MIHIRAA

NMC CBT QUESTIONS WITH ANSWERS PART – 1

2024 NMC CBT QUESTIONS WITH ANSWERS PART – 1

  1. What is the role of the NMC? 
  2. a) To represent or campaign on behalf of nurses and midwives  
  3. b) To regulate hospitals or other healthcare settings in the UK  
  4. c) To regulate health care assistance  
  5. d) To regulate nurses and midwives in the UK to protect the public  

Answer: d) To regulate nurses and midwives in the UK to protect the public

 

  1. What is the purpose of The NMC Code?  
  2. a) It outlines specific tasks or clinical procedures  
  3. b) It ascertains in detail a nurse’s or midwife’s clinical expertise  
  4. c) It is a tool for educating prospective nurses and midwives  

Answer: c) It is a tool for educating prospective nurses and midwives  

 

  1. All are purposes of NMC except: 
  2. a) NMC’s role is to regulate nurses and midwives in England, Wales, Scotland and Northern Ireland. 
  3. b) It sets standards of education, training, conduct, and performance so that nurses and midwives can deliver high-quality healthcare throughout their careers. 
  4. c) It makes sure that nurses and midwives keep their skills and knowledge up to date and uphold professional standards. 
  5. d) It is responsible for regulating hospitals or other healthcare settings.  

Answer: d) It is responsible for regulating hospitals or other healthcare settings.

 

  1. The UK regulator for nursing & midwifery professions within the UK with a stated aim to protect the health & well-being of the public is:  
  2. a) GMC  
  3. b) NMC  
  4. c) BMC  
  5. d) WHC  

Answer: b) NMC  

 

  1. Which of the following agencies set the standards of education, training conduct, and performance for nurses and midwives in the UK? 
  2. a) NMC 
  3. b) DH  
  4. c) CQC  
  5. d) RCN  

Answer: a) NMC  

 

  1. What do you mean by the code of ethics? 
  2. A) Legal activities of a registered nurse who works in the UK 
  3. B) Legislative body to control nurses  

Answer: B) Legislative body to control nurses  

 

  1. The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and midwives must act in line with the Code, whether they are providing direct care to individuals, groups, or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles; such as leadership, education, or research. What 4 Key areas does the code cover: 
  2. a) Prioritise people, practice effectively, preserve safety, promote professionalism and trust 
  3. b) Prioritise people, practice safely, preserve dignity, promote professionalism and trust  
  4. c) Prioritise care, practice effectively, preserve security, promote professionalism and trust 
  5. d) Prioritise care, practice safely, preserve security, promote kindness and trust 

Answer: a) Prioritise people, practice effectively, preserve safety, promote professionalism and trust   

 

  1. NMC requires in the UK how many continuing education units a nurse should have in 3 years. 
  2. a) 35 Units  
  3. b) 45 Units  
  4. c) 55 Units  
  5. d) 65 Units  

Answer: a) 35 Units   

 

  1. The code is the foundation of 
  2. a) Dress code 
  3. b) Personal document 
  4. c) Good nursing & midwifery practice & a key tool in safeguarding the health & well-being of the public  
  5. d) Hospital administration 

Answer: c) Good nursing & midwifery practice & a key tool in safeguarding the health & well-being of the public  

 

  1. According to the NMC Standards Code and Conduct, a registered nurse is EXCLUDED from legal action in which one of these?  
  2. a) Fixed penalty for speeding  
  3. b) Possessing stock medications 
  4. c) Convicted for fraud 
  5. d) Convicted for theft 

Answer: b) Possessing stock medications 

 

  1. The NMC Code expects nurses to safeguard the health and well-being of the public through the use of the best available evidence in practice. Which of the following nursing actions will ensure this? 
  2. a) using isopropyl alcohol 70% to wipe the skin before cannulation 
  3. b) suggesting healthcare products or services that are still trialed  
  4. c) ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care  
  5. d) all  

Answer: c) ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care  

 

  1. Among the following values incorporated in NMC’s 6 C’s, which is not included? 
  2. a) Care 
  3. b) Courage 
  4. c) Confidentiality 
  5. d) Communication  

