MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023, Exams of Nursing

Download MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 and more Exams Nursing in PDF only on Docsity! MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 1. What is the role of the NMC? a) To represent or campaign on behalf of nurses and midwifes b) To regulate hospital or other healthcare settings in the UK c) To regulate health care assistance d) To regulate nurses and midwives in the UK to protect the public 2. What is the purpose of The NMC Code? a) It outlines specific tasks or clinical procedures b) It ascertains in detail a nurse's or midwife's clinical expertise c) It is a tool for educating prospective nurses and midwives 3. All are purposes of NMC except: a) NMC’s role is to regulate nurses and midwives in England, Wales, Scotland and Northern Ireland. b) It sets standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare throughout their careers. c) It makes sure that nurses and midwives keep their skills and knowledge up to date and uphold its professional standards. d) It is responsible for regulating hospitals or other healthcare settings. 4. The UK regulator for nursing & midwifery professions within the UK with a started aim to protect the health & well-being of the public is: a) GMC b) NMC c) BMC MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 c) Convicted for fraud d) Convicted for theft 11. The NMC Code expects nurse to safeguarding the health and wellbeing of public through the use of best available evidence in practice. Which of the following nursing actions will ensure this? a) using isopropyl alcohol 70% to wipe skin prior to cannulation b) suggesting healthcare products or services that are still trialled c) ensure that the use of complementary or alternative therapies is safe and in the best interest of those in your care d) all 12. Among the following values incorporated in NMC’s 6 C’s, which is not included? a) Care b) Courage c) Confidentiality d) Communication MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 13. Which of the following is NOT one of the six fundamental values for nursing, midwifery and care staff set out in compassion in Practice Nursing, Midwifery & care staff? a) Care b) Consideration c) Communication d) Compassion 14. A nurse delegates duty to a health assistant, what NMC standard she should keep in mind while doing this? a) She transfers the accountability to care assistant b) RN is accountable for care assistant’s actions c) No need to assess the competency, as the care assistant is expert in her care area d) Healthcare assistant is accountable to only her senior 15. According to law in England, UK when you faced with a situation of emergency what is your action? a) Should not assist when it is outside of work environment b) Law insists you to stop and assist c) You are not obliged in any way but as a professional duty advises you to stop and assist d) Do not involve in the situation 16. A patient has been assessed as lacking capacity to make their own decisions, what government legislation or act should be referred to: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Health and Social Care Act (2012) b) Mental capacity Act (2005) c) Carers (Equal opportunities) Act (2004) d) All of the above 17. Under the Carers (Equal opportunities) Act (2004) what are carers entitled to? a) Their own assessment b) Financial support c) Respite care d) All of the above 18. How many steps to discharge planning were identified by the Department of Health (DH 2010)? a) 5 steps b) 8 steps c) 10 steps d) 12 steps MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 26. An enquiry was launched involving death of one of your patients. The police visited your unit to investigate. When interviewed, which of the following framework will best help assist the investigation? a) Data Protection Act 2005 b) Storage of Records Policy c) Consent policy d) Confidentiality guidelines 27. 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. 28. During the day, Mrs X was sat on a chair and has a table put in front of her to stop her getting up and walking about. What type of abuse is this? a) Physical Abuse b) Psychological Abuse c) Emotional Abuse d) Discriminatory Abuse 29. Michael feels very uncomfortable when the carer visiting him always gives him a kiss and holds him tightly when he arrives and leaves his home. What type of abuse is this? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Emotional Abuse b) Psychological Abuse c) Discriminatory Abuse d) Sexual Abuse 30. Anna has been told that unless she does what the ward staff tell her, the consultant will stop her family from visiting. What type of abuse is this? a) Psychological Abuse b) Discriminatory Abuse c) Institutional Abuse d) Neglect 31. Christine cannot get herself a drink because of her disability. Her carers only give her drinks three times a day so she does not wet herself. What type of abuse is this? a) Physical Abuse b) Institutional Abuse c) Neglect d) Sexual Abuse MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 32. Gabriella is 26 year old woman with severe learning disabilities. She is usually happy and outgoing. Her mobility is good, her speech is limited but she is able to be involved if carers take time to use simple language. She lives with her mother, and is being assisted with personal care. Her home care worker has noticed bruising on upper insides of her thighs and arms. The genital area was red and sore. She told the care worker that a male care worker is her friend and he has been cuddling her but she does not like the cuddling because it hurts. What could possibly be the type of abuse Gabriella is experiencing? a) Discriminatory Abuse b) Financial Abuse c) Sexual Abuse d) Institutional Abuse 33. You have noticed that the management wants all residents to be up and about by 8:30 am, so they can be ready for breakfast. Mrs X has refused to get up at 8 am, and she wants to have a bit of a lie in, but one of the carers insisted to wash and dress her, and took her to the dining room. What type of abuse in in place? a) Financial Abuse b) Psychological Abuse c) Sexual Abuse d) Institutional Abuse 34. Patient asking for LAMA, the medical team has concern about the mental capacity of the patient, what decision should be made? a) call the police MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 41.A A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to a) Role modelling behaviours of the preceptor b) The