[NOT SURE ABOUT THE OPTIONS/QUESTIONS COMPLETELY BUT MANY ARE RIGHT

NOT ALL ANSWERS ARE CORRECT ,PLEASE RECHECK IT .MANY QUESTIONS WERE ASKED
FROM WALKER AND CRUTCHES .NOT SURE ABOUT THE QUESTION AND OPTIONS
MENTIONED IN WALKERS AND CRUTCHES PART QUESTIONS 68-77]

1.Which example best describe a nurse who exhibits moral courage?

 A nurse feels angry when a parent refuses important treatment for child
 A nurse considers seeking help for depression when she feels she cannot meet the needs of her
client
 A nurse contacts a physician for further orders when he fails to order comfort measures for a
client with terminal illness
 Courage involves taking action to do what is right even when there might be negative
consequences

2. Inter mediate care ?

3. Motion mixed with blood and mucous,which condition does not show this as a sign ?

1]hashimotors syndrome 2]ulcerative colitis3] pseudo membaneous colitis4] cronhs disease

5.A 6 year old child who is dyspagic restless,visiting hours over your role ?

[1] allow mother to stay [2]tell her visiting hour is over [3]tell her you will take care of the child

6. Electonic data transfer is more these days, which of the report is not suitable to sent to a discharged
client ?

[1]confusing blood report [2]smoking caessation policy

7. Primary care ?

[1]care provided in acute settings [2]first hand care appoach made by pt

9. Speed shock complication?

10. After completion of nursing notes ,nurse should?

[1]sign,printed name,designation,time,date

[2]sign,designation,time,date

11. When can you disclose information of pt?

[1]public interest and law and order [2]law and order

12. You noticed medical equipment not working while you joined a new team and the team members
are not using it.Your role?

[1]during audit raise your concern [2]inform in written to management [3]INFORM TO WARD INCHARGE

13. An old admitted patient comes up with a new confusion ?

[1]alzhimers [2]dementia [3]normal ageing [4] UTI[5]Infection .

14.Tibia ,fibula fracture correction done,which sign and symptom leads to the suspicion that it is leading
to compartment syndrome ?

[1]pain not relieved by analgesics [2]numbness and tingling sensation.

15.Advocacy means?

[1]act as a liasion between pt and health care team[2]help pt to make informed decisions .

16.Pt states "i hate cancer"according to kobler theory this is?

[1]anger[2] denial[3] acceptance.

17.How to act in an emergency?

[1]according to our competence [2]according to situation

18.After feeding how to position the client ?

[1]fowlers [2]supine[3]head turned to side[4]semi fowlers

19. Haemorrhoids risk factor?

[1] straining of stools [2]veg diet [3]non -processed food[4]fibre rich food

20How can we identify health poblems of a patient?

[1]lifestyle[2]medical notes[3] interview [4]discusion

21. Acute illness ?

23.Early ambulation of a pt after surgery will reduce the chances occurance of the following except
which condition ?

[1]chest infection [2]muscle atropy [3]venous thromboembolism[4]developing wound infection .

24.Who has responsibility of disposing sharp needles ?

[1]doctor [1]Registerd nurse [3]health care assistant [4]health care professional who used the needle
 25. A patient, after stroke has sustained dysphagia. Which member of the interdisciplinary team should a
nurse contact??
 Physiotherapist
 Speech therapist
 Neurophysiologist
 Dietician

26. When the doctor will prescribe a broad spectrum antibiotic

 on admission
 when septicaemia is suspected
 when the blood culture shows positive growth of organism
 . after obtaining blood samples for culture.

30.Patient is given penicillin. After 12 hrs he develops itching, rash and shortness of breath. what could
be the reason?

 Speed shock
 Allergic reaction
 [Not sure about rest of the options ]

32. Why is orthostatic hypotension more common in elderly people?

a. Adrenaline and epinephrine absorption is reduced. b. Venus plaques are more

34. How will you assess sexuality in a non judgemental way ?

a) Acceptance and understanding of cultural diversity. b) therapeutic c) observation

35. Narcotic drug missed from your ward. What will be your response?

a) Check the record book, order book and inform to the registered nurse or In-charge of the clinical area.
if the missed drug is not found inform any senior nurse on duty and write incident report. b) Inform the
NMC c) Call the pharmacy and inform the senior pharmacist. d) Check the record book, call the
pharmacy to resolve the issue,write incident report.

