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NMC CBT Mock Test 17:

1. Patient who has had Parkinson’s disease for 7 years has been experiencing aphasia. Which health professional should make a referral to with regards to his aphasia?

• Occupational therapist
• Community matron
• Psychiatrist
• Speech and language therapist

2. A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

• Adjust the room temperature
• Give a bolus of IV fluids
• Start O2
• Administer meperidine (Demerol) 75 mg IV push

3. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following actions first?

• Administer the prescribed antiemetic to the patient.
• Determine the patency of the patient's nasogastric tube.
• Instruct the patient to take deep breaths.
• Assess the patient for pain

4. What is the preferred position for abdominal Paracenthesis?

• Supine with head slightly elevated
• Supine with knees bent
• Prone
• Side-lying

5. What position should you prepare the patient in pre-op for abdominal Paracentesis?

• Supine
• Supine with head of bed elevated to 40-50cm
• Prone
• Side-lying

6. A patient was brought to the A&E and manifested several symptoms: loss of intellect and memory; change in personality; loss of balance and co­ ordination; slurred speech; vision problems and blindness; and abnormal jerking movements. Upon laboratory tests, the patient got tested positive for prions. Which disease is the patient possibly having?

• Acute Gastroenteritis
• Creutzfeldt-Jakob Disease
• HIV/AIDS Fatigue
• Urgent bowel

7. Which is not an indication for lumbar tap?

• For patients with increased ICP
• For diagnostic purposes
• Introduction of spinal anaesthesia for surgery
• Introduction of contrast medium

8. The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

• BP 146/88
• Respirations 28 shallow
• Weight gain of 10 pounds in six months
• Pink complexion

9. Which among the following is a cause of Hemorrhoids?

• High fibre rich diet
• Non- processed food
• Straining while passing stools
• Unsaturated fats in the diet

10. A patient is admitted to the ward with symptoms of acute diarrhoea. What should your initial management be?

• Assessment, protective isolation, universal precautions
• Assessment, source isolation, antibiotic therapy
• Assessment, protective isolation, antimotility medication
• Assessment, source isolation, universal precautions

11. After lumbar puncture, the patient experiences shock. What is the etiology behind it?

• Increased ICP.
• Headache.
• Side effect of medications.
• CSF leakage

12. The following fruits can be eaten by a person with Crohn’s Disease except:

• Mango
• Papaya
• Strawberries
• Cantaloupe

13. A 45-year old patient was diagnosed to have Piles (Haemorrhoids). During your health education with the patient, you informed him of the risk factors of Piles. You would tell him that it is caused by all of the following except:

• Straining when passing stool
• being overweight
• Lack of fibre in the diet
• prolonged walking

14. A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

• The client collects stamps as a hobby.
• The client recently lost his job as a postal worker.
• The client had radiation for treatment of Hodgkin’s disease as a teenager.
• The client’s brother had leukemia as a child.

15. An assessment of the abdomen of a patient with peritonitis you would expect to find

• Rebound tenderness and guarding
• Hyperactive, high-pitched bowel sounds and a firm abdomen
• A soft abdomen with bowel sounds every 2 to 3 seconds
• Ascites and increased vascular pattern on the skin

16. A diabetic patient with suspected liver tumor has been prescribed with Trphasic CT scan. Which medication needs to be on hold after the scan?

• Furosemide
• Metformin
• Docusate sodium
• Paracetamol

17. The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

• Enlarged spleen
• Elevated blood pressure
• Bradycardia
• Beefy tongue

18. Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

• Oral mucous membrane, altered related to chemotherapy
• Risk for injury related to thrombocytopenia
• Fatigue related to the disease process
• Interrupted family processes related to life-threatening illness of a family member

19. The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

• Roast beef, gelatin salad, green beans, and peach pie
• Chicken salad sandwich, coleslaw, French fries, ice cream
• Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
• Pork chop, creamed potatoes, corn, and coconut cake

20. Patient had undergone post lumbar tap and is exhibiting increase HR, decrease BP, and alteration in consciousness and dilated pupils. What is the patient likely experiencing?

• Headache
• Shock
• Brain herniation
• Hypotension

21. Patients with gastrointestinal bleeding may experience acute or chronic blood loss. Your patient is experiencing hematochezia. You recognise this by:

• Red or maroon-coloured stool rectally
• Coffee ground emesis
• Black, tarry stool
• Vomiting of bright red or maroon blood

22. Correct position for abdominal paracentesis.

• Lie the patient supine in bed with the head raised 45-50 cm with a backrest
• Sitting upright at 45 to 60
• Sitting upright at 60 to 75°
• Sitting upright at 75 to 90°

23. Patients with gastric ulcers typically exhibit the following symptoms:

• Epigastric pain worsens before meals, pain awakening patient from sleep an melena
• Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever
• Boring epigastric pain radiating to back and left shoulder, bluish-grey discoloration of periumbilical area and ascites
• Epigastric pains worsens after eating and weight loss

24. A 30 year old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

• Side-lying with knees flexed
• Knee chest
• High fowlers with knees flexed
• Semi flowlers with legs extended on the bed

25. If a patient feels a cramping sensation in their abdomen after a colonoscopy, it is advisable that they should do/have which of the following?

• Eat and drink as soon as sedation has worn off.
• Drink 500 ml of fluid immediately to flush out any gas retained in the abdomen.
• Have half hourly blood pressure performed for 12 hours.
• Be nursed flat and kept in bed for 12 hours.