Answer: c) Confidentiality 

 

  1. Which of the following is NOT one of the six fundamental values for nursing, midwifery, and care staff set out in Compassion in Practice Nursing, Midwifery & Care Staff?  
  2. a) Care 
  3. b) Consideration 
  4. c) Communication 
  5. d) Compassion  

Answer: b) Consideration  

 

  1. A nurse delegates duty to a health assistant, what NMC standard should she keep in mind while doing this?  
  2. a) She transfers the accountability to the care assistant 
  3. b) The RN is accountable for the care assistant’s actions 
  4. c) No need to assess the competency, as the care assistant is an expert in her care area 
  5. d) The healthcare assistant is accountable to only her senior  

Answer: b) The RN is accountable for the care assistant’s actions  

 

  1. According to the law in England, the UK when faced with a situation of emergency what is your action? 
  2. a) Should not assist when it is outside of the work environment 
  3. b) Law insists you to stop and assist 
  4. c) You are not obliged in any way but as a professional duty advise you to stop and assist 
  5. d) Do not involved in the situation  

Answer: c) You are not obliged in any way but as a professional duty advise you to stop and assist  

 

  1. A patient has been assessed as lacking the capacity to make their own decisions, what government legislation or act should be referred to:  
  2. a) Health and Social Care Act (2012)  
  3. b) Mental Capacity Act (2005)  
  4. c) Carers (Equal Opportunities) Act (2004)  
  5. d) All of the above  

Answer: b) Mental Capacity Act (2005)  

 

  1. Under the Carers (Equal Opportunities) Act (2004) what are carers entitled to? 
  2. a) Their own assessment  
  3. b) Financial support  
  4. c) Respite care  
  5. d) All of the above  

Answer: d) All of the above  

 

  1. How many steps to discharge planning were identified by the Department of Health (DH 2010)? 
  2. a) 5 steps  
  3. b) 8 steps  
  4. c) 10 steps  
  5. d) 12 steps  

Answer: c) 10 steps  

 

  1. The single assessment process was introduced as part of the National Service Framework for Older People (DH 2001) to improve care for this group of patients.  
  2. a) True 
  3. b) False  

Answer: a) True  

 

  1. Under the Carers (Equal Opportunities) Act (2004) what are carers entitled to? 
  2. a) Their own assessment 
  3. b) Financial support 
  4. c) Respite care 
  5. d) All of the above  

Answer: d) All of the above  

 

  1. Which law provides communication aid to patients with a disability? 
  2. a) Communication Act 
  3. b) Equality Act 
  4. c) Mental Capacity Act 
  5. d) Children and Family Act  

Answer: b) Equality Act  

 

  1. What law should be taken into consideration when a patient has hearing difficulties and would need hearing aids?  
  2. a) Mental Capacity Act 
  3. b) Equality Act  
  4. c) Communication law  

Answer: b) Equality Act  

 

  1. Hearing aid provided to a client comes under which act? 
  2. a) Communication Act 
  3. b) Mental Capacity Act 
  4. c) Children and Family Act 
  5. d) Equality Act  

Answer: d) Equality Act  

 

  1. Mental Capacity Act 2005 explores which of the following concepts:  
  2. a) Mental capacity, advanced treatment decisions, and act’s code of practice  
  3. b) Mental capacity, independent mental capacity advocates, and the act’s code of practice  
  4. c) Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act’s code of practice  
  5. d) Mental capacity and the possible ethical and legal dilemmas in its interpretation.  

Answer: c) Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act’s code of practice    

 

  1. A patient has been assessed as lacking the capacity to make their own decisions, what government legislation or act should be referred to:  
  2. a) Health and Social Care Act (2012)  
  3. b) Mental Capacity Act (2005)  
  4. c) Carers (Equal Opportunities) Act (2004)  
  5. d) All of the above  

Answer: b) Mental Capacity Act (2005)

 

  1. An inquiry was launched involving the death of one of your patients. The police visited your unit to investigate. When interviewed, which of the following frameworks will best help assist the investigation? 
  2. a) Data Protection Act 2005  
  3. b) Storage of Records Policy  
  4. c) Consent policy  
  5. d) Confidentiality guidelines  

Answer: b) Storage of Records Policy    

 

  1. Which of the following statements is false? 
  2. a) Abuse mostly happens in nursing and residential homes.  
  3. b) Abuse can take place anywhere there is a vulnerable adult. 
  4. c) Abuse can take place in a daycare center.  
  5. d) Abuse can be carried out by anyone – doctors, nurses, carers, and even family members.  

