NMC Part 1 – Previously Asked CBT Questions and Answers – Page 17

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474. Which of the step is not involved in Tuckman’s group formation theory

  • Forming
  • Storming
  • Norming
  • accepting

475. A patient was on morphine at hospital. On discharge doc prescribes fentanyl patches. At home patient should be observed for which signs of opiate toxicity?

  • Shallow , slow respiration, drowsiness, difficulty to walk, speak and think
  • Rapid, shallow respiration, drowsiness, difficulty to walk, speak and think
  • Rapid, wheezy respiration, drowsiness, difficulty to walk, speak and think

476. when the doc will prescribe a broad spectrum antibiotic

  • on admission
  • when septicemia is suspected
  • when the blood culture shows positive growth of organism

477. A patient got admitted to hospital with a head injury. Within 15 minutes, GCS was assessed and itws found to be 15. After initial assessment, a nurse should monitor neurological status

  • Every 15 mts
  • 30mts
  • 40mts
  • 60mts

478. Sign of dehydration

  • Bounding pulse
  • Hypertension
  • Jugular distension
  • Hypotension

479. Precise indicator of anticoagulation status when on oral anticoagulants

  • ptt
  • aPTT
  • Cct
  • INR

480. A patient , after screening tests, is diagnosed as having ca breast. While discussin the treatment options, she begins to cry.As rn ur role?

  • Tell family members to take the patient home
  • Give leaflets about breast cancer and ask patient and family to leave
  • Consider it as a normal reaction to chronic diseases like cancer. Do nothing and patient will accept reality sooner or later
  • Comprehending the importance of taking right decision, offer a quiet and peaceful room to the patient and explore concerns

481. U just joined in a new hospital. U see a senior nurse beating a child with learning disability. Ur role

  • Neglect the situation as u r new to the scenario the situation as u r new to the scenario
  • Intervene at the spot, speak directly to the senior in a non-confronting manner, and report to management in writing
  • Inform the ward in-charge after the shift

482. During blood transfusion, a patient develops pyrexia, and loin pain. Rn interprets the situation as

  • Common reaction to transfusion
  • Adverse reaction to blood transfusion
  • Patient has septicemia

483. Angel, 52 years old lose her husband due to some disease. 4 weeks later, she callsher mother and says that, yesterday my husband died…I didn’t know that he was sick…I cant sleep and I see rats and mites in the kitchen. What is angel’s condition?

  • She cant adjust without her husband
  • Late grievance with signs of dementia
  • Alzheimers with delirium

484. A patients gum bleds when he brushes, which indicates

  • Poor flossing
  • Poor diet
  • Loose denture

485. A patient is on treatment5 for gout with allopurinol. You advice pt to

  • Expose himself to sunlight for some hrs every day
  • Drink plenty of water, 2-3 litres while taking tablet
  • Monitor renal function carefully
  • Dont use common analgesics

486. A nurse notices a thin emaciated child among the family members of a patient. The child is week and withdrawn. When nurse offers some food to child, mother says dnt give as he eats too much. Nurses response

  • Mother needs to take care of her child. So neglect the situation
  • Aski family members about child abuse
  • Call the local police for help

487. A patient doesn’t take a tablet which is prescribed by a doc. Nurse shud 20.

  • Inform the incident to senior nurse and ward inchargre
  • Inform pharmacist
  • Dont inform anybody…routinely chart

488. Hypokalemia can occur in which situation

  • Addissons disease
  • When use spironolactone
  • When use furosemide

489. A nurse delegates duties to a health assistant. What nmc standard she should keep in mind while doing this?

  • She transfers the accountability to care assistant
  • RN is accountable for care assistants actions
  • No need to assess the competency, as the care assistant is expert in her care area

490. A registered nurse notices that one of the student nurses is addicted to using social networks. She is not at all interested in patient care and always chat in the media. What is the worst advice RN can give to student

  • Don’t upload the pics of patients even if they give consent
  • Don’t chat with the previous or current patients
  • Use orivacy settings for safety
  • Never identify urself as a NURSE in any media

491. A nurse notices a bedsore . it’s a shallow wound, red colored with no pus. Dermis is lost. At what stage this bedsore is?

