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NMC CBT Mock Test 2:

1. A nurse case manager receives a referral to provide case management services for an adolescent mother who was recently diagnosed with HIV. Which statement indicates that the patient understands her illness?

• “I can never have sex again, so I guess I will always be a single parent.”
• “I will wear gloves when I’m caring for my baby, because I could infect my baby with AIDS.”
• “My CD4 count is 200 and my T cells are less than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.”
• “My CD4 count is 800 and my T cells are greater than 14%. I need to stay at these levels by eating and sleeping well and staying healthy.”

2. The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements?

• “It is my responsibility to ensure that the consent form has been signed and attached to the patient’s chart prior to surgery.”
• “It is my responsibility to witness the signature of the client before surgery is performed.
• “It is my responsibility to answer questions that the patient may have prior to surgery.”
• “It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form.”

3. The nursing staff communicates that the new manager has a focus on the "bottom line,” and little concern for the quality of care. What is likely true of this nurse manager?

• The manager is unwilling to listen to staff concerns unless they have an impact on costs.
• The manager understands the organization's values and how they mesh with the manger's values.
• The manager is communicating the importance of a caring environment.
• The manager is looking at the total care picture

4. The famous 14 Principles of Management was first defined by

• James Watt
• Adam Smith
• Henri Fayol
• Elton Mayo

5. What are the characteristics of effective collaboration?

• Common purpose and goals
• Clinical competence of each provider
• Humor, trust, and valuing diverse, complementary knowledge
• All of the above

6. A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST?

• Please leave and I will speak with you when I am done."
• I need you to leave us alone."
• You may sit with us as long as you are quiet."
• I'm sorry, but HIPPA says that you can't be here. Do you mind leaving?"

7. Compassion in Practice - the culture of compassionate care encompasses:

• Care, Compassion, Competence, Communication, Courage, Commitment - DoH-“Compassion in Practice”
• Care, Compassion, Competence
• Competence, Communication, Courage
• Care, Courage, Commitment

8. Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach?

• Case management
• Primary nursing
• Differentiated practice
• Functional method

9. A client requests you that he wants to go home against medical advice, what should you do?

• Inform the management
• Inform the local police
• Call the security guard
• Allow the client to go home as he won't pose any threat to self or others

10. You are a new and inexperienced staff, which of the following actions will you do during your first day on the clinical area?

• Acknowledge your limitations, seek supervision from your team leader
• volunteer to do the drug rounds
• help in admitting the patients
• answer all enquiries from the patients

11. You are the nurse on Ward C with 14 patients. Your fellow incoming nurses called in sick and cannot come to work on your shift. What will be your best action on this situation?

• Review patient intervention, set priorities, ask the supervisor to hand over extra staff
• continue with your shift and delegate some responsibilities to the nursing assistant
• fill out an incident form about the staffing condition
• ask the colleague to look for someone to cover

12. Role conflict can occur in any situation in which individuals work together. The predominant reason that role conflict will emerge in collaboration is that people have different

• Levels of education and preparation
• Expectations about a particular role; interpersonal conflict will emerge
• Levels of experience and exposure of working in interdisciplinary teams
• Values, beliefs, and work experiences that influences their ability to collaborate.

13. A patient has sexual interest in you. What would you do?

• Just avoid it, because the problem can be the manifestation of the underlying disorder, and it will be resolved by its own as he recovers
• Never attend that patient
• Try to re-establish the therapeutic communication and relationship with patient and inform the manager for support
• Inform police

14. The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behavior constitutes:

• False imprisonment
• Duty of care
• Standard of care practice
• Contract of care

15. Which of the following actions jeopardize the professional boundaries between patient and nurse

• Focusing on social relationship outside working environment
• Focusing on needs of patient related to illness
• Focusing on withholding value opinions related to the decisions

16. A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization?

• The client retains all of his or her rights
• the client has a right to leave if not a danger to self or other
• the client can sign a written request for discharge
• The client cannot be released without medical advice

17. The contingency theory of management moves the manager away from which of the following approaches?

• No perfect solution
• One size fits all
• Interaction of the system with the environment
• A method or combination of methods that will be most effective in a given situation

18. How to give respect & dignity to the client?

• Compassion, support & reassurance to the client
• Communicate effectively with them
• Behaving in a professional manner
• Giving advice on health care issues

19. When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding of learning styles by:

• Administering a pre- and post-test assessment.
• Allowing patient’s time to voice their opinions
• Providing a snack with a low glycaemic index.
• Utilizing a variety of educational materials.

20. One of the main responsibilities of an employer should be:

• provide a safe place for the employees
• provide entertainment to employees
• create opportunities for growth
• create ways to make networks

21. If you were explaining anxiety to a patient, what would be the main points to include?

• Signs of anxiety include behaviours such as muscle tension, palpitations, a dry mouth, fast shallow breathing, dizziness & an increased need to urinate or defaecate
• Anxiety has three aspects: physical - bodily sensations related to flight & fight response, behavioural - such as avoiding the situation, & cognitive (thinking) - such as imagining the worst
• Anxiety is all in the mind, if they learn to think differently, it will go away
• Anxiety has three aspects: physical - such as running away, behavioural - such as imagining the worse (catastrophizing), & cognitive (thinking) - such as needing to urinate.

