NMC CBT MOCK TEST PAPER 1

Question Title
1. Dehydration is of particular concern in ill health. If a
patient is receiving IV fluid replacement and is having
their fluid balance recorded, which of the following
statements is true of someone said to be in "positive fluid
balance"
The fluid input has exceeded the output
The fluid balance chart can be stopped as "positive" means "good"
The doctor may consider increasing the IV drip rate
The fluid output has exceeded the input

Question Title
2. What specifically do you need to monitor to avoid
complications & ensure optimal nutritional status in
patients being enterally fed?
Daily urinalysis, ECG, Protein levels and arterial pressure
Assess swallowing, patient choice, fluid balanc, capillary refill time
Eye sight, hearing, full blood count, lung function and stoma site
Blood glucose levels, full blood count, stoma site and body weight

Question Title
3. A patient needs weighing, as he is due to a drug that is
calculated on body weight. He is experiences a lot of pain
on movement so is reluctant to move, particularly stand
up. What would you do?
Discuss the case with your colleagues and agree to guess his body weight until he
agrees to stand and use the chair scales
Omit the drugs as it is not safe to give it without this information; inform the doctor
and document your actions
Offer the patient pain relief and either use bed scales or a hoist with scales built in
Document clearly in the patient's notes that a weight cannot be obtained

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Question Title
4. If the prescribed volume is taken, which of the following
type of feed will provide all protein, vitamins, minerals
and trace elements to meet patient's nutritional
requirements?
Protein shakes/suplements
Energy drink
Mixed fat and glucose polymer solutions/powder
Sip feeds

Question Title
5. A patient has been admitted for nutritional support and
started receiving a hyperosmolar feed yesterday. He
presents with diarrhea but no pyrexia. What is likely to be
cause?
An infection
Food poisoning
Being in hospital
The feed

Question Title
6. Your patient has a bulky oesophageal tumor and is
waiting for surgey. When he tries to eat, food gets stuck
and gives him heart burn. What is the most likely route
that will be chosen to provide him with the nutritional
support he needs?
Feeding via Radiologically inserted Gastostomy (RIG)
Nasogastric tube feeding
Feeding via a Percutaneous Endoscopic Gastrostonomy (PEG)
Continue oral

Question Title

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7. What is the best way to prevent who is receiving an
enteral feed from aspirating?
Check their oxygen saturations
tell them to lie in their side
Lie them flat
Sit them at least 45 degrees angle

Question Title
8. Which of the following medications are safe to be
administered via a naso-gastric tube?
Drugs that can be absorbed via this route, can be crushed and given diluted or
dissolved in 10-15 ml of water
Enteric-coated drugs to minimize the impact of gastric irritation
A cocktail of all medications mixed together, to save time and prevent fluid over
loading the patient
Any drugs that can be crushed

Question Title
9. Which check do you need to carry out before setting up
an enteral feed via nasogastric tube?
The air cannot be heard rushing into the lungs by doing the WHOOSH TEST
That when flushed with red juice, the red juice can be seen when the tube is
aspirated
That the pH of gastric aspirate is above 6.6 and the measurements on the NG tube is
the same length as the time insertion
That the pH of gastric aspirate is below 5.5 and the measurements on the NG tube is
the same length as the time insertion.

Question Title
10. Monica is going to receive blood transfusion, How
frequently should we do her observation?
Temperature , pulse, blood pressure and respiration before the blood transfusion
begins, then after 15-min, then as indicated in local guidelines, and finally at the end of
bag/unit.
Temperature and pulse before the blood transfusion begins, then every hour, and at
the end of bag/unit

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 Temperature, pulse, blood pressure and respiration and urinalysis before the blood
transfusion, then at end of bag
Pulse, blood pressure and respiration every hour, and at the end of the bag

Question Title
11. How do the structures of human body work together
to provide support and assist in movement?
The muscles provide a structural framework, moving by contracting or extending
crossing at least one joint and attached to the articulating bones
The skeleton provides a structural framework; this is moved by ligaments that
stretch and contract
The muscles provide a structural framework and are moved by bones to which they
are attached by ligaments
The skeleton provides a structural framework. This is moved by the muscles that
contract or extend and in order to function, cross at least one joint and are attached to
the articulating bones.

Question Title
12. What are the most common effects of inactivity?
Social isolation, loss of independence, exacerbation of symptoms, rapid loss of
strength in lg muscles, de-conditioning of cardiovascular system leading to an increased
risk of chest infection and pulmonary embolism.
Loss of weight , frustration and deep vein thrombosis
Deep arterial thrombosis, respiratory infection, fears of movement, loss of
consciousness , de-conditioning of cardiovascular system leading to an increased risk of
angina
Pulmonary embolism, UTI, & fear of people

Question Title
13. What do you need to consider when helping a patient
with shortness of breath sit out in a chair?
They should not sit out on a chair; lying flat is the only position for someone with
shortness of breath so that there are no negative effects of gravity putting pressure in
lungs
Sitting in reclining position with legs elevated to reduce the use of postural muscle
oxygen requirements, increasing lung volumes and optimizing perfusion for the best
V/Q ratio. The patient should also be kept in an environment that is quiet so they don't
expend any unnecessary energy
there are two possible positions, either sitting upright or side lying. Which is used
and is determined by the age of the patient . It is also important to remember that they

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will always need a nebulizer and oxygen and the air temperature must be below 20
degree Celcius
The patients needs to be able to sit in a forward leaning position supported by
pillows. They may also need access to a nebulizer and humidified oxygen so they must
be in a position where this is accessible without being a risk to others.