Answer: a) Abuse mostly happens in nursing and residential homes.  

 

  1. During the day, Mrs. X sits on a chair and has a table put in front of her to stop her from getting up and walking about. What type of abuse is this?  
  2. a) Physical Abuse 
  3. b) Psychological Abuse  
  4. c) Emotional Abuse  
  5. d) Discriminatory Abuse  

Answer: c) Emotional Abuse  

 

  1. Michael feels very uncomfortable when the carer visiting him always kisses him and holds him tightly when he arrives and leaves his home. What type of abuse is this?  
  2. a) Emotional Abuse  
  3. b) Psychological Abuse  
  4. c) Discriminatory Abuse  
  5. d) Sexual Abuse  

Answer: d) Sexual Abuse  

 

  1. Anna has been told that unless she does what the ward staff tell her, the consultant will stop her family from visiting. What type of abuse is this?  
  2. a) Psychological Abuse 
  3. b) Discriminatory Abuse  
  4. c) Institutional Abuse 
  5. d) Neglect  

Answer: a) Psychological Abuse  

 

  1. Christine cannot get herself a drink because of her disability. Her carers only give her drinks three times a day so she does not wet herself. What type of abuse is this?  
  2. a) Physical Abuse  
  3. b) Institutional Abuse  
  4. c) Neglect 
  5. d) Sexual Abuse  

Answer: c) Neglect  

 

  1. Gabriella is a 26-year-old woman with severe learning disabilities. She is usually happy and outgoing. Her mobility is good, her speech is limited but she is able to be involved if carers take time to use simple language. She lives with her mother and is being assisted with personal care. Her home care worker has noticed bruising on the upper insides of her thighs and arms. The genital area was red and sore. She told the care worker that a male care worker is her friend and he has been cuddling her but she does not like the cuddling because it hurts. What could possibly be the type of abuse Gabriella is experiencing?  
  2. a) Discriminatory Abuse  
  3. b) Financial Abuse  
  4. c) Sexual Abuse 
  5. d) Institutional Abuse  

Answer: c) Sexual Abuse  

 

  1. You have noticed that the management wants all residents to be up and about by 8:30 am, so they can be ready for breakfast. Mrs X refused to get up at 8 am, and she wanted to have a bit of a lie-in, but one of the carers insisted on washing and dressing her and took her to the dining room. What type of abuse is in place?  
  2. a) Financial Abuse  
  3. b) Psychological Abuse  
  4. c) Sexual Abuse  
  5. d) Institutional Abuse  

Answer: d) Institutional Abuse  

 

  1. A patient asking for LAMA, the medical team has concerns about the mental capacity of the patient, what decision should be made? 
  2. a) call the police  
  3. b) call the security  
  4. c) let the patient go  
  5. d) encourage the patient to wait by telling them the need for treatment  

Answer: d) encourage the patient to wait by telling them the need for treatment  

 

  1. You are a registered nurse in a community giving health education to a patient and you notice that the student nurse is using his cell phone to text, what should you do? 
  2. a) Tell the student to leave and emphasize what a disappointment she is  
  3. b) Report the student to his Instructor after duty 
  4. c) Politely signal the student and encourage him by actively including him in the discussion  

Answer: c) Politely signal the student and encourage him by actively including him in the discussion  

 

  1. A person supervising a nursing student in the clinical area is called as:  
  2. a) mentor  
  3. b) preceptor  
  4. c) interceptor  
  5. d) supervisor  

Answer: b) preceptor  

 

  1. Training of student nurses is the responsibility of: 
  2. a) Ward in charge 
  3. b) Senior nurses 
  4. c) Team leaders 
  5. d) All RNS 

