UK NMC CBT MOCK TEST -7 (ADULT NURSING)

1. When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation?
A) tell the student to feed the patient slowly to help stop coughing
B) ask the student to completely stop feeding
C) ask student to allow patient some sips of water to stop coughing
D) ask student to stop feeding and assess patients swallowing

2. While at outside setup what care will you give as a Nurse if you are exposed to a situation?
A) Provide care which is at expected level
B) Above what is expected
C) Ignoring the situation
D) Keeping up to professional standards

3. When do we need to document?
A) As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client
B) Every hour
C) When there are significant changes to the patient’s condition
D) At the end of the shift

4. According to the nursing code of ethics, the nurse’s first allegiance is to the:
A) Client and client’s family
B) Client only
C) Healthcare organization
D) Physician

5. According to the Royal Marsden manual, a staff who observe the removal of chest drainage is considered as?
A) Unofficial training
B) Official training
C) Hours which are not calculated as training hours
D) It is calculated as prescribed training hours.

6. The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to?
A) Practical Nurse
B) Registered Nurse
C) Nursing assistant
D) Volunteer

7. The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?
A) Fidelity
B) Veracity
C) Autonomy
D) Beneficence

8. What is accountability?
A) Ethical and moral obligations permeating the nursing profession
B) To be answerable to oneself and others for one’s own actions.
C) A systematic approach to maintaining and improving the quality of patient care within a health system (NHS).
D) The process of applying knowledge and expertise to a clinical situation to develop a solution

9. Adequate record keeping for a medical device should provide evidence of:
A) A unique identifier for the device, where appropriate
B) A full history, including date of purchase and where appropriate when it was put into use, deployed or installed
C) Any specific legal requirements and whether these have been met
D) Proper installation and where it was deployed
E) Schedule and details of maintenance and repairs
F) The end-of-life date, if specified
G) All of the above

10. Which strategy could the nurse use to avoid disparity in health care delivery?
A) Recognize the cultural issue related to patient care
B) Request more health plan options
C) Care for more patients even if quality suffers
D) Campaign for fixed nurse patient ratios

11. A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient’s record. What is best response of the nurse?
A) She should continue documenting in the same file as the medical document cannot be corrected
B) She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time
C) She should tear the page from the file & start documenting in the correct record
D) She should write as wrong documentation in a bracket & continue

12. Barbara, a frail lady who lives alone with her cat, was brought in A&E via ambulance after a neighbour found her lying in front of her house. No doctor is available to see her immediately. Barbara told you she is worried about her cat who is alone in the house. How will you best reply to her?
A) “You should worry about yourself and not the cat.”
B) “Your cat sounded like very dear to you. Can I ask your neighbour to check?”
C) “Do you want me to see you cat also? I cannot do that now.”
D) “Your cat can look after itself, I am sure.”

13. A nurse documented on the wrong chart. What should the nurse do?
A) Immediately inform the nurse in charge and tell her to cross it all off.
B) Throw away the page
C) Write line above the writing; put your name, job title, date, and time.
D) Ignore the incident.

14. In the role of patient advocate, the nurse would do which of the following?
A) Emphasize the need for cost-containment measures when making health care decisions
B) Support a patient’s decision, even if it is not the decision desired by the nurse
C) Override a patient’s decision when the patient refuses the recommended treatment
D) Foster patient dependence on health care providers for decision making

15. A client experiences an episode of pulmonary edema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with?
A) Assault
B) Slander
C) Negligence
D) Tort

16. What is meant by an advocate?
A) Someone who develops opportunities for the patient
B) Someone who has the same beliefs as the patient
C) Someone who does something on behalf of the patient
D) Someone who has the same values as the patient.

17. Independent Advocacy is:
A) Providing general advice
B) Making decisions for someone
C) Care and support work
D) Agreeing with everything a person says and doing anything a person asks you to do
E) None of the above

18. What is Advocacy according to NHS Trust?
A) This is the divulging or provision of access to data
B) It is the response to the suffering of others that motivates a desire to help
C) It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need.
D) It is a set of rules or a promise that limits access or places restrictions on certain types of information.

