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NMC CBT Mock Test 14:

1. Who is responsible in disposing sharps?

2. IV injection need to be reconsidered when?

3. It is important to read the label on every IV bag because:

4. Which is the most dangerous site for intramuscular injection?

5. A suicidal Patient is admitted to psychiatric facility for 3 days when suddenly he is showing signs of cheerfulness and motivation. The nurse should see this as:

6. What is the best way to avoid a haematoma forming when undertaking venepuncture?

7. Which is the best site for giving IM injection on buttocks

8. Patient is given penicillin. After 12 hrs he develops itching, rash and shortness of breath, what could be the reason?

9. Why would the intravenous route be used for the administration of medications?

10. What do you mean by MRSA?

11. Medication errors account for around a quarter of the incidents that threaten patient safety. In a study published in 2 000 it was found that 10% of all patients admitted to hospital suffer an adverse event (incident. How much of these incidents were preventable?

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

13. Pharmocokinetics can be described as:

14. Which drug can be given via NG tube?

15. What is not a good route for IM injection?

16. A nurse is caring for clients in the mental health clinic. A women comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is MOST appropriate?

17. The medicine and Healthcare Products Regulatory Agency (MHRA) is responsible for what?

18. What steps would you take if you had sustained a needlestick injury?

19. A patient is on Inj. Fentanyl skin patch common side effect of the fentanyl overdose is

20. As a registered nurse, you are expected to calculate fluid volume balance of a patient whose input is 2437 ml and output is 750 ml

21. Your patient has been prescribed Tramadol 50 mgs tablet for pain relief. Upon receipt of the tablets from the pharmacist you will:

22. You have observed an IV catheter insertion site w/ erythema, swelling, pain and warm? What VIP score would you document on his notes?

23. A patient is agitated and is unable to settle. She is also finding it difficult to sleep, reporting that she is in pain. What would you do at this point?

24. Tom was admitted because of acute asthma attack, later on in your shift he complained of abdominal pain and vomited. He asked for pain relief. Which of the following prescribed analgesia will you give him?

25. Which is the first drug to be used in cardiac arrest of any aetiology?

26. The nurse is admitting a client, on initial assessment the nurse tries to inquire the patient if he has been taking alternative therapies and OTC drugs but the client becomes angry and refuses to answer saying thenurse is doing so because he belongs to an ethnic minority group, what is the nurse’s best response?

27. A nursing assistant would like to know what a patient group directive means. Your best reply will be:

28. Which color card is used to report adverse drug reaction?

29. You have just administered an antibiotic drip to you patient. After few minutes, your patient becomes breathless and wheezy and looks unwell. What is your best action on this situation?

30. You have discovered that the last dose of intravenous antibiotic administered to service user was the wrong dose. Which of the following should you do?

31. After having done your medication round, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention?

32. The degree of injection when giving subcutaneous insulin injection on a site where you can grasp 1 inch of tissue?

33. What is the most common complication of venepuncture?

34. A nurse is not trained to do the procedure of IV cannulation , still she tries to do the procedure . You are the colleague of this nurse. What will be your action?

35. A patient with burns is given anesthesia using 50% oxygen and 50% nitrous oxide to reduce pain during dressing, how long this gas is to be inhaled to be more effective?

36. You are about to administer Morphine Sulphate to a paediatric patient. The information written on the control drug book was not clearly written - 15mg or 0.15 mg. What will you do first?

37. How should we transport controlled drugs? Select which does not apply:

38. One of your patient has challenged your recent practice of administering a subcutaneous low-molecular weight heparin (LMWH) without disinfecting the injection site. The guidelines for nursing procedures do not recommend this method. Which of the following response will support your action?

39. After IV dose patient develops, rashes, itching, flushed skin

40. UK policy for needle prick injury includes all but one:

41. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Centre for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:

42. You were administering a pre-operative medication to a patient via IM route. Suddenly, you developed a needle-stick injury. Which of the following interventions will not be appropriate for you to do?

43. Susan is diabetic and on PEG feed. Her blood sugar has been high during the last 3 days. She is on Nystatin Oral Drops QID, regular PEG flushes and insulin doses. Her Humulin dose has been increased from 12 iu to 14 iu. The nurse practitioner has advised you to monitor her BM’s for the next two days. What will be your initial intervention if her BM drops to 2.8 mmol after 2 morning doses of 14 iu?

44. Hypokalemia can occur in which situation?

45. On physical examination of a 16 year old female patient, you notice partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of:

46. What does the term ‘breakthrough pain’ mean, and what type of prescription would you expect for it?

47. What is the best nursing action for this insertion site. You have observed an IV catheter insertion site w/ erythema, swelling, pain and warm.

48. Mary is 86 years old, and has been in the nursing home for 5 years now. She has been complaining of burning sensation in her chest and sour taste at the back of her throat. What would she most likely to be prescribed with?

49. A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do?

50. What are the key nursing observations needed for a patient receiving opioids frequently?