1) A patient is rapidly deteriorating due to drug over dose what to do?
A. Assess ABCDE, call help, keep anaphylactic kit
B. Call for help, keep anaphylactic kit, assess ABCDE
C. Assess ABCDE, keep anaphylactic kit, inform doctor, call for help
2. 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?
a. it is ok to breastfeed as long as it is done privately
b. it is ok to breastfeed because the hospital supports this practice
c. refrain from breastfeeding as of now because of her UTI treatment
d. breast milk is the best and she can feed her baby anytime they visit
3) IV injection need to be reconsidered when,?
A. Medicine is available in tab form
B. Poor alimentary absorption
C. Drug interaction due to GI secretions
4. A patient suffered from CVA and is now affected with dysphagia. What should not be an
intervention to this type of patient?
A. Place the patient in a sitting position / upright during and after eating.
B. Water or clear liquids should be given.
C. Instruct the patient to use a straw to drink liquids.
D. Review the patient's ability to swallow , and note the extent of facial paralysis.
5. Which check do you need to carry out before setting up an enteral feed via a nasogastric
tube?
A. That when flushed with red juice, the red juice can be seen when the tube is aspirated.
B. That air cannot be heard rushing into the lungs by doing the ‘whoosh test’.
C. That the pH of gastric aspirate is <5.5, and the measurement on the NG tube is the same
length as the time insertion.”
D. That pH of gastric aspirate is >6.0, and the measurement on the NG tube is the same
length as the time insertion.
75. In using social media like Facebook, how will you best adhere to your Code of Conduct
as a nurse? (CHOOSE 2 ANSWERS) a) Never have relationship with previous patient
b) Never post pictures concerning your practice
c) Never tell you are a nurse
d) Always rely SOLELY in your FBs privacy setting
6. 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
7. Hearing aid provide to client comes under which act?
a) communication act
b) mental capacity act
c) children and family act.
d) Equality Act
8. Mental Capacity Act 2005 explores which of the following concepts:
a) Mental capacity, advance treatment decisions, and act’s code of practice
b) Mental capacity, independent mental capacity advocates, and the act’s code of practice
c) Mental capacity, advance treatment decisions, independent mental capacity
advocates, and the act’s code of practice
d) Mental capacity and the possible ethical and legal dilemmas in its interpretation.
9. 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) Data Protection Act 2005
b) Storage of Records Policy
c) Consent policy
d) Confidentiality guidelines
10. 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.
11. When you tell a 3rd year student under your care to dispense medication to your patient
what will you assess? a) Whether s/he is able to give medicine
b) Whether s/he is under your same employment
c) His/her competence and skills
d) Supervise directly
12. 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
13. 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
14. 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. Suspend HCA immediately
B. Intervene on spot and raise concern immediately to the manager on duty
C. Ask the client later on what has happened
D. Ignore the student as she is new and does not have any experience
15. 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) It is subjective perspective of the person's heritage and sense of belonging to a group
b) It is a group of individuals in a society that is culturally distinct and has a unique identity
c) It is a process of learning, a different culture to adapt to a new or change in
environment
d) It is a group that share some of the characteristics of the larger population group of which
it is a part
16. You are the nurse in charge of the unit and you are accompanied by 4 th year nursing
students.
a) Allow students to give meds
b) Assess competence of student
c) Get consent of patient
d) Have direct supervision
17. According to the royal marsden manual, a staff who observe the removal of chest
drainage is considered as?
a) Official training
b) Unofficial training
c) Hours which are not calculated as training hours
d) It is calculated as prescribed training hours.
18. Which of the following is an important principle of delegation?
a) No transfer of authority exists when delegating
b) Delegation is the same as work allocation
c) Responsibility is not transferred with delegation
d) When delegating, you must transfer authority
19. 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) Having the new nurse tell the physician the task has been completed.
b) Supervising the performance of the new nurse
c) Telling the unit manager, the task has been completed
d) Documenting that the task has been completed.
20. Independent Advocacy is:
a) Providing general advice
b) Making decisions for someone
c) Care and support work
d) Agreeing with everything a person says and doing anything a person asks you to do
e) None of the above
21. A patient with learning disability is accompanied by a voluntary independent mental
capacity advocate. What is his role?
a) Express patients’ needs and wishes. Acts as a patient’s representative in expressing their
concerns as if they were his own
b) Just to accompany the patient
c) To take decisions on patient’s behalf and provide their own judgements as this benefit the client
d) Is expert and representative’s clients concerns, wishes and views as they cannot express
by themselves
22. The client is being involuntary committed to the psychiatric unit after threatening to kill
his spouse and children. The involuntary commitment is an example of what bioethical
principle?
a) Fidelity
b) Veracity
c) Autonomy
d) Beneficence
22. According to the nursing code of ethics, the nurse’s first allegiance is to the:
a) Client and client's family
b) Client only
c) Healthcare organization
d) Physician
23. Which option best illustrates a positive outcome for managed care?
a) Involvement in the political process.
b) Reshaping current policy.
c) Cost-benefit analysis.
d) Increase in preventive services
24. While at outside setup what care will you give as a Nurse if you are exposed to a
situation?
a) Provide care which is at expected level
b) Above what is expected
c) Ignoring the situation
d) Keeping up to professional standards
25. As a nurse, the people in your care must be able to trust you with their health and well
being. In order to justify that trust, you must not:
a) work with others to protect and promote the health and wellbeing of those in your care
b) provide a high standard of practice and care when required
c) always act lawfully, whether those laws relate to your professional practice or personal life
26. Describe the primary focus of a manager in a knowledge work environment.
a) Developing the most effective teams
b) Taking risks.
c) Routine work
d) Understanding the history of the organization.