  • Stage1- non blanchable erythema
  • Stage2- Partial thickness skin lose
  • Stage3- full thickness skin loss
  • Stage4- full thickness tissue lose

492. Prior to administering digoxin, our role

  • Check the bp before administering
  • Check the HR nd rhythm
  • Make sure that patient had food
  • Patient doesn’t have any problems with urination

493. A youngster is getting discharged with antibiotics. Best advice that cud b give is

  • Complete the course of antibiotics
  • Once symptoms subside, u can stop taking
  • Every day take antibiotics as prescribed , with food or just after food. Make sure you take all tablets

494. Now the medical team encourages early ambulation in the post operative period. which complication is least prevented by this

  • Tissue wasting
  • Thrombophlebitis
  • Wound infection
  • pneumonia

495. a nurse has the role to protect the patient from clinical envt. Which of the following action wont necessarily protect him from envt??

  • Arranging medicines properly
  • Repairing medical eqpments
  • Keepin floor non slippery
  • Air conditioning the room

496. Which condition cause tissue edema

  • Left sided hert failure
  • Rightsided hf
  • Pulmonary embolism
  • Pulmonary hypertension

497. When an oropharyngeal airway is inserted properly, what is the sign

  • Airway obstruction
  • Retching and bomiting
  • Bradycardia
  • Tachycardia

498. Nursing care should be

  • Task oriented
  • Caring medical and surgical patient
  • Patient oriented, indicidualistic care
  • All

499. Who is responsible for disposing te sharps??

  •  Doctor
  • RN
  • Care assistany
  • One who used sharps

500. whom she should contact to improve the patients health before surgery

  •  Gastro enterologist
  • Dietitian
  • Family doc of pt
  • Physio

501. A patient, after stroke has sustained dysphagia. Which member of the inter disciplinary team a nurse shud contact??

  • Physiotherapist
  • Speech therapist
  • Neurophysiologist
  • Dietitian

502. A patient is not able to read and speak after he sustained a stroke. This condition is termed

  • Primary progressive aphasia
  • Aphasia
  • Dysphasia
  • Dysphagia

503. A nurse finds it very difficult to understand the needs of a child with learning disability. She goes to other nurses and professionals to seek help. How u interpret this action

  • The nurse is short of self confidence
  • nurse, who is well aware of her limitations seeked help from others. She worked within her competency.
  • She doesn’t have the kind of courage a nurse should have

504. An RN identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response?

  • Let her do the procedure. Cor4rect her later
  • Inform to ward incharge
  • Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent

505. Before giving direct care to the patient, u should

  • Wear mask, aprons
  • Wash hands with alchohol rub
  • Handwashing using 6 steps
  • Take all standard precautions

506. A community health nurse, with second yr nursing students is collect8ing history in a home. Nurse notices that a student is not at all interested in what is goin around and she is chatting in her phone. Ideal response?

  • Ask the student to leave the group
  • Warn her in public that such behaviours are not accepted
  • Inform to the principal
  • Talk to her in private and make her aware that such behaviours could actually belittle the profession

507. A patient’s gum bleeds when he brushes, which indicates

  • Poor flossing
  • Poor diet
  • Loose denture

508. When an oropharyngeal airway is inserted properly, what is the sign

  • Airway obstruction
  • Retching and vomiting
  • Bradycardia
  • Tachycardia

509. A patient, after stroke has sustained dysphagia. Which member of the interdisciplinary team should a nurse contact??

  • Physiotherapist
  • Speech therapist
  • Neurophysiologist
  • Dietician

510. A community health nurse, with a second year nursing students is collecting history in a home. Nurse notices that she is not at all interested in what is going around and is chatting on her phone. What is the ideal response?

  • Ask the student to leave the group
  • Warn her in public that such behaviors are not accepted Inform to the principal
  • Talk to her in private and make her aware that such behaviors could actually belittle the profession
  • ask her to leave phone and assist in what u do in polite language

511. When the doctor will prescribe a broad spectrum antibiotic

  • on admission
  • when septicaemia is suspected
  • when the blood culture shows positive growth of organism
  • after obtaining blood samples for culture

512. In the immediate post operative period, the priority is

  • Taking care of the airway
  • Watching for blood lose
  • Monitoring urine output

513. How to take an infected sheet for washing according to the UK standard

  • Take infected linen in yellow bag for disposal
  • Take in red plastic bag, that disintegrates in high temperature
  • Use red linen bag that allows washing in high temperature

514. You are nurse at the community care centre. An elderly complaints to you that his neighbour is stealing money from him. He spends it for his shopping and sometimes the neighbour does not shop and keeps the money with him .You will:

  • Confront the neighbour when he visits you next time
  • Remain quiet and ignore the complaint
  • request the elderly to talk to the hospital Chaplin for further assistance
  • Raise a complaint in the incident report form and investigate the matter and inform the concerned

515. A client wants to leave the hospital. The medical team is not happy with his clinical condition and judgment as per the mental health act. What will you do?

