MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC/1060 CBT QUESTIONS WITH ANSWERS LATEST UPDATE 2023/2024

MULTIPLE CHOICE QUESTIONS GUIDE CBT EXAMS FOR NMC 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 d) WHC 5. Which of the following agency set the standards of education, training and conduct and performance for nurses and midwives in the UK? a) NMC b) DH c) CQC d) RCN 6. What do you mean by code of ethics? A) Legal activities of a registered nurse who work in the UK B) Legislative body to control nurses 7. The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and midwives must act in line with the Code, whether they are providing direct care to individuals, groups or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles; such as leadership, education or research. What 4 Key areas does the code cover: a) Prioritise people, practise effectively, preserve safety, promote professionalism and trust b) Prioritise people, practise safely, preserve dignity, promote professionalism and trust c) Prioritise care, practise effectively, preserve security, promote professionalism and trust d) Prioritise care, practise safely, preserve security, promote kindness and trust 8. NMC requires in the UK how many units of continuing education units a nurse should have in 3 years? a) 35 Units b) 45 Units c) 55 Units d) 65 Units 9. The code is the foundation of a) Dress code b) Personal document c) Good nursing & midwifery practice & a key tool in safeguarding the health &wellbeing of the public d) Hospital administration 10. According to NMC Standards code and conduct, a registered nurse is EXCLUDED from legal action in which one of these? a) Fixed penalty for speeding b) Possessing stock medications 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 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: 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 19. The single assessment process was introduced as part of the National Service Framework for Older People (DH 2001) in order to improve care for this groups of patients. a) True b) False 20. 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 21. Which law provides communication aid to patient with disability? a) Communication Act b) Equality Act c) Mental Capacity Act d) Children and Family Act 22. What law should be taken into consideration when a patient has hearing difficulties and would need hearing aids? a) Mental capacity Act b) Equality act c) Communication law 23. Hearing aid provide to client comes under which act? a) communication act b) mental capacity act c) children and family act. d) Equality Act 24. Mental Capacity Act 2005 explores which of the following concepts: a) Mental capacity, advance treatment decisions, and act’s code of practice b) Mental capacity, independent mental capacity advocates, and the act’s code of practice c) Mental capacity, advance treatment decisions, independent mental capacity advocates, and the act’s code of practice d) Mental capacity and the possible ethical and legal dilemmas in its interpretation. 25. A patient has been assessed as lacking capacity to make their own decisions, what government legislation or act should be referred to: a) Health and Social Care Act (2012) b) Mental capacity Act (2005) c) Carers (Equal opportunities) Act (2004) d) All of the above 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? 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 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 b) call the security c) let the patient go d) encourage the patient to wait by telling the need for treatment 35. You are in a registered nurse in a community giving health education to a patient and you notice that the student nurse is using his cell phone to text, what should you do? a) Tell the student to leave and emphasize what a disappointment she is b) Report the student to his Instructor after duty c) Politely signal the student and encourage him by actively including him in the discussion 36. A person supervising a nursing student in the clinical area is called as: a) mentor b) preceptor c) interceptor d) supervisor 37. Training of student nurses is the responsibility of: a) Ward in charge b) Senior nurses c) Team leaders d) All RNS 38. You can delegate medication administration to a student if: a) The student was assessed as competent b) Only under close, direct supervision c) The patient has only oral medication 39. A community health nurse, with second year nursing students is collecting history in a home. Nurse notices that a student is not at all interested in what is going around and she is chatting in her phone. Ideal response? a) Ask the student to leave the group b) Warn her in public that such behaviours are not accepted c) Inform to the principal d) Talk to her in private and make her aware that such behaviours could actually belittle the profession 40. In supervising a student nurse perform a drug rounds, the NMC expects you to do the following at all times: a) supervise the entire procedure and the sign the chart b) allow student to give drugs and sign the chart at the end of shift c) delegate the supervision of the student to a senior nursing assistant and ask for feedback d) allow the student to observe but not signing on the chart 41. 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 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 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 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 c) Students on their final placement in 2nd year d) Nurses/midwifes undertaking Mentorship Preparations e) All midwifery pre-registrations students throughout training f) Nurses/midwives undertaking SOM Preparation. 50. A nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care. A staff member asks the nurse educator to describe the concept of acculturation. The most appropriate response in which of the following? a) It is subjective perspective of the person's heritage and sense of belonging to a group b) It is a group of individuals in a society that is culturally distinct and has a unique identity c) It is a process of learning, a different culture to adapt to a new or change in environment d) It is a group that share some of the characteristics of the larger population group of which it is a part 51. You are the nurse in charge of the unit and you are accompanied by 4th year nursing students. a) Allow students to give meds b) Assess competence of student c) Get consent of patient d) Have direct supervision 52. When doing your drug round at midday, you have noticed one of your patient coughing more frequently whilst being assisted by a nursing student at mealtime. What is your initial action at this situation? a) tell the student to feed the patient slowly to help stop coughing b) ask the student to completely stop feeding c) ask student to allow patient some sips of water to stop coughing d) ask student to stop feeding and assess patients swallowing 53. According to the royal marsden manual, a staff who observe the removal of chest drainage is considered as? a) Official training b) Unofficial training c) Hours which are not calculated as training hours d) It is calculated as prescribed training hours. 54. To whom should you delegate a task? a) Someone who you trust b) Someone who is competent c) Someone who you work with regularly d) All of the above 55. Which of the following is an important principle of delegation? 