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151. The nurse monitors the serum electrolyte levels of a client who is taking digoxin (Lanoxin). Which of the following electrolyte imbalances is common cause of digoxin toxicity?

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152. You were the nurse on duty and it"s time to take your patient's vital signs. Upon checking, you noted that the patient was given Digoxin and now has a heart rate of 50 BPM. What will you do with the next dose of Digoxin?

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153. An elderly client with dementia is cared by his daughter. The daughter locks him in a room to keep him safe when she goes out to work and not considering any other options. As a nurse what is your action?

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154. A Chinese woman has been admitted with fracture of wrist. When you are helping her undress you notice some bruises on her back and abdomen of different ages. You want to talk to her and what is your action

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155. In a G.P clinic when you assessing a pregnant lady you observe some bruises on her hand. When you asked her about this she remains silent. What is your action?

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156. As a RN when you are administering medication, you made an error. Taking health and safety of the patient into consideration, what is your action?

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157. When nurses and midwives are considering which tasks and activities to delegate they should consider the following except:

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158. Which statement best describes DUTY OF CARE?

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159. Why are elderly prone to postural hypotension? Select which does not apply:

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160. Signs of hypovolemic shock would include all except:

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161. All but one are signs of opioid toxicity:

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162. 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?

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

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164. How to position patient for abdominal tap / paracentesis

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165. Initial intervention when a patient collapsed:

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166. Revisions should be included in what nursing process?

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168. One of your patient is for lobectomy because of lung cancer asks if he can still continue with his smoking after the operation. What is your best response to him?

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169. Your hospital supports the government's drive on breastfeeding. One of your patient being treated for urinary tract infection was visited by her husband and their 4 month old baby. She would like to breastfeed her baby. What advise will you give her?

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170. Colin is aware about the impact of his Parkinson"s Syndrome on their lives as a couple but refuse additional support when offered. At this stage, you will:

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171. An allegation was made by Colin against the community nurse who inappropriately touching her wife with dementia. He made a complaint through the Patient Experience Team at the Primary Care Trust. His complaint is reviewed for any potential safeguarding issues in the period within:

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172. The wife of a recently deceased male is contacting individuals to inform them of her husband's death. She decides, however, to drive to her parent's home to tell them in person instead of using the telephone. Of  hat benefit did this communication approach serve?

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173. Amitriptyline tablets are available in strengths of 10mg, 25mg, 50mg and 100mg. What combinations of whole tablets should be used for an 85mg dose?

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174. 5 moments of hand hygiene include all of the ff except:

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175. Which of the following is not considered to be a medical device?

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176. Mr Smith responded well to his nasogastric tube (NGT) feeding and will continue for 3 more days at a constant rate of 80 ml/hr until the next review by the dietician. Evidence-based practice suggests that to keep its patency, flushing is needed to be done:

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177. What is not a good route for IM injection?

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178. A patient with learning disability is accompanied by a voluntary independent advocate, what is his role?

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

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180. An enquiry was lunched involving death of one of your patients. The police visited your unit. When interviewed, which of the following framework will best help assist the investigation?

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181. Normal HR of a 2-yr old child:

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182. One of the main responsibilities of the employer should be

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183. The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client as utilizing in which of the following defense mechanism

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184. Who is responsible for the overall assessment of the students fitness to practice and documentation of initial, midterm and final assessment in the ongoing achievement record?

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185. Initial intervention when a patient collapsed:

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186. Patient manifests phlebitis in his iv site, what must a nurse do ?

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187. Where to keep patients records in the ward?

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

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189. Which of the following local agencies have a responsibility to investigate and take action when a vulnerable adult is believed to be suffering abuse?

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190. A normal sign of aging of the renal system.

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192. Management in Blood Transfusion Reaction would include the ff but:

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193. Introducing measures to reduce error without knowing about specific problems is still a challenging issue in the healthcare profession. To maintain patient safety, address faults in the system and procedures and enable professionals to learn from mistakes, as a nurse you should:

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194. Over half the population thinks the elderly aren't treated with enough dignity and respect in hospitals and nursing homes, according to a survey. In which of the following nursing actions does not demonstrate dignity and respect?