philosophy of the new nurse's school of nursing c) The orientation provided to the new nurse d) Lack of trust in the team members 42. Being a student, observe the insertion of an ICD in the clinical setting. This is a) Formal learning b) Informal learning 43. When you tell a 3rd year student under your care to dispense medication to your patient what will you assess? a) 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 MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 44. You are mentoring a 3rd year student nurse, the student request that she want to assist a procedure with tissue viability nurse, how can you deal with this situation a) Tell her it is not possible b) Tell her it is possible if you provide direct supervision c) Call to the college and ask whether it is possible for a 3rd student to assist the procedure d) Allow her as this is the part of her learning 45.A A registered nurse is a preceptor for a new nursing graduate an is describing critical paths and variance analysis to the new nursing graduate. The registered nurse instructs the new nursing graduate that a variance analysis is performed on all clients: a) Continuously b) daily during hospitalization c) every third day of hospitalization d) every other day of hospitalization 46. you have assigned a new student to an experienced health care assistant to gain some knowledge in delivering patient care. The student nurse tells you that the HCA has pushed the client back to the chair when she was trying to stand up. What is your action a) As soon as possible after an event has happened (to provide current (up to date) information about the care and condition of the patient or client) b) Every hour c) When there are significant changes to the patient’s condition MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) At the end of the shift 47. Who is responsible for the overall assessment of the student’s fitness to practice and documentation of initial, midterm and final assessments in the Ongoing Achievement Record (OAR)? a) The mentor b) The charge nurse/manager c) Any registered nurse on same part of the register 48. What is the minimum length of time that a student must be supervised (directly/indirectly) by the mentor on placement? a) 40% b) 60% c) Not specified, but as much as possible d) Depends on the student capabilities 49. Which student require a SOM? a) All consolidation students who started an NMC approved undergraduate programme which commenced after September 2007. b) Learners undertaking conversion courses MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 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 56.A 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. 57. Which of the following is a specific benefit to an organization when delegation is carried out effectively? a) Delegates gain new skills facilitating upward mobility b) The client feels more of their needs are met c) Managers devote more time to tasks that cannot be delegated d) The organization benefits by achieving its goals more efficiently 58. The measurement and documentation of vital signs is expected for clients in a long-term facility. Which staff type would it be a priority to delegate these tasks to? a) Practical Nurse b) Registered Nurse c) Nursing assistant MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Volunteer 59. Which task should be assigned to the nursing assistant? a) Placing the client in seclusion b) Emptying the Foley catheter for the preeclamptic client c) Feeding the client with dementia d) Ambulating the client with a fractured hip 60. 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 61. What is meant by an advocate? a) Someone who develops opportunities for the patient b) Someone who has the same beliefs as the patient c) Someone who does something on behalf of the patient MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Someone who has the same values as the patient. 62. A Nurse demonstrates patient advocacy by becoming involved in which of the following activities? a) Taking a public stand on quality issues and educating the public on” public interest” issues b) Teaching in a school of nursing to help decrease the nursing shortage c) Engaging in nursing research to justify nursing care delivery d) Supporting the status quo when changes are pending 63. In the role of patient advocate, the nurse would do which of the following? a) Emphasize the need for cost-containment measures when making health care decisions b) Override a patient’s decision when the patient refuses the recommended treatment c) Support a patient’s decision, even if it is not the decision desired by the nurse d) Foster patient dependence on health care providers for decision making 64. What is Advocacy according to NHS Trust? a) It is taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need. b) This is the divulging or provision of access to data c) It is the response to the suffering of others that motivates a desire to help d) It is a set of rules or a promise that limits access or places restrictions on certain types of information. MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 b) Client only c) Healthcare organization d) Physician 71. 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 72. 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 73. 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: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 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 d) be personally accountable for actions and omissions in your practice 74. 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. 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 76. 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 MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 77. 