26. A patient was recommended to undergo lumbar puncture. As the nurse caring for this patient, what should you not expect as its complications:

• Swelling and bruising
• Headache
• Back pain
• Infection

27. Taking a nursing history prior to the physical examination allows a nurse to establish a rapport with the patient and family. Elements of the history include all of the following except:

• the client’s health status
• the course of the present illness
• social history
• Cultural beliefs and practices

28. How to position patient for abdominal tap

• Supine
• Prone
• Supine with HOB 40-50 degree elevated
• Sitting

29. What would be your main objectives in providing stoma education when preparing a patient with a stoma for discharge home?

• That the patient can independently manage their stoma, and can get supplies.
• That the patient has had their appliance changed regularly, and knows their community stoma nurse.
• That the patient knows the community stoma nurse, and has a prescription.
• That the patient has a referral to the District Nurses for stoma care.

30. A patient was diagnosed to have Chron’s disease. What would the patient be manifesting?

• Blood and mucous in the faeces
• Fatigue
• Loss of appetite
• Urgent bowel

31. Which of the following statements made by client diagnosed with hepatitis A needs further understanding of the disease.

• Washing hands before cooking food
• Refraining from sexual intimacy and kissing while symptoms still present
• Towels and flannels can be shared with children

32. The term gavage indicates

• Administration of a liquid feeding into the stomach
• Visual examination of the stomach
• Irrigation of the stomach with solution
• A surgical opening through the abdomen to stomach

33. A 43 year old African male is admitted with sickle cell anemia. The nurse plans to assess the circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

• Body temperature of 99°F or less
• Toes moved in active range of motion
• Sensation reported when soles of feet are touched
• Capillary refill of < 3 seconds

34. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

• A family vacation in the Rocky Mountains
• Chaperoning the local boys club on a snow-skiing trip
• Traveling by airplane for business trips
• A bus trip to the Museum of Natural History

35. Which statement is not true about acute illness?

• A disease with a rapid onset and/or a short course one.
• It will eventually resolve without any medical supervision.

36. When explaining about travellers’ diarrhoea which of the following is correct?

• Travellers diarrhoea is mostly caused by Rotavirus
• Antimotility drugs like loperamide is ineffective management
• Oral rehydration in adults and children is not useful
• Adsorbents such as kaolin is ineffective and not advised

37. Reason for dyspnoea in patients who diagnosed with Glomerulonephritis patients?

• Albumin loss increase oncotic pressure causes water retention in cells
• Albumin loss causes decrease in oncotic pressure causes water retention causing fluid retention I alveoli
• Albumin loss has no effect on oncotic pressure

38. A client immediately following LP developed deterioration of consciousness, bradycardia, increased systolic BP. What is this:

• normal reaction
• client has brain stem herniation
• spinal headache

39. The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

• “Have you noticed a change in sleeping habits recently?”
• “Have you had a respiratory infection in the last six months?”
• “Have you lost weight recently?”
• “Have you noticed changes in your alertness?”

40. Which is not an expected side effect of lumbar tap?

• Headache
• Back pain
• Swelling and bruising
• Nausea and vomiting

41. A 25 year old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

• Taking hourly blood pressures with mechanical cuff
• Encouraging fluid intake of at least 200ml per hour
• Position in high folwlers with knee gatch raised
• Administering Tylenol as orderd

42. A young adult is being treated for second and third degree burns over 25% of his body and is now read for discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfaction that he is prepared for home care when he makes which statement?

• I will need to take sponge baths at home to avoid exposing the wound’s to unsterile bath water
• If any healed areas break open I should first cover them with sterile dressing and then report it
• I must wear my Jobst elastic garment all day and an only remove it when I’m going to bed
• I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours

43. What type of diet would you recommend to your patient who has a newly formed stoma?

• Encourage high fibre foods to avoid constipation.
• Encourage lots of vegetables and fruit to avoid constipation.
• Encourage a varied diet as people can react differently
• Avoid spicy foods because they can cause erratic function

44. Which condition is not a cause of diarrhea?

• Ulcerative colitis
• Intestinal obstruction
• Hashimotos disease
• Food allergy

45. The body part that would most likely display jaundice in the dark-skinned individual is the:

• Conjunctiva of the eye
• Soles of the feet
• Roof of the mouth
• Shins

46. A 27- year old adult male is admitted for treatment of Crohn’s disease. Which information is most significant when the nurse assesses his nutritional health?

• Anthropometric measurements
• Bleeding gums
• Dry skin
• Facial rubor

47. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

• Steak
• Cottage cheese
• Popsicle
• Lima beans

48. A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure?

• Inadvertent puncture of the pleura, a blood vessel or bile duct
• Inadvertent puncture of the heart, oesophagus or spleen.
• Cardiac arrest requiring resuscitation.
• Inadvertent puncture of the kidney and cardiac arrest

49. When selecting a stoma appliance for a patient who has undergone a formation of a loop colostomy, what factors would you consider?

• Patient dexterity, consistency of effluent, type of stoma
• Patient preference, type of stoma, consistency of effluent, state of peristomal skin, dexterity of the patient
• Patient preference, lifestyle, position of stoma, consistency of effluent, state of peristomal skin, patient dexterity, type of stoma
• Cognitive ability, lifestyle, patient dexterity, position of stoma, state of peristomal skin, type of stoma, consistency of effluent, patient preference

50. It is unsafe for a spinal tap to be undertaken if the patient:

• Has bacterial meningitis
• Papilloedema
• Intracranial mass is suspected
• Site skin infection
• All the above