When do you start to monitor the patient who is receiving BT?

 60 mins
 30 min
 45 mins
  15 min

219. A patient has suicidal tendencies and was referred to a facility assessment that he is no
longer suicidal, was calm and requested to go home. What should the nurse do?

 Let the patient go home without ff up

 Referred under section 5 of mental capacity
 Let patient go home and follow up in the community

220. You receive the laboratory result of the patient, but she is still in the bathroom. How will
you deliver the result?

 Update her through the phone

 Let the nursing assistant do it
 Wait for another chance to talk and discuss it privately.
 Leave the results on the bedside table.

221. Other names for cancer related weight loss?

 Anorexia
 Bulimia Nervosa
 Slimming
 Cachexia

222. The patient asked to see the nurse as a friend after the last clinical…. What should the
nurse do?

 Give your number to keep in touch

 Tell the professional relationship ends there
 Suggest to GP to be under your care again
 Arrange schedule 2 weeks after

223. The MP (Member of Parliament) visits your hospital, what will the nurse ask the MP to
address the concern on nurse staffing level?

 Advertise to the nursing students to work in the trust once qualified

 Ask to meet the HR team and plan on recruitment campaign
 Add incentives to encourage nurses to work extra shift

224. If a critical incident occurs, a nurse will?

 Undertake a literature review

 Report the incident to the Care Quality Commission
 Focus on reflection-in-action
  Report and reflect on the case to contribute to debriefing and ongoing learning.

225. What does PDR stand for?

 Professional Development Review

 Professional and Developmental Review
 Performance and Development Review
 Personal Development Review

226. Personality disorder affects:

 Their behavior interrupts self and others

 Only others
 Only self

227. A mentally stable patient is requesting to participate in the kitchen and this act is
approved as part of his care, what will you do as a nurse?

 Don’t allow the patients

 Refer to the occupational therapist for approval
 Fill risk assessment form
 Allow the patient and give safety guidelines

228. Signs and symptoms of early fluid volume deficit, except:

 Decreased urine output

 Concentrated urine
 Decreased skin turgor
 Decreased PR

229. What is the published book of NMC?

 The standard of nursing practice

 Guidelines to become a UK nurse/x
 The Code
 The book of nursing

230. Hemophilia is common in which ethnic group?

 Asian
 Caucasian
 African
 Latin
231. Prion disease is related to which of the following conditions?

 Myocardial infarction
 Creutzfeldt-jakob disease
 Crohn's disease

232. Annual training required for nurses:

 Clinical governance training

 Record keeping training
 BLS
 IV training

233. Which one of the following is the advantage of multi-agency working offers when
protecting those at risk from abuse?

 More professional support

 Improved community protection
 Shared communication
 Practitioner professional development

234. HCA and nurse need to transfer a patient to another bed. However, nurse looks for slide
board in another room yet didn’t find one. The nurse asks the HCA that they look in another
station when nurse came back the patient was already transferred. What should the nurse do?

 Request for more slide board

 Check the patient for abrasion
 Report to nurse in charge

235. First line drug for patient experiencing pyrexia with body malaise:

 Paracetamol
 NSAIDs

236. The nurse cares for an elderly patient with moderate hearing loss. The nurse should teach
the patient’s family to use which of the following approaches when speaking to the patient?

 Face the patient and speak slowly using a high voice

 Raise your voice until the patient is able to hear you
 Face the patient and speak slowly using a slightly lowered voice
 Use facial expressions and speak as you would formally
237. What does a nurse observe when assessing the respiration of a patient with breathing
difficulties?

 Rate, pattern, and evidence of cyanosis

 Ease of breathing, rate, pattern, and evidence of cyanosis
 Ability to speak in full sentences, ease of breathing, rate pattern, evidence of
cyanosis
 Presence of symmetrical movement of both sides of chest and equal breath sounds

238. An Alzheimer patient who has fever due to UTI is experiencing shakiness. What
medicine should be given?

 Co-amoxiclav (Augmentin)
 Co-Q10
 Co-careldopa (Sinemet)
 Co-codamol

239. What is the primary treatment for anaphylaxis?

 Intramuscular adrenaline
 Oral steroids
 Oral antihistamine
 Intravenous adrenaline

240. What does pyrexia mean?

 Increase in body temperature

 Decreased body temperature
 Normal body temperature
 Fluctuating body temperature

241. A patient with dementia who fell twice and lives with her husband wants to be discharged
back home. What measures should the patient take?

 Engage a social worker in her care

 Allow to go back with husband
 Invite friend to help them

242. Which of the following is an acceptable way of moving a patient from a bed to a trolley?

 Completing a risk assessment

 An Australian lift
 A bear hugs
 Canvas and poles
243. Score of NEWS for a confused patient:

 8
 2
 3
 4

244. Which of these isn’t part of adequate clinical practice or so?

 Education
 Leadership
 Research
 Governance

245. What is the correct blood transfusion procedure?

 Baseline assessment should be taken and recorded prior to transfusion

 The patient should be placed in sitting position 30 mins prior to transfusion
 The patient should be given a drink before the procedure

246. A newly admitted client told you that he wishes to stop smoking & sought advice for the
same. What will you do?

 Refer him to GP
 Introduce him to your colleague who stopped smoking
 Instruct him to read something regarding smoking cessation
 Talk patient about possible measures for smoking cessation

