Professional Documents
Culture Documents
a. Fibrillation
b. Afibrillation
c. Flat asystole
d. Continuous fluctuation
4. A patient with end-of-life care becomes unresponsive, the nurse asks the relative if the
patient filled a DNR form. What does she mean?
a. Furosemide
b. Paracetamol
c. Iron
6. When you don’t understand the accent of your patient, what will you do?
7. You are dressing the wound of a patient on a surgical ward and are require to do so using
the Aseptic Non-Touch Technique (ANTT). Which of the following is the definition of
“asepsis”?
9. As a nurse, you are treating a patient who had asthma attack, how would you assess If
the medication is effective?
10. In hypoglycemic patient after giving oral glucose syrup, when will you check next General
Random Blood Sugar (GRBS)?
a. Immediately
b. After 5-10 mins
c. After 15-20 mins
d. After 30 mins
a. Emphysema
b. COPD
c. Asthma
d. Smokers
a. Check pH of aspirate
b. CT Scan
c. Xray
d. Introduce air
a. Patient first
b. Patient and relative together
c. Relative
15. Spinal fracture patient, how will you ensure airway?
a. Jaw thrust
b. Head tilt
c. Open mouth
d. Chin lift
16. A staff caring for an isolation patient, where you will keep the records?
17. What should the nurse check for a patient with catheter in situ?
a. Infection
b. Bruising
c. Swelling
d. Redness
a. Lip reading
b. Actions
c. Sign language
d. Bacile
a. Trained professional
b. Consultant
c. Junior doctor
d. Relative
a. Before breakfast
b. At the same time everyday
c. After lunch
d. Before bedtime
a. Morphine
b. Midazolam
c. Codeine
d. Conjupram
23. A newly qualified nurse is not yet well versed when it comes to documentation. A nurse
in-charge noticed this is the case and went to report the new nurse to the nurse manager.
What could the newly qualified nurse have done in order to prevent this incident?
a. Ignore the report and just continue with what she was doing.
b. She could have told the manager beforehand in order to have support and additional
training
c. Apologize that she was not able to inform her immediate head beforehand, ask for
policies of the hospital in relation to documentation.
25. After an audit round, the manager tells a nurse about the outcome and possible
development suggested by the team members. What action will the nurse take?
26. What are the first action a RN should take on a patient who is having tonic-clonic seizure?
a. Bipolar disorder
b. Schizophrenia
c. Tonic-clonic seizure
d. Depression
31. A client is in the process of turning from male to female. When you want to educate client
on catheterization as a nurse what will you do?
32. Pain scale of 5 out of 10, what medication will you give?
a. Dietician
b. Health care assistant
c. Nurse practitioner
d. Nurse
a. Birth to 1 year
b. Pregnant women
c. Dementia patients
a. Purple
b. Yellow
c. Orange
d. Black
a. Safeguard act
b. Health care act
c. Equity act
d. Equality act
39. When a patient is having a surgery to switch from male to female you need to teach self-
catheterization. What would you do?
40. Which one of these notifiable disease needs to be reported on a national level?
a. Chicken pox
b. Tuberculosis
c. Whooping cough
d. Influenza
a. Supplementary nutrition
b. Immediate hospitalization
c. Weekly assessment
d. Document intake for 3 days
42. How does a senior nurse manage the situation when a staff member informs her that she
is pregnant?
a. Hernia
b. MI
c. Stroke
d. Brain Stem Damage
45. A patient’s elder sister who is a nurse and friend requested for the patients result. What
will be your action?
46. One of the patients keep on complaining regarding the care, what will you do?
47. There is a policy that urine should be measured every 2 hours. How would a nurse
manager evaluate compliance?
a. 0-10 mL/hr
b. 40-80 mL/hr
c. 20-30 mL/hr
d. 100-200 mL/hr
49. An obese patient with limited communication wants to lose weight, who should the nurse
involve?
a. Crystalloid glucose
b. Colloid glucose
c. Blood transfusion
d. Plasma
52. A new RN have problems with making assumptions. Which part of the code she should
focus to deliver fundamentals of care effectively?
a. Prioritize people
b. Practice effectively
c. Prioritize care
d. Promote safety
53. All of the following are part of palliative care or end-of-life care, except?
a. Giving medication
b. Feeding patient
c. Resuscitation
54. Patient has suicidal thoughts, low mood. When talking to the nurse patient is calm and
cooperative:
a. Low risk
b. Medium risk
c. High risk
a. 1000-1500 mL
b. 1500-2000 mL
c. 2000-2500 mL
d. 2500-3000 mL
56. ABCDE approach. Where do monitoring of urine output belong in that approach?
a. A
b. B
c. C
d. D
e. E
57. Patient is having breathlessness. Patient is in the end-of life care. The nurse should:
a. Emergency department
b. General practitioner
c. Sexual Health Team/Clinic
d. Pharmacist
59. The patient brings his own medication to hospital and wants to self-administer. What is
your role?
a. Allow him
b. Explain to patient about medication before he administers it
60. Whose responsibility when you see evidence of abuse in the community?
61. Patient has learning disability, and you instruct him to take his medication. The nurse
should:
63. The nurse notice that the patient is violent. The nurse should:
64. Nurse committed negligence which result of near death of patient. What analysis cause?
65. On resuming as a unit head and you notice you are short staffed. What type of escalation
will the head nurse use?
a. Prompt escalation
b. Swift escalation
c. Immediate escalation
d. Rapid escalation
66. What is the most accurate method to find out bleeding inside the brain?
a. CT Scan
b. MRI
c. Xray
d. USG
67. A confused patient relative requesting for fitting bed rail as they have it in their house.
What will the nurse do?
a. White
b. Green
c. Black
a. Prone
b. Sitting up
c. Lying on one side
d. Lying flat
a. Hypoxia
b. MI
c. Anaphylaxis
d. CHF
a. Health equities
b. Health equalities
c. Health informatics
d. Health inequities
72. A patient with temperature of 34.5 C. you already gave the patient a warm blanket & warm
drinks, but the patient is still shivering. What will be your next action?
