CBT Mock Test 11 - CBT Practice

 

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1. The most commonly injured carpal bone is:

• the scaphoid bone
• the triquetral bone
• the pisiform bone
• the hamate bone

2. Mr Smith’s daughter rang and wanted to visit him. She told you of her diarrhoea and vomiting in the last 24 hours. How will you best respond to her about visiting Mr Smith?

• allow her to visit and use alcohol gel before contact with him
• visit him when she feels better
• visit him when she is symptom free after 48 hours
• allow her to visit only during visiting times only

3. One of the government initiative in promoting good healthy living is eating the right and balanced food. Which of the following can achieve this?

• 24/7 exercise programme
• 5-a-day fruits and vegetable portions
• low calorie diet
• high protein diet

4. A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhoea but has no pyrexia. What is likely to be the cause?

• The feed
• An infection
• Food poisoning
• Being in hospital

5. The client reports nausea and constipation. Which of the following would be the priority nursing action?

• Complete an abdominal assessment
• Administer an anti-nausea a medication
• Notify the physician
• Collect a stool sample

6. An adult woman asks for the best contraception in view of her holiday travel to a diarrhoea prone areas. She is currently taking oral contraceptives. What advice will you give her?

• Tell her to abstain from having sex because of HIV
• Tell her to bring lots of contraceptives because it will be expensive
• Tell her to use other methods like condom because diarrhoea lessens the effects of OCP
• tell her to continue taking her usual contraceptives

7. Dehydration is of particular concern in ill health. If a patient is receiving IV fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in “positive fluid balance”

• The fluid output has exceeded the input
• The doctor may consider increasing the IV drip rate
• The fluid balance chart can be stopped as “positive” means “good”
• The fluid input has exceeded the output

8. What is the use of protected meal time?

• Patient get protection from visitors
• Staff get enough time to have their bank
• To give personal hygiene to patients who are confused
• Patients get enough time to eat food without distractions while staff focus on people who needs help with eating

9. Constipation needs to be sort out during:

• planning
• assessment
• implementation
• evaluation

10. In Spinal cord injury patients, what is the most common cause of autonomic dysreflexia (a sudden rise in blood pressure)?

• Bowel obstruction
• Fracture below the level of the spinal lesion
• Pressure sore
• Urinary obstruction

11. What may not be cause of diarrheoa?

• colitis
• intestinal obstruction
• food allergy
• food poisoning

12. How can patients who need assistance at meal times be identified?

• A red sticker
• A colour serviette
• A red tray
• Any of the above

13. What does ‘muscle atrophy’ mean?

• Loss of muscle mass
• A change in the shape of muscles
• Disease of the muscle

14. Patient is post of repair of tibia and fibula possible signs of compartment syndrome include

• Numbness and tingling
• Cool dusky toes
• Pain
• Toes swelling
• All of the above

15. A Chinese woman has been admitted with fracture of wrist. When you are helping her undress, you notice some bruises on her back and abdomen of different ages. You want to talk to her and what is your action

• Ask her husband about the bruises
• Ask her son/ daughter to translate
• Arrange for interpreter to ask questions in private
• Do not carry any assessment and document this is not possible as the client cannot speak English

16. The nurse is preparing to change the parenteral nutrition (PN) solution bag & tubing. The patient's central venous line is located in the right subclavian vein. The nurse ask the client to take which essential action during the tubing change?

• Take a deep breath, hold it, & bear down
• Breathe normally
• Exhale slowly & evenly
• Turn the head to the right

17. Before a gastric surgery, a nurse identifies that the patients BMI is too low. Who she should contact to improve the patients’ health before surgery

• Gastro enterologist
• Dietitian
• Family doc of patient
• Physio

18. Which check do you need to carry out every time before setting up a routine enteral feed via a nasogastric tube?

• That when flushed with red juice, the red juice can be seen when the tube is aspirated
• That air cannot be heard rushing into the lungs by doing the ‘whoosh test’.
• That the pH of gastric aspirate is <4, and the measurement on the NG tube is the same length as the time insertion
• abdominal x-ray

19. What is the best way to prevent a patient who is receiving an enteral feed from aspirating?

• Lie them flat.
• Sit them at least at a 45° angle.
• Tell them to lie on their side.
• Check their oxygen saturations.