247. Normal amount of urine passed by an adult per hour:

 1.5 mL
 1.7 mL
 1.2 mL
 1.4 mL

248. A BMI of 38 will affect which patient?

 Hypothyroidism
 DM 2
 DM 1
 Hyperthyroidism

249. Which is NOT the principle of mental capacity?

  Give support to take decision
 Find out best interest
 Assume the patient have the capacity
 Right to have a care plan

250. A nurse dropped tweezers on a patient 's bed during dressing in front of a student, what
will the nurse do?

 Ignore the situation because it will not give a big affection to

 Tell the student about the error and tell to get another set of tweezers and continue
 You should tell the student to pick it up and put it at the bottom of the trolley
 Tell the student to stop and get a new dressing pack

251. A patient has a heel sore and dresses it regularly, what would aid wound healing?

 Good diabetes control and mobility

 Complete bed rest and increase fluid intake
 Complete bed rest and adequate hydration
 Good diabetes control and adequate hydration

252. A person calls and only wants to be cared for by a female nurse, what should be your
most appropriate response?

 Call back later

 Only I’m available and free
 Encourage the client to tell you why he only wants a female and help him further
 Call back tomorrow

253. What should NOT be done when a child is cannulated?

 Tickling the child

 Listening to music
 Watching videos
 Read books

254. Which team should be contacted while making a discharge plan for a patient that requires
a complex discharge plan?

 Social worker team

 Physiotherapy team
 District nurses’ team
255. Who should NOT be directly involved in the care of patient who is likely suicidal?

 Social care
 Child’s friend
 Parents
 Child mental council

256. Who CANNOT teach a smoke cessation program?

 RN
 Physiotherapist
 Pharmacist
 School nurse

257. What is the color of the syringe used to give medications via NGT?

 Blue
 Clear
 Red
 Purple

258. When treating an adult patient with mental illness. What should you have in mind?

 Risk is lower in patients with mental health disorders than adults without mental illness
 An adult patient has the same risk of physical illness as the one without mental illness
 Risk is higher in patients with mental health disorders than adults without mental
illness

259. Which disease has been eradicated by vaccination?

 Smallpox
 Flu
 Ebola

260. A patient with a learning disability trips over and needs to go to an accident and
emergency department for an examination they become distressed by the noisy waiting room
by the EQUALITY Act (2010). What do the staff offer the patient?

 Staff offer medication to calm the patient when he arrives

 Tough call out a GP for a home visit to prevent a hospital trip
 Staff provide the person with a learning disability a quiet place to wait
 Staff let him jump the queue and see him when he arrives
261. A nurse who is working in an outpatient observes that a lot of similar information is
given to the patient verbally on a daily basis. How can this be minimized?

 Develop a leaflet or handouts which can be used to aid discussion and is something
for patients to take home
 Raise the findings at a team meeting
 Give the patients some paper so that they can make notes to help them remember the
information
 Encourage the nursing staff to make notes on their conversations for the patients to take
home so patient remember the information

262. When she presents the nursing procedures to be followed, she refers to what type of
standards?

 Outcome
 Criteria
 Process

263. When a patient is discharged from an acute setting. How is the GP informed about their
inpatient care?

 Discharge summary is sent

 The patient is required to make an appointment and brief the doctor
 The GP will hone their hospital to retrieve the information when required
 Copy of all inpatient notes are sent

264. How many ml/kg/hr urine output an adult makes?

 0.7
 0.3
 0.1
 0.5

265. What does the key performance indicator measure?

 Achievement
 Failure
 Inconsistency
 Success

266. Recognizing and reporting any situations, behaviors or errors resulting in poor patient
care outcomes?

 Principle of profession
  Principle of courage
 Principle of candour
 Principle of care

267. A patient with hypothyroidism is having pain 6 on 1-10 scale in the right hip due to
recent surgery. Which of the following medications is appropriate for this patient?

 Tylenol
 Fentanyl
 Dilaudid
 Morphine

268. What is a mineral corticoid secreted by the adrenal cortex in response to increased
osmolarity and/or decreased blood pressure?

 Aldosterone
 Androgen
 Methyltestosterone
 Testosterone

269. Type 1 DM early signs and symptoms are?

 Weight gain
 Ketones in urine, polydipsia and polyuria
 Weight loss, blurred vision

270. A unit supports nursing students, how does a RN ensure that the students are competent
to carry out tasks that are delegated to them?

 Ensure that each student has an assessor and practice supervisor

 Ensure that all students read the policy and procedure manuals
 Ask the student to keep written records of their practice
 Ensure practice assessor collects evidence from supervisor, students, and service
users to assess proficiency

271. There is an outbreak of MRSA, where should samples be taken from?

 Skin, groin, and armpit

 Skin, eyes, and ears
 Skin, armpit, groin, and nose

272. How will the nurse assess the quality of care given to the patient through which of the
following?
  Peer and patient response
 Clinical benchmarking
 All of the above
 Reflective process

273. Where is chemotherapy and hormone medication disposed of?

 Black bag waste

 Yellow sharps container or bag
 Recycling waste
 Purple lidded sharps container or bags

274. A young person with complex needs is being transferred to the adolescent unit which is a
considerable distance from his relative. The patient is unhappy about this transfer. What
should the nurse do?