73. Patients husband that was waited several hours to see his wife and is shouting:
74. When patient is being monitored in PACU, how frequent do you monitor his BP, PR, RR
and record?
a. Every 5 minutes
b. Every 15 minutes
c. Once an hour
d. Continuously
75. What will the RN do after they have gotten NMC pin?
a. Endorsement
b. Induction
c. Orientation
d. Training
76. When assessment an unresponsive patient, what is the appropriate way to get a pain
response?
a. Sternal rub
b. Nail bed pressure
c. Pinching of the era
d. A trapezium squeeze
77. A patient suffered from CVA and is now affected with dysphagia, what should NOT be an
indication to this type of patient?
a. Whole blood
b. Albumin
c. Blood clotting factor
d. Antibodies
a. Awaiting carer
b. Awaiting physician
c. Awaiting medication
d. Awaiting assessment
81. A patient is on end-of-life care, he has severe pain, he doesn’t know how to use medical
device which is using for pain relief:
a. Instruct the patient that the pharmacist will come and explain
b. Give leaflet regarding the device
c. Explain about medical device and make the patient completely understand
85. RN influence on health policy protects the quality of care by access to:
a. The nurse should create an opportunity and plan with the other nurses
b. Tell her it’s not good
c. Tell her she would need to contact the university for the actual plan
88. A clinical need to examine a patient after spine surgery. What will you use to turn them?
90. A nursing agency sends a new nurse, while taking handover the nurse says this is my
first job at the hospital. What will the nurse do?
91. The act of speaking out for people and relatives their decision called:
a. Disclosure
b. Confidentiality
c. Advocacy
d. Confrontation
a. 3
b. 3&4
c. 1, 2, 3 & 4
d. 4
93. When a nurse handover at the end of shift to a colleague. What must be provided?
94. A team leader implements a practice in an area of work how do they demonstrate its
effectiveness?
a. Provide evidence of the improvement through regular audit and feedback to the team
and wider organizations.
b. Everyone know that the change was necessary and that is needed to happen so no
evaluation needs to be made.
c. Once the change is embedded ask staff if they are happy with the change and if it has
made a difference.
d. The evidence from the research demonstrates the need for a change in practice.
95. When completing handwritten notes which if the following represents best practice in
documentation?
96. What is the response of parents that confirms that the health education message
regarding dehydration has been effective?
a. The parents restrict fluid intake when the child has diarrhea.
b. The parents state they will observe they will observe the child for darkening urine and
an increasing respiratory rate.
c. Dehydration will not be an issue if the child is taking sips of water.
d. The parents state they would consider restlessness as an early sign of dehydration.
97. What nursing approach does a nurse take when working with people with learning
disabilities in planning for their personnel needs?
98. When a safeguarding incident is being disclosed what action does a nurse take?
99. What is the cause of action for the nurse if there is a spillage of hazardous substance?
a. Use beach towels to absorb the spillage and dispose of this accordingly.
b. Contact the clinic supervisor for advice and to send someone to help.
c. Refer to the guidance on the control of substance hazardous to health regulations.
d. Cover displayed with sheets and keep the area clear of people.
a. Sterilize it daily
b. Keep area dry
c. Use soap and water
d. Educate patient and family on the care
a. First contact
b. Second contact
c. Third contact
d. Fourth contact
a. It is quality made by relationships based on empathy, respect and dignity. It can also
be described as intelligent kindness and is central to how people perceive their care.
b. Defines us and our work. People receiving care expect it to be right for them,
consistently, throughout every stage of their life.
c. Means all those in caring roles must have the ability to understand an individual’s
health and social needs and the expertise, clinical and technical knowledge to deliver
effective care and treatments based on research and evidence.
d. Enables you to do the right thing for the people we care for, to speak up when we have
concerns and to have the personal strength and vision to innovate
a. Patient questionnaire
b. Survey
c. Focus group
d. Qualitative research
108. Which of the following physical changes should a person taking oral contraceptive
should be educated on?
a. Weight gain
b. DVT
c. Amenorrhea
d. Increased bleeding
a. Africans
b. Latin Americans
c. Caucasians
110. When do you gain consent from a patient and consider it valid?
111. You are carrying out wound dressing with a new product, what is your intervention
as a nurse?
a. Talk to the nurse after at the end of the shift about how to do wound care.
b. Do not remove the previous dressing and apply the new products over it
c. Refer to another practitioner for patient’s safety until you gain your competency and
skills.
d. Leave the dressing without doing it.
112. What method of long-time feeding is appropriate for a patient with difficulty
swallowing in a chronic condition?
a. Gastrostomy
b. Parenteral feeding
c. IV
d. NGT feeding
113. When a nursing team visit a patient at home, which working principle is used?
114. There is a policy that do not suction patient on Endotracheal tube in your place of
work. What should you do in an emergency when a patient needs suctioning?
a. Do it
b. Watch the patients closely and wait till the next morning.
c. Call the physiotherapist on call there is an emergency as they are trained for it.
d. Wait for the physiotherapist till the next morning.