19. Which task should be assigned to the nursing assistant?
A) Placing the client in seclusion
B) Emptying the Foley catheter for the preeclamptic client
C) Feeding the client with dementia
D) Ambulating the client with a fractured hip

20. A Nurse demonstrates patient advocacy by becoming involved in which of the following activities?
A) Taking a public stand on quality issues and educating the public on” public interest” issues
B) Teaching in a school of nursing to help decrease the nursing shortage
C) Engaging in nursing research to justify nursing care delivery
D) Supporting the status quo when changes are pending

21. Information can be disclosed in all cases except:
A) When the information is required by law or under a court order.
B) When effectively anonymized.
C) In identifiable form, when it is required for a specific purpose, with the individual’s written consent or with support under the Health Service
D) In Child Protection proceedings if it is considered that the information required is in the public or child’s interest

22. All should be seen in a good documentation except:
A) Name and signature, position, date and time
B) Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements
C) A correct, consistent, and factual data
D) legible handwriting

23. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with the family. The nurse is acting as the patient’s:
A) Educator
B) Advocate
C) Care giver
D) Case manager

24. In an emergency department doctor asked you to do the procedure of cannulation and left the ward. You haven’t done it before. What would you do?
A) Don’t do it as you are not competent or trained for that & write incident report & inform the supervisor
B) Do it
C) Ask your colleague to do it
D) Complain to the supervisor that doctor left you in middle of the procedure

25. NMC defines record keeping as all of the following except:
A) Helping to improve advocacy
B) Showing how decisions related to patient care were made
C) Supporting effective clinical judgements and decisions
D) Helping in identifying risks, and enabling early detection of complication

26. After finding the patient which statement would be most appropriate for the nurse to document on a datix/incident form?
A) “The patient climbed over the side rails and fell out of bed.”
B) “The use of restraints would have prevented the fall.”
C) “Upon entering the room, the patient was found lying on the floor.”
D) “The use of a sedative would have helped keep the patient in bed.”

27. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?
A) Express patients needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own
B) Just to accompany the patient
C) To take decisions on patient’s behalf and provide their own judgements as this benefit the client
D) Is expert and representative’s clients concerns, wishes and views as they cannot express by themselves

28. You are the nurse in charge of the unit and you are accompanied by 4th year nursing students.
A) Have direct supervision
B) Allow students to give meds
C) Assess competence of student
D) Get consent of patient

29. As a nurse, the people in your care must be able to trust you with their health and well being. In order to justify that trust, you must not:
A) work with others to protect and promote the health and wellbeing of those in your care
B) always act lawfully, whether those laws relate to your professional practice or personal life
C) provide a high standard of practice and care when required
D) be personally accountable for actions and omissions in your practice

30. What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement?
A) 60%
B) Not specified, but as much as possible
C) Depends on the student capabilities
D) 40%

31. How do you give respect & dignity to the client?
A) Compassion, support & reassurance to the client
B) Communicate effectively with them
C) Behaving in a professional manner
D) Giving advice on healthcare issues

32. An example of a positive outcome of a nurse-health team relationship would be:
A) Becoming an effective change agent in the community
B) Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role
C) An increased understanding of the family dynamics that affect the client
D) An increased understanding of what the client perceives as meaningful from his or her perspective

33. A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows:
A) It does not matter what is disclosed, the media will find out any way
B) Any information released will bring publicity to the hospital
C) Nurses are obligated to respect client’s privacy and confidentiality
D) According to beneficence, the nurse has an obligation to implement actions that will benefit clients.

34. Role conflict can occur in any situation in which individuals work together. The predominant reason that role conflict will emerge in collaboration is that people have different
A) Levels of education and preparation
B) Levels of experience and exposure of working in interdisciplinary teams
C) Values, beliefs, and work experiences that influences their ability to collaborate.
D) Expectations about a particular role; interpersonal conflict will emerge

35. The famous 14 Principles of Management was first defined by
A) James Watt
B) Adam Smith
C) Henri Fayol
D) Elton Mayo

36. You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role?
A) during audit raise your concern
B) inform in written to management
C) inform NMC
D) take photograph

37. When will you disclose the identity of a patient under your care?
A) You can disclose it anytime you want
B) When a patient relative wishes to
C) When media demands for it
D) Justified by public interest law and order

38. The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behavior constitutes:
A) False imprisonment
B) Duty of care
C) Standard of care practice
D) Contract of care

39. The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse calculates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following?
A) Incomplete data
B) Generalize from experience
C) Identifying with the client
D) Lack of clinical experience

40. You are the nurse on Ward C with 14 patients. Your fellow incoming nurses called in sick and cannot come to work on your shift. What will be your best action on this situation?
A) Review patient intervention, set priorities, ask the supervisor to hand over extra staff
B) continue with your shift and delegate some responsibilities to the nursing assistant
C) fill out an incident form about the staffing condition
D) ask the colleague to look for someone to cover

