CBT Review #3
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- Category: CBT Review
- Hits: 11
>> List with all the tests
251. Why should healthcare professionals take extra care when washing and drying an elderly patient's skin?
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254. On which step of the WHO analgesic ladder would you place tramadol and codeine?
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255. What do the term ..breakthrough pain" mean, and what type of prescription would you expect for it?
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256. . A patient has just returned from theatre following surgery on their left arm. They have a PCA infusion connected and from the admission, you remember that they have poor dexterity with their right hand. They are currently pain free. What actions would you take?
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257. What are the key nursing observations needed for a patient receiving opioids frequently?
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258. Which of the following is NOT a symptom of impacted earwax?
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259. After death, who can legally give permission for a patient's body to be donated to medical science?
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260. What should be included in your initial assessment of your patient's respiratory status?
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261. What should be included in a prescription for oxygen therapy?
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262. You are caring for a patient with a tracheostomy in situ who requires frequent suctioning. How long should you suction for?
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263. You are caring for a patient with a history of COAD who is requiring 70% humidified oxygen via a facemask.
You are monitoring his response to therapy by observing his colour, degree of respiratory distress and respiratory rate. The patient's oxygen saturations have been between 95% and 98%. In addition, the doctor has been taking arterial blood gases. What is the reason for this?
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264. When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why?
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265. You are currently on placement in the emergency department (ED). A 55 year old city worker is blue lighted into the ED having had a cardiorespiratory arrest at work. The paramedics have been resuscitating him for 3 minutes. On arrival, he is in ventricular fibrillation. Your mentor asks you the following question prior to your shift starting: What will be the most important part of the patient's immediate advanced life support?
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266. Why is it essential to humidify oxygen used during respiratory therapy?
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267. In a fully saturated haemoglobin molecule, responsible for carrying oxygen to the body's tissues, how many of its haem sites are bound with oxygen?
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268. Which of the following is NOT a cause of Type 1 (hypoxaemic) respiratory failure?
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269. Prior to sending a patient home on oxygen, healthcare providers must ensure the patient and family understand the dangers of smoking in an oxygen-rich environment. Why is this necessary?
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270. What action would you take if a specimen had a biohazard sticker on it?
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271. What is the best way to avoid a haematoma forming when undertaking venepuncture?
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272. How do you ensure the correct blood to culture ratio when obtaining a blood culture specimen from an adult patient?
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273. If blood is being taken for other tests, and a patient requires collection of blood cultures, which should come first to reduce the risk of contamination?
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274. Which of the following would indicate an infection?
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275. Which of the following techniques is advisable when obtaining a urine specimen in order to minimize the contamination of a specimen?
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276. If a patient is experiencing dysphagia, which of the following investigations are they likely to have?
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278. If a patient feels a cramping sensation in their abdomen after a colonoscopy, it is advisable that they should do/have which of the following?
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279. . A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure?
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280. When should adult patients in acute hospital settings have observations taken?
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281. Why are physiological scoring systems or early warning scoring systems used in clinical practice?
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282. A patient on your ward complains that her heart is ..racing" and you find that the pulse is too fast to manually palpate. What would your actions be?
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283. When would an orthostatic blood pressure measurement be indicated?
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284. What do the adverse effects of hypotension include?
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285. What are the contraindications for the use of the blood glucose meter for blood glucose monitoring?
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289. Why is it important to manually assess pulse rate?
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290. What are the professional responsibilities of the qualified nurse in medicines management?
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291. What are the key reasons for administering medications to patients?
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292. What are the most common types of medication error?
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293. A patient has collapsed with an anaphylactic reaction. What symptoms would you expect to see?
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294. What are the potential benefits of self administration of medicines by patients?
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295. 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?
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296. A patient in your care is on regular oral morphine sulphate. As a qualified nurse, what legal checks do you need to carry out every time you administer it, which are in addition to those you would check for every other drug you administer?
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297. As a newly qualified nurse, what would you do if a patient vomits when taking or immediately after taking tablets?
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298. Why would the intravenous route be used for the administration of medications?
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299. You have been asked to give Mrs Patel her mid day oral metronidazole. You have never met her before. What do you need to check on the drug chart before you administer it?
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300. Accurate postoperative observations are key to assessing a patient's deterioration or recovery. The Modified Early Warning Score (MEWS) is a scoring system that supports that aim. What is the primary purpose of MEWS?