115. There is a prescription with dose but without number of giving, what should you
do?
a. Above 16
b. Above 18
c. Above 21
d. No consent needed
117. Which instrument is used to visualize the vocal cords during endotracheal
procedure?
a. Laryngoscope
b. Bougie
c. Endoscope
a. NS
b. ND+ Potassium
c. 5% Dextrose
d. 25% D
a. Skin turgor
b. GCS
c. Capillary refill
120. How long is the Undergraduate/Pre-registration BSC Nursing Program for those
on a standard entry pathway?
a. 2 years
b. 5 years
c. 4 years
d. 3 years
a. Cephalic
b. Femoral
c. Popliteal
d. Jugular
122. Having knowledge and using it for the good of patient is called?
a. Health literacy
b. Health knowledge
c. Health education
d. Health intellect
a. Anorexia
b. Bulimia Nervosa
c. Cachexia
d. Slimming
a. Under 18
b. Over 18
c. Pregnant women
d. Elderly
a. HIV
HIV, Hepatitis and
b. Cytotoxic medicines
c. Linens legionella
a. Lapses in memory
b. Pacing movement
c. Language difficulty
129. You are with a dementia patient and there is fire outbreak, what will you do?
a. Leave the patient and run for your dear life
b. Follow other staff
c. Use your instinct at that time
d. Follow the policy and procedure
130. If you’re not competent to transport a sample for investigation, what would you do?
a. Take it anyway
b. Ask the senior to help you as you do not know
c. Inform you do not know and give it to someone else
132. The Francis Report was published based on a public inquiry into poor care at?
133. A patient complained about the treatment, what should the head nurse do?
a. Tell the nurse to be extra careful so such will not happen next time.
b. Investigate but do not implicate the nurse involved
c. Beg patient not to file an official complaint
d. Investigate and give a constructive and honest opinion.
a. Continuously
b. At the end of the shift
c. When on annual leave
138. The patient was given different options of diagnostic test and treatments. The
patient was given:
a. Informed consent
b. Informed choice
c. Informed care
139. Which one of the following is the advantage of multi-agency working offers when
protecting those at risk from abuse?
140. A patient is being prepared for surgery and was placed on NPO. What is the
purpose of NPO?
141. Most common serious injury affecting nurses, health care user and relatives is?
142. A bed bound patient requested to see care report card which is on the table away
from the bed. What is the nurse response?
143. A patient was diagnosed with Rheumatoid Arthritis, they asked the nurse the
cause. The nurse response is:
a. Medication
Aspiration pneumonia is a type of lung infec
b. Autoimmune disorder
c. Bacteria
d. Exercise and diet
a. Intravenous adrenaline
b. Oral antihistamine Hyoscine hydrobromide is
c. Intramuscular adrenaline an anticholinergic
d. Oral steroids medication that can help
145. Post CABG non-infectious sputum color?
dry up secretions.
Positioning the patient to
a. Red facilitate drainage of
b. Green secretions can also help
c. White alleviate discomfort.
d. Brown
146. A 16-year-old needs to be physically examined by the doctor, but she is not
cooperating. What is your action as a nurse?
147. How can you manage decreased secretions in a patient in the end-of-life?
148. What kind of medication should 2 nurses administer and monitor in the ward?
a. Nifedipine
b. Paracetamol
c. Morphine
d. NSAIDS
149. A patient disclosed some sensitive information to a nurse and ask the nurse to
keep it secret. As a nurse, what will you do?
150. Scale 2 on the NEWS 2 chart is used for which patient group?
a. Underweight
b. Normal
c. Overweight
d. Obese
a. Myocardial infarction
b. Chron’s disease
c. Creutzfeldt-jakob disease
a. Elderly
b. Women
c. Men
d. Young people
154. When you collect, interpret, save and apply information for health purposes is
called?
a. Learning
b. Health education
c. Health literacy
d. Information processing
a. Admission of patient
b. Counseling the patient
c. Serving controlled drug
156. When a nurse is giving information about the patient medication and the patient
responded that, “The information is not relevant”. What is your action as a nurse?
157. A patient refused the injection and ask the nurse, “What injection is this and it might
not be needed”. What should the nurse response?
a. Fan therapy
b. IV and cold drink
c. Removal of clothing
d. Showering
160. How can a new staff attain knowledge in the clinical area?
a. Preceptorship
b. Internship
c. Study time
d. Induction
161. A nurse working in children ward want to do vital sign for children and notice a
distress child. What is the nurse action?
a. Ignore the child and continue the vital sign for others
b. Attend to the distressed child and take them together to do their vital sign
c. Ask the attendant/assistant to do vitals while you attend to distress child.
d. Inform the head nurse about the distress child and continue your vitals.
a. 36-38
b. 36.5-38.5
c. 34-36
d. 36-37.5
164. An Alzheimer patient who has fever due to UTI is experiencing shakiness. What
medicine should be given?
a. Co-careldopa (Sinemet)
b. Co-amoxiclav (Augmentin)
c. Co-codamol
d. Co-Q10
165. A patient presents with confusion, slurred speech, rash, difficulty in breathing that
is very fast. What is likely the condition?
a. Asthma
b. Sepsis
c. Anaphylaxis
d. Measles
a. Asian
b. African
c. Caucasian
d. Latin
167. A patient is on 4 hourly observations. A nurse notices that observations have not
been done for 12 hours. What action does the nurse take?
a. Check the observations and report the issue to the ward manager.
b. The observations were normal, so no action is needed
c. Speak to the who was on duty when the observations were missed and tell her not to
do it.
d. Report the issue to the ward manager and complete an incident form.
a. Ethnicity
b. Age group
c. Skill mix
d. Contracted hours
a. People below 16
b. Illiterate people
c. Poor nutrition
170. When removing a closed system vacuum wound drain, what should the nurse
consider?
a. BLS
b. Clinical governance training
c. Record keeping training
d. IV training
172. A pediatric patient with learning disabilities presents with smooth philtrum, low
body weight, hyperactivity and poor concentration. What is the cause of these symptoms?
173. Which of the following is an acceptable way of moving a patient from a bed to a
trolley?
a. A bear hugs
b. An Australian lift
c. Completing a risk assessment
d. Canvas and poles
174. Mr. Bill is a known diabetic patient who has had an injury for one week and is not
healing. What is your role as a nurse?
175. An elderly frail patient is due to be discharged home the patient says that they live
alone but their notes say they live with their family they do not manage alone. What action
does a nurse take?