 The person requires complex care which can only be provided in a distant specialist
need
 Tell the family to respect the skills and expertise of the doctors who have planned the
transfer to meet patient’s needs
 Nurse should raise the complaints and issues in the next team meeting
 Report and document preferences regarding the transfer promptly and provide an
explanation

275. Oropharyngeal airway is recommended, what is your first action?

 Use the suction

 Slide airway over the tongue and into position
 Sit the patient up
 Head tilt and check the mouth

276. When a patient is at high risk for suicide within what time the mental health professional
should attend him?

 Immediately
 Within 48 hours
 Within 24 hours

277. How many times more likely is an obese child more likely to get diabetes?

 5x
 2x
 3x
 4x
278. A child tells you that she is being abused by her grandfather but tells you to keep it a
secret. What is the best response?

 Tell the child that you will keep the secret but report to the charge nurse afterward
 Explain to the child that you can’t keep a secret as it is essential to prevent further
abuse
 Keep the secret as the child is entitled to confidentiality
 Confront the child’s mother about the grandfather’s behavior

279. How do you give fluid to an end-of-life patient at home?

 Orally
 Subcutaneously
 Parenterally
 Nasogastric

280. A nurse has been diagnosed with chickenpox and has been advised not to attend the
planned study day. Why is this advice given?

 To prevent infection to others

 To prevent irritation of the spot
 To prevent condition from worsening
 To prevent cross infection of the public

281. Ventilation and chest compressions is better than Defibrillation:

 Systole
 Cystole
 Dystole
 Asystole

282. How many breaths are given to a patient who has been in the incident of drowning?

 3
 2
 5
 4

283. Mr. X responded well to his NGT feeding and will continue for 3 more days at a constant
rate of 80 mL/hr until the next review by the dietician. Evidence-based practice suggests that
to keep its potency, flushing is needed to be done:

 Every 4 hours
 Every 8 hours
  Only as required
 Every 24 hours
 Every 12 hours

284. Patient feels pain and is given paracetamol. The nurse knows paracetamol can be given
with what medication?

 Tramadol
 Pethidine
 Co-codamol
 Morphine

285. You are to take consent from a new patient in the A&E unit for physical examination, but
you are in doubt about the ability of the patient to give consent. Which of the following is
correct?

 All patients should be assessed for competency by a senior practitioner during the
admission assessment
 All patients are assumed to have the ability to give consent until they are established
to be having mental health challenges
 Only patients with mental health needs are regarded as incompetent to give consent

286. What is the normal hemoglobin value of a female client?

 12.5-14.5
 10.5-12.5
 15.0-20.0
 20.0-25.0

287. You observe a nurse doing sterile dressing and drop the old dressing in the sterile pack
and continue the procedure. What will you do?

 Leave her since it didn’t take much time

 Tell the nurse to stop and get a dressing pack and start the procedure all over
 Inform your senior and tell the nurse to stop the procedure
 Tell her to change the dressing pack and then continue

288. A patient has anaphylaxis, what triage call room would he be in?

 4
 3
 1
 2

289. What type of oxygen does a patient with cardiac arrest need?
  15L Bag Valve Mask
 15L non-rebreather
 5-10L of normal oxygen
 No oxygen required

290. A patient is returning home from the hospital. They will spend several weeks in a
residential facility, followed by community support. To ensure a positive process, what
action does a nurse take?

 Give discharge information to the care facility who will liaise with others
 Allow the patient to arrange any community service to allow them to be independent
 Copy all agencies into the discharge plan correspondence
 Ask the patient to contact their general practitioner to follow up on services needed

291. Pediatric Warning Signs Score of 8 receives. What clinical response

 Immediate escalation to a senior clinician

 4 hourly observation
 2 hourly observations
 No escalation required

292. Score of NEWS for a confused patient?

 3
 4
 8
 2

293. How many tetanus vaccination doses does a person need to develop immunity?

 5
 2
 4
 3

294. De-escalation can be used for which of the following?

 Depression
 Sadness
 Anger
 Illness

295. Most common emotion that a person given a terminal diagnosis will feel:
  Anger
 Joy
 Denial
 Guilt

296. Peripherally Inserted Central Catheter (PICC) tip is usually located in which part?

 Aortic artery
 Right atrial valve
 Superior vena cava

297. TDS meaning:

 Three times day

 Three doses day
 Three values

298. Which of the following terms refer to the degree to which the instrument measures what
it is supposed to measure?

 Validity
 Reliability
 Meaning fullness
 Sensitivity

299. A client has experienced a tonic/clonic seizure. They are now breathing normally and
have normal circulation, but they have not yet gained consciousness. What nursing action
will maintain their safety?

 Make a note of the duration of seizure

 Give the client a water to drink
 Place the client in recovery position
 Try to wake the client

300. Among the following, which is not likely to give the day after the pill?

 Emergency Department
 Sex clinic
 General Practitioner
 Pharmacy

301. Who in the department should monitor shifts?

  Medic
 Senior nurse
 Chief nurse

302. The 5 moments of hand washing are all, EXCEPT?

 Washing hands before touching patient

 Washing hands before procedure involving body fluids
 Washing hands after procedure involving body fluids
 Washing hands after touching patient

303. A client elects to have epidural anesthesia to relieve the discomfort of labor. Following
the initiation of epidural anesthesia, what should the nurse give priority?