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? a) Don't do it as you are not competent or trained for that & write incident report & inform the supervisor b) What is the purpose of clinical audit? c) Do it d) Ask your colleague to do it e) Complain to the supervisor that doctor left you in middle of the procedure 78. NMC defines record keeping as all of the following except: a) Helping to improve advocacy b) Showing how decisions related to patient care were made c) Supporting effective clinical judgements and decisions d) Helping in identifying risks, and enabling early detection of complication 79. When do we need to document? a) As soon as possible after an event has happened to provide current up to date information about the care and condition of the patient or client b) Every hour c) When there are significant changes to the patient’s condition MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 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 86. Barbara, a frail lady who lives alone with her cat, was brought in A&E via ambulance after a neighbour found her lying in front of her house. No doctor is available to see her immediately. Barbara told you she is worried about her cat who is alone in the house. How will you best reply to her? a) “You should worry about yourself and not the cat.” b) “Your cat sounded like very dear to you. Can I ask your neighbour to check?” c) “Do you want me to see you cat also? I cannot do that now.” d) “Your cat can look after itself, I am sure.” 87. 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 88.A A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority? a) Maintain in an autocratic approach to influence results. b) Understand complex health care environments. MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 c) Use critical thinking to solve problems on the unit d) Give assignments clearly, taking staff expertise into consideration 89. 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?” 90. 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." MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) "Never get into a disagreement with a staff member. 91. The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work? a) Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. b) Prepare these managers so that they will focus on maintaining standards of care c) Prepare these managers to oversee the entire health care organization d) Prepare these managers to interact with hospital administration. 92.A A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following? a) plan strategies to implement the change b) identify the inefficiency that needs improvement or correction c) identify potential solutions and strategies for the change process 93. What are the key competencies and features for effective collaboration? a) Effective communication skills, mutual respect, constructive feedback, and conflict management. b) High level of trust and honesty, giving and receiving feedback, and decision making. c) Mutual respect and open communication, critical feedback, cooperation, and MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 c) Impoverished Management d) Team Management 99. When group members are unable and unwilling to participate in making a decision, which leadership style should the nurse manager use? a) Participative b) Authoritarian c) Laissez faire d) Democratic 100. One leadership theory states that "leaders are born and not made," which refers to which of the following theories? a) Trait b) Charismatic c) Great Man d) Situational 101. She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory? a) Recognizes staff for going beyond expectations by giving them citations MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 b) Challenges the staff to take individual accountability for their own practice c) Admonishes staff for being laggards. d) Reminds staff about the sanctions for non-performance. 102. Which nursing delivery model is based on a production and efficiency model and stresses a task-oriented approach? a) Case management b) Primary nursing c) Differentiated practice d) Functional method 103. The contingency theory of management moves the manager away from which of the following approaches? a) No perfect solution b) One size fits all c) Interaction of the system with the environment d) A method or combination of methods that will be most effective in a given situation 104. 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 MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 105. What is the most important issue confronting nurse managers using situational leadership? a) Leaders can choose one of the four leadership styles when faced with a new situation. b) Personality traits and leader’s power base influence the leader’s choice of style c) Value is placed on the accomplished of tasks and on interpersonal relationships between leader and group members and among group members d) Leadership style differs for a group whose members are at different levels of maturity 106. The nursing staff communicates that the new manager has a focus on the "bottom line,” and little concern for the quality of care. What is likely true of this nurse manager? a) The manager is unwilling to listen to staff concerns unless they have an impact on costs. b) The manager understands the organization's values and how they mesh with the manger's values. c) The manager is communicating the importance of a caring environment. d) The manager is looking at the total care picture MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 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 114. 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 115. A nurse from Medical-surgical unit asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse? a) A client with a cast for a fractured femur & who has numbness & discoloration of the toes b) A client with balanced skeletal traction & who needs assistance with morning care c) A client who had an above-the-knee amputation yesterday & has a temperature of 101.4F d) A client who had a total hip replacement 2 days ago & needs blood glucose monitoring 116. An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 appropriate for this nurse? a) A newly diagnosed client with type 2 diabetes mellitus who is learning foot care b) A client from a motor vehicle accident with an external fixation device on the leg c) A client admitted for a barium swallow after a transient ischemic attack d) A newly admitted client with a diagnosis of pancreatic cancer 117. The nurse suspects that a client is withholding health-related information out of fear of discovery and possible legal problems. The nurse formulates nursing diagnoses for the client carefully, being concerned about a diagnostic error resulting from which of the following? a) Incomplete data b) Generalize from experience c) Identifying with the client d) Lack of clinical experience 118. 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.” MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 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.” 119. 