Answer: d) All RNS  

 

  1. You can delegate medication administration to a student if:  
  2. a) The student was assessed as competent  
  3. b) Only under close, direct supervision  
  4. c) The patient has only oral medication  

Answer: b) Only under close, direct supervision  

 

  1. A community health nurse, with second-year nursing students, is collecting history in a home. The nurse notices that the student is not at all interested in what is going around, and she is chatting on her phone. Ideal response? 
  2. a) Ask the student to leave the group 
  3. b) Warn her in public that such behaviors are not accepted 
  4. c) Inform the principal 
  5. d) Talk to her in private and make her aware that such behaviors could actually belittle the profession 

Answer: d) Talk to her in private and make her aware that such behaviors could actually belittle the profession  

 

  1. In supervising a student nurse performing a drug round, the NMC expects you to do the following at all times: 
  2. a) supervise the entire procedure and sign the chart 
  3. b) allow the student to give drugs and sign the chart at the end of the shift 
  4. c) delegate the supervision of the student to a senior nursing assistant and ask for feedback 
  5. d) allow the student to observe but not sign on the chart  

Answer: a) supervise the entire procedure and sign the chart

 

  1. A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to  
  2. a) Role modeling behaviors of the preceptor 
  3. b) The philosophy of the new nurse’s school of nursing 
  4. c) The orientation provided to the new nurse 
  5. d) Lack of trust in the team members  

Answer: d) Lack of trust in the team members  

 

  1. Being a student, observing the insertion of an ICD in the clinical setting. This is 
  2. a) Formal learning 
  3. b) Informal learning  

Answer: b) Informal learning  

 

  1. When you tell a 3rd-year student under your care to dispense medication to your patient what will you assess? 
  2. a) Whether s/he is able to give medicine 
  3. b) Whether s/he is under your same employment 
  4. c) His/her competence and skills 
  5. d) Supervise directly  

Answer: c) His/her competence and skills  

 

  1. You are mentoring a 3rd-year student nurse; the student requests that she wants to assist with a procedure with the tissue viability nurse. How can you deal with this situation 
  2. a) Tell her it is not possible 
  3. b) Tell her it is possible if you provide direct supervision 
  4. c) Call the college and ask whether it is possible for a 3rd student to assist with the procedure 
  5. d) Allow her as this is part of her learning  

Answer: b) Tell her it is possible if you provide direct supervision  

 

  1. A registered nurse is a preceptor for a new nursing graduate and describes critical paths and variance analysis to the new nursing graduate. The registered nurse instructs the new nursing graduate that a variance analysis is performed on all clients: 
  2. a) Continuously 
  3. b) Daily during hospitalization 
  4. c) Every third day of hospitalization
  5. d) Every other day of hospitalization  

Answer: a) Continuously   

 

  1. You have assigned a new student to an experienced healthcare assistant to gain some knowledge in delivering patient care. The student nurse tells you that the HCA has pushed the client back to the chair when she was trying to stand up. What is your action 
  2. 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)  
  3. b) Every hour  
  4. c) When there are significant changes to the patient’s condition  
  5. d) At the end of the shift  

Answer: 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)  

 

  1. Who is responsible for the overall assessment of the student’s fitness to practice and documentation of initial, midterm, and final assessments in the Ongoing Achievement Record (OAR)? 
  2. a) The mentor  
  3. b) The charge nurse/manager  
  4. c) Any registered nurse on the same part of the register  

Answer: a) The mentor  

 

  1. What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement?  
  2. a) 40% 
  3. b) 60% 
  4. c) Not specified, but as much as possible  
  5. d) Depends on the student’s capabilities  

Answer: a) 40%  

 

  1. Which student requires a SOM? 
  2. a) All consolidation students who started an NMC-approved undergraduate program which commenced after September 2007. 
  3. b) Learners undertaking conversion courses  
  4. c) Students on their final placement in 2nd year  
  5. d) Nurses/midwives undertaking Mentorship Preparations 
  6. e) All midwifery pre-registration students throughout the training  
  7. f) Nurses/midwives undertaking SOM Preparation. 