 Checking the patient’s blood pressure

 Checking for cervical dilation
 Obtaining an FHR
 Placing the client in a supine position

304. A patient with COPD retaining CO2, what is the target oxygen concentration?

 88-92
 82-88
 92-96
 98-100

305. How do you evaluate adequate staffing for a shift?

 Age
 Contract hours
 Gender
 Skill mix

306. The importance of correct staffing was reinforced by which report?

 The Baker Report

 The Drake Report
 The Francis Report
 The Conan Report
307. The nurse is preparing to change the TPN solution bag and tubing. The patient’s central
venous line is located in the right subclavian vein. The nurse asks the client to take which
essential action during the tubing change?

 Turn the head to the right

 Breath normally
 Exhale slowly and evenly
 Take a deep breath, hold it, and bear down

308. ST elevation is found in which condition?

1. 1st degree heart block

2. Pericarditis
3. endocarditis
4. MI

309. She knows that performance appraisal consists of the following activities, EXCEPT?

 Focusing activity on the correction of identified behavior

 Determine areas of strength and weakness
 Using agency standards as a guide
 Setting specific standards and activities for individual performance

310. Which 2 medications are given to patients in end-of-life care to ease symptoms?

 Propofol & Adrenaline

 Narcan & Prednisone
 Ketamine & Chlorphenamine
 Morphine & Midazolam

311. In a major accident, what age limit is considered as a pediatric case? *

 10
 12
 14
 15

312. One of your health care assistants came to you saying that she could not continue with
her work rounds due to a bad back. What will you do first?

 Ring for agency staff to cover the shift

 Document the incident and report to the manager
 Assess your colleagues back and administer painkillers
  Send her home and cover her work for yourself

313. You’re to go change a patient's dressing at home, what will you do?

 Request the patient clean the area, remove pets, close windows
 Clean surfaces with alcohol-based wipes, open the window decontaminate the patient’s
hands
 Remove pet, close windows, clean surfaces with alcohol-based wipes
 Request the patient clean the area before the nurse arrives and remove their own
dressings

314. You committed a medication error in your shift, what action will you do?

 Tell your colleague and not any other person

 You don’t need to tell anybody, only observe for any adverse reaction in the patient
 Report the incidence to the charge nurse, observe the patient, summon the patient’s
physician, and be prepared to apologize to the patient

315. Who is likely to use illicit drugs?

 Jobless people
 Out of school at 16
 Homeless people
 Sick people

316. How does a RN ensure that the students are competent to carry out tasks that are
delegated to them?

 Ensure that each student has an assessor and practice supervisor

 Ask the student to keep writing records of their practice
 Ensure that all students with the policies and procedure manuals
 Ensure practice assessor collect evidence from supervisors’ students and service
users to access proficiency

317. You noticed that a nurse forgot an entry to a patient’s chart, and you are about to
handover, what will be your best action?

 Leave a space for the nurse to write her entry on her shift
 Ask one staff in the nurse’s same group to do the entry
 Continue the handover omitting the missed entry
 Fill out the entry and do make sure to finish it promptly/timely manner

318. For a patient with suicidal thoughts, what important questions would you ask?
  Marital status
 Children
 Pets
 Occupation

319. What is the most appropriate route for giving fluids at the end of life?

 Subcutaneous
 Oral
 IV

320. How many bandages are used for venous ulcers?

 2
 5
 4
 3

321. A patient with delirium at the end stage of life. What to do?

 Limit arousal and stimulation

 Give haloperidol and other sedative
 Allow relatives around

322. He plans to use Likert Scale to determine:

 Degree of acceptance
 Level of satisfaction
 Compliance to expected standards
 Degree of agreement and disagreement

323. What to do if you noticed your patient developed allergic reactions to the drug?

 Write in yellow card and inform prescriber

 Administer antihistamine
 Continue assessment
 Document and inform the supervisor
 Inform prescriber

324. What is the first line of action in urinary retention?

 Fluid replacement
 Catheterization
 Antibiotics
  Diuretic

325. In performing CPR, How many compressions to a ventilation?

 30:2
 15:2
 30:1

326. What is the ratio of a patient to a nurse in an ICU with a mechanical ventilator?

 1:6
 1:1
 1:2
 1:4

327. The NHS Long Term Care Plan (2019) focuses on the key area:

 Supporting people to age well

 Making sure everyone has best start in life
 Delivering world class care for major health problem

328. The patient feels down, anxious and reported to have sleeplessness. Whom will the
patient seek first?

 Emergency unit
 A walk-in center
 General Practitioner
 111 service

329. Trafficking is what type of abuse?

 Financial abuse
 Physical abuse
 Modern day slavery
 Emotional

330. Who is in charge of overall community health?

 RN
 Practice Nurse
 Public health nurse
 Community Matron
331. Which of the following will prevent effective listening?

 Noise level of room

 The patient speaks different language/language difference
 The experience of the professional/professional level

332. You are supervising a student in a medication round when the student forgot to ask the
patient’s name. What should the nurse do?

