A pleasant day to all of you!

Please see below some pointers to review that will help you for CBT exam.

CBT EXAM:
Important:
*Read blue book or Blue print @ The NMC website
1. NMC Code for Nurses
2. NMC Standards and guidelines
3. NMC Blue print for adult (general) nursing
4. Always read topics that are marked as E (Essentials)
5. Study drug calculations

Standard formula: D-(DESIRED )

__________
X QUANTITY
S-(SUPPLY)

6. Read / browse the website / links in NMC blueprints

7. Read topics in NMC blue book about geniatrics / caring for older persons.
8. Read about drugs like Colchicine , Epinephrine , Emergency drugs , Preacutions and Nursing
Considerations.

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1. Read ALL the links found in the NMC Blueprint (do not memorise, just read and understand)
2. Secure a copy of the Royal Marsden Manual of Clinical Nursing Procedures, 9th Edition. Follow the
instruction below and you'll get a copy of the book.
just email: freenursingbooks@gmail.com and write the subject THE ROYAL MARSDEN
3. Answer and review this link, it is very helpful
http://www.royalmarsdenmanual.com/student/mcqs/complete.asp
4. Read a lot about SAFEGUARDING. CONSENT and CONFIDENTIALITY.
What to do if you have safeguarding concerns
What to do if a client confides or reports abuse to you
When are you allowed to breach confidentiality,
For consent, if the person has CAPACITY, the person's decision is always followed.
Consent to treatment (Children and young people)
5. Read about Clinical governance, clinical effectiveness and clinical audit (definitions)
6. Observation and scoring tools: MUST, NEWS (AVPU)- keep in mind the interventions for each score,
the purpose of NEWS
VIP score- signs and interventions
Waterlowe score
7. Vital signs and its indications
8. Nursing process (activities done for each)
9. Infection control (6-step handwashing, PPE's, waste disposal, barrier nursing, standard precaution,
universal precaution) - take note of infected waste, linens and sharp disposal. Color of waste disposal
and linen bags.
10. Notifiable diseases
11. Medicines Management (indication for IM,IV; proper injection technique, safe/danger sites,
transport and storage of controlled drugs, emergency drugs, Nitrogycerina,opioids, digoxin, allopurinol,
colchicine - nursing education, s/e, action)
12. Read about dementia, delirium, Alzheimer's - s/s, how to communicate, nursing interventions
13. Communication Techniques (talking with unconscious pt, communication skills)
14. Identify if pt is undergoing shock (Anaphylactic, Hypovolemic etc) and your initial actions
15. Transporting biohazard specimen, routine lab studies (basic only) proper collection and transport
16. Yellowcard scheme
17. Clostridium difficile and other diarrheal diseases (nursing actions. instructions)
18. frequency of monitoring of pt with head injury(NICE guidelines)
19. Manual handling and proper use of walking aids
20. End of life care (Last offices)
21. Tuckman's team formation, Contingency management, Benchmarking, Contingency management
22. The Code, Standards of Practice, 6Cs, Registration
23. Nutrition and hydration, nutritional support
24. Very basic drug calculation (D/S, CC/hr)
25. Leadership and management
26. use of social media
27. Services: Community nursing, acute care, primary care, intermediate care
28. Hospital DISCHARGE
29. steps to take during needlestick injury
30. Pre, Intra and post op
31. Positioning of patient for procedures
32. Pain Ladder (WHO)

other tips:
read the question carefully (easy but tricky)
make sure you respond appropriately in emergency situations (safety is very critical in the exam)
you have plenty of time, don't rush.
do not study complicated cases, pathophysiology. Focus on the basics.

