cbt 16.pdf - MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC 1 What is the role of the NMC a b c d To represent or campaign on behalf of nurses and

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Unformatted text preview: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC 1. What is the role of the NMC? a) b) c) d) To represent or campaign on behalf of nurses and midwifes To regulate hospital or other healthcare settings in the UK To regulate health care assistance To regulate nurses and midwives in the UK to protect the public 2. What is the purpose of The NMC Code? a) It outlines specific tasks or clinical procedures b) It ascertains in detail a nurse's or midwife's clinical expertise c) It is a tool for educating prospective nurses and midwives 3. All are purposes of NMC except: a) NMC’s role is to regulate nurses and midwives in England, Wales, Scotland and Northern Ireland. b) It sets standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare throughout their careers. c) It makes sure that nurses and midwives keep their skills and knowledge up to date and uphold its professional standards. d) It is responsible for regulating hospitals or other healthcare settings. 4. The UK regulator for nursing & midwifery professions within the UK with a started aim to protect the health & well-being of the public is: a) b) c) d) GMC NMC BMC WHC 5. Which of the following agency set the standards of education, training and conduct and performance for nurses and midwives in the UK? a) b) c) d) NMC DH CQC RCN 6. What do you mean by code of ethics? A) Legal activities of a registered nurse who work in the UK B) Legislative body to control nurses 7. The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and midwives must act in line with the Code, whether they are providing direct care to individuals, groups or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles; such as leadership, education or research. What 4 Key areas does the code cover: a) Prioritise people, practise effectively, preserve safety, promote professionalism and trust b) Prioritise people, practise safely, preserve dignity, promote professionalism and trust c) Prioritise care, practise effectively, preserve security, promote professionalism and trust d) Prioritise care, practise safely, preserve security, promote kindness and trust 8. NMC requires in the UK how many units of continuing education units a nurse should have in 3 years? a) b) c) d) 35 Units 45 Units 55 Units 65 Units 9. The code is the foundation of a) b) c) d) Dress code Personal document Good nursing & midwifery practice & a key tool in safeguarding the health &wellbeing of the public Hospital administration 10. According to NMC Standards code and conduct, a registered nurse is EXCLUDED from legal action in which one of these? a) b) c) d) Fixed penalty for speeding Possessing stock medications Convicted for fraud Convicted for theft 11. The NMC Code expects nurse to safeguarding the health and wellbeing of public through the use of best available evidence in practice. Which of the following nursing actions will ensure this? a) b) c) d) using isopropyl alcohol 70% to wipe skin prior to cannulation suggesting healthcare products or services that are still trialled ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care all 12. Among the following values incorporated in NMC’s 6 C’s, which is not included? a) Care b) Courage c) Confidentiality d) Communication 13. Which of the following is NOT one of the six fundamental values for nursing, midwifery and care staff set out in compassion in Practice Nursing, Midwifery & care staff? a) b) c) d) Care Consideration Communication Compassion 14. A nurse delegates duty to a health assistant, what NMC standard she should keep in mind while doing this? a) b) c) d) She transfers the accountability to care assistant RN is accountable for care assistant’s actions No need to assess the competency, as the care assistant is expert in her care area Healthcare assistant is accountable to only her senior 15. According to law in England, UK when you faced with a situation of emergency what is your action? a) b) c) d) Should not assist when it is outside of work environment Law insists you to stop and assist You are not obliged in any way but as a professional duty advises you to stop and assist Do not involve in the situation 16. A patient has been assessed as lacking capacity to make their own decisions, what government legislation or act should be referred to: a) b) c) d) Health and Social Care Act (2012) Mental capacity Act (2005) Carers (Equal opportunities) Act (2004) All of the above 17. Under the Carers (Equal opportunities) Act (2004) what are carers entitled to? a) b) c) d) Their own assessment Financial support Respite care All of the above 18. How many steps to discharge planning were identified by the Department of Health (DH 2010)? a) b) c) d) 5 steps 8 steps 10 steps 12 steps 19. The single assessment process was introduced as part of the National Service Framework for Older People (DH 2001) in order to improve care for this groups of patients. a) True b) False 20. Under the Carers (Equal opportunities) Act (2004) what are carers entitled to? a) b) c) d) Their own assessment Financial support Respite care All of the above 21. Which law provides communication aid to patient with disability? a) b) c) d) Communication Act Equality Act Mental Capacity Act Children and Family Act 22. What law should be taken into consideration when a patient has hearing difficulties and would need hearing aids? a) Mental capacity Act b) Equality act c) Communication law 23. Hearing aid provide to client comes under which act? a) b) c) d) communication act mental capacity act children and family act. Equality Act 24. Mental Capacity Act 2005 explores which of the following concepts: a) b) c) d) Mental capacity, advance treatment decisions, and act’s code of practice Mental capacity, independent mental capacity advocates, and the act’s code of practice Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act’s code of practice Mental capacity and the possible ethical and legal dilemmas in its interpretation. 