27. Which strategy could the nurse use to avoid disparity in health care delivery?
a) Recognize the cultural issue related to patient care
b) Request more health plan options
c) Care for more patients even if quality suffers
d) Campaign for fixed nurse patient ratios
28. Information can be disclosed in all cases except:
a) When effectively anonymized.
b) When the information is required by law or under a court order.
c) In identifiable form, when it is required for a specific purpose, with the individual’s
written consent or with support under the Health Service
d) In Child Protection proceedings if it is considered that the information required is in the
public or child’s interest
29. A registered nurse had a very busy day as her patient was sick, got intubated
& had other life saving procedures. She documented all the events & by the
end of the shift recognized that she had documented in other patient's record.
What is best response of the nurse?
a) She should continue documenting in the same file as the medical document
cannot be corrected
b) She should tear the page from the file & start documenting in the correct record
c) She should put a straight cut over her documentation & write as wrong, sign it
with her NMC code, date & time
d) She should write as wrong documentation in a bracket & continue
30. What are essential competencies for today's nurse manager?
a) strategic planning and design
b) Self and group awareness
c) A vision and goals
d) Communication and teamwork
31. What statement, made in the morning shift report, would help an effective
manager develop trust on the nursing unit?
a) I know I told you that you could have the weekend off, but I really need you to
work.”
b) The others work many extra shifts, why can’t you?
c) I’m sorry, but I do not have a nurse to spare today to help on your unit. I cannot
make a change now, but we should talk further about schedules and needs.”
d) I can’t believe you need help with such a simple task. Didn’t you learn that in
school?”
32. The nurse has just been promoted to unit manager. Which advice, offered by a
senior unit manager, will help this nurse become inspirational and
motivational in this new role?
a) "If you make a mistake with your staff, admit it, apologize, and correct the error if
possible."
b) "Don't be too soft on the staff. If they make a mistake, be certain to reprimand
them immediately."
c) "Give your best nurses extra attention and rewards for their help."
d) "Never get into a disagreement with a staff member.
33. What do you mean by a bad leadership?
a) Appreciate intuitiveness
b) Appreciate better work
c) Reward poor performance
34. Which of the major theories of aging suggests that older adults may
decelerate the aging process?
a) Disengagement theory
b) Activity theory
c) Immunology theory
d) Genetic theory
35. The characteristic of an effective leader includes:
a) attention to detail
b) sound problem-solving skills and strong people skills
c) emphasis on consistent job performance
d) all of the above
36. The famous 14 Principles of Management was first defined by
a) James Watt
b) Adam Smith
c) Henri Fayol
d) Elton Mayo
37. A patient has sexual interest in you. What would you do?
a) Just avoid it, because the problem can be the manifestation of the underlying
disorder, and it will be resolved by its own as he recovers
b) Never attend that patient
c) Try to re-establish the therapeutic communication and relationship with patient
and inform the manager for support
d) Inform police
38. One of your young patient displayed an overt sexual behaviour directly to
you. How will you best respond to this?
a) Talk to the patient about the situation, to re- establish and maintain professional
boundaries and relationship
b) ignore the behaviour as this is part of the development process
c) report the patient to their relatives
d) inform line manager of the incident
39. A nurse case manager receives a referral to provide case management
services for an adolescent mother who was recently diagnosed with HIV.
Which statement indicates that the patient understands her illness?
a) “I can never have sex again, so I guess I will always be a single parent.”
b) “I will wear gloves when I’m caring for my baby, because I could infect my baby
with AIDS.”
c) “My CD4 count is 200 and my T cells are less than 14%. I need to stay at these
levels by eating and sleeping well and staying healthy.”
d) “My CD4 count is 800 and my T cells are greater than 14%. I need to stay at
these levels by eating and sleeping well and staying healthy.”
40. A young woman who has tested positive for HIV tells her nurse that she has
had many sexual partners. She has been on an oral contraceptive &
frequently had not requested that her partners use condoms. She denies IV
drug use she tells her nurse that she believes that she will die soon. What
would be the best response for the nurse to make.
a) “Where there is life there is hope”
b) “ Would you like to talk to the nurse who works with HIV- positive patient’s?”
c) “ you are a long way from dying”
d) “ not everyone who is HIV positive will develop AIDS & die”