 Asks the student to stop the medication and silently tell the correct procedure
 Take over and point out the students mistake after the rounds
 Report the student…

333. Which cannot cause sepsis?

 Traumatic brain injury

 Bowel proliferation
 Diarrhea
 UTI

334. A patient with a learning disability is angry with you when providing care. What will be
your action?

 Discuss your feelings with your nurse-in-charge know about this particular
behavior and reaction and act accordingly
 Disclose your feelings & continue care
 Refuse care to the patient
 Request to send another person instead of you

335. The patient experienced head trauma. He was on anti-thrombolytic medication. Which
diagnostic exam is best to do?

 MRI
 Xray
 CT Scan

336. Phosphate enemas are used to treat what?

 Fecal impaction
 Diarrhea
 Mild constipation
 Pain in the rectum
337. Dilated pupils can be seen in patients with?

 Increased ICP
 Seizure
 Decreased ICP

338. A male patient has mild incontinence and pain passing urine, a urine test was ordered.
What else should be done?

 Sexual screening/Referral
 Bladder scan
 Blood tests

339. Reminiscence therapy is used for which one:

 PTSD
 Dementia
 Children

340. If a patient has some bias and is not corrected and leads to what?

 Hospital risk
 Health economics
 Health inequality

341. Services used by external contractors:

 Community services
 Domestic services
 Acute trust
 …Trust

342. What are the nursing priorities when helping in an emergency in a practice setting?

 Only act in an emergency within limit of knowledge and competence

 Ensure that all patients are informed on what is happening
 Instructs all colleague to help with the emergency
 Responds to all instructions from the crisis lead

343. Non-diabetic patient normal glucose level:

 5.0-9 mmol
 7.9-9.8 mmol
  4.0-7.8 mmol
 6.5-9.5 mmol

344. In the last days and hours of a patient, any important discussions about the relative and
family, complete the sentence.

 Discussed using simple sentences

 Using medical terms
 Should be discussed separately
 With an interpreter

345. Maximizing resource in practice is related to health to:

 Safety
 Technology
 Economics
 Risk

346. Which checklist was released in 2009 to…in theatre?

 WHO Safer Surgical Checklist

 WHO Safety Surgical Checklist
 WHO Surgical Safety Checklist
 WHO Surgical Safer Checklist

347. A patient undergoing chemotherapy is at risk for neutropenia. Which of the following is
the most accurate advice a nurse should give a patient to reduce this risk?

 Monitor your temperature twice a day and report if it elevates by 2 degrees

 Monitor your temperature daily and report if it elevated by 1 degree
 Monitor your temperature daily and seek help if it is slightly elevated
 Monitor your temperature 4 hourly and report any abnormalities

348. An adult patient in our care has a temperature reading of 37.5 C. What is the
interpretation of the finding?

 The patient’s temperature is normal

 The patient has a too low body temperature
 The patient has a mild fever and might indicate infection

349. What is the purpose of augmentative alternative communication?

 To support literacy skills

  To encourage activity if daily living
 To provide the best opportunities for developing language and communication
 To teach numeracy skills

350. When communicating with a partially deaf patient, which of these is appropriate?

 Speak loudly
 Speak normally
 Lower your voice

351. To whom do you report communicable diseases?

 Public Health England (PHE)

 Ministry of Health (MOH)
 Department of Health (DOH)

352. She reads about the Path Goal Theory. Which of the following behaviors is manifested by
the leader who uses this theory?

 Admonishes staff for being laggard

 Challenges the staff to take individual accountability for their practice
 Recognizes staff for going beyond expectations by giving them citations
 Reminds staff about the sanctions for nonperformance

353. A patient has a NEWS score of 5, what action is appropriate?

 Increase observation
 Transfer to ICU
 Physician review

354. An unstable diabetic type 1 patient following a big toe amputation is discharged. What is
the main safety priority?

 Stabilize patient mobility

 Stabilize blood glucose level
 Carer education
 Diabetic referral

355. First line management for patient with Pulmonary Edema caused by Chronic Heart
Failure:
  Antibiotics
 Diuretics
 Analgesic
 Chest drainage

356. A patient with neurological conditions began to show signs of mental disability, who
should attend to the patient?

 Physician
 Neurology specialist team
 Mental health specialist

357. The MP (Member of Parliament) visits your hospital, what will the nurse ask the MP to
address the concern on nurse staffing level?

 Add incentives to encourage nurses to work extra shift

 Ask to meet the HR team and plan on recruitment campaign
 Advertise to the nursing students to work in the trust once qualified

358. A patient follows you on social media. What do you do?

 Accept right away

 Politely explain don’t accept as it’s against the law
 Politely explain don’t accept as it’s against the professional ethics
 Accept request after patient discharge

359. How many days after death is patient in Muslim faith buried?

 1 day post death

 4 days post death
 10 days post death
 1 week post death

360. How many practice hours is required for a RN nurse for revalidation?

 350
 500
 400
 450

361. Which nursing delivery model is based on a production and efficiency model and stresses
a task-oriented approach?

 Case management
  Differentiated practice
 Primary nursing
 Function method

362. MUST stands for:

 Malnutrition Universal Screening Telemetry

 Malnutrition Universal System Tool
 Monitoring Universal Screening Tool
 Malnutrition Universal Screening Tool

363. Which of the following approaches creates a barrier to communication?

 Giving advise rather than encouraging the patient to problem solve

 Using too many different skills during a single interaction
 Allowing the patient to become too anxious before changing the subject
 Focusing on what the patient is saying rather than on the skill

364. Medication for alcohol dependency:

 Catapress
 Disulfiram (Antabuse)
 Tylenol
 Metaclopromide

365. The first technique to use in examining patient’s abdomen is:

 Percussion
 Palpation
 Inspection
 Auscultation

366. You witnessed somebody choking, the person is still conscious and still able to cough
what you will do? Perform blind finger sweep

 Call 911 and wait for them to arrive

 5 chests thrust
 Perform blind finger sweep
 5 back slap

367. Nitrites in urine are mostly found in:

 Children
 Females
  Man
 Pregnant women

368. A nurse is working with a patient who says he drinks excessive alcohol. How will the
nurse respond to prevent ill health?