25. A patient has been assessed as lacking capacity to make their own decisions, what government legislation or act should be referred to: a) b) c) d) Health and Social Care Act (2012) Mental capacity Act (2005) Carers (Equal opportunities) Act (2004) All of the above 26. An enquiry was launched involving death of one of your patients. The police visited your unit to investigate. When interviewed, which of the following framework will best help assist the investigation? a) b) c) d) Data Protection Act 2005 Storage of Records Policy Consent policy Confidentiality guidelines 27. Which of the following statements is false? a) b) c) d) Abuse mostly happens in nursing and residential homes. Abuse can take place anywhere there is a vulnerable adult. Abuse can take place in a day care centre. Abuse can be carried out by anyone – doctors, nurses, carers and even family members. 28. 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) b) c) d) Physical Abuse Psychological Abuse Emotional Abuse Discriminatory Abuse 29. 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) b) c) d) Emotional Abuse Psychological Abuse Discriminatory Abuse Sexual Abuse 30. 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) b) c) d) Psychological Abuse Discriminatory Abuse Institutional Abuse Neglect 31. Christine cannot get herself a drink because of her disability. Her carers only give her drinks three times a day so she does not wet herself. What type of abuse is this? a) Physical Abuse b) Institutional Abuse c) Neglect d) Sexual Abuse 32. Gabriella is 26 year old woman with severe learning disabilities. She is usually happy and outgoing. Her mobility is good, her speech is limited but she is able to be involved if carers take time to use simple language. She lives with her mother, and is being assisted with personal care. Her home care worker has noticed bruising on upper insides of her thighs and arms. The genital area was red and sore. She told the care worker that a male care worker is her friend and he has been cuddling her but she does not like the cuddling because it hurts. What could possibly be the type of abuse Gabriella is experiencing? a) b) c) d) Discriminatory Abuse Financial Abuse Sexual Abuse Institutional Abuse 33. You have noticed that the management wants all residents to be up and about by 8:30 am, 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) b) c) d) Financial Abuse Psychological Abuse Sexual Abuse Institutional Abuse 34. Patient asking for LAMA, the medical team has concern about the mental capacity of the patient, what decision should be made? a) b) c) d) call the police call the security let the patient go encourage the patient to wait by telling the need for treatment 35. You are in a registered nurse in a community giving health education to a patient and you notice that the student nurse is using his cell phone to text, what should you do? a) Tell the student to leave and emphasize what a disappointment she is b) Report the student to his Instructor after duty c) Politely signal the student and encourage him by actively including him in the discussion 36. A person supervising a nursing student in the clinical area is called as: a) b) c) d) mentor preceptor interceptor supervisor 37. Training of student nurses is the responsibility of: a) b) c) d) Ward in charge Senior nurses Team leaders All RNS 38. You can delegate medication administration to a student if: a) The student was assessed as competent b) Only under close, direct supervision c) The patient has only oral medication 39. A community health nurse, with second year nursing students is collecting history in a home. Nurse notices that a student is not at all interested in what is going around and she is chatting in her phone. Ideal response? a) b) c) d) 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 40. In supervising a student nurse perform a drug rounds, the NMC expects you to do the following at all times: a) b) c) d) supervise the entire procedure and the sign the chart allow student to give drugs and sign the chart at the end of shift delegate the supervision of the student to a senior nursing assistant and ask for feedback allow the student to observe but not signing on the chart 41. A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to a) b) c) d) Role modelling behaviours of the preceptor The philosophy of the new nurse's school of nursing The orientation provided to the new nurse Lack of trust in the team members 42. Being a student, observe the insertion of an ICD in the clinical setting. This is a) Formal learning b) Informal learning 43. When you tell a 3rd year student under your care to dispense medication to your patient what will you assess? a) b) c) d) Whether s/he is able to give medicine Whether s/he is under your same employment His/her competence and skills Supervise directly 44. You are mentoring a 3rd year student nurse, the student request that she want to assist a procedure with tissue viability nurse, how can you deal with this situation a) Tell her it is not possible b) Tell her it is possible if you provide direct supervision c) Call to the college and ask whether it is possible for a 3rd student to assist the procedure d) Allow her as this is the part of her learning 45. A registered nurse is a preceptor for a new nursing graduate an is describing critical paths and variance analysis to the new nursing graduate. The registered nurse instructs the new nursing graduate that a variance analysis is performed on all clients: a) Continuously b) daily during hospitalization c) every third day of hospitalization d) every other day of hospitalization 46. you have assigned a new student to an experienced health care assistant to gain some knowledge in delivering patient care. The student nurse tells you that the HCA has pushed the client back to the chair when she was trying to