Polish nurses working in the UK - Mock Test

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 1. A patient with a Bipolar Disorder makes a sexually inappropriate comment to the nurse. One should take which of the following actions?

2. A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

3. A carer has reported that she has seen a resident fall off his bed. What initial assessment should be done?

4. You were on the phone with a family member, and one of the carers has reported that one of your residents has stopped breathing and turned blue. What should you do first?

5. Karen, one of the residents in the nursing home, has not yet had her mental capacity assessment done. She has been making decisions that you personally think are not beneficial for her. Which of the following should not be implemented?

6. You were assisting Mrs B with personal care and hygiene. She has been assessed to have mental capacity. In her wardrobe, you have seen a dress that is quite difficult to wear and a pair of trousers, which is quite easy to put on. You are trying to make a decision which one to put on her. Which of the following is a person centred intervention?

7. The following are ways to assess a patient’s fluid and electrolyte status except:

8. According to the National Institute for Health and Care Excellence (NICE) Guidelines, examples of the Personal Protective Equipment are:

9. Mr B’s mother was admitted to hospital following a fall at home and it was clearly documented that his mother suffered from diabetes. Mr B contacted the Trust concerning the Trust’s failure to make adequate discharge arrangements for his mother including the necessary arrangements to ensure that his mother would be provided with insulin following her discharge. What needs to be implemented to avoid such concern/complaint in the future?

10. Mary has been very physically and verbally aggressive towards other patients and staff for the last few weeks. She is now on one-to-one care, 24 hours a day. According to her person centred care plan, the nurses are looking after her very well preventing her from causing any harm. Behaviour has been discussed with the social worker, and clinical lead has applied for DoLS. Which of the following is correct?

11. How do you prevent the spread on infection when nursing a patient with long term urinary catheters?

12. What are the six physiological parameters incorporated into the National Early Warning Scores?

13. Based on the National Institute for Health and Care Excellence (NICE) Guidelines, which of the following is incorrect about sharps container?

14. A diabetic patient with suspected Liver Tumor has been prescribed with Triphasic CT Scan. Which medication needs to be on hold after the scan?

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

16. You are working in a nursing home (morning shift), and one of your residents is still in the hospital. Nothing has been documented since admission. What would you do?

17. A patient in one of your bays has called for staff. She needed assistance with “spending a penny”. What will you do?

18. Mr B called for your assistance and wanted you to sit with him for a bit. He has disclosed confidential information about his personal life. Which of the following should you urgently deal with?

19. Your patient has been recently prescribed with PEG feeding with a resting period of 4 hours. After two weeks of starting the routine, he has been having episodes of loose stool. What could be done?

20. The nurse is preparing to make rounds. Which client should be seen first?

21. Adam, 26 years old, was admitted to the hospital due to multiple gunshot wounds on his abdomen. On nutritional assessment in the ICU, the patient’s height and weight were estimated to be 1.75 m and 75 kg, respectively, with a normal body mass index (BMI) of 24.5 kg/m2. He was started on Parenteral Nutrition support on day one post admission. Postoperatively, the patient developed worsening renal function and required dialysis. In critical care, what would be most likely recommended for him to meet his nutritional need?

22. A patient with Leukaemia was about to receive a transfusion of blood platelets. The experiences nurse on duty in the ward noticed small clumps visible in the platelet pack and questions whether the transfusion should proceed. What should the nurse do?

23. You are preparing a client with Acquired Immunodeficiency Syndrome (AIDS) for discharge to home. Which of the following instructions should the nurse include?

24. Which of the following sets of needs should be included in your service user’s person centred care plan?

25. Patricia has been assessed to be very confused and with impaired mobility. She wants to go to the dining room for her meal, but she wants a cardigan before doing so. What will you do?

26. During your medical rounds, you have noted that Mrs B was upset. She has verbalised that she misses her family very much, and that no one has been to visit lately. What would likely be your initial intervention?

