1. Mrs X informs the nurse that she has lost her job due to excessive absences related to her wound. (2 correct answers) The nurse should:
a. Encourage the patient to express her feelings about the job loss
b. Contact social services to assist the patient with accessing available resources
c. Evaluate Mrs X’s understanding of her wound management
d. Explain to Mrs X that she can no longer be seen at the clinic without a job

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A nurse should be able to show awareness of his/her role in health promotion and supporting a healthy lifestyle. Whilst providing health education to a group of patients with cancer about management of their non-healing wounds, it is important for one to:
a. Consider individual wound management priorities
b. Review the patient’s treatment plan
c. Determine the locations of the wounds
d. Verify the types of cancer

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2. External factors which increase the risk of pressure damage are:
a. Equipment, age and pressure
b. Moisture, pressure and diabetes
c. Pressure, shear and friction
d. Pressure, moisture and age

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3. Sharp debridement may cause trauma to underlying structures, the procedure should only be carried out by:
a. A health care assistant on working full time
b. A qualified nurse with at least 3 years experience
c. A doctor of any type of speciality
d. A qualified healthcare professional with appropriate training

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4. Mrs X has been ordered 100 ml to be infused over 45 minutes via a 20 drops/ml giving set. What drip rate should be set?
a. 50 drops per minute
b. 44 drops per minute
c. 41 drops per minute
d. 52 drops per minute

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5. A patient has been prescribed IL of a saline solution. The rate is set at 150 ml/hr. How long will the infusion take?
a. 5 hours and 20 minutes
b. 4 hours and 40 minutes
c. 6 hours and 10 minutes
d. 6 hours and 36 minutes

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6. Mrs X has been admitted in the hospital due to Oedema of her thighs. One of her medications was Furosemide 40 mg tablets to be administered once daily. What should be done prior to administering Furosemide?
a. Check patient’s blood pressure, and withhold Furosemide if it is low
b. Check patient’s pupils, and withhold Furosemide if it is constricted
c. Swab your patient’s wound and send the sample to pathology
d. Assess each of your patient’s thighs by measuring its girth

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7. A patient who has had Parkinson’s Disease for 7 years has been experiencing aphasia. Which health professional should you make a referral to with regards to his aphasia?
a. Occupational Therapist
b. Community Matron
c. Psychiatrist
d. Speech and Language Therapist

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8. Margaret has been diagnosed with Hepatic Adenoma. Her results are as follows - benign tumor as shown on triphasic CT Scan and alpha feto proteins within normal range. She is asymptomatic and does not appear jaundice, but she appears to be very anxious. As a nurse, what will you initially do?
a. Sit down with Margaret and discuss about her fears; use therapeutic communication to alleviate anxiety
b. Refer her to a psychiatrist for treatment
c. Discuss invasive procedure with patient, and show her videos of the operation
d. Take her to the surgeon’s clinic and discuss about consent for invasive procedure

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9. Mrs X has developed Stevens - Johnson syndrome whilst on Carbamazepine. She is now being transferred from the ITU to a bay in a Medicine Ward. Which patients can Mrs X share a bay with?
a. A patient with MRSA
b. A patient with diarrhoea
c. A patient with fever of unknown origin
d. A patient with Stevens-Johnson Syndrome

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10. As the nurse on duty, you have noted that there has been an increasing number of cases of pressure sored in your nursing home. Which of the following is the best intervention?
a. Collaboration with the Multidisciplinary Tearn
b. Patient Advocacy
c. Reduce fragmentation and costs
d. Identify opportunities and develop policies to improve nursing practice

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11. Fiona, 70 years old, has recently been diagnosed with Type 2 Diabetes. You have devised a care plan to meet her nutritional needs. However, you have noted that she has poorly fitting dentures. Which of the following is the least likely risk to the service user?
a. Malnutrition
b. Hyperglycemia
c. Dehydration
d. Hypoglycemia

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12. You are dispending Morphine Sulphate in the treatment room, which has been witnessed by another qualified nurse. Your patient refuses the medication when offered. What will you do next?
a. Go back to the treatment room and write a line across your documentation on the CD book; sign it as refused
b. Dispose the medication using the denaturing kit, document as refused and disposed on the MARS, and write it on the nurse’s notes.
c. Dispose the medication and document it on the patient’s care plan
d. Store the medication in the CD pod for an hour, and then ask your patient again if he/she wants to take his medication

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13. Mr Smith has been diagnosed with Multiple Sclerosis 20 years ago. Due to impaired mobility, he has developed a Grade 4 pressure sore on his sacrum. Which health professional can provide you prescriptions for his dressing?
a. Dietician
b. Tissue Viability Nurse
c. Social Worker
d. Physiotherapist

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14. A resident is due for discharge from your nursing home. You have been his keyworker for the last five years, and his family has been appreciative of the care you have provided. One of the relatives has offered you cash in an envelope after saying goodbye. What should you do?
a. Say thank you, but refuse the offer politely.
b. Say thank you and accept the offer.
c. Accept the offer, and share it to your colleagues.
d. Accept the offer and keep it to yourself.