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1. Read ALL the links found in the NMC Blueprint (do not memorise, just read and understand)
2. Secure a copy of the Royal Marsden Manual of Clinical Nursing Procedures, 9th Edition. Follow the
instruction below and you'll get a copy of the book.
just email: freenursingbooks@gmail.com and write the subject THE ROYAL MARSDEN
3. Answer and review this link, it is very helpful
http://www.royalmarsdenmanual.com/student/mcqs/complete.asp. - more or less 10 questions came
from these samples
4. Read a lot about SAFEGUARDING. CONSENT and CONFIDENTIALITY.
What to do if you have safeguarding concerns
What to do if a client confides or reports abuse to you. - what to do if a colleague reports to you about
what they saw
When are you allowed to breach confidentiality. - what to do to ensure confidentiality
For consent, if the person has CAPACITY, the person's decision is always followed.
Consent to treatment (Children and young people)
6. Observation and scoring tools: MUST. - (interventions for monitoring weight/preventing weight loss)
NEWS
9. Infection control. - (source isolation)
11. Medicines Management - controlled drugs, situations when it is NOT advisable to let patient take
their own medication
12. Read about dementia, delirium, Alzheimer's - s/s, how to communicate, nursing interventions
13. Communication Techniques - (Therapeutic responses to relatives of terminally ill, expired patients)
14. Identify if pt is undergoing shock (Anaphylactic, Hypovolemic etc)
17. Clostridium difficile and other diarrheal diseases (nursing actions. instructions) - read about
TRAVELLER'S DIARRHEA
19. Manual handling and proper use of walking aids - this was mentioned but the issue was about
patient refusing to use walking aids
22. The Code, Standards of Practice. - what to do if an emergency situation occurs outside your work
environment
23. Nutrition and hydration, nutritional support - familiarize yourself with BMI categories
24. Very basic drug calculation (D/S, CC/hr). - around 15 questions, no need to review for this. As long as
you know the basics of drugs and IVF computations, you can calculate answers mentally
25. Leadership and management - Delegating tasks, responsibilities
27. Services: Community nursing, acute care, primary care, intermediate care
28. Hospital DISCHARGE - Transcribing, what to include
30. Pre, Intra and post op - types of operation where you should NOT tilt the bed after operation

OTHER TOPICS INCLUDED:

Review signs and symptoms of these diseases, choose carefully because the choices would list 4 or 5
symptoms, and each choice would have 2 or 3 similar symptoms in them.

Diabetes
Hypertension
CRF
Anemia
Sepsis

Read about covert medication, CVP line, Entonox, Neutropenia, Resuscitation ( case where defibrillation
is not advisable ) Nurse prescribers, Patient Group Directions, Rewarming core temperature for
hypothermia, pH level of blood, foods rich in anti oxidants, bringing foods from home to the hospital,
Discomforts of pregnancy, what happens to patient diagnosed with anxiety/stress if it's not managed?

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JANUARY 2017 CBT EXAM

1. Controlled drugs: how to securely transport from pharmacy to patient's home (know the steps)
2. Denture stomatitis : recognizing the signs
3. COPD : best health education to prevent exacerbation; common ABG readings (elevated CO2,
decreased 02)
4. Consent of a 16 year old: Read about Gillick competence
5. Safeguarding and raising concerns (child and elderly)
6. Services of a community hospital: know all as the choices seem to be all similar
7. NMC Continuing education hours for revalidation
8. NICE guidelines on GCS 15 head trauma patient in ER. How frequent are the monitoring?
9. Meds: Allopurinol (what to monitor for long-term use)
Dopamine (what to monitor prior to administration)
Morphine (overdose and naloxone)
Nitroglycerine (proper storage and potency loss, precautions, patient safety, patch disposal)
10. Managing breathlessness
11. Post partum hemorrhage (recognize between primary and secondary)
12. Eat Well guidelines: fruits and vegetables serving
13. 6-step hand hygiene
14. Managing diarrhea while taking contraceptive pills
15. Stoma care
16. Medication calculations
17. Crsytal therapy in managing breathlessness? FALSE. this is the weakest research to support lung
cancer and manage breathlessness
18. Recognizing a good leader
19. Tuckman's stages of group development
20. Early signs of phlebitis
21. A relative calls you and tells that she is vomiting and having loose motion, can she visit her patient?
What is your best response?
22. Delegation, legalities in health care
23. NEWS and AVPU
24. Aphasia (expressive and receptive)
25. Post CVA patient with dysphagia: whom to refer?
26. Aneurysm: most common site (aorta, AAA)
27. Anaphylactic shock
28. Pressure relieving device for Waterlow Score of 20+, and pressure ulcer grading
29. UK list of notifiable diseases and notifiable organisms
30. Elderly Care especially in the community
31. Best health teaching to a young patient on antibiotic
32. Delirium related to acute urinary tract infection
33. Observation tools: MUST, NEWS, Waterlow. try to know others too
34. Sharps: disposing and needle stick injuries
35. Documentation: legally correcting errors; legalities
36. 6 Cs in NMC: understand the meaning of each (Care, Competence, Compassion, Communication,
Courage, Commitment)
37. Antibiotic therapy and bloody diarrhea.. what is most likely the cause?
-C Defficle proliferation sine Antibiotics alter the intestinal flora
38.ABG values in kPa not mmHg
I learned this conversion: 1atm = 760mmHg = 760 torr = 101.32 kPa = 14.69 psi
39. Staffing issues and unit management. How to manage when staff are short?
-Contact out-of-hours manager or senior manager and consider pulling in or manage from out of hours
staff. Never compromise patient safety.
40. MENTAL CAPACITY. how to determine
A 45-year-old Asian patient refusing surgery, parents and family still wish it for her. Respect the
patient's decision assuming she has capacity. Educate her with the consequences but give her
time to reflect on her decision
 A seemingly confused patient asking to be discharged. What should you do? Encourage to stay for his
safety.