41. A nurse from Medical-surgical unit asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?
A) A client with a cast for a fractured femur & who has numbness & discoloration of the toes
B) A client with balanced skeletal traction & who needs assistance with morning care
C) A client who had an above-the-knee amputation yesterday & has a temperature of 101.4F
D) A client who had a total hip replacement 2 days ago & needs blood glucose monitoring

42. Compassion in Practice – the culture of compassionate care encompasses:
A) Care, Compassion, Competence, Communication, Courage, Commitment – DoH-“Compassion in Practice”
B) Care, Compassion, Competence
C) Competence, Communication, Courage
D) Care, Courage, Commitment

43. A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make.
A) “Where there is life there is hope”
B) “ you are a long way from dying”
C) “ not everyone who is HIV positive will develop AIDS & die”
D) “ Would you like to talk to the nurse who works with HIV- positive patient’s ?”

44. A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by:
A) Explaining the exact limits of confidentiality in the exchanges between the client and the nurse.
B) Limiting discussion about clients to the group room and hallways.
C) Summarizing the information, the client provides during assessments and documenting this summary in the chart.
D) Sharing the information with all members of the healthcare team

45. A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do?
A) Let the patient’s relatives know so that they don’t make a complaint & write an incident report for yourself so you remember the details in case there are problems in the future
B) Help the patient to a safe comfortable position, commence neurological observations & ask the patient’s doctor to come & review them, checking the injury isn’t serious, when this has taken place, write up what happened & any future care in the nursing notes
C) Discuss the incident with the nurse in charge, & contact your union representative in case you get into trouble
D) Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient & if they wish, their relatives

46. A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should:
A) Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager
B) Ignore the criticism as this is a case of a team issue
C) Continue delivering care as this will not affect the quality of care you are rendering your patient

47. If you were explaining anxiety to a patient, what would be the main points to include?
A) Signs of anxiety include behaviours such as muscle tension, palpitations, a dry mouth, fast shallow breathing, dizziness & an increased need to urinate or defaecate
B) Anxiety has three aspects: physical – bodily sensations related to flight & fight response, behavioural – such as avoiding the situation, & cognitive (thinking) – such as imagining the worst
C) Anxiety is all in the mind, if they learn to think differently, it will go away
D) Anxiety has three aspects: physical – such as running away, behavioural – such as imagining the worse (catastrophizing), & cognitive (thinking) – such as needing to urinate.

48. A nurse case manager receives a referral to provide case management services for an adolescent mother who was recently diagnosed with HIV. Which statement indicates that the patient understands her illness?
A) “I can never have sex again, so I guess I will always be a single parent.”
B) “I will wear gloves when I’m caring for my baby, because I could infect my baby with AIDS.”
C) “My CD4 count is 200 and my T cells are less than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.”
D) “My CD4 count is 800 and my T cells are greater than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.”

49. She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory?
A) Recognizes staff for going beyond expectations by giving them citations
B) Challenges the staff to take individual accountability for their own practice
C) Admonishes staff for being laggards.
D) Reminds staff about the sanctions for non-performance.

50. Which of the following actions jeopardize the professional boundaries between patient and nurse
A) Focusing on social relationship outside working environment
B) Focusing on needs of patient related to illness
C) Focusing on withholding value opinions related to the decisions

51. The contingency theory of management moves the manager away from which of the following approaches?
A) No perfect solution
B) One size fits all
C) Interaction of the system with the environment
D) A method or combination of methods that will be most effective in a given situation

52. Clinical audit is best described as:
A) a tool to evaluate the effectiveness of interventions, and to know what needs to be improved
B) a tool used to identify the weakest link within the system
C) a standard of which performance is based upon
D) a tool to set a guidelines or protocol in clinical practice

53. Bystander informs you that the patient is in severe pain. Your response:
A) Tell him that he would come as soon as possible
B) Record in the chart and inform doc and in charge
C) Tell that she would give the next dose of analgesic when it’s time
D) Go instantly to the patient and assess the condition

54. Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach?
A) Case management
B) Primary nursing
C) Differentiated practice
D) Functional method

55. A client requests you that he wants to go home against medical advice, what should you do?
A) Inform the management
B) Inform the local police
C) Call the security guard
D) Allow the client to go home as he won’t pose any threat to self or others