Question Title
14. Your patient has bronchitis and has difficulty in
clearing his chest. What position would help to maximize
the drainage of secretions?
Lying on his side with the area to be drained uppermost after the patient has had
humidified air
Lying flat on his back while using a nebulizer
Sitting up leaning on pillows and inhaling humidified oxygen
Standing up in fresh air taking deep breaths

Question Title
15. Mrs Jones has had a cerebral vascular accident, so her
left leg is increased in tone, very stiff and difficult to
position comfortably when she is in bed. What would you
do?
Try to diminish increased tone by avoiding extra stimulation by ensuring her foot
does not into contact with the end of the bed;supporting with a pillow, her left leg in
side lying and keeping the knee flexed
Give Mrs. Jones analgesia and suggest she sleeps in chair
Give Mrs. Jones diazepam and tilt the bed
Suggest a warm bath before she lies on the bed. Then use pillows to support the stiff
limb

Question Title
16. When should adult patients in acute hospital settings
have observations taken?
When they are admitted & then once daily unless they deteriorate
As indicated by the doctor
Temperature should be taken daily, respiration at night, pulse & blood pressure 4
hourly

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 When they are admitted or initially assessed. A plan should be clearly documented
which identifies which observations should be taken & how frequently subsequent
observations should be done

Question Title
17. Why are physiological scoring systems or early
warning scoring system used in clinical practice?
These scoring systems are carried out as part of a national audit so we know how
sick patients are in the united kingdom
They enable nurses to call for assistance from the outreach team or the doctors via
an electronic communication system
They help the nursing staff to accurately predict patient dependency on a shift by
shift basis
The system provides an early accurate predictor of deterioration by identifying
physiological criteria that alert the nursing staff to a patient at risk

Question Title
18. A patient is recovering from surgery has been
advanced from a clear diet to a full liquid diet. The patient
is looking forward to the diet change because he has been
"bored" with the clear liquid diet. The nurse should offer
which full liquid item to the patient
Custard
Black Tea
Gelatin
Ice pop

Question Title
19. The nurse is preparing to change the parenteral
nutrition (PN) solution bag & tubing. The patient's central
venous line is located in the right subclavian vein. The
nurse ask the client to take which essential action during
the tubing change?
Take a deep breath, hold it, & bear down
Breathe normally

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 Exhale slowly & evenly
Turn the head to the right

Question Title
20. A 27-year old adult male is admitted for treatment of
Crohn's disease. Which information is most significant
when the nurse assesses his nutritional health?
Facial rubor
Dry skin
Bleeding gums
Anthropometric measurements

Question Title
21. A nurse is advised one hour vital charting of a patient,
how frequently it should be recorded?
Every 3 hours
Every shift
Whenever the vital signs show deviations from normal
Every one hour

Question Title
22. When a patient arrives to the hospital who speaks a
different language. Who is responsible for arranging an
interpreter?
Doctor
Management
Registered Nurse
Nursing assistant

Question Title
23. A COPD patient is in home care. When you visit the
patient, he is dyspnoeic, anxious and frightened. He is
already on 2 liter oxygen with nasal cannula. What will be
your action?

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 Increase the flow of oxygen to 5 L
Ask the patient to calm down
Call the emergency service
Give Oramorph 5 mg medications as prescribed

Question Title
24. A client breathes shalowlly and looks upward when
listening to the nurse. Which sensory mode should the
nurse plan to use with this client?
Touch
Auditory
Kinesthetic
Visual

Question Title
25. An eight year old girl with learning disabilities is
admitted for a minor surgery, she is very restless ang
agitated and wants her mother to stay with her, what will
you do?
Act according to company policy
Inform the Doctor
Tell her you will take care of the child
Advice the mother to stay till she settles

Question Title
26. While at outside setup what care will you give as a
Nurse if you are exposed to a situation?
Provide care which is at expected level
Above what is expected
Ignoring the situation
Keeping up to professional standards

Question Title

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27. A newly diagnosed patient with Cancer says "I hate
Cancer, why did God give it to me". Which stage of grief
process is this?
Denial
Bargaining
Depression
Anger

Question Title
28. A nurse is advised one hour vital charting of a patient,
how frequently it should be recorded?
Whenever the vital signs show deviations from normal
Every shift
Every one hour
Every 3 hours

Question Title
29. Mrs. A is posted for CT scan. Patient is afraid cancer
will reveal during her scan. She asks "why is this test".
What will be your response as a nurse?
Tell her that you will arrange a meeting with a doctor after the procedure
Give a health education on cancer prevention
Ignore her question and take her for the procedure
Understand her feelings and tell the patient that it is normal procedure.