22. A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response?

• Let her do the procedure. Correct her later
• Inform to ward in charge
• Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent

23. You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role?

• during audit raise your concern
• inform in written to management
• inform NMC
• take photograph

24. The characteristic of an effective leader includes:

• attention to detail
• sound problem-solving skills and strong people skills
• emphasis on consistent job performance
• all of the above

25. The following are qualities of a good leader, except:

• Shows empathy to members
• His behaviour contributes to the team
• Acknowledges and accepts members mistakes - without any corrections
• Does not accept criticisms from members

26. An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?

• A newly diagnosed client with type 2 diabetes mellitus who is learning foot care
• A client from a motor vehicle accident with an external fixation device on the leg
• A client admitted for a barium swallow after a transient ischemic attack
• A newly admitted client with a diagnosis of pancreatic cancer

27. An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles.

• Paternalism & justice
• Autonomy & informed consent
• Beneficence & double effect
• Competence & right to know

28. Who will you inform first if there is a shortage in supplies in your shift?

• Nursing assistant
• Purchasing personnel
• Immediate nurse manager
• Supplier

29. A nurse manger achieves a higher management position in the organisation, there is a need for what type of skills?

• Personal and communication skills
• Communication and technical skills
• Conceptual and interpersonal skills
• Visionary and interpersonal skills

30. A client on your medical surgical unit has a cousin who is physician & wants to see the chart. Which of the following is the best response for the nurse to take

• Ask the client to sign an authorization & have someone review the chart with cousin
• Hand the cousin the client chart to review
• Call the attending physician & have the doctor speak with the cousin
• Tell the cousin that the request cannot be granted

31. She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory?

• Recognizes staff for going beyond expectations by giving them citations
• Challenges the staff to take individual accountability for their own practice
• Admonishes staff for being laggards.
• Reminds staff about the sanctions for non-performance.

32. A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make.

• “Where there is life there is hope”
• “ Would you like to talk to the nurse who works with HIV- positive patient’s ?”
• “ you are a long way from dying”
• “ not everyone who is HIV positive will develop AIDS & die”

33. Which of the major theories of aging suggests that older adults may decelerate the aging process?

• Disengagement theory
• Activity theory
• Immunology theory
• Genetic theory

34. The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following?

• Incomplete data
• Generalize from experience
• Identifying with the client
• Lack of clinical experience

35. You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do?

• encourage all the staff who are present to do their best to attend to the needs of the patients
• ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover
• refuse to take charge of the next shift

36. A nurse from Medical-surgical unit asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?

• A client with a cast for a fractured femur & who has numbness & discoloration of the toes
• A client with balanced skeletal traction & who needs assistance with morning care
• A client who had an above-the-knee amputation yesterday & has a temperature of 101.4F
• A client who had a total hip replacement 2 days ago & needs blood glucose monitoring

37. The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response

• Just neglect the request.
• Tell her that, only male doctor is available and he is takin care of many female staffs daily
• Respect the request, if possible arrange the consultation with a female doc
• Inform police

38. A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows:

• Any information released will bring publicity to the hospital
• Nurse are obligated to respect client’s privacy and confidentiality
• It does not matter what is disclosed, the media will find out any way
• According to beneficence, the nurse has an obligation to implement actions that will benefit clients.

39. A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by:

• Explaining the exact limits of confidentiality in the exchanges between the client and the nurse.
• Limiting discussion about clients to the group room and hallways.
• Summarizing the information, the client provides during assessments and documenting this summary in the chart.
• Sharing the information with all members of the healthcare team

40. Clinical audit is best described as:

• a tool to evaluate the effectiveness of interventions, and to know what needs to be improved
• a tool used to identify the weakest link within the system
• a standard of which performance is based upon
• a tool to set a guidelines or protocol in clinical practice

41. The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of

• Denial
• Repression
• Suppression
• Displacement

42. The nurse can divulge patient's information, only when:

• it can pose as a threat to the public and when it is ordered by the court
• requested by family members
• asked by media personnel for broadcast and publication
• required by employer

43. The rehabilitation nurse wishes to make the following entry into a client’s plan of care: “Client will re-establish a pattern of daily bowel movements without straining within two months.” The nurse would write this statement under which section of the plan of care?

• Nursing diagnosis/problem list
• Nursing order
• Short-term goals
• Long term goals

44. A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should:

• Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager
• Ignore the criticism as this is a case of a team issue
• Continue delivering care as this will not affect the quality of care you are rendering your patient

45. An example of a positive outcome of a nurse-health team relationship would be:

• Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role
• Becoming an effective change agent in the community
• An increased understanding of the family dynamics that affect the client
• An increased understanding of what the client perceives as meaningful from his or her perspective

46. You walk onto one of the bay on your ward and noticed a colleague wrongly using a hoist in transferring their patient. As a nurse you will:

• let them continue with their work as you are not in charge of that bay
• report the event to the unit manager
• call the manual handling specialist nurse for training
• inform the relatives of the mistake

47. A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do?

• Let the patient’s relatives know so that they don’t make a complaint & write an incident report for yourself so you remember the details in case there are problems in the future
• Help the patient to a safe comfortable position, commence neurological observations & ask the patient’s doctor to come & review them, checking the injury isn’t serious, when this has taken place, write up what happened & any future care in the nursing notes
• Discuss the incident with the nurse in charge, & contact your union representative in case you get into trouble
• Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient & if they wish, their relatives

48. When will you disclose the identity of a patient under your care?

• You can disclose it anytime you want
• When a patient relative wishes to
• When media demands for it
• Justified by public interest law and order

49. As an RN in charge you are worried about a nurse's act of being very active on social media site, that it affects the professionalism. Which one of these is the worst advice you can give her?

• Do not reveal your profession of being a Nurse on social site
• Do not post any pictures of client's even if they have given you permission
• Do not involve in any conversions with client's or their relatives through a social site
• Keep your profile private

50. Bystander informs you that the patient is in severe pain. Your response:

• Tell him that he would come as soon as possible
• Record in the chart and inform doc and in charge
• Tell that she would give the next dose of analgesic when it’s time
• Go instantly to the patient and assess the condition