56. The nurse can divulge patient’s information, only when:
A) it can pose as a threat to the public and when it is ordered by the court
B) requested by family members
C) asked by media personnel for broadcast and publication
D) required by employer

57. An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles.
A) Paternalism & justice
B) Autonomy & informed consent
C) Beneficence & double effect
D) Competence & right to know

58. You walk onto one of the bay on your ward and noticed a colleague wrongly using a hoist in transferring their patient. As a nurse you will:
A) let them continue with their work as you are not in charge of that bay
B) report the event to the unit manager
C) call the manual handling specialist nurse for training
D) inform the relatives of the mistake

59. A nurse manger achieves a higher management position in the organisation, there is a need for what type of skills?
A) Conceptual and interpersonal skills
B) Personal and communication skills
C) Communication and technical skills
D) Visionary and interpersonal skills

60. An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
A) A newly diagnosed client with type 2 diabetes mellitus who is learning foot care
B) A client from a motor vehicle accident with an external fixation device on the leg
C) A client admitted for a barium swallow after a transient ischemic attack
D) A newly admitted client with a diagnosis of pancreatic cancer

61. The nursing staff communicates that the new manager has a focus on the “bottom line,” and little concern for the quality of care. What is likely true of this nurse manager?
A) The manager is unwilling to listen to staff concerns unless they have an impact on costs.
B) The manager understands the organization’s values and how they mesh with the manger’s values.
C) The manager is communicating the importance of a caring environment.
D) The manager is looking at the total care picture

62. The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of
A) Denial
B) Repression
C) Suppression
D) Displacement

63. As an RN in charge you are worried about a nurse’s act of being very active on social media site, that it affects the professionalism. Which one of these is the worst advice you can give her?
A) Do not reveal your profession of being a Nurse on social site
B) Do not post any pictures of client’s even if they have given you permission
C) Do not involve in any conversions with client’s or their relatives through a social site
D) Keep your profile private

64. When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding of learning styles by:
A) Administering a pre- and post-test assessment.
B) Allowing patient’s time to voice their opinions
C) Providing a snack with a low glycaemic index.
D) Utilizing a variety of educational materials.

65. One of the main responsibilities of an employer should be:
A) provide a safe place for the employees
B) provide entertainment to employees
C) create opportunities for growth
D) create ways to make networks

66. A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST?
A) Please leave and I will speak with you when I am done.”
B) I need you to leave us alone.”
C) You may sit with us as long as you are quiet.”
D) “I’m sorry, but HIPPA says that you can’t be here. Do you mind leaving?”

67. A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response?
A) Let her do the procedure. Correct her later
B) Inform to ward in charge
C) Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent

68. The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements?
A) “It is my responsibility to ensure that the consent form has been signed and attached to the patient’s chart prior to surgery.”
B) “It is my responsibility to witness the signature of the client before surgery is performed.
C) “It is my responsibility to answer questions that the patient may have prior to surgery.”
D) “It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form.”

69. The rehabilitation nurse wishes to make the following entry into a client’s plan of care: “Client will re-establish a pattern of daily bowel movements without straining within two months.” The nurse would write this statement under which section of the plan of care?
A) Nursing diagnosis/problem list
B) Nursing order
C) Short-term goals
D) Long term goals

70. The characteristic of an effective leader includes:
A) attention to detail
B) sound problem-solving skills and strong people skills
C) emphasis on consistent job performance
D) all of the above

71. Which of the major theories of aging suggests that older adults may decelerate the aging process?
A) Disengagement theory
B) Activity theory
C) Immunology theory
D) Genetic theory

72. The following are qualities of a good leader, except:
A) Shows empathy to members
B) His behaviour contributes to the team
C) Acknowledges and accepts members mistakes – without any corrections
D) Does not accept criticisms from members

73. You are a new and inexperienced staff, which of the following actions will you do during your first day on the clinical area?
A) Acknowledge your limitations, seek supervision from your team leader
B) volunteer to do the drug rounds
C) help in admitting the patients
D) answer all enquiries from the patients

74. A patient has sexual interest in you. What would you do?
A) Just avoid it, because the problem can be the manifestation of the underlying disorder, and it will be resolved by its own as he recovers
B) Try to re-establish the therapeutic communication and relationship with patient and inform the manager for support
C) Never attend that patient
D) Inform police