 Offer education on the risk of accidents after drinking

 Offer education on the effects of alcohol in the body
 Offer information about alcohol rehabilitation unit
 Offer advice on saving money by cutting down excessive drinking

369. Showing understanding of what has been said by repeating key points to the patient is
called:

 Active labor
 Active learning
 Active listening
 Active lifestyle

370. Clinical assessment tool for stool:

 Blood Chemistry
 Bristol Stool Chart
 Urinalysis
 Fecalysis

371. The numbers written below the nurse’s name and signature:

 Employment number
 Date of employment
 Board registration number

372. You’re working as a nurse in an emergency department when a major incident has
happened. Who should lead the nursing team?

 HCA
 Senior nurse of the shift
 Chief nurse

373. 4 themes of NMC code:

 Prioritize health care, Practice Sufficiently, Promote hand washing, Develop trust
 Prioritize effective communication, Practice Safety, Promote well being and trust
  Prioritize people, practice effectively, preserve safety and promote professionalism
and trust.

374. Upon visiting an elderly at home, the nurse found him unconscious. What should be your
initial action as a nurse?

 Assess ABCDE
 Call a GP
 Call for family
 Call an ambulance

375. Normal hemoglobin level for a woman:

 130-180
 160-190
 105-125
 115-130

376. Mental Capacity:

 The ability to use and understand information to make a decision, and communicate
any decision made
 The inability to use and understand information to make a decision, and communicate
any decision made

377. Self-administration of a patient with learning disability:

 Allow the patient to drink the medication then consult with the team members
 Stop the patient to take their medicine and consult with the team members

378. Hemoptysis:

 Blood in vomit
 Blood in urine
 Blood in sputum
 Blood in stool

379. In a challenging situation, how does a nurse communicate?

 Letter
 Face to face
  Email
 Phone

380. DATIX:

 Used for Nurses notes

 Used in Ordering medications for patients
 Trust electronic incident report system

381. A patient is admitted to the ward with symptoms of acute diarrhea. What should your
initial management be?

 Assessment, source isolation, universal precautions

 Assessment, protective isolation, universal precautions
 Assessment, protective isolation, antimotility medication
 Assessment, source isolation, antibiotic therapy

382. Pandemic is:

 a localized outbreak in one country only

 is a disease outbreak that spreads across countries or continents
 it is an outbreak that only occurs in one location

383. To prevent infection, nurse advises a patient to:

 Any level doesn’t make any difference

 On level with the bladder
 Keep the urine catheter bag below the bladder
 Above the bladder

384. The patient is on a wheelchair, in what position will the nurse put herself when speaking
with the patient?

 Beside the patient

 3 meters apart from the patient
 45-degree angle
 At the back of the patient

385. Stoma formation is for:

 Diverticular disease and colon cancer

 IBD and Crohn's disease
 IBS and IBD
386. Therapeutic communication:

 Ensure patient gain insights

 Keep conversation goal-centered

387. Symptom commonly present in pregnant woman:

 Heartburn
 Abdominal pain and nausea
 Headache
 Hair loss

388. Site for vaccination:

 Epidural
 Intrathecal
 Orbicularis Oris
 Deltoid

389. A patient had an arterial bleeding in her arm in home care, what would you do?

 Raise Arm
 Do nothing
 Apply pressure in affected site
 Apply pressure and raise her arm while help is on the way

390. Major incident:

 Any absence that presents serious threat to the health of the community or causes such
numbers or types of casualties, as to require special arrangements to be implemented
 Any occurrence that presents serious threat to the health of the community or
causes such numbers or types of casualties, as to require special arrangements to be
implemented

391. Pillars of advanced nursing practice?

 Clinical Exposure only

 Clinical practice, leadership and management, education, and research
 Supervision

392. What is the most suitable therapy for a 5-year-old experiencing psychological trauma?
  Music Therapy
 Trauma-Focused Cognitive Behavioral Therapy
 Aroma Therapy

393. 6 C’s:

 Care, Caress, Charm, Cultivate, Communicate, Calling

 Care, Compassion, Capability, Compression, Civilization, Commitment, Citizenship
 Care, compassion, courage, communication, commitment, and competence

394. Which client has the highest risk for bacteremia?

 Client with a peripherally inserted IV line

 Client with an implanted infusion port
 Client with a peripherally inserted central catheter (PICC) line
 Client with a central venous catheter (CVC)

395. Common clinical manifestation of an adolescent with appendicitis:

 Central abdominal pain radiating to the right iliac fossa with vomiting, low-grade
pyrexia
 Abdominal pain and vomiting
 Left iliac pain with vomiting, high temperature, and a rash

396. Theory of Dorothea Orem:

 Sanitation
 Wound healing
 Self-care Deficit
 Hand hygiene

397. DOLS meaning:

 Deprivation of Liberty Safety

 Deliverance of Liberty Safeguards
 Deliverance of Liason Safety
 Deprivation of Liberty Safeguards

398. You used the machine in taking the blood pressure of the pt. The result is BP-60/30
mmHg, and the patient is conscious and coherent. What will you do next?