36. Patient is taking controlled drug at home. What is your responsibility? a) drug should be locked. b)
assess for risk of drug addiction. c) should follow local policy and guidelines

37. You are posted as a charge nurse newly and you find that unjustified duties in the ward that put
someone at risk of harm. What will be your next plan?
a) raise your concern verbally when you get clinical supervision. b) write your concerns to the
management. c) inform the NMC.

38. S/s of dehydration in old age is? a) Skin turgor b) elasticity c) wrinkles

39. Patient is posted for CT scan. Patient is afraid cancer will reveal during scan. Patient asked why this
test. What will be your response?

a) Tell the patient it is a normal procedure b) Understand her feelings and record c) Tell her that you will
arrange a meeting with doctor.

40. You are ready in assisting a doctor in insertion of IV cannula, the doctor left for an emergency and
ordered you for iv insertion,you are not trained in the particular procedure. You will?

a) complaint that doctor left you alone. b) ask your colleague to supervise you

c) Inform the head nurse d) not insert IV as you are not competent in the task.

42.An 8 year old child with cast on his hand has come and the nurse wants to remove the cast. But the
child is not allowing to remove the cast. What will be your response?

a. Talk to the boy in age appropriate language and make him understand. b. Advice the parents to talk to
him and make him understand. c. Let the patient go without removing the cast. d. Inform the treating
physician.

43. If you notice that your patient is having suspected UTI, what precaution you will take

a) improve the infection control nurse role.

b) encourage the doctors to perform strict hand hygiene.

c) review the antimicrobials daily, follow standard precautions, proper disposal of body fluid waste.

d) inform infection control team to review medication, ask them to take class on five moments of hand
hygiene and inform the patient and family with correct information.

45. Average heart rate of a child who is 1 -2 yrs ?

A]150 b]70 c]110 d] 190

48.Discharge planning of a copd pt to prevent any exacerbation home

a)quit smoking b)diet

c)arranging O2at home

50. Who is responsible to give safty gaurds to a patient

a) Doctor b )registered nurse

c)health care assistant d) all p the above

51.In ER pt come with mild symptoms and GCS is 15.you will recheck
the GCS after how many minutes ?

a) 15 b)30 c)40 d)60

52. Important sign of shock?

1) Cool moist cyanosed nailbed

2) Cool dry pink nail bed

3) warm pink nail bed.

53. Important sign of fluid deficit

1) Hypotension

2) Full bound pulse

3) Increased urine output

54. 15mins after blood transfusion patient developed high temperature and less pain this is

1) Common adverse reaction

2) Serious adverse reaction

3) Allergy
55. Nurse working in a community observes that the residents have problems with nutrition
and hydration. The staff is very busy. What would you do?

1) Keep a trained staff to attend to the residents having problems.

2) Keep two HCA to assist with people who are slow eater.

3) Ask the chef to serve food that is cold so that they can eat fast.

56.Pt states "i hate cancer"according to kobler theory this is

-anger

-denial

-acceptance

-Bargaining

57.Which artery is prone to develop aneurysm?

A]Abdominal aortaB]Renal archC]Arch of Willis

58. Pt has respiratory infection was on antibiotic. Suddenly developed bloody diarrhea vomiting.
Which condition causes this?

A]Antibiotic allergy
B]Secondary Clostridium difficile infection in large intestine
C]Gastric irritation from antibiotic
D]Small bowel inflammation

58. Code of conduct for nurses serve as?

A]Legal basis to practice in uk

B]Professional values
C]Improve standards

59.When the doctor will prescribe a broad spectrum antibiotic

 on admission
 when septicaemia is suspected
 when the blood culture shows positive growth of organism
 after obtaining blood samples for culture

60.What is the most serious complication after liver biopsy within 24hrs?
  Nausea and vomiting
 Pain at the site of biopsy
 Back pain

61.How will the nurse take vitals respiration of an unwell patient?