177. A protractor is in mentoring a new nurse in the ward and a consultant comes in
from rounds. What is the best action to be taken by the protractor?
a. Let the nurse do the rounds with the consultant as this is the best way to learn
b. Do the rounds with the consultant and leave the new nurse in the duty room as she
knew
c. Volunteer to do the rounds with the consultant and new nurse
d. Tell the consultant to come back later
178. A patient with dementia who fell twice and lives with her husband wants to be
discharged back home. What measures should the patient take?
179. A patient is returning home from hospital. They will spend several weeks in a
residential facility, followed by community support. In order to ensure a positive process,
what action does a nurse take?
a. Allow the patient to arrange any community service to allow them to be independent
b. Give discharge information to the care facility who will liaise with others
c. Copy all agencies into the discharge plan correspondence
d. Ask the patient to contact their general practitioner to follow up on services needed
a. Chiropodist/Podiatrist
b. HCA
c. Tissue viability nurse
d. Diabetic nurse
a. Timorous, halting speech with contributions that are vague and unclear
b. Dominating discussion with a raised voice and being correctly threatening
c. Seeking workable compromise
d. Using in congruent verbal and nonverbal messages
a. Depression
b. Loss of inhibitions
c. Physical discomfort
d. Hallucinating
a. Report and reflect on the case to contribute to debriefing and ongoing learning.
b. Undertake a literature review
c. Focus on reflection-in-action
d. Report the incident to the Care Quality Commission
a. Overweight
b. Underweight
c. Obese
d. Normal weight
185. A patient visited the A&E department. How will you inform the patient’s GP after
discharge?
186. Before proceeding to explain the care plan to the patient. What should a nurse
ensure?
187. A doctor called 8 patients with dementia to get information for his project. What
type of research study is this?
a. Focus group
b. Group discussion
c. Quantitative research
188. Patient came to hospital he was diagnosed with otitis media. As per NICE Score 2
and given analgesics. Patient complained that he doesn’t received any antibiotics. What
is he next step?
189. How can the community provide support to a person with mental illness?
190. A mentally stable patient is requesting to participate in the kitchen and this act is
approved as part of his care, what will you do as a nurse?
193. The doctor ordered a patient to be weighed so as to calculate his drug but patient
refuse. What will be your next action?
194. A nurse reported to the head nurse about a colleague bullying her. What should
the head nurse do?
195. The doctor is busy with his assessments and asks the nurse to insert IV cannula
to a patient. What would be the nurse best response?
196. The NHS funds to recruit more phlebotomist, what should be done?
197. Garbo had alcohol intoxication and her mother is worried about his health. What
should the nurse do?
a. Syphilis
b. Gonorrhea
c. HIV
d. Chlamydia
a. 15%
b. 28%
c. 20%/21%
d. 10%
202. A patient requires financial education. What does the nurse should be
knowledgeable of?
a. Genomics
b. Knowledge in Health Economics
c. Knowledge in Anatomy
d. Knowledge in Children’s Health
203. The patient is hesitant to share about their sexual health. What should the nurse
do?
204. The patient is recovering from a stroke and the nurse encourage him to join the
group, but the patient refused. What should you do as a nurse?
205. The patient is for surgery but the nurse suspects that consent is not valid because
the patient does not have the mental capacity. What act..?
a. Care Act
b. Equality Act
c. Mental Health Act
d. Health and Safety at Work Act
206. A patient with stress, anxiety and sleeplessness. Who will he visit?
a. A 111 service
b. A walk-in center
c. A general practitioner
d. Emergency department
a. Thermometer
b. Sphygmomanometer
208. When do you start to monitor the patient who is receiving BT?
a. 60 mins
b. 30 min
c. 15 min
d. 45 mins
a. Smoking
b. Eating habits
211. The nurse cares for an elderly patient with moderate hearing loss. The nurse
should teach the patient’s family to use which of the following approaches when speaking
to the patient?
212. What does a nurse observe when assessing the respiration of a patient with
breathing difficulties?
a. Calcium
b. Chloride
c. Sodium
d. Potassium
a. BP
b. Respiration
c. Skin perfusion
d. Consciousness
220. How many CPD hours an RN must they have over 3 years?
a. 25 hours
b. 35 hours
c. 45 hours
d. 15 hours
221. You observe the HCA that he toilets the patient in a commode in the lounge. When
confronted the HCA said that the patient is used to it since the mother does at home. What
should the nurse do?
222. Working together to achieve the best interest for people is a collaborative effort
among?
a. Doctors
b. Agencies
c. Professionals
226. You notice that while waiting for surgery the patient is anxious. What is the nurse’
best response?
a. Provide leaflet for the patient to read and answer questions to alleviate anxiety
b. Refer to senior nurse
c. Tell the doctor the patient is anxious
d. Explain the procedure and ensure the patient understands the surgery well to ease
anxiety
227. What should the management provide for the nurse whose child died?
a. Vacation leave
b. Sick leave
c. Debriefing
228. The patient’s surgery at 8 am is postponed until afternoon. What should the nurse’s
best response?
229. You notice that the patient has difficulty understanding the explanation of the
doctor about his surgery. What should the nurse do?
230. BMI of the patient is 32 and was not given advise to a diet. What is the nurses best
intervention?
231. HCA and nurse need to transfer a patient to another bed. However, nurse looks
for slide board in another room yet didn’t find one. The nurse asks the HCA that they look
in another station when nurse came back the patient was already transferred. What should
the nurse do?
a. I am worthless
b. I am obese
c. My father died that’s why I am into reading books
233. An art loving patient does not communicate verbally with the team which
communication means is appropriate for him?
a. Emails
b. Written communication
c. Visual art therapy
d. Writing a letter
a. 18
b. 16
c. 21
235. Marrying age in UK? (New)
a. 18
b. 16
c. 21
236. The mother of a patient gives the nurse money. What should the nurse do?
238. First line drug for patient experiencing pyrexia with body malaise:
a. Paracetamol
b. NSAIDs
239. The patient asked to see the nurse as a friend after last clinical…. What should the
nurse do?
240. A patient has suicidal tendencies and was referred to a facility assessment that he
is no longer suicidal, was calm and requested to go home. What should the nurse do?