Answer: a) All consolidation students who started an NMC-approved undergraduate program which commenced after September 2007.  

 

  1. A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response is which of the following?  
  2. a) It is a subjective perspective of the person’s heritage and sense of belonging to a group 
  3. b) It is a group of individuals in a society that is culturally distinct and has a unique identity 
  4. c) It is a process of learning a different culture to adapt to a new or change in the environment 
  5. d) It is a group that shares some of the characteristics of the larger population group of which it is a part  

Answer: c) It is a process of learning a different culture to adapt to a new or change in the environment  

 

  1. You are the nurse in charge of the unit and you are accompanied by 4th-year nursing students.
  2. a) Allow students to give meds
  3. b) Assess the competence of the student
  4. c) Get consent from the patient
  5. d) Have direct supervision  

Answer: b) Assess the competence of the student  

 

  1. When doing your drug round at midday, you have noticed one of your patients coughing more frequently while being assisted by a nursing student at mealtime. What is your initial action in this situation?
  2. a) Tell the student to feed the patient slowly to help stop coughing
  3. b) Ask the student to completely stop feeding
  4. c) Ask the student to allow the patient some sips of water to stop coughing
  5. d) Ask the student to stop feeding and assess the patient’s swallowing  

Answer: d) Ask the student to stop feeding and assess the patient’s swallowing  

 

  1. According to the Royal Marsden Manual, a staff who observes the removal of chest drainage is considered as?
  2. a) Official training
  3. b) Unofficial training
  4. c) Hours which are not calculated as training hours
  5. d) It is calculated as prescribed training hours.  

Answer: c) Hours which are not calculated as training hours 

 

  1. To whom should you delegate a task?
  2. a) Someone who you trust
  3. b) Someone who is competent
  4. c) Someone who you work with regularly
  5. d) All of the above  

Answer: d) All of the above  

 

  1. Which of the following is an important principle of delegation?
  2. a) No transfer of authority exists when delegating
  3. b) Delegation is the same as work allocation
  4. c) Responsibility is not transferred with delegation
  5. d) When delegating, you must transfer authority  

Answer: d) When delegating, you must transfer authority

 

  1. A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation?
  2. a) Having the new nurse tell the physician the task has been completed.
  3. b) Supervising the performance of the new nurse
  4. c) Telling the unit manager, the task has been completed
  5. d) Documenting that the task has been completed.  

Answer: d) Documenting that the task has been completed  

 

  1. Which of the following is a specific benefit to an organization when delegation is carried out effectively?
  2. a) Delegates gain new skills facilitating upward mobility
  3. b) The client feels more of their needs are met
  4. c) Managers devote more time to tasks that cannot be delegated
  5. d) The organization benefits by achieving its goals more efficiently  

Answer: d) The organization benefits by achieving its goals more efficiently  

 

  1. The measurement and documentation of vital signs are expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to?
  2. a) Practical Nurse
  3. b) Registered Nurse
  4. c) Nursing assistant
  5. d) Volunteer  

Answer: c) Nursing assistant  

 

  1. Which task should be assigned to the nursing assistant?
  2. a) Placing the client in seclusion
  3. b) Emptying the Foley catheter for the pre-eclamptic client
  4. c) Feeding the client with dementia
  5. d) Ambulating the client with a fractured hip  

Answer: c) Feeding the client with dementia  

 

  1. Independent Advocacy is:
  2. a) Providing general advice
  3. b) Making decisions for someone
  4. c) Care and support work
  5. d) Agreeing with everything a person says and doing anything a person asks you to do  
  6. e) None of the above  

Answer: e) None of the above   

 

  1. What is meant by an advocate?
  2. a) Someone who develops opportunities for the patient
  3. b) Someone who has the same beliefs as the patient
  4. c) Someone who does something on behalf of the patient
  5. d) Someone who has the same values as the patient.  