41. CTT insertion, care, removal

42. CONFIDENTIALITY scenarios. Patient wants to tell you a secret and asks you to never tell anyone,
what should be your best response?
You may divulge some information if it will compromise the well-being of the patient.
Know the instances when should confidentiality be breached
43. How to ensure that patients in a busy care home are well nourished and fed?
-assign competent staff to feed those who are at risk
-blind or partially blind, cups should be filled by competent staff and ensure it is not full to the brim to
avoid spillage
44. How to respond to patients who display sexual behaviour towards you.
-Professional boundaries, state policies, never tolerate
45. Patient who is at high risk of malnutrition post op: Consult dietician to correct low BMI
46. Injections (subcutaneous, how many degrees according to Royal Marsden, when is it appropriate to
use parenteral route and when not?)
47. Defense mechanisms (regression)
48. MRSA (methicilin-resistant staph Aureus), Clostridium defficle (nursing management)
49. Teratogens on first trimester: Alcohol
50. Which are ot to be reported to NMC for License restriction?
Theft, Fraud, cheating-reportable
Speeding violation -non reportable
51. Heart failure
Right-sided and left-sided (Which one causes systemis edema)
52. Adjuvant meds during palliative therapy. How do they work?
53. Airway obstruction: WHat is the most common cause when patients are unconscious and lying
supine? TONGUE obstruction
54. Transfusion reactions (pyrexia and pain in loin? Signs of severe BT reaction)
55. Social media and nursing students (worst advise you can give? Rely completely on sites privacy
settings)

IMPORTANT REFERENCES: NMC Code, NICE Guidelines, Royal Marsden Manual 9th Edition. I practically
read all chapters of the Royal Marsden.

Best Regards,

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FEBRUARY 2017

1. NEWS- intervention if score is above 5

2. Use of crutches
3. Communication
4. Waste, linen disposal
5. Yellowcard-purpose
6. Elderly-dehyd, safety
7. Basic drug calcu
8. Confidentiality
9. Blood transfusion reaction
10. Dorothea orem- selfcare theory
11. DABDA
12. Lumbar laminectomy- post op postioning
13. Def of acute illness- severe and sudden onset
14. Consent
15. Dementia and delirium
16. Professional values
17. Wounds and dressing
18. Pressure ulcer
19. Positive and negative fluid balance
20. Use of zimmers frame
21. Benchmarking
22. Nonmaleficence
23. Care of the dying

*mostly po is nasa handout na binigay nyo sakin. tas dun sa royal marsden mcq website.

