NMC CBT Mock Test With Answers: Part B – 100 Questions

Adult Nursing Practice Exam – 2024 for the UK

1. A) John should be sat up if he is experiencing airway and breathing problems.
2. A) Lying supine
3. B) Intervene on the spot, speak directly to the senior in a non-confronting manner, and report to management in writing
4. A) Advise the mother to stay till she settles.
5. A) Accept the client’s decision and give information on the consequences of his actions
6. C) raise the situation to your head nurse and discuss with her what intervention might be done to help the child
7. C) Antibiotic alters her Gl flora which made Clostridium-difficile multiply
8. C) Double-check the medication label and the information in the controlled drug book; ring the chemist to verify the dosage
9. D) a patient with Steven-Johnson Syndrome
10. B) An intramuscular route for adrenaline is not recommended during cardiac arrest after an anaphylactic reaction.
11. A) Go home and avoid direct contact with other people and preparing food for others until at least 48 hours after her symptoms have disappeared
12. D) call for help, give oxygen, administer adrenaline 500 mcg IM, and give salbutamol nebs if prescribed.
13. A) Raise your concern with your nurse manager about the potential for child abuse & ask for her support
14. B) Document the incident
15. B) Prepare these managers so that they will focus on maintaining standards of care
16. B) provide a high standard of practice and care when required
17. D) Give assignments clearly, taking staff expertise into consideration
18. D) ask the student to stop feeding and assess the patient’s swallowing
19. B) “Your cat sounded very dear to you. Can I ask your neighbor to check?”
20. D) Go immediately to see the patient
21. A) The nurse supervisor on duty will call the nurse manager at home and apprise them about the problem
22. A) Go over & tell the nursing assistants that their actions are inappropriate, especially in a public place
23. D) Encourage the patient to disclose this information to her physician
24. A) tell her that any information related to her well-being will need to be shared with the healthcare team
25. C) She is experiencing shock and disbelief related to her husband’s death.
26. B) It seems to me that you feel frustrated. What can I help you with to care for our patients?”
27. B) Refuse the voucher and thank him for this gesture
28. A) I am sorry to tell you that your mother died
29. C) Ask the patient to calm down.
30. D) Arterial blood gases measure both oxygen and carbon dioxide levels and therefore give an indication of both ventilation and oxygenation
31. A) Sitting upright at 30 to 45°
32. B) Oxygen is highly flammable and there is a risk of fire
33. C) The patient needs to be able to sit in a forward-leaning position supported by pillows. They may also need access to a nebulizer and humidified oxygen so they must be in a position where this is accessible without being a risk to others.
34. A) The fluid input has exceeded the output
35. D) Observe the client’s skin color and take another set of vital signs
36. A) Ask the patient the assistance he needs
37. B) Challenge the situation immediately as this is related to the dignity of the patient and raise your concern
38. B) Call the dietary department and ask for a new meal tray
39. A) Ask the wife to give him fluid, and enquire about his fluid preferences and usual drinking time
40. C) Call one of the carers to witness the dispensing and administering of the drug
41. B) Allow her to get some sleep and try to insert the vaginal tablet on your next turn rounds.
42. C) Cannabis is a class B drug under the UK Misuse of Drugs Act 1971
43. A) Document the incident and speak to your Manager
44. D) The nurse will establish with the pharmacist if the capsule is suitable for vegetarians
45. D) When you see signs of agitation
46. C) Paracetamol suppositories
47. D) Furosemide will increase Mark’s blood pressure, and lessen pitting oedema.
48. C) Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; together, check the correct prescription and the identity of the patient.
49. C) Her name, date of birth, hospital number, if she has any known allergies, the prescription for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given
50. D) Tell him to take one tablet in the morning and one tablet in the evening as ordered
51. A) Inform the incident senior nurse and ward in charge
52. C) Encourage the client to discuss the use of an herbal substance with the healthcare provider
53. B) assist the patient in a comfortable position
54. C) Request for a repeat prescription from the GP, and have the stock delivered by the chemist
55. C) This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.
56. B) Take all antibiotics as prescribed
57. D) breast milk is the best and she can feed her baby anytime they visit
58. D) Explain that his father has died and give him the option of attending the funeral
59. B) You seem stunned. You want me to help you think about what you want to do next
60. A) Collaboration with the Multidisciplinary Team
61. A) Say thank you, but refuse the offer politely.
62. D) Anniversary reaction
63. C) Refuse to be the one to obtain the patient’s consent
64. D) Maturational Loss
65. B) Provide care to the deceased client in a careful and loving way
66. D) Capillary refill of < 3 seconds
67. A) Tell me why you feel death is your only option
68. A) Sit down with Karen and discuss her fears; use therapeutic communication to alleviate anxiety
69. C) Suggest she take a few days off
70. D) A patient with Stevens-Johnson Syndrome
71. B) Dispose of the medication using the denaturing kit, document it as refused and disposed of on the MARS, and write it on the nurse’s notes.
72. C) She is experiencing shock and disbelief related to her husband’s death.
73. B) Overload
74. D) There are many different forms of complementary therapies, let’s talk about these therapies
75. A) Check the patient’s blood pressure, and withhold Furosemide if it is low
76. B) Flossing between the teeth
77. C) The nurse should honor the client’s decision
78. C) Take slow, deep breaths as the catheter is removed
79. C) Remove the dressings whether they are intact or not, assess the wounds, document this on the wound assessment form, and redress the wounds.
80. D) Provide support, compassion, and love
81. B) “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”
82. A) Consider individual wound management priorities
83. B) For the family to gain support from each other
84. C) Fill up the raising concern/ safeguarding form, and escalate
85. B) Assess his risk of developing a pressure ulcer with a risk assessment tool. If indicated, procure an appropriate pressure-relieving mattress for his bed & cushion for his chair. Reassess the patient’s pressure areas at least twice a day & keep them clean & dry. Review his fluid & nutritional intake & support him to make changes as indicated.
86. C) Make sure that the bed area is free of clutter & that the patient can reach everything she needs, including the call bell. Check regularly to see if the patient needs assistance mobilizing to the toilet, ensure that she has properly fitting slippers & appropriate walking aids
87. A) The patient walks first & then lifts the walker
88. A) Raise a safeguarding alert
89. D) Give adequate analgesia so she can mobilize to the chair with assistance, and give subcutaneous low molecular weight heparin as prescribed. Make sure that she is wearing anti-embolic stockings
90. B) Late grievance with signs of dementia
91. D) To go up the stairs, place the cane & affected extremity down on the step. Then step down the unaffected extremity’
92. A) urinary tract infection leading to delirium
93. C) Face the patient and speak slowly using a slightly lowered voice.
94. D) Crutches and the left leg then advance the right leg
95. A) Advance the stronger leg first up to the step then advance the crutches & the weaker extremity.
96. A) redness of soft palate and tissues surrounding the teeth
97. B) Encourage the patient to stay for his well-being
98. D) Return demonstration
99. A) Explain this is a restrain. Urgently call for safeguarding and arrange a multi­ disciplinary team conference
100. C) he is not using the proper toothbrush to remove the plaque