 Asses the ease of breathing, rate, pattern& sign of cyanosis

 Assess patient could speak a complete sentence, ease of breathing, rate, pattern & sign of
cyanosis

62.An 18 yrs old female client who has learning disability is admitted for minor abdominal surgery. She is
very restless and uncooperative. Her mother requests she wants to stay with the patient whole night.
Nurse notices that the visiting time has got over. What is the appropriate action?

 Allow her to stay with patient and help the patient settle down.
 Ask the doctor regarding this.
 Ask the mother to leave as the visiting time got over.
 Assure her that you will manage the situation and ask her to leave

63.Patient is in post operative period. Patient is crying as pain is not reducing even after analgesia. What
is the nursing action?

 Call the doctor

 Give a semi- reclined position to the patient
 Give a heat pad for application
 Provide a glass of water

64.Which is the most appropriate phrase to communicate?

 I'm sorry, your mother died.
 I'm sorry, your mother gone to heaven
 I'm sorry, your mother is no longer with us.
 I'm sorry, your mother passed away.

66. Common minor disorder in pregnancy?

 abdominal pain
 heart burn
 headache
68.What should be taught to a client about use of zimmer frame

 move affected leg first

 move unaffected leg
 move both legs together

69. what a patient should not do when using zimmer frame

 it can be used outside

 don’t carry any other thing with walker
 push walker forward when using
 slide walker forward

70. While teaching a patient to walk in Z____ walker, which is the most appropriate advice?

 Lift the walker 10 inches forward then take 2 steps and come in the middle
 Slide the walker 10 inches forward then take small steps to maintain balance

71.Proper technique to use walker simmers frame?.

-move 10 feet, take small steps

-move 10feet, take large wide steps

-move 12feet

-transform weight to walker and walk

71.When teaching a patient to use the three point gait technique of crutch use

A.The injured leg moves along with both crutches

B.Move one crutch then followed by injured leg

c.Move both crutch ahead then followed by both legs

72.When teaching a patient to use a standard frame which is not advisable?

  It is safe to use when you go out
 Push the arm of the chair while getting up
 Do not hold the frame until you are standing

73.What should be taught to a client about use of zimmer frame

 move affected leg first

 move unaffected leg
 move both legs together

74.What a patient should not do when using zimmer frame

 it can be used outside

 don’t carry any other thing with walker
 push walker forward when using
 slide walker forward

75.Which step is not right to follow while using walker?

 -use outside
 -use only while standing
 -when getting up raise from chair by pushing with palms on armrest
 -Carrying anything on hand

75.What should not be done while using walker?

a.walk outside.

b.Do not carry anything with you.

c.while getting up from chair use sit ups.

76. How will you find out that your teaching was effective to the patient using crutches?

a.putting body weight on his hands and walk

b.put crutches 12 inches in front and keep small steps

77.What is the best way to walk using walker

a. lifting the walker ahead and taking small steps

 b. Lean and walk slowly

78 .Edema in the tissue may seen in which medical condition

a)pulmonary embolism b)rt ventricular failure

c)Lt ventricular failure d)chest infection

79. in COPD patient, what we see

 CO2 high, Po2 low

 Co2 low, po2 high

80.What are the symptoms of compensated shock?

 Tachycardia, vasoconstriction and confusion

 Bradycardia,low blood pressure and drowsy
 Circulatory collapse, cardiovascular dysfunction,brain stem damage

81.Which of the following can be a cause for blood and mucus in the stool?

a.Ulcerative colitis.

b.Crohn s disease.

c.food poisoning.

d.pseudomembraneous colitis.

82.Which one is a notifiable disease

1.Influenza
2.TB
 3.Swine Flue
4.Chicken pox

83.According to NMC ;RN must have to update their skills $knowledge throughout their professional
carrers .On hourly basis a minimum of how much should an RN possesss in 3 years?
a]25hrs

B]35hrs

C]55hrs

D]45 hrs

84]You are a post registered nurse ,if you are observing $learning fro a clinical procedure like chest tube
insertion ,for your practical knowledge ,then according to NMC what kind of learning is this ?