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195. In order to promote an environment of care that is culturally sensitive, free from discrimination, harassment and exploitation, as a nurse, you should act:

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198. One of your patient is for lobectomy because of lung cancer asks if he can still continue with his smoking after the operation. What is your best response to him?

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199. Adam, a local Rabbi, was admitted because of patellar fracture. His operation had been cancelled. He had fasted for 8 hours and now wanted to eat. You showed him the hospital menu. Which of the following food will he prefer?

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200. Whilst cleaning Mr Bond's neck wound, you accidentally dropped a used piece of surgical gauze (swab). The nursing assistant offered to disposed of it and clean the area. Which of the following will you ask him to use when cleaning the area?

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201. What percentage of patients in hospital in England, at the time of the 2011 National Prevalence survey, had an infection?

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204. For which of the following modes of transmission is good hand hygiene a key preventative measure?

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205. If you were told by a nurse at handover to take "STANDARD PRECAUTIONS", what would you expect to be doing?

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206. Which of the following is not normally considered to be a high risk fluid?

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207. What infection is thought to be caused by prions?

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208. If a patient requires protective isolation, which of the following should you advise them to drink?

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209. All individuals providing nursing care must be competent at which of the following procedures?

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210. For which type of waste should orange bags be used?

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211. What factors are essential in demonstrating supportive communication to patients?

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213. What is the difference between denial and collusion?

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

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215. What are the principles of communicating with a patient with delirium?

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216. Which of the following is NOT an example of non-verbal communication?

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217. Which of these is an example of an open question?

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218. According to Argyle (1988), when two people communicate what percentage of what is communicated is actually in the words spoken?

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219. Which of the following are barriers to effective communication?


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220. When communicating with someone who isn't a native English speaker, which of the following is NOT advisable?

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221. When should a penile sheath be considered as a means of managing incontinence?

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222. What is the most important guiding principle when choosing the correct size of catheter?

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223. When carrying out a catheterization, on which patients would you use anaesthetic lubricating gel prior to catheter insertion?

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224. On removing your patient's catheter, what should you encourage your patient to do?

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225. What are the principles of positioning a urine drainage bag?

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226. Perdue categorizes constipation as primary, secondary or iatrogenic. What could be some of the causes of iatrogenic constipation?
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7.T1. A patient is admitted to the ward with symptoms of acute diarrhea. What should your initial management be?

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228. Your patient has undergone a formation of a loop colostomy. What important considerations should be borne in mind when selecting appropriate stoma appliance for your patient?

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

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

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231. How do the structures of the human body work together to provide support and assist in movement?

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232. What are the most common effects of inactivity?

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233. What do you need to consider when helping a patient with shortness of breath sit out in a chair?

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234. Your patient has bronchitis and has difficulty in clearing his chest. What position would help to maximize the drainage of secretions?

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235. Mrs Jones has had a cerebral vascular accident, so her left leg is increased in tone, very stiff and difficult to position comfortably when she is in bed. What would you do?

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236. Which of the following is a behavioural risk factor when assessing the potential risks of falling in an older person?

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237. When positioning the supine patient in bed, why should you ensure the patient is lying centrally in the bed?

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238. In what instances shouldn't you position a patient in a side-lying position?

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239. What does „muscle atrophy" mean?

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240. Approximately how long is the spinal cord in an adult? Top of Form

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241. Dehydration is of particular concern in ill health. If a patient is receiving intravenous (IV) fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in a ..positive fluid balance”?

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242. What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?

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243. A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do?

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244. If the prescribed volume is taken, which of the following types of feed will provide all protein, vitamins, minerals and trace elements to meet a patient's nutritional requirements?

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245. . A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhoea but has no pyrexia. What is likely to be the cause?

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246. Your patient has a bulky oesophageal tumour and is waiting for surgery. When he tries to eat, food gets stuck and gives him heartburn. What is the most likely route that will be chosen to provide him with the nutritional support he needs?

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247. What is the best way to prevent a patient who is receiving an enteral feed from aspirating?

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248. Which of the following medications are safe to be administered via a nasogastric tube?

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249. Which check do you need to carry out before setting up an enteral feed via a nasogastric tube?

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250. Henry is going to receive a blood transfusion. How frequently should we do his observations?

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>> List with all the tests