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15. One of your residents has been transferred from the hospital to your nursing homeafter having been admitted for a week due to a chest infection. On transfer, you have noted that he had several dressings on his thighs, which he has not had before. What should you do?
a. If the dressings are intact, document it on the nursing notes and indicate that the dressings need to be changed after 48 hours.
b. Change the dressings if they look soiled and document this on the wound assessment form.
c. Remove the dressings whether they are intact or not, assess the wounds, document this on the wound assessment form and redress the wounds.
d. All of the above.

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16. You have answered a phone call after receiving handover. The person you were talking to has explained that he needs to find out about his sister's condition. What should you initially do?
a. Discuss about his sister’s condition and provide treatment options such as access to other resources in the community.
b. Check the patient's record and verify the caller’s identity.
c. Refuse to divulge any information to the caller.
d. Discuss about his sister’s condition and book an appointment for him to attend care plan reviews.

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17. A carer has reported that she has seen a resident fall off his bed. What initial assessment should be done?
a. Check the patient’s Early Warning Score along with the Glasgow Coma Scale immediately.
b. Ask the patient if he is in pain; if so, administer painkillers immediately.
c. Dial 999 and request for an ambulance to take your patient to the hospital.
d. Contact the out-of-hours GP and request for a home visit.

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18. During your medical rounds, you have noted that Mrs X was upset. She has verbalised that she misses her family very much, and that no one has been to visit lately. What would likely be your initial intervention?
a. Contact Mrs X's family and encourage them to visit her during the weekend.
b. Sit next to Mrs X and listen attentively. Allow her to talk about things that cause her anxiety.
c. Collaborate with the GP for a care plan review and request for antidepressants to be prescribed.
d. All of the above.
e. None of the above.

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19. After having done your medication rounds, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention?
a. You must do the physical observations and notify the General Practitioner.
b. You must ring the General Practitioner and request for a home visit.
c. You must administer medication from the Homely Remedy Pod after having spoken to the General Practitioner.
d. You must observe your patient until the General Practitioner arrives at your nursing home.

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20. On admission of a service user, you have done an informal risk assessment for pressure sores, and you have noted that the patient is currently not at risk. What will be your next step?
a. Include the Repositioning Chart on your patient’s daily notes, and instruct your carers/HCA’s to turn your patient every two hours.
b. Alert the General Practitioner about your patient’s condition.
c. Reassess your patient on a regular basis and document your observations.
d. Modify your patient’s diet to maintain intact skin integrity.

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21. You were on the phone with a family member, and one of the carers has reported that one of your residents has stopped breathing and turned blue. What should you do first?
a. End your conversation with the family member, attend to your patient and do the CPR.
b. End your conversation with the family member, go to your patient’s bedroom and assess for airway, breathing and circulation.
c. End your conversation with the family member, and dial 999 to request for an ambulance.
d. Dial 111, and request for an urgent visit from the General Practitioner.

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22. Mr Smith has just been certified dead by the General Practitioner. However, no arrangements have been made by the family. What should you do first?
a. Check patient’s records for the next of kin details, and contact them to discuss about funeral services.
b. Ring the co-operative and arrange for the undertaker to pick up Mr Smith as soon as possible.
c. Contact the GP and discuss about how to deal with Mr Smith.
d. Contact your manager and enquire about dealing with Mr Smith.

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23. Mr Marriott, 21 years old, has been complaining of foul smelling urine, pain on urination and night sweats. What further assessment should be done to check if he has Urinary Tract Infection?
a. Assess his blood pressure.
b. Take a urine sample and send it to the lab.
c. Do the buccal swab and send the specimen to the lab.
d. Check his prothrombin time and signs of bleeding.

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24. A patient with a nutritional deficit and a MUST Score of 2 and above is of high risk. What should be done?
a. Refer the patient to the dietician, the Nutritional Support Team and implement local policy.
b. Observe and document dietary intake for three days.
c. Repeat screening weekly or monthly depending on the patient's food intake during the last 72 hours.
d. All of the above.