A]post education learning

B]illegal

C]informal

D]formal

85] A client wants to leave the hospital. The medical team is not happy with his
clinical condition and judgment as per the mental health act. What will you do?

A. let the client leave the hospital as he does not possess any threat to the
public or is visibly ill

B. inform the security to hold the patient and not let him go away

C. inform the police

D. counsel the patient to stay back in the hospital for his betterment

86.A patient was on morphine in hospital. On

discharge doctor prescribes fentanyl patches. At
home patient should be observed for which signs of
opiate toxicity?
A. Shallow, slow respiration, drowsiness, difficulty to
walk, speak and think
B. Shallow respiration, drowsiness, difficulty to walk,
speak and think
C.Rapid wheezy respiration, drowsiness, difficulty to
walk, speak and think
D.Slow wheezy respiration, drowsiness, difficulty to
walk, speak and think

87.First Sign of dehydration

A. Bounding pulse
B. Hypertension
C.Jugular distention
D]Hypotension

88.You just joined a new hospital. You see a

senior nurse beating a child with learning
disability, what will be your prompt action?

A.Neglect the situation as you are new to the

scenario
B.Intervene on the spot, speak directly to the senior
in a non confronting Manner, and report to the
management in writing
 C.Inform the ward in- charge after the shift
D. Inform the child’s parents
89. In the immediate post operative period, the
priority is?
A. Taking care of the airway
B.Taking care of the incision site
C.Watching for blood lose
D.Monitoring urine out-put
90.Nursing care should be :-
A.Task oriented
B.Caring medical and surgical patient
C.Patient oriented and individualistic care
D.All of the above

91)A patient after stroke has sustained

dysphagia. Which member of the inter-
disciplinary team a nurse should contact?
A.Physiotherapist
B.Speech therapist
C.Neurophysiologist
D.Dietician
 92)A nurse who works with patients having
complex needs should:-
A.Collaborate with all nurses to give the best
possible care
B.Ignore the complex needs
C.Team up with other members of medical
team to meet different needs
D.She should take time and learn how to meet
diverse needs
93.Before gastric surgery, a nurse identifies that the
patients BMI is too low. With whom she should
contact to improve the patients health before surgery?
A.Gastro enterologist
B.Dietician
C.Surgeon

94.A patient refuses blood transfusion based on religious grounds. What is your
best response?

A. encourage the client to reconsider his decision

B. Do nothing, accept what the client has said and document it as the
client has right to accept or decline a treatment even if it is against
his best interests
95. A client asks you to provide help concerning his colostomy as his colostomy
bag is not fitting properly. As a RN what would be your best response.

A. ignore the task as it is the job of an enterostomal therapist

B. notify the surgeon about the problem
C. provide him with instructions and materials for self help
D. Review the condition, collect history from the client about the
colostomy care performed previously, asess the site, if competent
perform the task otherwise delegate the job to a competent
personnel.

96. When the employer of a residential care facility orders that he wants all his
clients to be washed and dressed by 10 am sharp. What is the best response as a
nurse?

A. obey the command as he is your employer

B. Tell the employer that he is a fool to put forward such a deadline
C. Advice the employer about the quality of care that will be affected
during the process and also regarding serious mishappenings it can
bring about.
D. Demand more man power to complete the task.

97.A client breathes shallowly and looks upward when listening to

the nurse. Which sensory mode should the nurse plan to use with
this client?
A. Auditory
B. Kinesthetic
C. Touch
D. Visual

98.A nurse is caring for a patient with end-stage lung disease. The patient wants to go home
on oxygen and be comfortable. The family wants the patient to have a new surgical
procedure. The nurse explains the risk and benefits of the surgery to the family and discusses
the patient's wishes with the family. The nurse is acting as the patient's:

A. Educator
B. Advocate
C. Care giver
D. Case manager
99.A community health nurse, with a second year nursing students is collecting history in a home. Nurse
notices that she is not at all interested in what is going around and is chatting on her phone. What is the
ideal response?

 Ask the student to leave the group

 Warn her in public that such behaviours are not accepted
 Talk to her in private and make her aware that such behaviours could actually belittle the
profession
 ask her to leave phone and assist in what u do in polite language

100.How to take an infected sheet for washing according to the UK standard?