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301. Why is it important that patients are effectively fasted prior to surgery?
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304. Why are antiembolic stockings an effective means of reducing the potential of developing a deep vein thrombosis?
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305. You are looking after a postoperative patient and when carrying out their observations, you discover that they are tachycardic and anxious, with an increased respiratory rate. What could be happening? What would you do?
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306. Who should mark the skin with an indelible pen ahead of surgery?
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307. What serious condition is a possibility for patients positioned in the Lloyd Davies position during surgery?
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308. When a patient is being monitored in the PACU, how frequently should blood pressure, pulse and respiratory rate be recorded?
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309. How soon after surgery is the patient expected to pass urine?
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310. What functions should a dressing fulfill for effective wound healing?
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311. When would it be beneficial to use a wound care plan?
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312. How would you care for a patient with a necrotic wound?
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313. A client has a diabetic stasis ulcer on the lower leg. The nurse uses a hydrocolloid dressing to cover it. The procedure for application includes:
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314. A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described?
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315. What are the four stages of wound healing in the order they take place?
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316. If an elderly immobile patient had a grade 3 pressure sore, what would your management be?
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317. Which one of the following types of wound is NOT suitable for negative pressure wound therapy?
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318. How long does the ..inflammatory phase" of wound healing typically last?
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319. Which of the following methods of wound closure is most suitable for a good cosmetic result following surgery?
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320. You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply?
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321. An antihypertensive med has been prescribed for a client with HTN. The client tells the clinic nurse that they would like to take an herbal substance to help lower their bp. The nurse should take which action?
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322. In case of a needle stick injury, what should the nurse do initially:
(CHOOSE 2 ANSWERS)
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323. A mentally capable client in a CRITICAL condition is suppose to receive blood transfusion but client strongly refused. Best Response?
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324. NEWS score of 5, what action is appropriate?
physician review
1 -4: LOW
prompt assessment by a competent RN, then decide
5-7: MEDIUM
prompt an urgent review by a clinician (ward MD/ acute RN)
7 above : HIGH
prompt EMERGENCY assessment by a CLINICAL TEAM, transfer patient to a higher dependency care area
325. What are the six physiological parameters incorporated into the National Early Warning Scores?
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326. How can we identify health problems of a patient?
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327. According to Francis Report, Courage is:
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328. 24 hrs after abdominal surgery pain is not reduced what management will provide
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329. Which among these suggests poor leadership?
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330. Which of the following best describes the Contingency Theory of Leadership?
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331. The client is being involuntarily committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle?
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332. Which of the following is a severe complication during 24 hrs post liver biopsy?
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333. In ileostomy, why is the output tends to be looser and more liquid stool?
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334. Why does a spout needs to be formed with ileostomy?
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335. In loop colostomy, it is supported by a stoma bridge or rod during the peri-operative period and generally left in place for following surgery and then removed.
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336. These are all crucial info which must be present in all PGD except:
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337. Which of the following is an example of an antidepressant?
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338. What is the incubation period of Ebola?
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339. A COPD pt is to be discharged in the community. As her nurse which of the following interventions will you encourage him to do to prevent progression of diseases:
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340. In Digital rectal examination, Palpating around ___ enables the nurse to establish if there is any swelling or tenderness within the rectum
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341. A patient suffered from CVA and is now affected with dysphagia. What should NOT be an intervention to this type of patient?
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342. You are the named nurse of Colin admitted at Respiratory ward because of chest infection. His also suffers from Parkinson"s syndrome. What medications will you ensure Colin has taken on regular time to control his „shaking"?
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345. The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing her hands the nurse dons sterile gloves to remove the old dressing.
After removing the dirty dressing, the nurse removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and redressing the wound.
The most appropriate action for the charge nurse is to:
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346. An adult woman is admitted with metabolic acidosis. Which set of arterial blood gases should the nurse expect to find in a client with metabolicacidosis?
D.Ph7.30 pCO2-36 HCO3-18
pH = 7.35-7.45
pCO2 = 35-45
HCO3 = 22 - 26
347. Reason for dyspnoea in patients who diagnosed with glomerulonephritis patients?
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349. Barbara, a frail lady admitted on your ward because of urine infection wanders off with anti-embolic socks on causing her to slip and eventually fall. How will you keep her safe when mobilising?
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350. Position to make breathing effective?
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