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25. According to the National Institute for Health and Care Excellence (NICE) Guidelines, examples of the Personal Protective Equipment are:
a. Tunic top, vascular access devices, surgical scissors
b. Gloves, aprons, face mask and goggles
c. Gloves, cannula, aprons and syringes
d. All of the above
e. None of the above

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26. Based on the National Institute for Health and Care Excellence (NICE) Guidelines, which of the following is incorrect about sharps container?
a. It must be located in a safe position and height to avoid spillage.
b. It should be temporarily closed when not in use.
c. It must not be filled above the fill line.
d. It must not be filled below the fill line.

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27. How do you prevent the spread on infection when nursing a patient with long term urinary catheters?
a. Patients and carers should be educated about and trained in techniques of hand decontamination, insertion of intermittent catheters where applicable, and catheter management before discharge from hospital.
b. Urinary drainage bags should be positioned below the level of the bladder, and should not be in contact with the floor.
c. Bladder instillations or washouts must not be used to prevent catheter-associated infections.
d. All of the above.

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28. Mrs Hannigan has been assessed to be on nutritional deficit with a MUST Score of 1, which means that she is on medium risk. One of your interventions is to modify her diet for her to meet her nutritional needs. What should you consider?
a. Mrs Hannigan's meal preferences.
b. Mrs Hannigan's intake and output records.
c. Mrs Hannigan's x-ray results.
d. A and B
e. B and C

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29. In a nursing and residential home setting, how will you manage your time and prioritise patients’ needs whilst doing your medication rounds in the morning?
a. Start administering medications from the patient nearest to the treatment room.
b. Start administering medications to patients who are in the dining room, as this is where most of them are for breakfast.
c. Check the list of patients and identify the ones who have Diabetes Mellitus and Parkinson's disease.
d. All of the above.

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30. Your patient has been recently prescribed with PEG feeding with a resting period of 4 hours. After two weeks of starting the routine, he has been having episodes of loose stool. What could be done?
a. Refer him to a dietician and review for a longer resting period between feeds.
b. Refer him to the tissue viability nurse for his peg site.
c. Examine his abdomen and assess for lumps.
d. Examine his peg site, and apply metronidazole ointment if swollen.

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31. It is important to read the label on every IV bag because:
a. Different IV solutions are packaged similarly
b. The label contains the expiration date of the IV fluid
c. A and B
d. A only

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32. You have noticed that the management wants all residents to be up and about by 8:30am, so they can be ready for breakfast. Mrs X has refused to get up at 8 am, and she wants to have a bit of a lie in, but one of the carers insisted to wash and dress her, and took her to the dining room. What type of abuse in in place?
a. Financial Abuse
b. Psychological Abuse
c. Sexual Abuse
d. Institutional Abuse

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33. You are preparing a client with Acquired Immunodeficiency Syndrome (AIDS) for discharge to home. Which of the following instructions should the nurse include?
a. Avoid sharing things such as razors and toothbrushes.
b. Do not share eating utensils with family members.
c. Limit the time you spend in public places.
d. Avoid eating food from serving dishes shared with others.

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34. You are preparing to administer a Tuberculin (Mantoux) Skin Test to a client suspected of having tuberculosis (TB). The nurse knows that the test will reveal which of the following?
a. How long the client has been infected with TB
b. Active TB Infection
c. Latent TB Infection
d. Whether the client has been infected with TB bacteria

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35. You have discovered that the last dose of intravenous antibiotic administered to service user was the wrong dose. Which of the following should you do?
a. Document the event in the service user’s medical record only.
b. File an incident report, and document the event in the service user’s medical record.
c. Document in the service user’s medical record that an incident report was filed.
d. File an incident report, but don’t document the even on the service user’s record, because information about the incident is protected.

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36. There has been a bomb threat at the medical centre. The emergency response team informs the staff that the threat is legitimate and that service users should start being evacuated. Which of the following should you do?
a. Ambulatory Patients
b. Bedridden Patients
c. ITU Patients
d. Infants

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37. A patient with a Bipolar Disorder makes a sexually inappropriate comment to the nurse. One should take which of the following actions?
a. Ignore the comment because the client has a mental health disorder and cannot help it.
b. Report the comment to the nurse manager.
c. Ignore the comment, but tell the incoming nurse to be aware of the client’s propensity to make inappropriate comments.
d. Tell the client that is it inappropriate for clients to speak to any nurse that way.

