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NMC CBT Mock Test 1:

1. While at outside setup what care will you give as a Nurse if you are exposed to a situation?

• Provide care which is at expected level
• Above what is expected
• Ignoring the situation
• Keeping up to professional standards

2. Which option best illustrates a positive outcome for managed care?

• Involvement in the political process.
• Reshaping current policy.
• Cost-benefit analysis.
• Increase in preventive services

3. What are the key competencies and features for effective collaboration?

• Effective communication skills, mutual respect, constructive feedback, and conflict management.
• High level of trust and honesty, giving and receiving feedback, and decision making.
• Mutual respect and open communication, critical feedback, cooperation, and willingness to share ideas and decisions.
• Effective communication, cooperation, and decreased competition for scarce resources.

4. Which task should be assigned to the nursing assistant?

• Placing the client in seclusion
• Emptying the Foley catheter for the preeclamptic client
• Feeding the client with dementia
• Ambulating the client with a fractured hip

5. What is accountability?

• Ethical and moral obligations permeating the nursing profession
• To be answerable to oneself and others for one's own actions.
• A systematic approach to maintaining and improving the quality of patient care within a health system (NHS).
• The process of applying knowledge and expertise to a clinical situation to develop a solution

6. What are essential competencies for today's nurse manager?

• strategic planning and design
• Self and group awareness
• A vision and goals
• Communication and teamwork

7. The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role?

• "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."
• "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately."
• "Give your best nurses extra attention and rewards for their help."
• "Never get into a disagreement with a staff member.

8. Adequate record keeping for a medical device should provide evidence of:

• A unique identifier for the device, where appropriate
• A full history, including date of purchase and where appropriate when it was put into use, deployed or installed
• Any specific legal requirements and whether these have been met
• Proper installation and where it was deployed
• Schedule and details of maintenance and repairs
• The end-of-life date, if specified
• All of the above

9. A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient's record. What is best response of the nurse?

• She should continue documenting in the same file as the medical document cannot be corrected
• She should tear the page from the file & start documenting in the correct record
• She should put a straight cut over her documentation & write as wrong, sign it with her NMC code, date & time
• She should write as wrong documentation in a bracket & continue

10. Information can be disclosed in all cases except:

• When effectively anonymized.
• When the information is required by law or under a court order.
• In identifiable form, when it is required for a specific purpose, with the individual’s written consent or with support under the Health Service
• In Child Protection proceedings if it is considered that the information required is in the public or child’s interest

11. In the role of patient advocate, the nurse would do which of the following?

• Emphasize the need for cost-containment measures when making health care decisions
• Override a patient’s decision when the patient refuses the recommended treatment
• Support a patient’s decision, even if it is not the decision desired by the nurse
• Foster patient dependence on health care providers for decision making

12. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role?

• Express patients needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own
• Just to accompany the patient
• To take decisions on patient’s behalf and provide their own judgements as this benefit the client
• Is expert and representative’s clients concerns, wishes and views as they cannot express by themselves

13. When do we need to document?

• As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client
• Every hour
• When there are significant changes to the patient’s condition
• At the end of the shift

14. All should be seen in a good documentation except:

• legible handwriting
• Name and signature, position, date and time
• Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements
• A correct, consistent, and factual data

15. 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?

• Don't do it as you are not competent or trained for that & write incident report & inform the supervisor
• What is the purpose of clinical audit?
• Do it
• Ask your colleague to do it
• Complain to the supervisor that doctor left you in middle of the procedure

16. Which of the following is an important principle of delegation?

• No transfer of authority exists when delegating
• Delegation is the same as work allocation
• Responsibility is not transferred with delegation
• When delegating, you must transfer authority

17. Ms. Smith is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?

• Organization Man
• Impoverished Management
• Country Club Management
• Team Management

18. What is Advocacy according to NHS Trust?

• It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need.
• This is the divulging or provision of access to data
• It is the response to the suffering of others that motivates a desire to help
• It is a set of rules or a promise that limits access or places restrictions on certain types of information.

19. 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:

• work with others to protect and promote the health and wellbeing of those in your care
• provide a high standard of practice and care when required
• always act lawfully, whether those laws relate to your professional practice or personal life
• be personally accountable for actions and omissions in your practice

20. Describe the primary focus of a manager in a knowledge work environment.

• Developing the most effective teams
• Taking risks.
• Routine work
• Understanding the history of the organization.

21. All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she has a limited knowledge of the procedures. What should the manager do in this situation?

• Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable.
• Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation
• Ignore the incident and just continue with what she was doing.
• Assign someone to guide the new staff nurse until she is competent in doing her tasks.

22. When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation?

• tell the student to feed the patient slowly to help stop coughing
• ask the student to completely stop feeding
• ask student to allow patient some sips of water to stop coughing
• ask student to stop feeding and assess patients swallowing

23. A nurse documented on the wrong chart. What should the nurse do?

• Immediately inform the nurse in charge and tell her to cross it all off.
• Throw away the page
• Write line above the writing; put your name, job title, date, and time.
• Ignore the incident.