 Recheck the BP using the manual sphygmomanometer

 Elevate the leg of the patient
399. An independent client has frequent tonic-clonic seizure. What can you do to maintain her
dignity?

 Let her shower independently but supervise her behind closed doors
 Supervise her behind a screen
 Let her have a bath independently without supervision

400. Common minor disorder of pregnancy?

 Abdominal pain
 Vomiting
 Heartburn
 Headache

401. An opioid adverse reaction is?

 All of the above

 Wheezes and shallow breathing, sleepiness
 Slow and shallow breathing, sleepiness
 Rapid and shallow breathing, sleepiness

402. Early sign of phlebitis:

 Swelling
 Pyrexia
 Increased WBC
 Slight pain and redness

403. A new nurse did not take the BP correctly, as a nurse in charge what would you do?

 Recheck the BP once she is done and change the records

 Inform the nurse afterward and teach her how to do it in the correct way
 Immediately tell the nurse that it is not correct in front of the patient

404. MI normal range:

 5-10
 10-15
 18.5-24.9
 25-30
405. NICE:

 National Institute for Health and Care Excellence: identifies good practice using the
best available evidence-based information for health, public health and social care
professionals
 National Industrial for Health and Care Excellence: identifies bad practice using the best
available evidence-based information for health, public health and social care
professionals

406. A patient is on his 3rd day with antibiotic therapy due to a lower respiratory tract
infection. He presented 3 bouts of bloody diarrhea. What would be the likely cause?

 This indicates the release of histamine in the body

 Develops allergies
 Clostridium difficile has penetrated the intestine
 Urinary tract infection has worsened

407. The Care Quality Commission (CQC) describes compassion as what?

 Smart confidence
 Creative commitment
 Intelligent kindness
 Gifted courage

408. What does “Standard Precaution” mean caring for a patient?

 Selective precautions which involve safe disposal of clinical waste for all personnel
involved in the care process
 High-level precautions which include all disposable beddings and utensils for all health
care staff
 Basic infection prevention and control measures which include hand hygiene and
safe disposal of all waste by all staff at all times
 Taking precautions when handling blood and high-risk body fluids for relevant medical
personnel

409. National Reporting and Learning System (NRLS):

 Patient reporting
 Patient safety incident report
 Patient incident report

410. What are the 4 ethical principles in nursing?

 Autonomy, beneficence, nonmaleficence, and justice

 Maleficence, Authority, Non-benificence, Mistrust
  Isolation, Reverse Isolation, Autonomy, Justice

411. A patient cannot sleep at night due to dental pain, as a nurse what will be your advice?

 Lie down and apply heat pad to the area

 Sleep upright and take analgesic before bed
 Have a warm bath and take some sleeping aid after

412. Self-determination theory:

 People are not motivated to grow and change by three innate and universal psychological
needs: competence, connection/relatedness, and autonomy
 People are motivated to grow and change by three innate and universal
psychological needs: competence, connection/relatedness, and autonomy

413. Gingivitis cause:

 Improper use of toothpaste

 Build-up of plaque (not fully removing plaques)
 Poor oral health

414. Priority before wound dressing:

 Handwashing
 Health Teaching
 Observations

415. Patient experiences in the last 48 hours of life?

 Insomnia
 Dyspnea, upper airway secretions, and lucidity
 Agnosia

416. Warwick-Edinburgh Mental Well-being Scale (WEMWS) measures:

 Cognitive impairment
 Mental health illness

417. Statutory principle of Mental Capacity Act, except?

 Presumption of capacity
 Right to have a care plan
 Right to make eccentric and unwise decision
  Right to make their own decision

418. A community nurse is visiting a patient at home to give them information on their
condition, however, they cannot speak or understand English. What will you do?

 Book an interpreter to accompany them

 Cancel the visit as it is pointless if the patient does not understand
 Leave the information leaflet and hope they understand it
 Use sign language to give the information

419. What is complex care?

 Is person-centered specialist support for someone with a chronic or long-term

health condition, who requires extra assistance to manage their symptoms and day-
to-day activities to enable a high quality of life
 Patient Centered Care
 Community derived care

420. Female Genital mutilation:

 African American under 18 years old

 Caucasian only under 20 years old
 Caucasian and African women under 18

421. Most patients with long term conditions usually does not comply with:

 Exercise
 Rest
 Skin Care Regimen
 Their medications

422. A patient complaining of restlessness and inability to sleep at night, what is your advice
to him?

 Use phone and music

 Tell him to reduce caffeine intake
 Have periods of rest during the day

423. A nurse practitioner is a member of which group?

 The management team

 The leadership team
 Multi-professional
424. Spirometry is used to diagnose which disease condition?