75. What are the characteristics of effective collaboration?
A) Common purpose and goals
B) Clinical competence of each provider
C) Humor, trust, and valuing diverse, complementary knowledge
D) All of the above

76. A client on your medical surgical unit has a cousin who is physician & wants to see the chart. Which of the following is the best response for the nurse to take
A) Ask the client to sign an authorization & have someone review the chart with cousin
B) Hand the cousin the client chart to review
C) Call the attending physician & have the doctor speak with the cousin
D) Tell the cousin that the request cannot be granted

77. You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do?
A) ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover
B) encourage all the staff who are present to do their best to attend to the needs of the patients
C) refuse to take charge of the next shift

78. A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization?
A) The client retains all of his or her rights
B) the client has a right to leave if not a danger to self or other
C) the client can sign a written request for discharge
D) The client cannot be released without medical advice

79. Who will you inform first if there is a shortage in supplies in your shift?
A) Nursing assistant
B) Purchasing personnel
C) Immediate nurse manager
D) Supplier

80. The bystander of a Muslim lady wishes that a lady doctor only should check the patient. Best response
A) Just neglect the request.
B) Tell her that, only a male doctor is available and he is taking care of many female staff daily
C) Respect the request, if possible arrange the consultation with a female doc
D) Inform police

81. Which are not the benefits of using negative pressure wound therapy?
A. Can reduce wound odor
B. Increases local blood flow in the peri-wound area
C. Can be used on untreated osteomyelitis
D. Can reduce the use of dressings

82. The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST?
A. Fine, we’re better off without you anyway”
B. It seems to me that you feel frustrated. What can I help you with to care for our patients?”
C. I can understand why you’re upset, but I’m tired too and I’m not quitting.”
D. Why don’t you take a dinner break and come back? It will seem more manageable with normal blood sugar.

83. A patient with complex, multiple diseases is discharged to a tertiary-level care unit what to do?
A. Inform the tertiary unit about patient arrival
B. Call for a multidisciplinary meeting with a professional who took care of the patient to discuss the patient care modalities that everyone accepts.
C. Inform to patient relatives about the situation

84. How do you remove a negative pressure dressing?
A. Remove pressure then detach the dressing gently
B. Get the TVN nurse to remove the dressing
C. Remove in a quick fashion

85. A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient’s wife comforting other family members. Which of the following interpretations of this behavior is MOST justifiable?
A. She has already moved through the stages of the grieving process.
B. She is repressing anger related to her husband’s death.
C. She is experiencing shock and disbelief related to her husband’s death.
D. She is demonstrating resolution of her husband’s death.

86. You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply?
A. Negative pressure dressing
B. Rapid capillary dressing
C. Alginate dressing
D. Skin barrier product

87. A new RN has problems with making assumptions. Which part of the code she should focus on to deliver fundamentals of care effectively
A. Prioritise people
B. Practice effective
C. Preserve safety
D. Promote professionalism and trust

88. Black wounds are treated with debridement. Which type of debridement is most selective and least damaging?
A. Debridement with scissors
B. Debridement with wet-to-dry dressings
C. Mechanical debridement
D. Chemical debridement

89. Clinical practice is based on evidence-based practice. Which of the following statements is true about this
A. Clinical practice based on clinical expertise and reasoning with the best knowledge available
B. Provision of computers at every nursing station to search for the best evidence while providing care
C. Practice based in a ritualistic way
D. Practice based on what the nurse thinks is the best for the patient

90. A young woman has suffered a fractured pelvis in an accident, she has been hospitalized for 3 days, when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone, she says that she had tried to donate blood & tested positive for HIV. what is the best action of the nurse to take?
A. Document this information on the patient’s chart
B. Tell the patient’s physician
C. Inform the healthcare team who will come in contact with the patient
D. Encourage the patient to disclose this information to her physician

91. A patient with a learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?
A. Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own
B. Just to accompany the patient
C. To make decisions on patients’ behalf and provide their own judgments as this benefits the client
D. Is an expert and represents clients concerns, wishes, and views as they cannot express by themselves

92. The nurse cares for a patient with a wound in the late regeneration phase of tissue repair. The wound may be protected by applying a:
A. Transparent film
B. Hydrogel dressing
C. Collagenases dressing
D. Wet dry dressing

93. What is Disclosure according to NHS?
A. It is asking for action to help people say what they want, secure their rights, represent their interests, and obtain the services they need
B. This is the divulging or provision of access to data.
C. It is the response to the suffering of others that motivates a desire to help.
D. It is a set of rules or promises that limits access or places restrictions on certain types of information.