241. The MP (Member of Parliament) visit your hospital, what will the nurse ask the MP
to address the concern on nurse staffing level?
242. You observe a nurse doing a sterile dressing and dropped the old dressing in the
sterile pack and continue the procedure. What will you do?
a. Inform your senior and tell the nurse to stop the procedure
b. Tell the nurse to stop and get a dressing pack and start the procedure all over
c. Leave her since it didn’t take much time
d. Tell her to change the dressing pack and then continue
243. A nurse dropped tweezers on patient bed during dressing in front of a student,
what will the nurse do?
a. Tell the student about the error and tell to get another set of tweezers and continue
b. Ignore the situation because it will not give a big affection to
c. You should tell the student to pick it up and put it at the bottom of the trolley
d. Tell the student to stop and get a new dressing pack
a. 0.1
b. 0.3
c. 0.5
d. 0.7
245. First line management for patient with Pulmonary Edema caused by Chronic Heart
Failure:
a. Antibiotics
b. Diuretics
c. Chest drainage
d. Analgesic
246. The NHS Long Term Care Plan (2019) focuses on the key area:
247. What are the nursing priorities when helping in an emergency in a practice setting?
248. When a patient is discharged from an acute setting. How is the GP informed about
their inpatient care?
249. An unstable diabetic type 1 patient following a big toe amputation is discharged.
What is the main safety priority?
a. Stabilize patient mobility
b. Diabetic referral
c. Stabilize blood glucose level
d. Carer education
250. A unit supports nursing students, how does a RN ensure that the students are
competent to carry out tasks that are delegated to them?
251. Which 2 medications are given to patients in end-of-life care to ease symptoms?
252. How many days after death is patient in Muslim faith buried?
253. What is the color of syringe used to give medications via NGT?
a. Red
b. Blue
c. Purple
d. Clear
a. Physical abuse
b. Financial abuse
c. Emotional
d. Modern day slavery
256. Patients feel pain and is given paracetamol. The nurse know paracetamol can be
given with what medication?
a. Morphine
b. Co-codamol
c. Pethidine
d. Tramadol
257. You are supervising a student in medication round when the student forgot to ask
the patient’s name. what should the nurse do?
a. Asks the student to stop the medication and silently tell the correct procedure
b. Take over and point out the students mistake after the rounds
c. Report the student…
259. A client has experienced a tonic/clonic seizure. They are now breathing normally
and have normal circulation, but they have not yet gained consciousness. What nursing
action will maintain their safety?
a. 10.5-12.5
b. 12.5-14.5
c. 15.0-20.0
d. 20.0-25.0
262. Peripherally Inserted Central Catheter (PICC) tip is usually located in which part?
265. When treating an adult patient with mental illness. What should you have in mind?
a. An adult patient has the same risk of physical illness as the one without mental illness
b. Risk is higher in patients with mental health disorders than adults without mental illness
c. Risk is lower in patients with mental health disorders than adults without mental illness
a. PTSD
b. Children
c. Dementia
a. Smallpox
b. Ebola
c. Flu
a. Increased ICP
b. Seizure
c. Decreased ICP
269. A patient with COPD retaining CO2, what is the target oxygen concentration?
a. 92-96
b. 98-100
c. 82-88
d. 88-92
270. What is the most appropriate route for giving fluids in end of life?
a. Subcutaneous
b. Oral
c. IV
a. 10
b. 12
c. 14
d. 15
274. What is the ratio pf patient to a nurse in ICU with mechanical ventilator?
a. 1:1
b. 1:2
c. 1:4
d. 1:6
275. Among the following, which is not likely to give day after pill?
a. Pharmacy
b. Emergency Department
c. Sex clinic
d. General Practitioner
276. Who should NOT be directly involved in the care of patient who is likely suicidal?
a. Parents
b. Child’s friend
c. Social care
d. Child mental council
277. When communicating with a partially deaf patient, which of these is appropriate?
a. Speak loudly
b. Speak normally
c. Lower your voice
278. An MP from a parliament wants to discuss with a nurse about nursing shifts in a
hospital, what should you do?
a. Pharmacist
b. RN
c. School nurse
d. Physiotherapist
a. 30:2
b. 15:2
c. 30:1
a. Achievement
b. Success
c. Inconsistency
d. Failure
282. In the last days and hours of a patient, any important discussions about the relative
and family, complete the sentence.
283. A patient has a heel sore and dresses it regularly, what would aid wound healing?
284. A male patient has mild incontinence and pain passing urine, a urine test was
ordered. What other should be done?
a. Sexual screening/Referral
b. Bladder scan
c. Blood tests
285. How many tetanus vaccination doses does a person need to develop immunity?
a. 5
b. 2
c. 3
d. 4
a. Leadership
b. Governance
c. Education
d. Research
287. What type of oxygen does a patient with cardiac arrest need?
a. Medic
b. Chief nurse
c. Senior nurse
289. A newly admitted client told you that he wishes to top smoking & sought advice for
the same. What will you do?
290. You are to take consent from a new patient in the A&E unit for physical
examination, but you are in doubt about the ability of the patient to give consent. Which of
the following is correct?
a. Only patients with mental health needs are regarded as incompetent to give consent
b. All patients are assumed to have the ability to give consent until they are established
to be having mental health challenges
c. All patients should be assessed for competency by a senior practitioner during the
admission assessment
291. An adult patient in our care has a temperature reading of 37.5 C. What is the
interpretation of the finding?
292. A patient with neurological conditions began to show signs of mental disability, who
should attend to the patient?
a. Physician
b. Neurology specialist team
c. Mental health specialist
293. A child tells you that she is being abused by her grandfather but tells you to keep
it a secret. What is the best response?
a. 1.2 mL
b. 1.4 mL
c. 1.5 mL
d. 1.7 mL
296. How many breaths are given to a patient who has been in the incident of drowning?
a. 5
b. 3
c. 2
d. 4
a. Depression
b. Sadness
c. Anger
d. Illness
298. Which team should be contacted while making a discharge plan for a patient that
requires a complex discharge plan?