20. Client had fractured hand and being cared at home requiring analgesia. The medication was prescribed under PGD. Which of the following statements are correct relating to this:

• A PGD can be delegated to student nurse who can administer medication with supervision
• PGD’s cannot be delegated to anyone
• This type of prescription is not made under PGD
• This can be delegated to another RN who can administer in view of a competent person

21. Which check do you need to carry out before setting up an enteral feed via a nasogastric tube?

• That when flushed with red juice, the red juice can be seen when the tube is aspirated.
• That air cannot be heard rushing into the lungs by doing the whoosh test
• That the pH of gastric aspirate is <5.5, and the measurement on the NG tube is the same length as the time insertion.
• That pH of gastric aspirate is >6.0, and the measurement on the NG tube is the same length as the time insertion

22. Signs of denture related stomatitis

• whiteness on the tongue
• patches of shiny redness on the cheek and tongue
• patches of shiny redness on the palette and gums
• patches of shiny redness on the tongue

23. A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhea but no pyrexia. What is likely to be cause?

• An infection
• Food poisoning
• Being in hospital
• The feed

24. A patient is recovering from surgery has been advanced from a clear diet to a full liquid diet. The patient is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse should offer which full liquid item to the patient

• Custard
• Black Tea
• Gelatin
• Ice pop

25. Approximately how many people in the UK are malnourished?

• 1 million
• 3 million
• 5 million
• 7 million

26. What specifically do you need to monitor to avoid complications & ensure optimal nutritional status in patients being enterally fed?

• Daily urinalysis, ECG, Protein levels and arterial pressure
• Assess swallowing, patient choice, fluid balance, capillary refill time
• Eye sight, hearing, full blood count, lung function and stoma site
• Blood glucose levels, full blood count, stoma site and body weight

27. Carpal tunnel syndrome is caused by compression of which nerve:

• Median nerve
• Axillary nerve
• Ulnar nerve
• Radial nerve

28. According to recent UK research, what is the recommended amount of vegetables and fruits to be consumed per day?

• 3 portions per serving
• 5 portions per serving
• 7 portions per serving
• 4 portions per serving

29. Which of the following is not a cause of gingival bleeding?

• Vigorous brushing of teeth
• Intake of blood thinning medications (warfarin, aspirin, and heparin)
• Vitamin deficiency (Vitamins C and K)
• Lifestyle

30. Approximately how long is the spinal cord in an adult?

• 30 cm
• 45 cm
• 60 cm
• 120 cm

31. If the prescribed volume is taken, which of the following type of feed will provide all protein, vitamins, minerals and trace elements to meet patient's nutritional requirements?

• Protein shakes/supplements
• Energy drink
• Mixed fat and glucose polymer solutions/powder
• Sip feed

32. Your patient has a bulky oesophageal tumor and is waiting for surgery. When he tries to eat, food gets stuck and gives him heart burn. What is the most likely route that will be chosen to provide him with the nutritional support he needs?