Answer: c) Someone who does something on behalf of the patient  

 

  1. A Nurse demonstrates patient advocacy by becoming involved in which of the following activities?
  2. a) Taking a public stand on quality issues and educating the public on” public interest” issues
  3. b) Teaching in a school of nursing to help decrease the nursing shortage
  4. c) Engaging in nursing research to justify nursing care delivery
  5. d) Supporting the status quo when changes are pending  

Answer: a) Taking a public stand on quality issues and educating the public on “public interest” issues  

 

  1. In the role of patient advocate, the nurse would do which of the following?
  2. a) Emphasize the need for cost-containment measures when making healthcare decisions
  3. b) Override a patient’s decision when the patient refuses the recommended treatment
  4. c) Support a patient’s decision, even if it is not the decision desired by the nurse  
  5. d) Foster patient dependence on healthcare providers for decision making  

Answer: c) Support a patient’s decision, even if it is not the decision desired by the nurse  

 

  1. What is Advocacy according to NHS Trust?
  2. a) It is taking action to help people say what they want, secure their rights, represent their interests, and obtain the services they need. 
  3. b) This is the divulging or provision of access to data 
  4. c) It is the response to the suffering of others that motivates a desire to help 
  5. d) It is a set of rules or promises that limits access or places restrictions on certain types of information.  

Answer: a) It is taking action to help people say what they want, secure their rights, represent their interests, and obtain the services they need.  

 

  1. 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 risks 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:
  2. a) Educator 
  3. b) Advocate 
  4. c) Caregiver 
  5. d) Case manager  

Answer: b) Advocate  

 

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

Answer: a) Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own  

 

  1. 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?
  2. a) Assault 
  3. b) Slander 
  4. c) Negligence 
  5. d) Tort  

Answer: c) Negligence  

 

  1. The client is being involuntarily committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?
  2. a) Fidelity 
  3. b) Veracity 
  4. c) Autonomy 
  5. d) Beneficence  

Answer: d) Beneficence  

 

  1. What is accountability?
  2. a) Ethical and moral obligations permeating the nursing profession 
  3. b) To be answerable to oneself and others for one’s actions.
  4. c) A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). 
  5. d) The process of applying knowledge and expertise to a clinical situation to develop a solution  

Answer: b) To be answerable to oneself and others for one’s actions.  

 

  1. According to the nursing code of ethics, the nurse’s first allegiance is to the:
  2. a) Client and client’s family 
  3. b) Client only 
  4. c) Healthcare organization 
  5. d) Physician  

Answer: a) Client and client’s family  

 

  1. Which option best illustrates a positive outcome for managed care?
  2. a) Involvement in the political process.
  3. b) Reshaping current policy.
  4. c) Cost-benefit analysis.
  5. d) Increase in preventive services  

Answer: d) Increase in preventive services  

 

  1. While at an outside setup what care will you give as a Nurse if you are exposed to a situation?
  2. a) Provide care that is at the expected level
  3. b) Above what is expected
  4. c) Ignoring the situation
  5. d) Keeping up with professional standards  

Answer: d) Keeping up with professional standards  

 

  1. 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:
  2. a) Work with others to protect and promote the health and wellbeing of those in your care
  3. b) Provide a high standard of practice and care when required
  4. c) Always act lawfully, whether those laws relate to your professional practice or personal life
  5. d) Be personally accountable for actions and omissions in your practice  

Answer: c) Always act lawfully, whether those laws relate to your professional practice or personal life  

 

  1. Describe the primary focus of a manager in a knowledge work environment.
  2. a) Developing the most effective teams
  3. b) Taking risks.
  4. c) Routine work
  5. d) Understanding the history of the organization.  