 Cardiovascular disease
 Diabetes
 Stroke
 Respiratory disease

425. Which therapeutic communication technique is being used in nurse-client interaction?

 Encouraging comparison
 Exploring
 Formulating a plan of care
 Making observations

426. What is an appropriate task to delegate to a nursing support worker?

 Personal care
 Drug round
 IV medication
 Ward round

427. How to know the improvement or about the status of a patient with cognitive
impairment?

 GP
 Discharge summary
 About me/Passport

428. The nurse has the role of protecting the patient from the clinical environment, which of
the following actions won’t necessarily protect the patient?

 Keeping the floor not slippery

 Arranging medicines properly
 Air-conditioning the room
 Repairing medical equipment

429. PDSA:

 Plan-Deminish-Study-Act
 Palpate-Do-Study-Auscultate
 Plan-Do-Study-Act
 Plan-Do-Supercedes-Act

430. Cyclizine is used for:

  used for motility
 used for pain and head ache
 used in prevention and treatment of nausea, vomiting, and dizziness associated with
motion sickness

431. You noticed a health care professional did not wash his hands before handling the patient,
what will you do?

 Politely remind him he did not wash hands after he has seen patient and are alone
 Ignore because he is a doctor as you cannot tell him because you are just a nurse
 Politely remind him he did not wash hands in front of patients and other healthcare
professionals

432. How does the nurse respond to a patient using challenging behavior?

 Ask the patient to stop the behavior

 Ignore the challenging behavior
 Use a therapeutic approach
 Place the patient in another room

433. What is the initial step before administering IM injections?

 Wear apron and wash your hands

 Wash hands
 Wear an apron, wash hands, and clean the site

434. What is the initial sign of compensated shock?

 Increased UO
 Hypoxia
 Rapid respiratory rate
 Hypotension

435. Parkinson’s taking madopar:

 Give at night only

 Give on time
 With water
  With food

436. BMI of 30 with hypertension:

 Risk for Urticaria

 Risk for Anemia
 Risk for Infection
 Risk for stroke

437. What is an intraosseous device used for?

 Bone marrow
 Vein
 Artery

438. A patient had sepsis, when will you give broad spectrum antibiotics for culture?

 Immediately before containing blood culture as sepsis is included

 Immediately once after blood sample is collected
 None of the above
 Immediately after obtaining blood culture as an infection is recognized

439. If a critical incident occurs, a nurse will?

 Report and reflect on the case to contribute to debriefing and ongoing learning
 Undertake a literature review
 Report the incident to the Care Quality Commission (CQC)
 Focus on reflection-in-action

440. Clinical audit: It improves quality of care and healthcare outcomes

 It does not improve standard care and healthcare outcomes

 It improves quality care and healthcare outcomes
 It improves standard care and healthcare outcomes

441. Breastfeeding prevents:

 Hepatitis
 Sickle cell
 Sudden Infant Death Syndrome
 Hemolytic Disorders

442. What are the nursing priorities when helping in an emergency in a practice setting?
  Only act in an emergency within the limit of knowledge and competence
 Responds to all instructions from the crisis lead
 Instructs all colleagues to help with the emergency
 Ensure that all patients are informed on what is happening

443. Theory of Sister Calista Roy: Adaptation Model of Nursing

 self care model

 hand hygeine
 Sanitation
 Believe in holistic care including….four modes: physiological, self-concept, role
function, and interdependence.

444. What method is it when you combine quantitative and qualitative methods?

 Double scoping
 Double method
 Mixed scoping
 Mixed method

445. Type of feedback without bias:

 Talk to nurse team

 Incident form
 Talk to patient
 Talk to relative

446. Under the Yellow Card Scheme, you must report the following, EXCEPT:

 Counterfeit or fake medicines or medical devices

 Suspected side effects to blood factor, except immunoglobulin products
 Faulty brake on a wheelchair

447. A nurse was concerned about treatment of students in the ward:

 Whistle blowing policy

 Information sharing policy
 Freedom of info policy
 Flexible policy

448. Which allied professional can undertake emergency roles after undergoing specific
training?
  Pharmacists
 Sport rehabilitation specialist
 Paramedics
 Radiographers

449. Hypokalemia correction is done via:

 Infusion via pump

 IV bolus
 Subcutaneously
 Intramuscular

450. Angle of subcutaneous injection for DM patient:

 80-degree
 60-degree
 90-degree
 45-degree

451. How to fully understand Mental Illness

 Mental health…
 7-day training in GP

452. Why do you need to monitor a patient with hypoxia?

 It must be carefully documented

 To provide holistic care
 It is part of the initial assessment
 Prolonged hypoxia can lead to bradycardia

453. Subcutaneous injection is given at what angle?

 60-degree
 45-degree
 90-degree
 80-degree

454. Which is NOT an act under safeguarding for elderly abuse?

 Neglect
 Financial abuse
 Sexual abuse
 Self-harm
455. Anatomy is:

 A field in the biological sciences concerned with the identification and description of
the body structures of living things
 A field of science dealing with evolution
 A field of science that deals with animal life

456. What is the common cause of airway obstruction in unconscious patients?

 Edema in the neck due to oxygen supply

 Tongue falling back
 Foreign object stuck in the throat
 None of the above

457. You’re about to provide negative feedback to a student. Where is the best place to give
it? In a quiet place with no disturbance

 In a quiet place with no disturbance

 In the staff room
 In the ward base and with other healthcare professionals
 Outside Work

458. What is it called when you disclose a medication error to a patient and their relatives?

 Disclosure
 Duty of candour
 Escalation
 Raise of concern