 Take infected linen in yellow bag for disposal

 Take in red plastic bag, that disintegrates in high temperature
 Use red linen bag that allows washing in high temperature

101. When do the proliferation phase start in wound healing

 10-24 days
 minutes
 1-2 days
 25 days or more

102. Patient is in the end stage palliative care. Which among the following is not advisable?

 Giving analgesics and trying to relieve the symptoms

 Talk to family and friends to provide a psychological support
 Resuscitation
 Make the patient sit outside and engage in the activities he likes.

103.What is the concept of record keeping?

 It is any form of arrangements of records which gives relevant information about patient
 It has a record of nursing care given to the patient
 It has medical history of the patient and the ongoing treatment
  All of the above

104.There are two types of diabetes, type I and type II, which symptom is the most common in type I
diabetes mellitus

 Blurred vision
 Thirst
 Weight loss
 Ketoacidosis

105.A client immediately following LP developed deterioration of consciousness, bradycardia, increased

systolic BP.What is this?
 normal reaction
 client has brain stem herniation
 spinal headache
106.A nurse assistant dealing aggressively with an elderly patient what wiil be your action
 immediately block the staff and report in the authority ,&make sure that pt is safe.
 ignore the situation
 report in the authority
 enquire about the incident with the pt later

107.A new staff is careless about the documentation and reported by the colleague staff. What will be
your action against this problem as a nurse manager .

 make her contact with the person dealing induction programme

 Advice the colleague staff to help her
 In private call the staff and enquire about the problems in the new job area and give clarifications as
it is very important which affect the patient care

108.Independent Mental Capacity Advocate, when will an IMCA make a decision for the client?

 When there is a close family member

 When there is a close friend present
 When there is intermittent mental illness in patient
 When there is no friend and family present to make a wish or take a decision for the client
109.As a registered nurse how will you advice a new registrant who is confused about avoiding to make
assumptions about patients and give effective care in accord to the Code 2005?
 Promote professionalism and trust
 Prioritise people
  Practice effectively
 Promote safety

110.A nurse is performing covert administration of drugs to the client, which of the following is an
appropeiate explanation of this?

 Covert administration of drugs to clients is ethically and professionally wrong

 Assess the deprivation of liberty safegaurds and mental capacity of the client and then administer in
accordance with the multi disciplinary team care plan
 Covert administration of drugs can only be alllowed if the clints next of kin advices so

111.If a patient requires protective isolation, which of the following

should you advise them to drink?

A. Filtered water only

B. Fresh fruit juice and filtered water
C. Bottled water and tap water
D. Long-life fruit juice and filtered water

112.A walk-in client enters into the clinic with a chief complaint of
abdominal pain and diarrhoea. The nurse takes the client’s vital sign
hereafter. What phrase of nursing process is being implemented here
by the nurse?

A. Assessment
B. Diagnosis
C. Planning
D. Implementation

113.Now the medical team encourages early ambulation in the post-operative period. Which
complication is least prevented by this?
 A. Tissue wasting
B. Thrombophlebitis
C. Wound infection
D. Pneumonia

114.Which condition cause facial tissue edema?

A. Left sided heart failure

B. Right sided heart failure
C. Pulmonary embolism
D. Pulmonary hypertension

115.When an oropharyngeal airway is inserted properly, what is the sign?

A. Airway obstruction
B. Retching and vomiting
C. Bradycardia
D. Tachycardia

116. An elderly client with end stage liver disease asks you not to resuscitate him
the next time a cardiac arrest occurs. What will be the most suitable response as a
nurse?

E. Yes, I think you are right, I will inform other members of the medical
team
F. It’s not for you alone to decide, family has discretion concerning it
G. it’s for the doctor to decide what to do
H. I will bring you a copy of the advanced directives so that you will be
aware about rules concerning such matters.

117. Which among these suggests poor leadership?

A. recognition of empathy towards team members

B. Recognition and acceptance of incompetency of an individual team
member
C. Recognition of team leader behaviour affecting the performance of
team
 D. Recognition of how well being of team members can affect
performance .