299. You committed a medication error in your shift, what action will you do?
a. Report the incidence to the charge nurse, observe the patient, summon the patient’s
physician, and be prepared to apologize to the patient
b. Tell your colleague and not any other person
c. You don’t need to tell anybody, only observe for any adverse reaction in the patient
300. For a patient with suicidal thoughts, what important questions would you ask?
a. Occupation
b. Marital status
c. Pets
d. Children
a. Orally
b. Nasogastric
c. Parenterally
d. Subcutaneously
302. A patient has anaphylaxis, what triage call room would he be in?
a. 1
b. 2
c. 3
d. 4
304. If patient has some bias and is not corrected and leads to what?
a. Hospital risk
b. Health inequality
c. Health economics
a. 8
b. 4
c. 2
d. 3
a. DM 1
b. DM 2
c. Hyperthyroidism
d. Hypothyroidism
307. Recognizing and reporting any situations, behaviors or error resulting in poor
patient care outcomes is?
The principle of candour is a key
element of healthcare regulation and
practice in the UK, which requires
healthcare professionals and
a. Principle of care organizations to be open and honest
b. Principle of profession with patients and their families when
c. Principle of candour
d. Principle of courage things go wrong with their care.
309. A patient with learning disability is angry with you when providing care. What will
be your action?
a. No escalation required
b. 2 hourly observations
c. Immediate escalation to a senior clinician
d. 4 hourly observation
a. Economics
b. Safety
c. Technology
d. Risk
316. Most common emotion that a person given a terminal diagnosis will feel:
a. Anger
b. Denial
c. Guilt
d. Joy
a. Weight gain
b. Weight loss, blurred vision
c. Ketones in urine, polydipsia and polyuria
319. When a patient is at high risk for suicide within what time the mental health
professional should attend him?
a. Immediately
b. Within 24 hours
c. Within 48 hours
320. A nurse has been diagnosed with chickenpox and has been advices not to attend
planned study day. Why is this advice given?
321. A young person with complex needs is being transferred to the adolescent unit
which is a considerable distance from his relative. The patient is unhappy about this
transfer. What should the nurse do?
a. Tell the family to respect the skills and expertise of the doctors who have planned the
transfer to meet patient’s needs
b. The person requires complex care which can only be provided in a distant specialist
need
c. Nurse should raise the complaints and issues in the next team meeting
d. Report and document preferences regarding the transfer promptly and provide an
explanation
a. Out of school at 16
b. Homeless people
c. Jobless people
d. Sick people
325. How will the nurse assess the quality of care given to the patient through which of
the following?
a. Reflective process
b. Clinical benchmarking
c. Peer and patient response
d. All of the above
a. Xray
b. MRI
c. CT Scan
a. Transfer to ICU
b. Physician review
c. Increase observation
329. You noticed that a nurse forgot an entry to a patient’s chart, and you are about to
do handover, what will be your best action?
a. Leave a space for the nurse to write her entry on her shift
b. Ask one staff in the nurse’s same group to do the entry
c. Fill out the entry and do make sure to finish it promptly/timely manner
d. Continue the handover omitting the missed entry
330. A person calls and only wants to be attached by a female nurse, what should be
your most appropriate response?
331. The nurse is preparing to change the TPN solution bag and tubing. The patient’s
central venous line is located in the right subclavian vein. The nurse asks the client to take
which essential action during the tubing change?
332. What to do if you noticed your patient developed allergic reactions to the drug?
333. The patient feels down, anxious and reported to have sleeplessness. Whom will
the patient seek first?
a. A walk-in center
b. General Practitioner
c. 111 service
d. Emergency unit
334. Which nursing delivery model is based on production and efficiency model and
stresses a task-oriented approach?
a. Case management
b. Primary nursing
c. Differentiated practice
d. Function method
335. You’re to go change patient’s dressing at home, what will you do?
a. Request the patient clean the area, remove pets, close windows
b. Request the patient clean the area before the nurse arrives and remove their own
dressings
c. Clean surfaces with alcohol-based wipes, open the window decontaminate the
patient’s hands
d. Remove pet, close windows, clean surfaces with alcohol-based wipes
a. Gender
b. Age
c. Skill mix
d. Contract hours
337. What is a mineral corticoid secreted by the adrenal cortex in response to increased
osmolarity and/or decreased blood pressure?
a. Testosterone
b. Aldosterone
c. Androgen
d. Methyltestosterone
a. 8
b. 4
c. 2
d. 3
339. A patient is returning home from hospital. They will spend several weeks in a
residential facility, followed by community support. To ensure a positive process, what
action does a nurse take?
a. Allow the patient to arrange any community service to allow them to be independent
b. Give discharge information to the care facility who will liaise with others
c. Copy all agencies into the discharge plan correspondence
d. Ask the patient to contact their general practitioner to follow up on services needed
340. She reads about the Path Goal Theory. Which of the following behaviors is
manifested by the leader who uses this theory?
The Path Goal Theory is a leadership theory that suggests that a leader's main job is to help their
followers reach their goals. According to this theory, the leader's behavior should depend on the
situation and the needs of their followers. The leader should clarify the path to the followers' goals,
remove any obstacles, and provide support and rewards to help them achieve their objectives
341. ST elevation is found in which condition?
342. How many times more likely is an obese child more likely to get diabetes?
a. 2x
b. 3x
c. 4x
d. 5x
343. How many practice hours is required for a RN nurse for revalidation?
a. 350
b. 400
c. 450
d. 500
344. How does a RN ensure that the students are competent to carry out tasks that are
delegated to them?
345. One of your health care assistants came to you saying that she could not continue
with her work rounds due to bad back. What will you do first?
347. A nurse who is working in outpatient observes that a lot of similar information is
given to the patient verbally on a daily basis how can this be minimized?