• Feeding via Radiologically inserted Gastostomy (RIG)
• Nasogastric tube feeding
• Feeding via a Percutaneous Endoscopic Gastrostonomy (PEG)
• Continue oral

33. Which of the following medications are safe to be administered via a naso­ gastric tube?

• Drugs that can be absorbed via this route, can be crushed and given diluted or dissolved in 10-15 ml of water
• Enteric-coated drugs to minimize the impact of gastric irritation
• A cocktail of all medications mixed together, to save time and prevent fluid over loading the patient
• Any drugs that can be crushed

34. Obesity is one of the main problem, what might cause this?

• supermarket
• unequality
• low economic class

35. What is the best way to prevent who is receiving an enteral feed from aspirating?

• Lie them flat
• Sit them at least 45-degree angle
• Tell them to lie in their side
• Check their oxygen saturations

36. Steve, 46 years old is of Jewish descent. As his nurse, how will you plan his dietary needs?

• Assume he strictly needs Jewish food
• Ask relatives to bring food from kosher market
• Ask a rabbi to help you plan
• Ask the patient about his diet preferences

37. What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?

• Blood glucose levels, full blood count, stoma site and bodyweight
• Eye sight, hearing, full blood count, lung function and stoma site
• Assess swallowing, patient choice, fluid balance, capillary refill time
• Daily urinalysis, ECG, protein levels and arterial pressure

38. During enteral feeding in adults, at what degree angle should the patient be nursed at to reduce the risk of reflux and aspiration?

• 25
• 35
• 45
• 55

39. What is the clinical benefit of active ankle movements?

• To assist with circulation
• To lower the risk of a DVT
• To maintain joint range
• All of the above

40. Which of the following is no longer a recommended method of mouth care?

• Chlorhexidine solution and foam sticks
• Sodium bicarbonate
• Normal saline mouth wash
• Glycerine and lemon swabs

41. An overall risk of malnutrition of 2 or higher signifies:

• Low risk of malnutrition
• Medium risk of malnutrition
• High risk of malnutrition

42. A patient is to be subjected for surgery but the patient’s BMI is low. Where will you refer the patient?

• Speech and Language Therapist
• Dietitian
• Chef
• Family member

43. How do you test the placement of an enteral tube?

• Monitoring bubbling at the end of the tube
• Testing the acidity/alkalinity of aspirate using blue litmus paper
• Interpreting absence of respiratory distress as an indicator of correct positioning
• Have an abdominal x-ray

44. If a patient requires protective isolation, which of the following should you advise them to drink?

• Filtered water only
• Fresh fruit juice and filtered water
• Bottled water and tap water
• Long-life fruit juice and filtered water

45. How do the structures of the human body work together to provide support and assist in movement?

• The skeleton provides a structural framework. This is moved by the muscles that contract or extend and in order to function, cross at least one joint and are attached to the articulating bones.
• The muscles provide a structural framework and are moved by bones to which they are attached by ligaments.
• The skeleton provides a structural framework; this is moved by ligaments that stretch and contract.
• The muscles provide a structural framework, moving by contracting or extending, crossing at least one joint and attached to the articulatingbones.

46. A client with a right arm cast for fractured humerus states, “I haven’t been able to straighten the fingers on the right hand since this morning.” What action should the nurse take?

• Assess neurovascular status to the hand
• Ask the client to massage the fingers
• Encourage the client to take the prescribed analgesic
• Elevate the arm on a pillow to reduce oedema

47. Which of the following Is not a cause of gingival bleeding?

• Lifestyle
• Vitamin deficiency (Vitamin C and K)
• Vigorous brushing of teeth
• Intake of blood thinning medication (warfarin, asprin, and heparin)

48. A patient develops gingivitis after using an artificial denture. It is characterized by

• White patches on tongue
• Red shiny patches on tongue
• Red shiny patches around the palate of tooth

49. Perdue (2005) categorizes constipation as primary, secondary or latrogenic. What could be some of the causes of latrogenic constipation?

• Inadequate diet and poor fluid intake.
• Anal fissures, colonic tumours or hypercalcaemia.
• Lifestyle changes and ignoring the urge to defaecate.
• Antiemetic or opioid medication

50. Patient has tibia fibula fracture. Which one of the following is not a symptom of compartment syndrome

• Pain not subsiding even after giving epidural analgesia
• Nausea and vomiting
• Tingling and numbness of the lower limb
• Cold extremities