118.After lumbar puncture, the patient became unconscious. What will be the reason?

a. Increased ICP. b. Headache. c. Side effect of medications. d. CSF leakage

119.For adverse drug reaction, in which colour will you mark?

a. Red b. Yellow c. Blue d. Pink

120. A patient was on morphine in hospital. On discharge doctor prescribes fentanyl patches. At
home patient should be observed for which signs of opiate toxicity?

E. Shallow, slow respiration, drowsiness, difficulty to walk, speak and think

F. Shallow respiration, drowsiness, difficulty to walk, speak and think
G. Rapid wheezy respiration, drowsiness, difficulty to walk, speak and think
H. Slow wheezy respiration, drowsiness, difficulty to walk, speak and think

130. First Sign of dehydration

D. Bounding pulse
E. Hypertension
F. Jugular distention
G. Hypotension

131.A precise indicator of anticoagulation status when an oral anticoagulants?

A. PTT
B. APTT
C. CT
D. INR or PT not ptt

134.A patient, after screening tests, is diagnosed as having Cancer breast. While discussing the
treatment option, she begins to cry, as being her nurse what will be your role?

A. Tell family members to take the patient home

B. Give leaflets about breast cancer and ask patient and family to leave
C. Consider it as normal reaction to chronic diseases like cancer. Do nothing and patient will accept
reality sooner or later
D. Comprehending the importance of taking right decision, offer a quiet and peaceful room to the
patient and explore concerns

135. You just joined a new hospital. You see a senior nurse beating a child with learning disability,
what will be your prompt action?
 E. Neglect the situation as you are new to the scenario
F. Intervene on the spot, speak directly to the senior in a non confronting Manner, and
report to the management in writing
G. Inform the ward in- charge after the shift
H. Inform the child’s parents]

136. Sarah, a 52 year 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 can’t sleep
and I see rats and mites in the kitchen” what is Sarah’s condition?

A. She can’t adjust without her husband

B. Late grievance with signs of dementia
C. Alzheimer’s with delirium
D. Dementia with delirium

137.Hypokalemia can occur in which situation?

A. Addison’s disease
B. When patient is on spironolactone
C. When patient is on furesimide
D. When patient is on mannitol

138.A nurse delegates duties 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 assistants actions
C. No need to assess the competency, as the care assistant is expert in her care area
D. Health care assistant is accountable to only her senior

139.In the immediate post operative period, the priority is

E. Taking care of the airway

F. Taking care of the incision site
G. Watching for blood lose
H. Monitoring urine out-put

140. You are dealing with an infectious patient. What standard precautions will you take?

a. Hand hygiene.
b. Proper disposal of waste.
c. Using self-protective device
141.Pt with clostridium deficilli ,what safety measures is not recommended.

a.usingalchol gel hand rub

b.use separate equipment
cIsolation

142.When you are going to administer digoxin for a patient,you find the pulse rate is
58bpm.what will you do next?

a.you will hold the medication.

b.Omit the dose,record and report to the physician.

c.omit the dose and bleep the physician urgently.

143.While in outside setup what care will you give if exposed to a situation?[NOT SURE ABOUT
THE OPTIONS THAT WERE ASKED]

a.less than inside hospital settings.

b.a reasonable amount of care as required is anticipated.

a. should only take care of the injury.

d.as per her ability

e.as like in inside hospital setting

f-keeping up to professional standards

g-above what is expected

144.You are posted as a charge nurse newly and you find that unjustified duties in the
ward that put someone at risk of harm. What will be your next plan.

a.raise your concern verbally when you get clinical supervision.

b.write your concerns to the management.

c.inform the nmc.

d.Inform your manager

145.While giving IV infusion. Patient developed speed shock. Which is not the s/s?
a.circulatory collapse.

b.peripheraledema.

c.facial flushing.

d.head ache.

146. Many equipement in your ward is is not maintained .You identified it even affects the care
to be given to patients .What is your responsibility

a.Complaint to supervisor

b.Inform during clinical audit

c.Make written complaint to the management

d.inform NMC

147.Pt with cast on legs.Only the toes exposed. How will you find out the risk for
compartmental syndrome?

a.pain that is not alleviated by analgesics.

b. numbness and tingling sensation.

c.dusky toes.