stand up. What is your action a) As soon as possible after an event has happened (to provide current (up to date) information about the care and condition of the patient or client) b) Every hour c) When there are significant changes to the patient’s condition d) At the end of the shift 47. Who is responsible for the overall assessment of the student’s fitness to practice and documentation of initial, midterm and final assessments in the Ongoing Achievement Record (OAR)? a) The mentor b) The charge nurse/manager c) Any registered nurse on same part of the register 48. What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement? a) b) c) d) 40% 60% Not specified, but as much as possible Depends on the student capabilities 49. Which student require a SOM? a) b) c) d) e) f) All consolidation students who started an NMC approved undergraduate programme which commenced after September 2007. Learners undertaking conversion courses Students on their final placement in 2nd year Nurses/midwifes undertaking Mentorship Preparations All midwifery pre-registrations students throughout training Nurses/midwives undertaking SOM Preparation. 50. A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response in which of the following? a) b) c) d) It is subjective perspective of the person's heritage and sense of belonging to a group It is a group of individuals in a society that is culturally distinct and has a unique identity It is a process of learning, a different culture to adapt to a new or change in environment It is a group that share some of the characteristics of the larger population group of which it is a part 51. You are the nurse in charge of the unit and you are accompanied by 4th year nursing students. a) b) c) d) Allow students to give meds Assess competence of student Get consent of patient Have direct supervision 52. When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation? a) b) c) d) tell the student to feed the patient slowly to help stop coughing ask the student to completely stop feeding ask student to allow patient some sips of water to stop coughing ask student to stop feeding and assess patients swallowing 53. According to the royal marsden manual, a staff who observe the removal of chest drainage is considered as? a) b) c) d) Official training Unofficial training Hours which are not calculated as training hours It is calculated as prescribed training hours. 54. To whom should you delegate a task? a) Someone who you trust b) Someone who is competent c) Someone who you work with regularly d) All of the above 55. Which of the following is an important principle of delegation? a) b) c) d) No transfer of authority exists when delegating Delegation is the same as work allocation Responsibility is not transferred with delegation When delegating, you must transfer authority 56. A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation? a) b) c) d) Having the new nurse tell the physician the task has been completed. Supervising the performance of the new nurse Telling the unit manager, the task has been completed Documenting that the task has been completed. 57. Which of the following is a specific benefit to an organization when delegation is carried out effectively? a) b) c) d) Delegates gain new skills facilitating upward mobility The client feels more of their needs are met Managers devote more time to tasks that cannot be delegated The organization benefits by achieving its goals more efficiently 58. The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to? a) b) c) d) Practical Nurse Registered Nurse Nursing assistant Volunteer 59. Which task should be assigned to the nursing assistant? a) Placing the client in seclusion b) Emptying the Foley catheter for the preclamptic client c) Feeding the client with dementia d) Ambulating the client with a fractured hip 60. Independent Advocacy is: a) b) c) d) e) Providing general advice Making decisions for someone Care and support work Agreeing with everything a person says and doing anything a person asks you to do None of the above 61. What is meant by an advocate? a) b) c) d) Someone who develops opportunities for the patient Someone who has the same beliefs as the patient Someone who does something on behalf of the patient Someone who has the same values as the patient. 62. A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? a) b) c) d) Taking a public stand on quality issues and educating the public on” public interest” issues Teaching in a school of nursing to help decrease the nursing shortage Engaging in nursing research to justify nursing care delivery Supporting the status quo when changes are pending 63. In the role of patient advocate, the nurse would do which of the following? a) b) c) d) Emphasize the need for cost-containment measures when making health care decisions Override a patient’s decision when the patient refuses the recommended treatment Support a patient’s decision, even if it is not the decision desired by the nurse Foster patient dependence on health care providers for decision making 64. What is Advocacy according to NHS Trust? a) b) c) d) It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need. This is the divulging or provision of access to data It is the response to the suffering of others that motivates a desire to help It is a set of rules or a promise that limits access or places restrictions on certain types of information. 65. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's: a) b) c) d) Educator Advocate Care giver Case manager 66. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role? a) b) c) d) Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own Just to accompany the patient To take decisions on patient’s behalf and provide their own judgements as this benefit the client Is expert and representative’s clients concerns, wishes and views as they cannot express by themselves 67. A client experiences an episode of pulmonary oedema because the nurse forgot t...
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