Question Title
30. What is the purpose of clinical audit?
Helps to identify areas of improvement in the system pertaining to Nursing and
Medical personnel
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 understand medical outcomes and process only

Question Title

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31. In an emergency department doctor asked you to
do the procedure of cannulation and left the ward. You
haven't done it before. What would you do?
Don't do it as you are not competent or trained for that & write incident report &
inform the supervisor
Do it
Ask your colleague to do it
Complain to the supervisor that doctor left you in middle of the procedure

Question Title
32. Which of the following client should the nurse deal
with first
A client who needs to be suctioned
A client who needs her dressing changed
A client who needs to be medicated for incisional pain
A client who is incontinent & needs to be cleaned

Question Title
33. A client on your medical surgical unit has a cousin who
is physician & wants to see the chart. Which of the
following is the best response for the nurse to take
Ask the client to sign an authorization & have someone review the chart with cousin
Hand the cousin the client chart to review
Call the attending physician & have the doctor speak with the cousin
Tell the cousin that the request cannot be granted

Question Title
34. How soon after surgery is the patient expected to pass
urine?
6-8 hours
4-6 hours
2-4 hours
1-2 hours

Question Title

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35. The most commonly injured carpal bone is:
the scaphoid bone
the triquetral bone
the pisiform bone
the hamate bone

Question Title
36. Glasgow Coma score (GCS) is made up of 3 component
parts and these are:
eye opening response/motor response/verbal response
eye opening response/verbal response/pupil reaction to light
eye opening response/motor response/pupil reaction to light
eye opening response/limb power/verbal response

Question Title
37. Recognition of the unwell child is crucial. The
following are all signs and symptoms of respiratory
distress in children EXCEPT:
Lying supine
Nasal flaring
Intercostal and sternal recession
adopting an upright position

Question Title
38. Which of the following is NOT a risk factor for ectopic
pregnancy
Alcohol abuse
Smoking
Tubal or pelvic surgery
previous ectopic pregnancy

Question Title
39. Carpal tunnel syndrome is caused by compression of
which nerve:
Median nerve

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 Axillary nerve
Ulnar nerve
Radial nerve

Question Title
40. 500mg of Amoxicillin is prescribed to a patient three
times a day, 250mg tablets are available. How many
tablets for single dose?
6
4
2
8

Question Title
41. A patient got admitted to hospital with a head
injury.Within 15 minutes, GCS was assessed and it was
found to be 15. After initial assessment, a nurse should
monitor neurological status
Every 15 minutes
30 minutes
45 minutes
60 minutes

Question Title
42. According to recent UK researh, what is the
recommended amount of vegetables and fruits to be
consumed per day?
3 portions per serving
5 portions per serving
7 portions per serving
4 portions per serving

Question Title

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43. What instructions should you give a client receiving
oral Antibiotics?
Consume it all at once
take the antibiotic with glass of water
Take the medication with meals and consume all the antibiotics
take the medication as prescribed and complete the course

Question Title
44. When will you disclose the identity of a patient under
your care?
You can disclose it anytime you want
When a patient relatives wishes to
When media demands for it
Justified by public interest law and order

Question Title
45. An 18 year old 26 week pregnant woman who uses
illicit drugs frequently, the factors in risk for which one of
the following:
Spina bifida
Meconium aspiration
Pneumonia
Teratogenicity

Question Title
46. You would refer to the early phase of scar tissue
formation as which of the following kinds of tissue?
Granulation
Fibrous
Keloid
Cicatrix

Question Title

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47. After instructing the client on crutch walking tecnique,
the nurse should evaluate the client's understanding by
using which of the following methods?
Have client explain produce to the family
Achievement of 90 on written test
Explanation
Return demonstration

Question Title
48. A woman reports of per vaginal bleeding 48 hrs after
normal vaginal delivery. What is this type of post partum
hemorrhage classified as?
Primary
Secondary
Tertiary
All of the above

Question Title
49. A client requests you that he wants to go home against
medical advice, what should you do?
Inform the management
Inform the local police
Call the security guard
Allow the client to go home as he won't pose any threat to self or others

Question Title
50. You saw a relative of a client has come with her son,
who looks very thin, shy & frightened. You serve them
food, but the mother of that child says "don't give him, he
eats too much". You should:
Raise your concern with your nurse manager about potential for child abuse & ask
for her support.
Ignore the mother & ask the relative if the child is abused.
Ignore the mother's advice & serve food to the child.

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 Ignore the situation as she is the mother & knows better about her child.

ANSWERS.
1A 2D 3C 4D 5D 6A 7D 8A 9D 10A.

11D 12A 13D 14A 15A 16D 17D 18A 19A 20D

21D 22C 23C 24A 25A 26D 27D 28C 29D 30A

31A 32A 33A 34A 35A 36A 37A 38A 39A 40C

41B 42B 43D 44D 45D 46A 47D 48B 49D 50A

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