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” 120. A client express concern regarding the confidentiality of her medical information. The nurse assures the client that the nurse maintains client confidentiality by: a) Explaining the exact limits of confidentiality in the exchanges between the client and the nurse. b) Limiting discussion about clients to the group room and hallways. c) Summarizing the information, the client provides during assessments and documenting this summary in the chart. d) Sharing the information with all members of the healthcare team MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Mind awareness techniques and meditation practice b) Stress management and biofeedback programs c) Support groups and alternative medicine d) Telehealth and the internet 128. Which of the following actions jeopardise the professional boundaries between patient and nurse a) Focusing on social relationship outside working environment b) Focusing on needs of patient related to illness c) Focusing on withholding value opinions related to the decisions 129. One of the main responsibilities of an employer should be: a) provide a safe place for the employees b) provide entertainment to employees c) create opportunities for growth d) create ways to make networks 130. Mrs X informs the nurse that she has lost her job due to excessive absences related to her wound. (2 correct answers) The nurse should: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Encourage the patient to express her feelings about the job loss b) Contact social services to assist the patient with accessing available resources c) Evaluate Mrs X’s understanding of her wound management d) Explain to Mrs X that she can no longer be seen at the clinic without a job 131. Role conflict can occur in any situation in which individuals work together. The predominant reason that role conflict will emerge in collaboration is that people have different a) Levels of education and preparation b) Expectations about a particular role; interpersonal conflict will emerge c) Levels of experience and exposure of working in interdisciplinary teams d) Values, beliefs, and work experiences that influences their ability to collaborate. 132. How to give respect & dignity to the client? a) Compassion, support & reassurance to the client b) Communicate effectively with them c) Behaving in a professional manner d) Giving advice on health care issues 133. A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST? a) Please leave and I will speak with you when I am done." b) I need you to leave us alone." c) You may sit with us as long as you are quiet." d) I'm sorry, but HIPPA says that you can't be here. Do you mind leaving?" MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 134. 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 a) Ask the client to sign an authorization & have someone review the chart with cousin b) Hand the cousin the client chart to review c) Call the attending physician & have the doctor speak with the cousin d) Tell the cousin that the request cannot be granted 135. As an RN in charge you are worried about a nurse's act of being very active on social media site, that it affects the professionalism. Which one of these is the worst advice you can give her? a) Do not reveal your profession of being a Nurse on social site b) Do not post any pictures of client's even if they have given you permission c) Do not involve in any conversions with client's or their relatives through a social site d) Keep your profile private 136. Compassion in Practice – the culture of compassionate care encompasses: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 142. Clinical audit is best described as: a) a tool to evaluate the effectiveness of interventions, and to know what needs to be improved b) a tool used to identify the weakest link within the system c) a standard of which performance is based upon d) a tool to set a guidelines or protocol in clinical practice 143. You are the nurse on Ward C with 14 patients. Your fellow incoming nurses called in sick and cannot come to work on your shift. What will be your best action on this situation? a) Review patient intervention, set priorities, ask the supervisor to hand over extra staff b) continue with your shift and delegate some responsibilities to the nursing assistant c) fill out an incident form about the staffing condition d) ask the colleague to look for someone to cover 144. A client requests you that he wants to go home against medical advice, what should you do? a) Inform the management b) Inform the local police c) Call the security guard d) Allow the client to go home as he won't pose any threat to self or others 145. The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) “It is my responsibility to ensure that the consent form has been signed and attached to the patient’s chart prior to surgery.” b) “It is my responsibility to witness the signature of the client before surgery is performed. c) “It is my responsibility to answer questions that the patient may have prior to surgery.” d) “It is my responsibility to provide a detailed description of the surgery and ask the patient to sign the consent form.” 146. A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do? a) Let the patient’s relatives know so that they don’t make a complaint & write an incident report for yourself so you remember the details in case there are problems in the future b) Help the patient to a safe comfortable position, commence neurological observations & ask the patient’s doctor to come & review them, checking the injury isn’t serious. when this has taken place, write up what happened & any future care in the nursing notes c) Discuss the incident with the nurse in charge, & contact your union representative in case you get into trouble MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time, discuss the incident with the patient & if they wish, their relatives 147. The rehabilitation nurse wishes to make the following entry into a client’s plan of care: “Client will re-establish a pattern of daily bowel movements without straining within two months.” The nurse would write this statement under which section of the plan of care? a) Nursing diagnosis/problem list b) Nursing order c) Short-term goals d) Long term goals 148. A registered nurse identifies a care assistant not washing hands hand before caring an immunocompromised client. Your response? a) Let her do the procedure. Correct her later b) Inform to ward in charge c) Interrupt the procedure, correct her politely, teach her 6 steps of handwashing and make sure she became competent 149. The bystander