94. The nurse cares for a client diagnosed with a conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?
A. Introjection
B. Displacement
C. Identification
D. Repression

95. A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described?
A. In the inflammation phase of healing.
B. In the hemostasis phase of healing.
C. In the reconstructive phase of wound healing.
D. As an infected wound

96. One of your patients was pleased with the standard of care you have provided him. As a gesture, he is giving you a £50 voucher to spend. What is your most appropriate action in this situation?
A. Accept the voucher and thank him for this gesture
B. Refuse the voucher and thank him for this gesture
C. Accept the voucher and give it to the ward manager
D. Refuse the voucher and inform the ward manager of his gesture

97. A client has a diabetic stasis ulcer on the lower leg. The nurse uses a hydrocolloid dressing to cover it. The procedure for application includes:
A. Cleaning the skin and wound with betadine
B. Removing all traces of residues from the old dressing
C. Choosing a dressing no more than a quarter-inch larger than the wound size
D. Holding it in place for a minute to allow it to adhere

98. How long does the ‘inflammatory phase’ of wound healing typically last?
A. 24 hours
B. Just minutes
C. 1-5 days
D. 3-24 days

99. A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client’s skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. The wound is best described as:
A. Abrasion
B. Unapproxiamted
C. Laceration
D. Eschar

100. Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery?
A. Skin clips
B. Tissue adhesive
C. Adhesive skin closure strips
D. Interrupted suture

101. A nurse notices a bedsore. It’s a shallow wound, red-coloured with no pus. Dermis is lost. At what stage this bedsore is?
A. Stage1- non-blanchable erythema
B. Stage2- Partial thickness skin lose
C. Stage3- full-thickness skin loss
D. Stage4- full-thickness tissue lose

102. Which of the following conditions can be observed in a proper wound dressing:
A. absorbent, humid, aerated
B. non-absorbent, humid, aerated
C. non-humid, absorbent, aerated
D. non-humid, non-absorbent, aerated

103. The nurse manager of 20-bed coronary care is not on duty when a staff nurse makes a serious medication error. The client who received an overdose of the medication nearly died. Which statement of the nurse manager reflects accountability?
A. The nurse supervisor on duty will call the nurse manager at home and apprise them about the problem
B. Because the nurse manager is not on duty therefore she is not accountable for anything which happens in her absence
C. The nurse manager will be informed of the incident when returning to work on Monday because the nurse manager was officially off duty when the incident took place.
D. Although the nurse manager was off duty but the nurse supervisor decided to call the nurse manager if the time permits the nurse supervisor thinks that the nurse manager has no responsibility for what has happened in the manager’s absence

104. The nurse is in the hospital’s public cafeteria & hears two nursing assistants talking about the patient in 406. they are using her name & discussing intimate details about her illness which of the following actions are best for the nurse to take?
A. Go over & tell the nursing assistants that their actions are inappropriate, especially in a public place
B. Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed
C. Tell the nursing assistant’s supervisor about the incident. It is the supervisor’s responsibility to address the issue
D. Say nothing, it is not the nurse’s job, he or she is not responsible for the assistant’s action

105. What are the four stages of wound healing in the order they take place?
A. Proliferative phase, inflammation phase, remodeling phase, maturation phase.
B. Haemostasis, inflammation phase, proliferation phase, maturation phase
C. Inflammatory phase, dynamic stage, neutrophil phase, maturation phase.
D. Haemostasis, proliferation phase, inflammation phase, remodeling phase support

106. How long does the proliferative phase of wound healing occur?
A. 24 hours
B. 1-7 days
C. 3-24 days
D. 24-26 days

107. How would you care for a patient with a necrotic wound?
A. Systemic antibiotic therapy and apply a dry dressing
B. Debride and apply a hydrogel dressing.
C. Debride and apply an antimicrobial dressing.
D. Apply a negative pressure dressing.

108. Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorized as:
A. moisture lesion
B. 2nd stage partial skin thickness
C. 3rd stage
D. 4th stage

109. The nurse is functioning as a patient advocate. Which of the following would be the first step the nurse should take when functioning in this role?
A. Ensure that the nursing process is complete and includes active participation by the patient and family
B. Become creative in meeting patient’s needs.
C. Empower the patient by providing needed information and support.
D. Help the patient understand the need for preventive health care.