  • let the client leave the hospital as he does not possess any threat to the public or is visibly ill
  • inform the security to hold the patient and not let him go away
  • inform the police
  • counsel the patient to stay back in the hospital for his betterment

516. What is the purpose of clinical audit?

  • it helps to understand the functioning and effectiveness of nursing activities
  • helps to understand the outcomes and processes for medical and surgical procedures
  • helps to identify areas of improvement in the system pertaining to Nursing and medical personnel
  • helps to understand medical outcomes and processes only

517. While brushing the teeth the nurse observes bleeding gums in the client . The nurse understands that the probable cause for this gingivitis is:

  • Poor diet
  • Poor flossing
  • Poor tarter removal
  • Infection

518. Who among the list below are more prone to coronary artery disease?

  • Hypotension, smoker, DM, obese women , non sedentary life style
  • Hypotension ,smoker, DM, obese men with ,non sedentary lifestyle
  • hypertension, smoker, obese men ,sedentary lifestyle

519. Which position is given after abdominal paracentesis?

  • Supine with knees bent
  • Supine with head raised 40-50cm
  • Right lateral
  • Prone

520. What is the most serious complication after liver biopsy within 24hrs?

  • Nausea and vomiting
  • Pain at the site of biopsy
  • Back pain

521. Which of the following is an indication for intrapleural chest drain insertion?

  • Pneumothorax
  • Tuberculosis
  • Asth
  • Malignancy of lungs

522. Which is the most common sign of dehydration in older patient?

  • Reduced skin turgor
  • Bruises
  • Skin lesions
  • Pale/ Cyanosis

523. Which type of drugs causes most of the falls in older patient?

  • Hypnotics
  • Loop diuretics
  • Beta blockers
  • Non steroidal anti-inflammatory drugs

524. Which condition is not a cause of diarrhea?

  • Ulcerative colitis
  • Intestinal obstruction
  • Hashimotos disease
  • Food allergy

525. When do the proliferation phase start in wound healing

  • 10-24 days
  • Mminutes
  • 1-2 days
  • 25 days or more

526. You have just finished dressing a leg ulcer. You observe patient is depressed and withdrawn. You ask the patient whether everything is okay.She says yes. What is your next action?

  • Say ” I observe you don’t seem as usual. Are you sure you are okay?”
  • Say “Cheer up , Shall I make a cup of tea for you?”
  • Accept her answer & leave. attend to other patients
  • Inform the doctor about the change of the behaviour.

527. Symptoms of dehydration

  • Increased pulse rate and BP
  • Increased pulse rate and decreased BP
  • Decreased pulse rate and increased BP
  • Decreased pulse rate and BP

528. Patient says, “I hate this cancer”. Nurse understands which stage patient is in according to Kubbler Ross stages of death?

  • Anger
  • Denial
  • Depression
  • Bargaining

529. Patient is in the end stage palliative care.which among the following is not advisable?

  • Giving analgesics and trying to relieve the symptoms
  • Talk to family and friends to provide a psychological support
  • Resuscitation
  • Make the patient sit outside and engage in the activities he likes.

530. What is the best nursing responsibility in the following regarding privacy?

  • Privacy is only maintained in elderly patients
  • Privacy is only maintained in mixed sex wards.
  • Privacy should always maintained whatever the situation may be
  • Privacy is only maintained in emergency situation

531. What is the concept of record keeping?

  • It is any form of arrangements of records which gives relevant information about patient
  • It has a record of nursing care given to the patient
  • It has medical history of the patient and the ongoing treatment
  • All of the above

532. Nurse advises patient to move extremities away form midline. what is this movement called as

    • adduction
    • Abduction
      • Flexion
    • Extension

533. Nurse is in contact with the patient after the discharge of the patient through mails and contacts. Which is the least option to send to the patient through mails?