of a muslim lady wishes that a lady doctor only should check the patient. Best response a) Just neglect the request. b) Tell her that, only male doctor is available and he is takin care of many female staffs daily MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) The nurse should explain the procedure to the patient and ask her to sign the consent form. b) The nurse should verify that the consent form has been signed by the patient and that it is attached to her chart. c) The nurse should tell the physician that the patient agrees to have the examination. d) The nurse should verify that the patient or a family member has signed the consent form. 156. A 52-year-old man is admitted to a hospital after sustaining a severe head injury in an automobile accident. When the patient dies, the nurse observes the patient’s wife comforting other family members. Which of the following interpretations of this behaviour is MOST justifiable? a) She has already moved through the stages of the grieving process. b) She is repressing anger related to her husband’s death. c) She is experiencing shock and disbelief related to her husband’s death. d) She is demonstrating resolution of her husband’s death. 157. The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST? a) fine, we’re better off without you anyway” b) It seems to me that you feel frustrated. What can I help you with to care for our patients?” c) I can understand why you’re upset, but I’m tired too and I’m not quitting.” d) Why don’t you take a dinner break and come back? It will seem more manageable with a normal blood sugar. 158. The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defence mechanisms? a) Introjection b) Displacement c) Identification d) Repression 159. A young woman has suffered fractured pelvis in an accident , she has been hospitalized for 3 days , when she tells her primary nurse that she has something to tell her but she does not want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. what is best action of the nurse to take? a) Document this information on the patient’s chart b) Tell the patient’s physician c) Inform the healthcare team who will come in contact with the patient MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Encourage the patient to disclose this information to her physician 160. The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 406. they are using her name & discussing intimate details about her illness which of the following actions are best for the nurse to take? a) Go over & tell the nursing assistants that their actions are inappropriate especially in a public place b) Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed c) Tell the nursing assistant’s supervisor about the incident. It is the supervisor’s responsibility to address the issue d) Say nothing. it is not the nurses job, he or she is not responsible for the assistant’s action 161. One of your patient was pleased with the standard of care you have provided him. As a gesture, he is giving you a £50 voucher to spend. What is your most appropriate action on this situation? a) Accept the voucher and thank him for this gesture b) Refuse the voucher and thank him for this gesture c) Accept the voucher and give it to ward manager MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Comparing, sharing and developing practice in order to achieve and sustain best practice. b) Assess clinical area against best practice c) Review achievement towards best practice d) Consultation and patient involvement 168. Wendy, 18 years old, was admitted on Medical Ward because of recurrent urinary tract infection (UTI). She disclosed to you that she had unprotected sex with her boyfriend on some occasions. You are worried this may be a possible cause of the infection. How will best handle the situation? a) tell her that any information related to her wellbeing will need to be share to the health care team b) inform her parents about this so she can be advised appropriately c) keep the information a secret in view of confidentiality d) report her boyfriend to social services 169. When trying to make a responsible ethical decision, what should the nurse understand as the basis for ethical reasoning? a) Ethical principles & code b) The nurse’s experience c) The nurse’s emotional feelings d) The policies & practices of the institution 170. A mentally competent client with end stage liver disease continues to consume alcohol after being informed of the consequences of this action. What action best illustrates the nurse’s role as a client advocate? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Asking the spouse to take all the alcohol out of the house b) Accepting the patient’s choice & not intervening c) Reminding the client that the action may be an end-of life decision d) Refusing to care for the client because of the client’s noncompliance 171. when breaking bad news over phone which of the following statement is appropriate a) I am sorry to tell you that your mother died b) I am sorry to tell you that your mother has gone to heaven c) I am sorry to tell you that your mother is no more d) I am sorry to tell you that your mother passed away 172. A patient with complex, multiple diseases is discharged to a tertiary level care unit what to do? a) Inform the tertiary unit about patient arrival b) Call for a multidisciplinary meeting with professional who took care of patient to discuss the patient care modalities that everyone accepts. c) Inform to patient relatives about the situation MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 173. clinical practice is based on evidence based practice. Which of the following statements is true about this a) Clinical practice based on clinical expertise and reasoning with the best knowledge available b) Provision of computers at every nursing station to search for best evidence while providing care c) Practice based on ritualistic way d) Practice based on what nurse thinks is the best for patient 174. An adult has just returned to the unit from surgery. The client fell and was injured. What kind of liability does the nurse have? a) None b) Negligence c) Intentional tort d) Assault & battery 175. A new RN have problems with making assumptions. Which part of the code she should focus to deliver fundamentals of care effectively a) Prioritise people b) Practice effective c) Preserve safety d) Promote professionalism and trust 176. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) In the inflammation phase of healing. b) In the haemostasis phase of healing. c) In the reconstructive phase of wound healing. d) As an infected wound 184. What are the four stages of wound healing in the order they take place? a) Proliferative phase, inflammation phase, remodelling phase, maturation phase. b) Haemostasis, inflammation phase, proliferation phase, maturation phase c) Inflammatory phase, dynamic stage, neutrophil phase, maturation phase. d) Haemostasis, proliferation phase, inflammation phase, remodelling phase support 185. Breid, 76 years old, developed a pressure ulcer whilst under your care. On assessment, you saw some loss of dermis, with visible redness, but not sloughing off. Her pressure ulcer can be categorised as: a) moisture lesion b) 2nd stage partial skin thickness c) 3rd stage d) 4th stage MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 186. What stage of pressure ulcer includes tissue involvement and crater formation? (CHOOSE 2 ANSWERS) a) stage 1 b) stage 2 c) stage 3 d) stage 4 187. What stage of pressure ulcer includes tissue involvement and crater formation? a) stage 1 b) stage 2 c) stage 3 d) stage 4 188. A clients wound is draining thick yellow material. The nurse correctly describes the drainage as: a) Sanguineous b) Serous sanguineous c) Serous d) Purulent 189. What do you expect to assess in a grade 3 pressure ulcer? a) blistered wound on the skin b) open wound showing tissue c) open wound exposing muscles MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) open wound exposing bones 190. A nurse notices a bedsore. It’s a shallow wound, red coloured with no pus. Dermis is lost. At what stage this bedsore is? a) Stage1- non blanchable erythema b) Stage2- Partial thickness skin lose c) Stage3- full thickness skin loss d) Stage4- full thickness tissue lose 191. A patient developed pressure ulcer. The wound is round, extends to the dermis, is shallow, there is visible reddish to pinkish tissue. What stage is the pressure ulcer? a) Stage 1 b) Stage 2 c) Stage 3 d) Stage 4 192. A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client’s skidding across a cement parking lot. MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Absorbent / Provide thermal insulation 199. Which of the following conditions can be observed in a proper wound dressing: a) absorbent, humid, aerated b) non absorbent, humid, aerated c) non humid, absorbent, aerated d) non humid, non absorbent, aerated 200. Proper Dressing for wound care should be? a) High humidity b) Low humidity c) Non Permeable d) Conformable e) Adherent f) Absorbent g) Provide thermal insulation 201. You notice an area of redness on the buttock of an elderly patient and suspect they may be at risk of developing a pressure ulcer. Which of the following would be the most appropriate to apply? a) Negative pressure dressing b) Rapid capillary dressing c) Alginate dressing d) Skin barrier product MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 202. Which solution use minimum tissue damage while providing wound care? a) Hydrogen peroxide b) Povidine iodine c) Saline d) Gention violet 203. Which are not the benefits of using negative pressure wound therapy? a) Can reduce wound odour b) Increases local blood flow in peri-wound area c) Can be used on untreated osteomyelitis d) Can reduce use of dressings 204. Which one of the following types of wound is NOT suitable for negative pressure wound therapy? a) Partial thickness burns b) Contaminated wounds c) Diabetic and neuropathic ulcers d) Traumatic wounds 205. How do you remove a negative pressure dressing? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Remove pressure then detach dressing gently b) Get TVN nurse to remove dressing c) remove in a quick fashion 206. How would you care for a patient with a necrotic wound? a) Systemic antibiotic therapy and apply a dry dressing b) Debride and apply a hydrogel dressing. c) Debride and apply an antimicrobial dressing. d) Apply a negative pressure dressing. 207. The nurse cares for a patient with a wound in the late regeneration phase of tissue repair. The wound may be protected by applying a: a) Transparent film b) Hydrogel dressing c) Collagenases dressing d) Wet dry dressing 208. Black wounds are treated with debridement. Which type of debridement is most selective and least damaging? a) Debridement with scissors b) Debridement with wet to dry dressings c) Mechanical debridement d) Chemical debridement MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 c) Dynamic Mattress d) Foam Mattress 216. A patient has been confined in bed for months now and has developed pressure ulcers in the buttocks area. When you checked the waterlow it is at level 20. Which type of bed is best suited for this patient? a) water mattress b) Egg crater mattress c) air mattresses d) Dynamic mattress 217. You have just finished dressing a leg ulcer. You observe patient is depressed and withdrawn. You ask the patient whether everything is okay. She says yes. What is your next action? a) Say " I observe you don't seem as usual. Are you sure you are okay?" b) Say "Cheer up , Shall I make a cup of tea for you?" c) Accept her answer & leave. attend to other patients d) Inform the doctor about the change of the behaviour. 218. External factors which increase the risk of pressure damage are: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 e) Equipment, age and pressure f) Moisture, pressure and diabetes g) Pressure, shear and friction h) Pressure, moisture and age 219. Mr Smith has been diagnosed with Multiple Sclerosis 20 years ago. Due to impaired mobility, he has developed a Grade 4 pressure sore on his sacrum. Which health professional can provide you prescriptions for his dressing? a) Dietician b) Tissue Viability Nurse c) Social Worker d) Physiotherapist 220. Sharp debridement may cause trauma to underlying structures, the procedure should only be carried out by: a) A health care assistant on working full time b) A qualified nurse with at least 3 years experience c) A doctor of any type of speciality d) A qualified healthcare professional with appropriate training 221. Mrs Smith developed an MRSA bacteremia from her abdominal wound and her son is blaming the staff. It has been highlighted during your ward clinical governance meeting because it has been reported as a serious incident (SI). SI is best described as: a) any incident or occurrence that has the potential to cause harm and/or has MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 caused harm to a person or persons b) a consequence