27. You have answered a phone call after receiving handover. The person you were talking to has explained that he needs to find out about his sister’s condition. What should you initially do?

28. Documentation confirms that Linda has MRSA. You walked into her bedroom with coffee and biscuits on a tray. Which of the following is incorrect?

29. Which of the following is the most important in infection control and prevention?

30. Donna, 50 years old, was admitted to the hospital with gastrointestinal bleed presumed to be oesophageal varices. It has been recommended that she needs to be transfused with blood; however, due to her religious and personal beliefs, she needed volume expanding agents. Unfortunately, she died a few hours after admission. Before dying, she said that it was God’s will, which she believed was right. Which of the following statements is false?

31. Mrs Jones has been assessed to be on nutritional deficit with a MUST Score of 1, which means that she is on medium risk. One of your interventions is to modify her diet for her to meet her nutritional needs. What should you consider?

32. You are currently working in a nursing home. One of the service users is struggling to swallow or chew his food. To whom do you make a referral to?

33. There has been an outbreak of the Norovirus in your clinical area. Majority of your staff have rang in sick. Which of the following is incorrect?

34. You were assigned to change the dressing of a patient with diabetic foot ulcer. You were not sure if the wound has sloughy tissues or pus. How will you carry out your assessment?

35. Mr Brown, 21 years old, has been complaining of foul smelling urine, pain on urination and night sweats. What further assessment should be done to check if he has Urinary Tract Infection?

36. A complaint has been raised by one of the service user’s relatives. Which of the following should you not document?

37. A patient with a nutritional deficit and a MUST Score of 2 and above is of high risk. What should be done?

38. Mr Evans is 89 years old with Prostate Cancer. He was advised that the only treatment available for him was palliative care after Transurethral Resection of the Prostate. What is your main task as a coordinator of care in the multidisciplinary team?

39. John appears to be very confused today. He seems to be quite verbally aggressive towards staff. His urine has also got a bit of foul smell. How would you assess this resident?

40. A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

41. Mrs B is 90 years old and has been admitted to the nursing home. The staff seem to have difficulty dealing with her family. One day, during your shift, Mrs B fell off a chair. You have assessed her, and no injuries have been noted. Which of the following is a principle of the Duty of Candour?

42. You were on duty, and you have noticed that the syringe driver is not working properly. What should you do?

43. Mr Bond has just been certified dead by the General Practitioner. However, no arrangements have been made by the family. What should you do first?

44. Maria, 57 years old, suffered from a very dense left sided Cerebrovascular Accident/ Stroke. She was unconscious and unresponsive for several days with IV fluids for hydration. Since her recovery from stroke, she has been prescribed to commence enteral feeding through a fine bore nasogastric tube, in which she signed her consent in front of her who have always been supportive of her decisions. However, she tends to pull out her NGT when she is by herself in her room. She died of malnutrition after a few days. Which of the following statements is true?

45. An 82 year old lady was admitted to the hospital for assessment of her respiratory problems. She has been a long term smoker in spite of her daughter advising her to stop. Based on your assessment, she has lost a substantial amount of weight. How will you assess her nutritional status?

46. The nurse sat an older man on the toilet in a six-bed hospital bay. Using her judgement, she recognised that he was at risk of falling and so left the toilet door ajar. In the meantime, the nurse went to make his bed on the other side of the bay. On turning around, she noticed that the patient had fallen onto the toilet floor. What should be her initial intervention?

47. You are nursing an adult patient with a long-bone fracture. You encourage your patient to move fingers and toes hourly, to change positions slightly every hour, and to eat high-iron foods as part of a balanced diet. Which of the following foods or beverages should you advise the client to avoid whilst on bed rest?

48. On admission of a service user, you have done an informal risk assessment for pressure sores, and you have noted that the patient is currently not at risk. What will be your next step?

49. An adult patient with Nasogastric Tube died in a medical ward due to aspiration of fluids. Staff nurse on duty believes that she has flushed the tube and believed it is patent. What should NOT have been done?

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