March 2, 2017 – NMC CBT ToC- Part 1

1. A patient who is experiencing diarrhea and vomiting wants to visit her mother who was hospitalized.
What will you advise?
2. Leadership and Management. The Code.6 C’s. Safeguarding
3. Blood Transfusion reaction (Fever, and Loin pain= severe reaction?)
4. Consent. Read about rights of 16 and 17 year-old children.
5. Reportable diseases
6. Signs of Denture Stomatitis
7. Safe and effective position for administering eye drops.
8. Revalidation. (35 hrs. of Continuous Professional Development)
9. Signs of Opioid overdose (Fentanyl)
10. Controlled Drugs (transporting)
11. Infected waste color and mode of disposal
12. MUST moderate risk management
13. Average HR of 1 to 2 y.o.
14. Tuckman’s Formation
15. Allopurinol nursing management
16. AVPU stands for? Alert. Verbal.Pain. Unresponsive
17. Postpartum Hemorrhage
18. Contraceptive pills and Diarrhea- what to advise?
19. What to advise a woman about sex while pregnant?
20. Oropharyngeal Airway risk.
21. A senior nurse is angry and threw something at the vulnerable patient under her care. What would
you do?
22. Read about SAFEGUARDING, CONSENT and CONFIDENTIALITY.
 What to do if you have safeguarding concerns?
 What to do if a client confides or reports abuse to you?
  When are you allowed to breach confidentiality? (Patient and Public safety are at risk)
 For consent, if the patient has CAPACITY, the patient's decision is always followed.
 Consent to treatment (Children and young people)

23. Early Sign of PHLEBITIS

24. Fluid Deficit signs
25. Common site of ANEURYSM
26. What will you do if you noticed a colleague not doing handwashing when taking care of an
immunocompromised patient?
27. Aphasia
28. SPEECH THERAPIST assesses swallowing of a stroke patient
29. What to assess before administering Digoxin
30. Hyperthyroidism signs
31. Not safe IM route
32. Staffing issues
33. What angle to inject Subcutaneous route?
34. Cause of Gingival Bleeding
35. What to do during Anaphylaxis
36. Community Services
37. Courage (6C’s)
38. 6C’s
39. GCS 15 frequency of monitoring (post CVApatient)
40. Standard daily serving of vegetables and fruits. (5)
41. Grade II Pressure Sore
42. Read about Deep Vein Thrombosis (DVT)
43. Pulmonary Embolism signs
44. Children under 16 are generally considered to lack the capacity to consent or refuse treatment.
The right to consent remains with the parents unless the child is considered to have significant
UNDERSTANDING AND INTELLIGENCE to give consent.
Children 16 or 17 years old are presumed to consent for themselves although it is good practice to
involve the parents.
45. What to advise a young patient taking ANTIBIOTICS.
46. You forgot to administer a patient’s medication, what should be done?
47. A nurse suspects child abuse, what should be done?
48. Read about THYROID PROBLEMS
49. Community hospice services..
50. Standard used for an anticoagulant’s effectiveness ( PT?)
51. What should you do when a student nurse is busy texting while you, a nurse, is doing an assessment
in the house of a patient ( community nursing)?
52. Read about DELEGATION. The nurse is still responsible for a patient’s overall health despite
delegating a task.
53. What is MRSA stands for?
54. Basic calculations (less than 5 items)
Desired Dose
Stock on Hand
55. What to do to avoid exacerbation od ASTHMA?
56. Waterlowe score of 20. What to do?
57. Yellow card scheme
58. Vital signs and its indications
59. Nursing process
60. Infection control

MARCH 14, 2017- CBT TIPS

What to do with broken equipment?