Answer: a) Developing the most effective teams  

 

  1. In using social media like Facebook, how will you best adhere to your Code of Conduct as a nurse? (CHOOSE 2 ANSWERS)
  2. a) Never have a relationship with a previous patient
  3. b) Never post pictures concerning your practice
  4. c) Never tell you are a nurse
  5. d) Always rely SOLELY on your FB’s privacy setting  

Answer: a) Never have a relationship with a previous patient, b) Never post pictures concerning your practice  

 

  1. Which strategy could the nurse use to avoid disparity in health care delivery?
  2. a) Recognize the cultural issues related to patient care
  3. b) Request more health plan options
  4. c) Care for more patients even if quality suffers
  5. d) Campaign for fixed nurse-patient ratios  

Answer: a) Recognize the cultural issue related to patient care  

 

  1. In an emergency department, a doctor asked you to do the procedure of cannulation and left the ward. You haven’t done it before. What would you do?
  2. a) Don’t do it as you are not competent or trained for that & write an incident report & inform the supervisor
  3. b) What is the purpose of the clinical audit?
  4. c) Do it
  5. d) Ask your colleague to do it
  6. e) Complain to the supervisor that the doctor left you in the middle of the procedure  

Answer: a) Don’t do it as you are not competent or trained for that & write an incident report & inform the supervisor  

 

  1. NMC defines record-keeping as all of the following except:
  2. a) Helping to improve advocacy
  3. b) Showing how decisions related to patient care were made
  4. c) Supporting effective clinical judgments and decisions
  5. d) Helping in identifying risks, and enabling the early detection of complications  

Answer: a) Helping to improve advocacy  

 

  1. When do we need to document?
  2. a) As soon as possible after an event has happened provide current up-to-date information about the care and condition of the patient or client
  3. b) Every hour
  4. c) When there are significant changes to the patient’s condition
  5. d) At the end of the shift  

Answer: a) As soon as possible after an event has happened provide current up-to-date information about the care and condition of the patient or client  

 

  1. All should be seen in good documentation except:
  2. a) Legible handwriting
  3. b) Name and signature, position, date and time
  4. c) Abbreviations, jargon, meaningless phrases, irrelevant speculation, and offensive subjective statements
  5. d) A correct, consistent, and factual data  

Answer: c) Abbreviations, jargon, meaningless phrases, irrelevant speculation, and offensive subjective statements  

 

  1. A nurse documented on the wrong chart. What should the nurse do?
  2. a) Immediately inform the nurse in charge and tell her to cross it all off.
  3. b) Throw away the page
  4. c) Write a line above the writing; put your name, job title, date, and time.
  5. d) Ignore the incident.

Answer: c) Write a line above the writing; put your name, job title, date, and time.

 

  1. After finding the patient, which statement would be most appropriate for the nurse to document on a data/incident form?
  2. a) “The patient climbed over the side rails and fell out of bed.”
  3. b) “The use of restraints would have prevented the fall.”
  4. c) “Upon entering the room, the patient was found lying on the floor.”
  5. d) “The use of a sedative would have helped keep the patient in bed.”

Answer: c) “Upon entering the room, the patient was found lying on the floor.”

 

  1. Information can be disclosed in all cases except:
  2. a) When effectively anonymized.
  3. b) When the information is required by law or under a court order.
  4. 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
  5. d) In Child Protection proceedings if it is considered that the information required is in the public or child’s interest

Answer: a) When effectively anonymized.

 

  1. Adequate record-keeping for a medical device should provide evidence of:
  2. a) A unique identifier for the device, where appropriate
  3. b) A full history, including the date of purchase and where appropriate when it was put into use, deployed, or installed
  4. c) Any specific legal requirements and whether these have been met
  5. d) Proper installation and where it was deployed
  6. e) Schedule and details of maintenance and repairs
  7. f) The end-of-life date, if specified
  8. g) All of the above

Answer: g) All of the above

 

  1. 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 another patient’s record. What is the best response of the nurse?
  2. a) She should continue documenting in the same file as the medical document cannot be corrected
  3. b) She should tear the page from the file & start documenting in the correct record
  4. c) She should put a straight cut over her documentation & write it as wrong, sign it with her NMC code, date, and time
  5. d) She should write as wrong documentation in a bracket & continue

Answer: c) She should put a straight cut over her documentation & write it as wrong, sign it with her NMC code, date, and time

 

  1. Barbara, a frail lady who lives alone with her cat, was brought into A&E via ambulance after a neighbor 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?
  2. “You should worry about yourself and not the cat.”
  3. “Your cat sounded very dear to you. Can I ask your neighbor to check?”
  4. “Do you want me to see your cat also? I cannot do that now.”
  5. “Your cat can look after itself, I am sure.”