348. A patient with a learning disability trips over and needs to go to an accident and
emergency department for an examination they become distressed by the noisy waiting
room by the EQUITY Act (2010). What do the staff offer the patient?
349. Which of the following terms refer to the degree to which the instrument measures
what it is supposed to measure?
a. Sensitivity
b. Meaning fullness
c. Reliability
d. Validity
350. When she presents the nursing procedures to be followed, she refers to what type
of standards?
a. Criteria
b. Outcome
c. Process
351. She knows that performance appraisal consists of the following activities,
EXCEPT?
352. A client elects to have epidural anesthesia to relieve the discomfort of labor.
Following the initiation of epidural anesthesia, the nurse should give priority?
355. Mr. X responded well to his NGT feeding and will continue for 3 more days at a
constant rate of 80 mL/hr until the next review by the dietician. Evidence-based practice
suggests that to keep its potency, flushing is needed to be done:
a. Every 8 hours
b. Every 12 hours
c. Every 24 hours
d. Only as required
e. Every 4 hours
a. Asystole
a. Domestic services
b. Community services
c. …Trust
d. Acute trust
a. 2
b. 3
c. 4
d. 5
360. A patient with hypothyroidism is having pain 6 on 1-10 scale in the right hip due to
recent surgery. Which of the following medications is appropriate for this patient?
a. Fentanyl
b. Tylenol
c. Morphine
d. Dilaudid
Fentanyl, morphine, and Dilaudid are opioids that can affect the release of thyroid hormones, which can be
problematic in patients with hypothyroidism.
the initial sign of compensated shock is usually a rapid respiratory rate, rather than hypotension or
hypoxia. The body tries to compensate for the reduced blood flow by increasing the breathing rate in
order to increase oxygen delivery to the tissues. As shock progresses, other signs such as low blood
pressure and reduced urine output may develop
a. Freedom of info policy
b. Whistle blowing policy
c. Flexible policy
d. Information sharing policy
a. Hepatitis
b. Hemolytic Disorders
c. Sudden Infant Death Syndrome
d. Sickle cell
a. Hypotension
b. Rapid respiratory rate
c. Hypoxia
d. Increased UO
a. Face to face
b. Letter
c. Email
d. Phone
366. What are the nursing priorities when helping in an emergency in a practice setting?
a. Smart confidence
b. Creative commitment
c. Intelligent kindness
d. Gifted courage
369. A new nurse did not take the BP correctly, as a nurse in charge what would you
do?
a. Immediately tell the nurse that it is not correct in front of the patient
b. Inform the nurse afterward and teach her how to do it in the correct way
c. Recheck the BP once she is done and change the records
a. Artery
b. Vein
c. Bone marrow
a. Palpation
b. Auscultation
c. Percussion
d. Inspection
372. An independent client has frequent tonic-clonic seizure. What can you do to
maintain her dignity?
374. What is it called when you disclose a medication error to a patient and their
relatives?
a. Duty of candour
b. Disclosure
c. Raise of concern
d. Escalation
375. A patient cannot sleep at night due to dental pain, as a nurse what will be your
advice?
a. Double method
b. Mixed method
c. Double scoping
d. Mixed scoping
378. The patient is on a wheelchair, in what position will the nurse put herself when
speaking with the patient?
379. You witnessed somebody is choking, the person is still conscious and still able to
cough what you will do?
382. You’re about to provide a negative feedback to a student. Where is the best place
to give it?
383. A patient had an arterial bleeding in her arm in home care, what would you do?
a. Apply pressure and raise her arm while help in on the way
384. You noticed a health care professional did not wash his hands before handling the
patient, what will you do?
a. Ignore because he is a doctor as you cannot tell him because you are just a nurse
b. Politely remind him he did not was hands after he has seen patient and are alone
c. Politely remind him he did not wash hands in front of patients and other healthcare
professionals
a. Sexual abuse
b. Financial abuse
c. Neglect
d. Self-harm
a. 90-degree
b. 45-degree
c. 60-degree
d. 80-degree
a. 90-degree
b. 45-degree
c. 60-degree
d. 80-degree
392. Pandemic:
a. is a disease outbreak that spreads across countries or continents
393. 6 C’s:
a. Stop the patient to take their medicine and consult with the team members
b. Allow the patient to drink the medication then consult with the team members
a. Deltoid
397. You used the machine in taking the blood pressure of the pt. The result is BP-
60/30 mmHg, and the patient is conscious and coherent. What will you do next?
Some of the commonly used to treat alcohol dependency
a. Elevate the leg of the patient
b. Recheck the BP using include:
the manual sphygmomanometer
398. Genital mutation: Acamprosate: This medication helps to reduce cravings for
alcohol and can help with abstinence maintenance.
a. Caucasian and African women under 18
399. Disulfiram:
Medication for alcohol This medication works by causing unpleasant
dependency:
physical symptoms when alcohol is consumed, which can
a. Disulfiram (Antabuse) help to discourage drinking.
Naltrexone: This medication can help to reduce alcohol
400. MUST
cravings and decrease the pleasurable effects of alcohol.
Benzodiazepines:
a. Malnutrition Universal Screening Tool These medications may be used to manage
withdrawal symptoms, but they can be addictive and should
401. Anatomy: be used with caution.
a. A field in the biological sciences concerned with the identification and description of
the body structures of living things
402. Showing understanding of what has been said by repeating key points to the
patient is called:
a. Active listening
b. Active lifestyle
c. Active labor
d. Active learning
403. What is an appropriate task to delegate to a nursing support worker?
a. Personal care
b. Drug round
c. IV medication
d. Ward round
404. A patient is admitted to the ward with symptoms of acute diarrhea. What should
your initial management be?
405. A community nurse is visiting a patient at home to give them information on their
condition, however, they cannot speak or understand English. What will you do?