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38. You are nursing an adult patient with a long-bone fracture. You encourage your patient to move fingers and toes hourly, to change positions slightly every hour, and to eat high-iron foods as part of a balanced diet. Which of the following foods or beverages should you advise the client to avoid whilst on bed rest?
a. Fruit juices
b. Large amounts of milk or milk products
c. Cranberry juice cocktail
d. No need to avoid any foods while on bed rest

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39. The nurse is preparing to make rounds. Which client should be seen first?
a. 1 year old with hand and foot syndrome
b. 69 year old with congestive heart failure
c. 40 year old resolving pancreatitis
d. 56 year old with Cushing’s disease

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40. The nurse sat an older man on the toilet in a six-bed hospital bay. Using her judgement, she recognised that he was at risk of falling and so left the toilet door ajar. In the meantime, the nurse went to make his bed on the other side of the bay. On turning around, she noticed that the patient had fallen onto the toilet floor. What should be her initial intervention?
a. Immobilise the patient and conduct a thorough assessment, checking for injuries
b. Call for help immediately
c. Press the emergency call button immediately
d. Check the patient for injuries and transfer him to the wheelchair

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41. A patient with Leukaemia was about to receive a transfusion of blood platelets. The experiences nurse on duty in the ward noticed small clumps visible in the platelet pack and questions whether the transfusion should proceed. What should the nurse do?
a. Proceed with platelet transfusion and monitor for signs of rejection
b. Withhold platelet transfusion and document it on the patient’s chart
c. Ring the blood bank and enquire about the platelet pack received
d. All of the above

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42. You are about to administer Morphine Sulfate to a paediatric patient. The information written on the controlled drug book was not clearly written - 15 mg or 0.15 mg. What will you do first?
a. Not administer the drug, and wait for the General Practitioner to do his rounds
b. Administer 0.15 mg, because 15 mg is quite a big dose for a paediatric patient
c. Double check the medication label and the information on the controlled drug book; ring the chemist to verify the dosage
d. Ask a senior staff to read the medication label with you

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43. Mr Smith is 89 years old with Prostate Cancer. He was advised that the only treatment available for him was palliative care after Transurethral Resection of the Prostate. What is your main task as a coordinator of care in the multidisciplinary team?
a.) One should be able to organise the services identified in the care plan and across other agencies.
b.) Assess the patient for respiratory complications caused by gas exchange alterations due to old age.
c.) Sit down with the patient and ask for the frequency of his bowel elimination
d.) Document the patient’s capability of self-care activities and the support he needs to carry out activities of daily living.

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44. A diabetic patient with suspected Liver Tumor has been prescribed with Triphasic CT Scan.Which medication needs to be on hold after the scan?
a.) Furosemide
b.) Metformin
c.) Docusate Sodium
d.) Paracetamol

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45. An 82 year old lady was admitted to the hospital for assessment of her respiratory problems. She has been a long term smoker in spite of her daughter advising her to stop. Based on your assessment, she has lost a substantial amount of weight. How will you assess her nutritional status?
a.) Check her height and weight, so you can determine her BMI, BMI Score and Nutritional Care Plan
b.) Use the respiratory and perfusion assessment chart on admissionc
c.) Check if she is struggling to chew and swallow, and make a referral to the Speech and Language Therapist
d.) All of the above

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46. Which of the following statements is false?
a.) Abuse mostly happens in nursing and residential homes.
b.) Abuse can take place anywhere there is a vulnerable adult.
c.) Abuse can take place in a day care centre.
d.) Abuse can be carried out by anyone – doctors, nurses, carers and even family members.

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47. During the day, Mrs X was sat on a chair and has a table put in front of her to stop her getting up and walking about. What type of abuse is this?
a.) Physical Abuse
b.) Psychological Abuse
c.) Emotional Abuse
d.) Discriminatory Abuse

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48. Michael feels very uncomfortable when the carer visiting him always gives him a kiss and holds him tightly when he arrives and leaves his home. What type of abuse is this?
a.) Emotional Abuse
b.) Psychological Abuse
c.) Discriminatory Abuse
d.) Sexual Abuse

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49. Anna has been told that unless she does what the ward staff tell her, the consultant will stop her family from visiting. What type of abuse is this?
a.) Psychological Abuse
b.) Discriminatory Abuse
c.) Institutional Abuse
d.) Neglect

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50. Which of the following statements is true?
a.) Someone is only an abuser if they deliberately intend to cause harm.
b.) Abuse only happens to children.
c.) Only people over 70 can be vulnerable.
d.) Abuse can occur unintentionally without the person meaning to cause harm.

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Practice Tests: Test #4 - 50 questions