of an intervention, relating to a piece of equipment and/or as a consequence of the working environment c) Incident requiring investigation that occurred in relation to NHS funded services and care resulting in; unexpected or avoidable death, permanent harm d) All 222. How much urine should someone void an hour? a) 0.5 – 1ml/Kg/hr of the patient’s body weight b) 2mls/KG/hr of the patient’s body weight c) 30mls d) 50mls 223. Patient usually urinates at night Nurse identifies this as: a) Polyuria b) Oliguria c) Nocturia MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 b) Female patients as there is an absence of lubricating glands in the female urethra, unlike the male urethra c) Male & female patients require anaesthetic lubricating gel d) The use of anaesthetic lubricating gel is not advised due to potential adverse reactions 230. What are the principles of positioning a urine drainage bag? a) Above the level of the bladder to improve visibility & access for the health professional b) Above the level of the bladder to avoid contact with the floor c) Below the level of the patient’s bladder to reduce backflow of urine d) Where the patient finds it most comfortable 231. What would make you suspect that a patient in your care had a urinary tack infection? a) The patient has spiked a temperature, has a raised white cell count (WCC), has new-onset confusion & the urine in the catheter bag is cloudy b) The doctor has requested a midstream urine specimen c) The patient has a urinary catheter in situ & the patient's wife states that he seems more forgetful than usual d) The patient has complained of frequency of faecal elimination & hasn't been drinking enough 232. A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: a) Douche after intercourse MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 b) Void every three hours c) Obtain a urinalysis monthly d) Wipe from back to front after voiding 233. A patient is prescribed methformin 1 000mg twice a day for his diabetes. While taking with the patient he states “I never eat breakfast so I take ½ tablet at lunch and a whole tablet at supper because I don’t want my blood sugar to drop.” As his primary care nurse you: a) Tell him he has made a good decision and to continue b) Tell him to take a whole tablet with lunch and with supper c) Tell him to skip the morning dose and just take the dose at supper d) Tell him to take one tablet in the morning and one tablet in the evening as ordered. 234. The nurse is caring for a diabetic patient and when making rounds, notices that the patient is trembling and stating they are dizzy. The next action by the nurse would be: a) Administer patient’s scheduled Metformin b) Give the patient a glass of orange juice c) Check the patient’s blood glucose MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Call the doctor 235. Common signs and symptoms of a hypoglycaemia exclude: a) Feeling hungry b) Sweating c) Anxiety or irritability d) Blurred vision e) Ketoacidosis 236. Hypoglycaemia in patients with diabetes is more likely to occur when the patients take: (Select x 3 correct answers) a) Insulin b) Sulphonylureas c) Prandial glucose regulators d) Metformin 237. What are the contraindications for the use of the blood glucose meter for blood glucose monitoring? a) The patient has a needle phobia and prefers to have a urinalysis. b) If the patient is in a critical care setting, staff will send venous samples to the laboratory for verification of blood glucose level. c) If the machine hasn't been calibrated d) If peripheral circulation is impaired, collection of capillary blood is not advised as the results might not be a true reflection of the physiological blood glucose level. 238. What would you do if a patient with diabetes and peripheral neuropathy MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Call the doctor 244. When developing a program offering for patients who are newly diagnosed with diabetes, a nurse case manager demonstrates an understanding of learning styles by: a) Administering a pre- and post-test assessment. b) Allowing patient’s time to voice their opinions. c) Providing a snack with a low glycaemic index. d) Utilizing a variety of educational materials. 245. Mr Cross informed you of how upset he was when you commented on his diabetic foot during your regular home visit. He is considering to see another tissue viability nurse. How will you best respond to him? a) Apologise for the comments made b) Tell him of his overreaction c) Explain that his condition will make him over-sensitive to a lot of things d) Apologise and tell him to deal with the event lightly 246. Which of the following indicates the patient needs more education when doing capillary sampling to check for blood sugar? MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) Prick tip of index finger b) Prick sides of a finger c) Rotates sites of fingers 247. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: a) Measure the urinary output. b) Check the vital signs. c) Encourage increased fluid intake. d) Weigh the client. 248. You are preparing to consider a Tuberculin (Mantoux) skin test to a client suspected of having TB. The nurse knows that the test will reveal which of the following? a) How long the client has been infected with TB b) Active TB infection c) Latent TB infection d) Whether the client has been infected with TB bacteria 249. How do we handle a specimen container labelled with a yellow hazard sticker? a) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens b) Wear gloves and apron, mark it high risk and send the specimen to the laboratory with your other specimens c) Wear gloves and apron, inform the infection control team and complete a datix MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 form d) Wear gloves and apron, place specimen in a blue bag & complete a datix form 250. When collecting an MSU from a male patient, what should they do prior to the specimen being collected? a) Clean the meatus and catch a specimen from the last of the urine voided b) Clean the meatus and catch a specimen from the first stream of urine (approx. 30mls) c) Clean the meatus and catch a specimen of the urine midstream d) Ask the patient to void into a bottle and pour urine specimen into the specimen container. 