1. The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

  • Assess the client for allergies.
  • Bolus the client with IV fluid.
  • Tell the client he will be asleep.
  • Insert a urinary catheter.

2. A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

  • Impaired physical mobility related to decreased endurance
  • Hypothermia r/t decreased metabolic rate
  • Disturbed thought processes r/t interstitial edema
  • Decreased cardiac output r/t bradycardia

3. The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

  • A tracheotomy set
  • A padded tongue blade
  • An endotracheal tube
  • An airway

4. Which of the following cannot be seen in a depressed client?

  • Inactivity
  • Sad facial expression
  • Slow monotonous speech
  • Increased energy

5. Which of the following situations on a psychiatric unit are an example of a trusting a patient-nurse relationship?

  • The patient tells the nurse that he feels suicidal
  • The nurse offers to contact the doctor if the patient has a headache
  • The nurse gives the patient his daily medication right on schedule
  • The nurse enforce rules strictly on the unit

Read more: UK CBT Nursing Exam 2024

1. Mrs Smith was taken to the Accident and Emergency Unit due to anaphylactic shock. The treatment for Mrs Smith will depend on the following except:

  • Location
  • Number of Responders
  • Equipment and Drugs available
  • Triage system in the A&E

2. A patient has collapsed with an anaphylactic reaction. What symptoms would you expect to see?

  • The patient will have a low blood pressure (hypotensive) & will have a fast heart rate (tachycardia) usually associated with skin & mucosal changes
  • The patient will have a high blood pressure (hypertensive) & will have a fast heart rate (tachycardia)
  • The patient will quickly find breathing very difficult because of compromise to their airway or circulation. This is accompanied by skin & mucosal changes
  • The patient will experience a sense of impending doom, hyperventilate & be itchy all over

3. The following are ways to remove factors that trigger anaphylactic reaction except for one.

  • It is not recommended to make the patient should not be forced to vomit after food-induced anaphylaxis.
  • Definitive treatment should not be delayed if removing a trigger is not feasible.
  • Any drug suspected of causing an anaphylactic reaction should be stopped.
  • After a bee sting, do not touch the stinger for about a maximum of 3 hours.

4. Olive, a nursing assistant working with you in an Elderly Care Ward is showing signs of norovirus infection. Which of the following will you ask her to do next?

  • Go home and avoid direct contact with other people and preparing food for others until at least 48 hours after her symptoms have disappeared
  • Disinfect any surfaces or objects that could be contaminated with the virus
  • Flush away any infected faeces or vomit in the toilet and clean the surrounding toilet area
  • Avoid eating raw oysters

5. Mrs. Bond is receiving blood transfusion after a total hip replacement operation. After 15 minutes, you went back to check her vital signs and she complained of high temperature and loin pain. This may indicate:

  • Renal Colic
  • Urine Infection
  • Common adverse reaction
  • Serious adverse reaction

Read more: CBT Mock Test - NMC 2024

 1. One liter of Hartmann’s solution is to be given over 12 hours. Calculate the flow rate of a volumetric infusion pump

  • 1.4 ml/hr
  • 16.6 ml/hr
  • 83.3 ml/hr
  • 72 ml/hr

2. Doctor’s order: Streptomycion 1.75 mg /lb IM q 12 hr; Available: Streptomycin 0.35 g/ 2.3 mL. How many mL will you administer a day to a 59 kg patient?

  • 1.5 ml
  • 2ml
  • 2.5 ml
  • 3ml

3. Doctor’s order: Tazidime 0.3 g Im tid; Reconstitution instructions: For IM solution add 1.5 mL of diluent. Shake to disoolve. Provides an approximate volume of 1.8 mL (280mg/mL). How many mL will you give?

  • 1.9 ml
  • 2 ml
  • 3 ml
  • 1.1 ml

4. 700ml of saline solution is to be given over 8 hours. The IV set delivers 20 drops/ml. What is the required drip rate?

  • 18.3 drops/min
  • 49.5 drops/min
  • 29.2 drops/min
  • 32.7 drops/min

5. Doctor’s Order: Infuse 50 mg of Amphotericin b in 250 mL NS over 4 hr 15 min; Drop factor : 12 gtt/ml. What flow rate (mL /hr) will you set on the IV infusion pump?

  • 11.8 ml/hr
  • 58.8 ml/hr
  • 14.1 ml/hr
  • 60.2 ml/hr

Read more: CBT Mock Test 12

1. A client experiences an episode of pulmonary oedema 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

2. In caring for a patient, the nurse should?

  • whenever possible provide care that is culturally sensitive and according to patients preference
  • ask the patient and their family about their culture
  • be aware of the patient’s culture
  • disregard the patient’s culture

3. You were on a night shift in a ward and has been allocated to dispose controlled medications. Which of the following is correct?

  • Controlled drugs destruction and pharmacy stock check should be done at different times.
  • Controlled drugs should be destroyed with the use of the Denaturing Kit.
  • Excessive quantities of controlled drugs can be stored in the cupboard whilst waiting for destruction.
  • None of the Above

4. Patient bring own medication to hospital and wants to self-administer what is your role? allow him?

  • give medications back to relatives to take back
  • keep it in locker, use from medication trolley
  • explain to patient about medication before he administer it

5. On checking the stock balance in the controlled drug record book as a newly qualified nurse, you and a colleague notice a discrepancy. What would you do?

  • Check the cupboard, record book and order book. If the missing drugs aren't found, contact pharmacy to resolve the issue. You will also complete an incident form.
  • Document the discrepancy on an incident form and contact the senior pharmacist on duty.
  • Check the cupboard, record book and order book. If the missing drugs aren't found the police need to be informed.
  • Check the cupboard, record book and order book and inform the registered nurse or person in charge of the clinical area. If the missing drugs are not found then inform the most senior nurse on duty. You will also complete an incident form.

Read more: NMC CBT Mock Test - London 2024

1. Who is responsible in disposing sharps?

  • Registered nurse
  • Nurse assistant
  • Whoever used the sharps
  • Whoever collects the garbage

2. IV injection need to be reconsidered when?

  • Medicine is available in tab form
  • Poor alimentary absorption
  • Drug interaction due to Gl secretions

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

  • Different IV solutions are packaged similarly
  • The label contains the expiration date of the IV fluid
  • A and B
  • A only

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

  • ventrogluteal
  • deltoid
  • rectus femoris
  • dorsogluteal

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:

  • That treatment and medication is working
  • She has made new friends
  • She has finalize suicide plan

Read more: NMC CBT Online Practice

 1. A drug 150g is prescribed it is available as 5 g tablets. How many tablets need to be administered?

  • 7.5 tablets
  • 22 tablets
  • 35 tablets
  • 30 tablets

2. Calculate the flow rate if 1.2L is to be infused over 24 hours.

  • 72 ml/hr
  • 28.8 ml/hr
  • 50 ml/hr
  • 20 ml/hr

3. A dose of 100 ml of injection Metronidazole is to be infused over half an hour. How much amount of the medicine will be given in an hour?

  • 50 ml
  • 150 ml
  • 200 ml
  • 300 ml

4. A patient is prescribed 3g of sulphadiazine, the stock contains 600mg/5mL. How much stock should be given to the patient?

  • 18 ml
  • 15 ml
  • 25 ml
  • 2 ml

5. You have 1 gram of drug in 20 ml of fluid. What is the concentration in mg/ml?

  • 5 mg/ml
  • 40 mg/ml
  • 50 mg/ml
  • 20 mg/ml

Read more: Dosage calculations for nurses UK - Free Mock Test