What to do if you suspected your pt had uti?
Benchmarking
Routine medications with student
Delegation
Roles in nursing
Nursing ethics
Effective communication
Moderate malnutrition in childten
What to do when a pt makes another complain about a colleague
primary care
Infection dementia old ageing
care plan for wound can be changed when?
Walker
Moslow waterlow
Avpu
Type of postpartum 48 hrs
Subq injection
Allerfic reaction sa meds
teamwork
Digoxin
Aggressive behavior
Waste
NEWS
DABDA
Childbirth
Controlled drugs

*MARCH 17, 2017

-Mental Capacity Act

-UK Code for Nurses
-Accountability of Delegation
-Consent
-Drug/IVF Computations
-Chronic Renal Failure
-Septic Shock
-Creutzfeldt-Jakob disease
-Furosemide
-PATIENT Group Direction
-How to Report Nurses
-Confidentiality
-Covert Medications
-Maintaining Boundaries

MARCH 23- CBT TIPS:

-Mental Capacity Act

-UK Code for Nurses
-Accountability of Delegation
-Consent
-Drug/IVF Computations
-Chronic Renal Failure
-Septic Shock
-Creutzfeldt-Jakob disease
-Furosemide
-PATIENT Group Direction
-How to Report Nurses
-Confidentiality
-Covert Medications
-Maintaining Boundaries

APRIL 5, 2017 CBT EXAM

digoxin> side effects

digoxin> Interventions for HR of 58
News score of 5
Community Nurse
comprehensive assessment
Controlled drug in patients home... steps
moderate pain- Fracture in arm or leg> WHO ladder
Carer assessment
Primary careRole of nurse as giver of information and develops knowledge=?
What is empathy
Routine Wound drain removal> Who?
Active listening
Bed for pressure ulcers
oral contraceptive with diarrhea
what is a community hospital
regression
Colusion
APRIL 6, 2017 CBT EXAM

-SAFEGUARDING CONFIDENTIALITY
-INFUSION PUMP CALCULATION
-NMC CODE
-MANAGEMENT FOR BREATHLESSNESS
-6C’S
-LEFT VENTICULAR FAILURE
-CONTROLLED DRUGS
-YELLOWCARD SCHEME
-STOMA

APRIL 7- CBT EXAM.

NEWS
DABDA
NGT placement
Diabetes Mellitus
What is NMC and its role
Basic drug calculation
Questions from royal marsden online practice test Oral corticosteroids Confidentiality Pain management
Infection control Confusion/falls in elderly Injection sites Controlled drugs Digoxin Clostridium difficile
Hypovolemic Shock Lumbar laminectomy Liver biopsy Lumbar puncture Adovacy Effective communication
Active listening Community nurse policy Mga acts po sa UK Emphatic nursing Record keeping Resuscitation
Guideline Wound dressing Standard precaution Benchmarking Reflective practice Accountability Key ethical
principles Raising concerns Delegation to student nurse Patients with:
Demetia
Suicidal tendencies
Learning disabilities
Fracture
drug calculations
PGD
PCA
pain management
delegation
duty of care
DM
thyroid probs
oxygenation
circulation
vital signs
ACLS
anaphylactic shock
moving&positioning
terminal care
PEG
post op care
May 1,2017- CBT EXAM

Cortisol
Hypothyroidism
Controlled drugs
Duty of care
Infusion pump
Dementia
Cvp
Spo2 of adult
Hemoglobin
Blood ph
Prions
Mrsa
The code
Delegation
Mental capacity act
Safeguarding of elderly
Travellers diarrhea
Isolation room setting
Pgd
Anxiety
Hypovolemic shock
Stress complication
Medication error
Breastfeeding
Hepatitis A
Anemia signs & symptoms

MAY 15, 2017

cbt questions, mostly situational questions.

karamihan ng lumabas ay nasa common review items rin na sinend nyo last time.

MUST score and intervention

NEWS
MEWS

Last exam, 8 lang computations sakin.

then itong may

15 Computations. sabi po ng iba ay all computations are critical questions

Review
BSA computation of drug doses
BSA formula
IV computation via 15 and 20 drops per minute
Drug concentration per ML.
BMI computation and interpretation

>>>1%=1g per 100ml per 250ml, per 1000ml then compute dose for BSA or BMI
double check computations because given values are mixed
Microgram, Milligram, Nanogram

Review "NMC Blueprint Manual" na binebenta online instead of NMC blueprint na mostly nonworking
links and redundunt