NMC CBT QUESTIONS WITH ANSWERS PART – 5

NMC CBT Questions Based on Nurse’s Duties and Responsibilities

1. A client experiences an episode of pulmonary oedema 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

c) Negligence

2. 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?
a) Fidelity
b) Veracity
c) Autonomy
d) Beneficence

d) Beneficence

3. 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

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

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

b) Client only

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

d) Increase in preventive services

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

d) Keeping up with professional standards

7. 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) provide a high standard of practice and care when required
c) always act lawfully, whether those laws relate to your professional practice or personal life
d) be personally accountable for actions and omissions in your practice

b) provide a high standard of practice and care when required

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

a) Developing the most effective teams

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

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

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

a) Recognize the cultural issue related to patient care

11. 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) What is the purpose of clinical audit?
c) Do it
d) Ask your colleague to do it
e) Complain to the supervisor that doctor left you in middle of the procedure

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

12. 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
e) take photograph

b) inform in written to management

13. 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.

d) Utilizing a variety of educational materials.

14. 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

b) Autonomy & informed consent

15. 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

b) report the event to the unit manager

16. 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) encourage all the staff who are present to do their best to attend to the needs of the patients
b) 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
c) refuse to take charge of the next shift

b) 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

17. 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

c) Immediate nurse manager

18. A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried about the consequences this may bring to the quality of nursing care delivered. The problem has already been 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

a) Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager

19. You are the nurse in 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 in 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

a) Review patient intervention, set priorities, ask the supervisor to hand over extra staff

20. 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

d) Allow the client to go home as he won’t pose any threat to self or others

21. 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.”

d) “It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form.”

22. 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, check 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

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

23. 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

d) Long term goals

24. A registered nurse identifies a care assistant not washing hands hand before caring for 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 becomes competent

c) Interrupt the procedure, correct her politely, teach her 6 steps of handwashing, and make sure she becomes competent

25. 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 the police

c) Respect the request, if possible arrange the consultation with a female doc

26. The bystander informs you that the patient is in severe pain. Your response
a) Tell him that he will come as soon as possible
b) Record in the chart and inform doc and in charge
c) Tell that she will give the next dose of analgesic when it’s time
d) Go instantly to the patient and assess the condition

d) Go instantly to the patient and assess the condition

27. 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

a) False imprisonment

28. 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

d) All of the above

29. A client has been voluntarily admitted to the hospital. The nurse knows 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 others
c) the client can sign a written request for discharge
d) The client cannot be released without medical advice

d) The client cannot be released without medical advice

30. If you were explaining anxiety to a patient, what would be the main points to include?
a) Signs of anxiety include behaviors 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, behavioral – 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, behavioral – such as imagining the worst (catastrophizing), & cognitive ( thinking) – such as needing to urinate.

b) Anxiety has three aspects: physical – bodily sensations related to flight & fight response, behavioral – such as avoiding the situation, & cognitive (thinking) – such as imagining the worst

31. A 23-year-old woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse’s responsibility concerning written consent?
a) The nurse should explain the procedure to the patient and ask her to sign the consent form.
b) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart.
c) The nurse should tell the physician that the patient agrees to have the examination.
d) The nurse should verify that the patient or a family member has signed the consent form.

b) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart.

32. A young woman has suffered a fractured pelvis in an accident, and 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

d) Encourage the patient to disclose this information to her physician

33. 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

a) Go over & tell the nursing assistants that their actions are inappropriate, especially in a public place

34. 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

b) Refuse the voucher and thank him for this gesture

35. 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 about the problem
b) Because the nurse manager is not on duty therefore she is not accountable for anything that 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 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.

a) The nurse supervisor on duty will call the nurse manager at home and apprise about the problem