Answer: b. “Your cat sounded very dear to you. Can I ask your neighbor to check?”

 

  1. What are essential competencies for today’s nurse manager?
  2. a) Strategic planning and design
  3. b) Self and group awareness
  4. c) A vision and goals
  5. d) Communication and teamwork

Answer: d) Communication and teamwork

 

  1. A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager’s authority because of the age difference. How can this nurse manager best exercise authority?
  2. a) Maintain an autocratic approach to influence results.
  3. b) Understand complex healthcare environments.
  4. c) Use critical thinking to solve problems on the unit
  5. d) Give assignments clearly, taking staff expertise into consideration

Answer: d) Give assignments clearly, taking staff expertise into consideration

 

  1. What statement, made in the morning shift report, would help an effective manager develop trust in the nursing unit?
  2. a) “I know I told you that you could have the weekend off, but I really need you to work.”
  3. b) “The others work many extra shifts, why can’t you?”
  4. c) “I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs.”
  5. d) “I can’t believe you need help with such a simple task. Didn’t you learn that in school?”

Answer: c) “I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs.”

 

  1. The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role?
  2. a) “If you make a mistake with your staff, admit it, apologize, and correct the error if possible.”
  3. b) “Don’t be too soft on the staff. If they make a mistake, be certain to reprimand them immediately.”
  4. c) “Give your best nurses extra attention and rewards for their help.”
  5. d) “Never get into a disagreement with a staff member.”

Answer: a) “If you make a mistake with your staff, admit it, apologize, and correct the error if possible.”

 

  1. The nurse executive of a healthcare organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal of this work?
  2. a) Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. 
  3. b) Prepare these managers so that they will focus on maintaining standards of care 
  4. c) Prepare these managers to oversee the entire healthcare organization 
  5. d) Prepare these managers to interact with hospital administration.

Answer: b) Prepare these managers so that they will focus on maintaining standards of care

 

  1. A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following?
  2. a) Plan strategies to implement the change 
  3. b) Identify the inefficiency that needs improvement or correction 
  4. c) Identify potential solutions and strategies for the change process

Answer: b) Identify the inefficiency that needs improvement or correction

 

  1. What are the key competencies and features for effective collaboration?
  2. a) Effective communication skills, mutual respect, constructive feedback, and conflict management.
  3. b) High level of trust and honesty, giving and receiving feedback, and decision-making.
  4. c) Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions.

Answer: c) Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions.

 

  1. All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she had a limited knowledge of the procedures. What should the manager do in this situation?
  2. a) Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable. 
  3. b) Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation

Answer: b) Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation

 

  1. What do you mean by bad leadership?
  2. a) Appreciate intuitiveness
  3. b) Appreciate better work
  4. c) Reward poor performance

Answer: c) Reward poor performance

 

  1. There have been several patient complaints that the staff members of the unit are disorganized and that “no one seems to know what to do or when to do it.” The staff members concur that they don’t have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing?
  2. a) Autocratic.
  3. b) Bureaucratic.
  4. c) Laissez-faire.
  5. d) Authoritarian.

Answer: c) Laissez-faire.

 

  1. Ms. Castro is newly promoted to a patient care manager position. She updates her knowledge of the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?
  2. a) Organization Man
  3. b) Impoverished Management
  4. c) Country Club Management
  5. d) Team Management

Answer: c) Country Club Management

 

  1. Ms. Jones is newly promoted to a patient care manager position. She updates her knowledge of the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?
  2. a) Country Club Management
  3. b) Organization Man
  4. c) Impoverished Management
  5. d) Team Management

Answer: a) Country Club Management

 

  1. When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use?
  2. a) Participative
  3. b) Authority
  4. c) Laissez-faire
  5. d) Democratic

Answer: b) Authority

 

  1. One leadership theory states that “leaders are born and not made,” which refers to which of the following theories?
  2. Trait
  3. Charismatic
  4. Great Man
  5. Situational

Answer: c. Great Man

 

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