  • Health promotional events
  • Positive reinforcement on smoking cessation
  • Patient’s abnormal blood results
  • Content on healthy dietary habits

534. A person who display the defence mechanism of compensation

  • Refuse to hear unwanted information
  • Transfer feeling to someone else
  • Place blame on others for personal actions
  • Overemphasize behavior which accommodate for perceived weakness

535. A patient who refuses to believe a terminal diagnosis is exhibiting

  • Regression
  • Mourning
  • Denial
  • Rationalization

536. Common cause of airway obstruction in an unconscious patient

  • Oropharyngeal tumor
  • Laryngeal cyst
  • Obstruction of foreign body
  • Tongue falling back

537. Mr. XXX suffers from Cerebro vascular accident, he is unable to speak or verbalize anything, which medical term is more appropriate

  • Dysphagia
  • Aphasia
  • Ataxia
  • Dysphasia

538. Angle of Subcutaneous Insulin administration

  • 45
  • 90
  • 25
  • 40

539. A patient with dehydration has severe fluid volume deficit, which following sign will indicate

  • Hypotension
  • A bounding pulse
  • Increased urine output
  • Increased respiratory rate

540. what a patient should not do when using zimmer frame

  • it can be used outside
  • don’t carry any other thing with walker
  • push walker forward when using
  • slide walker forward

541. A nurse assistant dealing aggressively with an elderly patient what will be your action

  • immediately block the staff and report in the authority ,&make sure that pt is safe.
  • ignore the situation
  • report in the authority
  • enquire about the incident with the pt later

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

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

543. You are caring for a Hindu client and its time for drug administration; the client refuses to take the capsule reffering to the animal product that might have been used in its making, what is the appropriate action for the nurse to perform?

  • She will not administer and document the omissions in the patients chart
  • The nurse will ignore the clients request and administer forcefully
  • The nurse will open the capsule and administer the powdered drug
  • The nurse will establish with the pharmacist if the capsule is suitable for vegetarians

544. How to collect urine for examination of a patient who is admitted?

  • With strip for test
  • Clean the meatus and collect midstream urine
  • Clean and collect first urine
  • Take the last urine.

555. NMC stands for?

  • Sets standards of practice,conduct.. for nurses
  • Is a labour organisation
  • To make written complaints
  • Keeps record of nurse salaries.

556. When you tell your 4th year student under your care to dispense medication to your patient what you will assess?

  • Whether she is able to give medicine.
  • Whether she is under your same employment
  • You will assess her competency and skills
  • Supervise directly

557. When will you disclose the informed consent?

  • Media interest.
  • On the request of the doctor.
  • Justified by public interest AND law and order.
  • On public interest.

558. If your patient is having positive balance, how will you find out dehydration is balanced?

  • Input exceeds output.
  • Output exceeds input.
  • optimally hydrated.
  • Optimally dehydrated.

559. What is the meaning of accountability?

  • Responsibility with authority.
  • Discipline
  • Respect
  • Responsible and answerable

560. After lumbar puncture, the patient became unconscious. What will be the reason?

  • Increased ICP.
  • Headache.
  • Side effect of medications.
  • CSF leakage

561. How to move patient after laminectomy?

      • Move as a unit.
      • Logrolling with bed sheet.
      • Ask the patient to drag/slide slowly by holding the side rails.
    • Move the head first and then the body.

562. For adverse drug reaction, in which colour will you mark?

  • Red
  • Yellow
  • Blue
  • Pink

563. What is not the sign of meconium aspiration?

  • Baby will cry.
  • apnoea
  • Baby will be floppy
  • Mottled skin

564. An 8 year old child with learning disability is admitted for a minor surgery. The mother wants to stay with the child after visiting hours. What will be your response?

  • Allow the mother to stay.
  • You will ask the treating physician.
  • You will inform the mother that the official visiting hours are over.
  • You will tell the mother that she can go and that you will take care of the child.

565. 40 mg medicine is to be given to the patient. However, 1.5 mg tablet is available in the ward. How many tablets will you administer?

  • 10
  • 4
  • 16
  • 12.

566. Which is not the sign of ectopic pregnancy

  • shoulder pain.
  • vaginalbleeding
  • dysuria
  • positive pregnancy test.

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