110. An adult has just returned to the unit from surgery. The client fell and was injured. What kind of liability does the nurse have?
A. Negligence
B. Intentional tort
C. Assault & battery
D. None

111. Which solution uses minimum tissue damage while providing wound care?
A. Hydrogen peroxide
B. Povidone-iodine
C. Saline
D. Gention violet

112. Essence of Care benchmarking is a process of?
A. Comparing, sharing, and developing practices in order to achieve and sustain best practices.
B. Assess clinical area against best practice
C. Review achievement towards best practice
D. Consultation and patient involvement

113. Appropriate wound dressing criteria include all but one:
A. Allows gaseous exchange.
B. Maintains optimum temperature and pH in the wound.
C. Forms an effective barrier to
D. Allows removal of the dressing without pain or skin stripping.
E. Is non-absorbent

114. When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning?
A. Ethical principles & code
B. The nurse’s experience
C. The nurse’s emotional feelings
D. The policies & practices of the institution

115. Which one of the following types of wound is NOT suitable for negative pressure wound therapy?
A. Partial thickness burns
B. Contaminated wounds
C. Diabetic and neuropathic ulcers
D. Traumatic wounds

116. All individuals providing nursing care must be competent at which of the following procedures?
A. Hand hygiene and aseptic technique
B. Aseptic technique only
C. Hand hygiene, use of protective equipment, and disposal of waste
D. Disposal of waste and use of protective equipment
E. All of the above

117. Jack, son of John went to the station to see the nurse as she was complaining of severe pain on her pressure ulcer. What will be your initial action?
A. Check analgesia on the chart
B. Tell you will come as soon as you can
C. Find the nurse in charge
D. Go immediately to see the patient

118. A mentally competent client with end-stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse’s role as a client advocate?
A. Asking the spouse to take all the alcohol out of the house
B. Accepting the patient’s choice & not intervening
C. Reminding the client that the action may be an end-of-life decision
D. Refusing to care for the client because of the client’s noncompliance

119. What do you expect to assess in a grade 3 pressure ulcer?
A. blistered wound on the skin
B. open wound showing tissue
C. open wound exposing muscles
D. open wound exposing bones

120. Wound care management plan should be done with what type of wound?
A. Complex wound
B. Infected wound
C. Any type of wound

121. A client’s wound is draining thick yellow material. The nurse correctly describes the drainage as:
A. Sanguineous
B. Serous sanguineous
C. Serous
D. Purulent

122. If an elderly immobile patient had a “grade 3 pressure sore”, what would be your management?
A. Film dressing, mobilization, positioning, nutritional support
B. Foam dressing, pressure relieving mattress, nutritional support
C. Dry dressing, pressure relieving mattress, mobilization
D. Hydrocolloid dressing, pressure relieving mattress, nutritional support

123. Clinical bench-marking is:
A. to improve standards in health care
B. a new initiative in the health care system
C. A new set of rules for health care professionals
D. To provide a holistic approach to the patient

124. What do you mean by benchmarking tool?
A. An overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice
B. it is the way of expressing the needs of the patient
C. a continuum between poor and best practice.
D. information on how to use the benchmarks

125. Wendy, 18 years old, was admitted to the Medical Ward because of a recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation?
A. tell her that any information related to her well-being will need to be shared with the healthcare team
B. inform her parents about this so she can be advised appropriately
C. keep the information a secret in view of confidentiality
D. report her boyfriend to social services

126. When you find out that 2 staffs are on leave for next duty shift and its of staff shortage what to do with the situation?
A. Inform the superiors and call for a meeting to solve the issue
B. Contact a private agency to provide staff
C. Close the admission until adequate staff are on duty.

127. What functions should a dressing fulfill for effective wound healing?
A. High humidity, insulation, gaseous exchange, absorbent.
B. Anaerobic, impermeable, conformable, low humidity.
C. Insulation, low humidity, sterile, high adherence.
D. Absorbent, low adherence, anaerobic, high humidity.

128. Wound proliferation starts after?
A. 1-5 days
B. 3-24 days
C. 24 days

129. A patient developed a pressure ulcer. The wound is round, extends to the dermis, is shallow, there is visible reddish-to-pinkish tissue. What stage is the pressure ulcer?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4

130. When breaking bad news over the phone which of the following statement is appropriate
A. I am sorry to tell you that your mother died
B. I am sorry to tell you that your mother has gone to heaven
C. I am sorry to tell you that your mother is no more