24. NMC defines record keeping as all of the following except:

• Helping to improve advocacy
• Showing how decisions related to patient care were made
• Supporting effective clinical judgements and decisions
• Helping in identifying risks, and enabling early detection of complication

25. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's:

• Educator
• Advocate
• Care giver
• Case manager

26. Which strategy could the nurse use to avoid disparity in health care delivery?

• Recognize the cultural issue related to patient care
• Request more health plan options
• Care for more patients even if quality suffers
• Campaign for fixed nurse patient ratios

27. Independent Advocacy is:

• Providing general advice
• Making decisions for someone
• Care and support work
• Agreeing with everything a person says and doing anything a person asks you to do
• None of the above

28. What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement?

• 40%
• 60%
• Not specified, but as much as possible
• Depends on the student capabilities

29. A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority?

• Maintain in an autocratic approach to influence results.
• Understand complex health care environments.
• Use critical thinking to solve problems on the unit
• Give assignments clearly, taking staff expertise into consideration

30. A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following?

• plan strategies to implement the change
• identify the inefficiency that needs improvement or correction
• identify potential solutions and strategies for the change process

31. According to the Royal Marsden manual, a staff who observe the removal of chest drainage is considered as?

• Official training
• Unofficial training
• Hours which are not calculated as training hours
• It is calculated as prescribed training hours.

32. Barbara, a frail lady who lives alone with her cat, was brought in A&E via ambulance after a neighbour found her lying in front of her house. No doctor is available to see her immediately. Barbara told you she is worried about her cat who is alone in the house. How will you best reply to her?

• “You should worry about yourself and not the cat.”
• “Your cat sounded like very dear to you. Can I ask your neighbour to check?”
• “Do you want me to see you cat also? I cannot do that now.”
• “Your cat can look after itself, I am sure.”

33. The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to?

• Practical Nurse
• Registered Nurse
• Nursing assistant
• Volunteer

34. To whom should you delegate a task?

• Someone who you trust
• Someone who is competent
• Someone who you work with regularly
• All of the above

35. Ms. Bond is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?

• Country Club Management
• Organization Man
• Impoverished Management
• Team Management

36. What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit?

• I know I told you that you could have the weekend off, but I really need you to work.”
• The others work many extra shifts, why can’t you?
• I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs.”
• I can’t believe you need help with such a simple task. Didn’t you learn that in school?”

37. A client experiences an episode of pulmonary edema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with?

• Assault
• Slander
• Negligence
• Tort

38. When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use?

• Participative
• Authoritarian
• Laissez faire
• Democratic

39. According to the nursing code of ethics, the nurse’s first allegiance is to the:

• Client and client's family
• Client only
• Healthcare organization
• Physician

40. The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work?

• Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion.
• Prepare these managers so that they will focus on maintaining standards of care
• Prepare these managers to oversee the entire health care organization
• Prepare these managers to interact with hospital administration.

41. You are the nurse in charge of the unit and you are accompanied by 4th year nursing students.

• Allow students to give meds
• Assess competence of student
• Get consent of patient
• Have direct supervision

42. After finding the patient which statement would be most appropriate for the nurse to document on a datix/incident form?

• “The patient climbed over the side rails and fell out of bed.”
• “The use of restraints would have prevented the fall.”
• “Upon entering the room, the patient was found lying on the floor.”
• “The use of a sedative would have helped keep the patient in bed.”

43. The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?

• Fidelity
• Veracity
• Autonomy
• Beneficence

44. There have been several patient complaints that the staff members of the unit are disorganized and that “no one seems to know what to do or when to do it.” The staff members concur that they don’t have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing?

• Autocratic.
• Bureaucratic.
• Laissez-faire.
• Authoritarian.

45. A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation?

• Having the new nurse tell the physician the task has been completed.
• Supervising the performance of the new nurse
• Telling the unit manager, the task has been completed
• Documenting that the task has been completed.

46. What is meant by an advocate?

• Someone who develops opportunities for the patient
• Someone who has the same beliefs as the patient
• Someone who does something on behalf of the patient
• Someone who has the same values as the patient.

47. A Nurse demonstrates patient advocacy by becoming involved in which of the following activities?

• Taking a public stand on quality issues and educating the public on” public interest” issues
• Teaching in a school of nursing to help decrease the nursing shortage
• Engaging in nursing research to justify nursing care delivery
• Supporting the status quo when changes are pending

48. Which of the following is a specific benefit to an organization when delegation is carried out effectively?

• Delegates gain new skills facilitating upward mobility
• The client feels more of their needs are met
• Managers devote more time to tasks that cannot be delegated
• The organization benefits by achieving its goals more efficiently

49. What do you mean by a bad leadership?

• Appreciate intuitiveness
• Appreciate better work
• Reward poor performance

50. One leadership theory states that "leaders are born and not made," which refers to which of the following theories?

• Trait
• Charismatic
• Great Man
• Situational