251. How do you ensure the correct blood to culture ratio when obtaining a blood culture specimen from an adult patient? a) Collect at least 10 mL of blood b) Collect at least 5 mL of blood. c) Collect blood until the specimen bottle stops filling. d) Collect as much blood as the vein will give you MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 b) You involve other support services in his discharge: The hospital discharge team, social services, the metal health team 258. Which of the following is a guiding principle for the nurse in distinguishing mental disorders from the expected changes associated with aging a) A competent clinician can readily distinguish mental disorders from the expected changes associated with aging b) Older people are believed to be more prone to mental illness than young people c) The clinical presentation of mental illness in older adults differs form that in other age groups d) When physical deterioration becomes a significant feature of an elder’s life, the risk of comorbid psychiatric illness arises. 259. A normal sign of aging in the renal system is a) Intermittent incontinence b) Concentrated urine c) Microscopic hematuria d) A decreased glomerular filtration rate 260. A 76 year old man who is a resident in an extended care facility is in the late stages of Alzheimer’s disease. He tells his nurse that he has sore back muscles from all the construction work he has been doing all day. Which response by the nurse is most appropriate? a) “ you know you don’t work in construction anymore” b) “What type of motion did you do to precipitate this soreness?” c) “You’re 76 years old & you’ve been here all day. You don’t work in construction MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 anymore.” d) “Would you like me to rub your back for you?” 261. How should be the surrounding area of a patient with dementia? a) Increased stimuli b) Creative environment c) Restrict activities 262. An 86 year old male with senile dementia has been physically abused & neglected for the past two years by his live in caregiver. He has since moved & is living with his son & daughter-in-law. Which response by the client’s son would cause the nurse great concern? a) “How can we obtain reliable help to assist us in taking care of Dad? We can’t do it alone.” b) “Dad used to beat us kids all the time. I wonder if he remembered that when it happened to him?” c) “I’m not sure how to deal with Dad’s constant repetition of words.” d) “I plan to ask my sister & brother to help my wife & me with Dad on the weekends.” MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 263. Knowing the difference between normal age- related changes & pathologic findings, which finding should the nurse identify as pathologic in a 74 year old patient? a) Increase in residual lung volume b) Decrease in sphincter control of the bladder c) Increase in diastolic BP d) Decreased response to touch, heat & pain. 264. Which of the following is a behavioural risk factor when assessing the potential risks of falling in an older person? a) Poor nutrition/fluid intake b) Poor heating c) Foot problems d) Fear of falling 265. What medications would most likely increase the risk for fall? a) Loop diuretic b) Hypnotics c) Betablockers d) Nsaid 266. Among the following drugs, which does not cause falls in an elderly? a) Diuretics b) NSAIDS c) Beta blockers MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 273. Which is not an appropriate way to care for patients with Dementia/Alzheimer’s? a) Ensure people with dementia are excluded from services because of their diagnosis, age, or any learning disability. b) Encourage the use of advocacy services and voluntary support c) Allow people with dementia to convey information in confidence. d) Identify and wherever possible accommodate preferences (such as diet, sexuality and religion). 274. Barbara, an elderly patient with dementia, wishes to go out of the hospital. What will be you appropriate action? a) Call the police, make sure she does not leave b) Encourage the patient to stay for his well being c) Inform the police to arrest the patient d) Allow her to leave, she is stable and not at risk of anything 275. Conditions producing orthostatic hypotension in the elderly: a) Aortic stenosis b) Arrhythmias c) Diabetes MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 d) Pernicious anaemia e) Advanced heart failure f) All of the above 276. An 83-year old lady just lost her husband. Her brother visited the lady in her house. He observed that the lady is acting okay but it is obvious that she is depressed. 3weeks after the husband's death, the lady called her brother crying and was saying that her husband just died. She even said, "I cant even remember him saying he was sick." When the brother visited the lady, she was observed to be well physically but was irritable and claims to have frequent urination at night and she verbalizes that she can see lots of rats in their kitchen. Based on the manifestations, as a nurse, what will you consider as a diagnosis to this patient? a) urinary tract infection leading to delirium b) delayed grieving with dementia 277. Angel, 52 years old lose her husband due to some disease. 4 weeks later, she calls her mother and says that, yesterday my husband died…I didn’t know that he was sick…I cant sleep and I see rats and mites in the kitchen. What is angel’s condition? a) She cant adjust without her husband b) Late grievance with signs of dementia c) Alzheimers with delirium 278. Why are elderly prone to postural hypotension? Select which does not apply: MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC Latest updated exam study Guide 2023 a) The baroreflex mechanisms which control heart rate and vascular resistance decline with age. b) Because of medications and conditions that cause hypovolaemia. c) Because of less exercise or activities. d) Because of a number of underlying problems with BP control. 279. Why should healthcare professionals take extra care when washing and drying an elderly patients skin? a) As the older generation deserve more respect and tender loving care (TLC). b) As the skin of an elder person has reduced blood supply, is thinner, less elastic and has less natural oil. This means the skin is less resistant to shearing forces and wound healing can be delayed. c) All elderly people lose dexterity and struggle to wash effectively so they need support with personal hygiene. d) As elderly people cannot reach all areas of their body, it is essential to ensure all body areas are washed well so that the colonization of Gram-positive and negative micro-organisms on the skin is avoided. 280. Why is pyrexia not always evident in the elderly? a) Due to immature T cells