406. How does the nurse respond to a patient using challenging behavior?
a. Report and reflect on the case to contribute to debriefing and ongoing learning
b. Undertake a literature review
c. Focus on reflection-in-action
d. Report the incident to the Care Quality Commission (CQC)
408. A nurse is working with a patient who says he drinks excessive alcohol how will
the nurse respond to prevent ill health?
a. Exploring
b. Formulating a plan of care
c. Making observations
The most common clinical manifestation of appendicitis in adolescents is abdominal
pain, which usually begins around the belly button and then moves to the lower right side
of the abdomen (right iliac fossa). Other common symptoms include nausea, vomiting,
low-grade fever, and loss of appetite. In some cases, the pain may be severe and
sudden, accompanied by a high fever, chills, and rigors.
d. Encouraging comparison
410. The nurse has the role of protecting the patient from the clinical environment, which
of the following actions won’t necessarily protect the patient?
a. Multiprofessional
b. The management team
c. The leadership team
413. A patient complaining of restlessness and inability to sleep at night, what is your
advice to him?
414. Which allied professional can undertake emergency roles after undergoing specific
training?
a. Radiographers
b. Pharmacists
c. Paramedics
d. Sport rehabilitation specialist
a. Stroke
b. Cardiovascular disease
c. Diabetes
d. Respiratory disease
416. Under the Yellow Card Scheme, you must report the following, EXCEPT:
a. Any occurrence that presents serious threat to the health of the community or causes
such numbers or types of casualties, as to require special arrangements to be
implemented
424. Cyclizine:
a. used in prevention and treatment of nausea, vomiting, and dizziness associated with
motion sickness
Non-maleficence: This principle requires healthcare providers to avoid causing harm to their patients and
to minimize any potential harm that may occur.
Justice: This principle requires that healthcare resources and services be distributed fairly and equitably
among all individuals, without discrimination or bias.
a. The ability to use and understand information to make a decision, and communicate
any decision made
a. Talk to nurse team Clinical practice: This pillar involves advanced clinical skills
b. Incident form and knowledge that enable nurses to provide complex care
c. Talk to relative and treatment to patients with a variety of health conditions.
d. Talk to patient
427. BMI normal range:Leadership: This pillar involves the ability to lead and manage
teams, mentor and develop other nurses, and participate in
a. 18.5-24.9 organizational and policy decision-making.
428. Clinical assessment tool for stool:
430. NICE:
a. National Institute for Health and Care Excellence: identifies good practice using the
best available evidence-based information for health, public health and social care
professionals
431. PDSA:
a. Plan-Do-Study-Act
a. High-level precautions which include all disposable beddings and utensils for all health
care staff
b. Basic infection prevention and control measures which include hand hygiene and safe
disposal of all waste by all staff at all times
c. Taking precautions when handling blood and high-risk body fluids for relevant medical
personnel
d. Selective precautions which involve safe disposal of clinical waste for all personnel
involved in the care process
a. Pregnant women
b. Man
c. Children Education: This pillar involves the ability to facilitate and participate in the
d. Femaleseducation and professional development of other nurses and healthcare
professionals.
434. Early sign of phlebitis:
Research: This pillar involves the ability to use research to inform and improve
nursing practice, as well as to conduct research and contribute to the
development of nursing knowledge and evidence-based practice
a. Slight pain and redness
b. Increased WBC
c. Pyrexia
d. Swelling
435. What is the most suitable therapy for a 5-year-old experiencing psychological
trauma?
a. People are motivated to grow and change by three innate and universal psychological
needs: competence, connection/relatedness, and autonomy
441. A patient had sepsis, when will you give broad spectrum antibiotics for culture?
442. DATIX:
a. IV bolus
b. Infusion via pump
This is because having the catheter bag
below the level of the bladder helps to
c. Subcutaneously ensure that urine flows freely out of the
d. Intramuscular
bladder and into the bag, without any
444. Therapeutic communication: backflow or pooling of urine in the bladder.
This reduces the risk of urinary tract
a. Ensure patient gain insights infections (UTIs) and other complications
b. Keep conversation goal-centered associated with catheter use.
445. How to fully understand Mental Illness?
If the catheter bag is kept at the same level
a. 7-day training in GP or higher than the bladder, it can create a
b. Mental health… backflow of urine into the bladder, increasing
the risk of infection.
446. How to know the improvement or about status of patient with cognitive impairment?
a. Discharge summary
b. GP
c. About me/Passport
a. Handwashing
449. Upon visiting an elderly at home, the nurse found him unconscious, what should
be your initial action as a nurse?
450. The numbers written below the nurse’s name and signature:
a. 105-125
b. 115-130
c. 160-190
d. 130-180
452. Symptom commonly present in pregnant woman:
a. Headache
b. Hair loss
c. Abdominal pain and nausea
d. Heartburn
a. Chief nurse
b. Senior nurse of the shift
454. Hemoptysis:
a. Blood in vomit
b. Blood in stool
c. Blood in sputum
d. Blood in urine
455. Most patients with long term conditions usually does not comply with:
a. Rest
b. Exercise
c. Their medications
Unwise decisions: People have the right to make their own decisions,
even if they seem eccentric or unwise to others.
Low High
Coagulation Units
reference reference
Activate Partial Thromboplastin Time (APTT) 23seconds 37
Activated Protein C Resistance (APCR) 2.53
ratio 4.52
Antithrombin 80% 127
D-Dimer
D-Dimer results <243ng/mL are considered Negative for the diagnosis of VTE if patient is <50
years old.
If patient is >50yrs use the age adjusted cut off = age x 10 ng/ml for interpretation.
Always interpret all DDimer results together with the Wells Score (see NICE NG158).
DRVVT 0.86 1.19 ratio
Fibrinogen Level 2 4.98 g/L
Protein C 79 169 %
Protein S 59 113 %
Prothrombin Time (PT) 11 15 seconds
Thrombin time 11 15 seconds
Low High
Haematinics Units
reference reference
Serum Folate 8.83 60.8 nmol/L
Vitamin B12 145 569 pmol/L