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 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 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 preclamptic 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 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. 65. 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 66. A patient with learning disability is accompanied by a voluntary independent mental capacity advocate. What is his role? a) Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own b) Just to accompany the patient c) To take decisions on patient’s behalf and provide their own judgements as this benefit the client d) Is expert and representative’s clients concerns, wishes and views as they cannot express by themselves 67. A client experiences an episode of pulmonary oedema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with? a) Assault b) Slander c) Negligence d) Tort 68. The client is being involuntary committed to the psychiatric unit after threatening to kill his spouse and children. The involuntary commitment is an example of what bioethical principle? a) Fidelity b) Veracity c) Autonomy d) Beneficence 69. What is accountability? a) Ethical and moral obligations permeating the nursing profession b) To be answerable to oneself and others for one's own actions.” c) A systematic approach to maintaining and improving the quality of patient care within a health system (NHS). d) The process of applying knowledge and expertise to a clinical situation to develop a solution 70. According to the nursing code of ethics, the nurse’s first allegiance is to the: a) Client and client's family 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: 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 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 complications 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 d) At the end of the shift 80. All should be seen in a good documentation except: a) legible handwriting b) Name and signature, position, date and time c) Abbreviations, jargon, meaningless phrases, irrelevant speculation and offensive subjective statements d) A correct, consistent, and factual data 81. A nurse documented on the wrong chart. What should the nurse do? a) Immediately inform the nurse in charge and tell her to cross it all off. b) Throw away the page c) Write line above the writing; put your name, job title, date, and time. d) Ignore the incident. 82. After finding the patient which statement would be most appropriate for the nurse to document on a datix/incident form? a) “The patient climbed over the side rails and fell out of bed.” b) “The use of restraints would have prevented the fall.” c) “Upon entering the room, the patient was found lying on the floor.” d) “The use of a sedative would have helped keep the patient in bed.” 83. Information can be disclosed in all cases except: a) When effectively anonymized. b) When the information is required by law or under a court order. c) In identifiable form, when it is required for a specific purpose, with the individual’s written consent or with support under the Health Service d) In Child Protection proceedings if it is considered that the information required is in the public or child’s interest 84. Adequate record keeping for a medical device should provide evidence of: a) A unique identifier for the device, where appropriate b) A full history, including date of purchase and where appropriate when it was put into use, deployed or installed c) Any specific legal requirements and whether these have been met d) Proper installation and where it was deployed e) Schedule and details of maintenance and repairs f) The end-of-life date, if specified g) All of the above 85. A registered nurse had a very busy day as her patient was sick, got intubated & had other life saving procedures. She documented all the events & by the end of the shift recognized that she had documented in other patient's record. What is best response of the nurse? a) She should continue documenting in the same file as the medical document cannot be corrected 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 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. 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." 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 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 willingness to share ideas and decisions. d) Effective communication, cooperation, and decreased competition for scarce resources. 94. All of the staff nurses on duty noticed that a newly hired staff nurse has been selective of her tasks. All of them thought that she has a limited knowledge of the procedures. What should the manager do in this situation? a) Reprimand the new staff nurse in front of everyone that what she is doing is unacceptable. b) Call the new nurse and talk to her privately; ask how the manager can be of help to improve her situation c) Ignore the incident and just continue with what she was doing. d) Assign someone to guide the new staff nurse until she is competent in doing her tasks. 95. What do you mean by a bad leadership? a) Appreciate intuitiveness b) Appreciate better work c) Reward poor performance 96. There have been several patient complaints that the staff members of the unit are disorganized and that “no one seems to know what to do or when to do it.” The staff members concur that they don’t have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing? a) Autocratic. b) Bureaucratic. c) Laissez-faire. d) Authoritarian. 97. Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a) Organization Man b) Impoverished Management c) Country Club Management d) Team Management 98. Ms. Jones is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a) Country Club Management b) Organization Man 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) Authorian 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 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? 1) Case management 2) Primary nursing 3) Differentiated practice 4) Functional method 103. The contingency theory of management moves the manager away from which of the following approaches? 1) No perfect solution 2) One size fits all 3) Interaction of the system with the environment 4) 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? 1) Disengagement theory 2) Activity theory 3) Immunology theory 4) Genetic theory 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 107. An example of a positive outcome of a nurse-health team relationship would be: a) Receiving encouragement and support from co-workers to cope with the many stressors of the nursing role b) Becoming an effective change agent in the community c) An increased understanding of the family dynamics that affect the client d) An increased understanding of what the client perceives as meaningful from his or her perspective 108. The characteristic of an effective leader includes: a) attention to detail b) sound problem-solving skills and strong people skills c) emphasis on consistent job performance d) all of the above 109. The following are qualities of a good leader, except: b) His behaviour contributes to the team c) Acknowledges and accepts members mistakes - without any corrections d) Does not accept criticisms from members 110. A nurse manger achieves a higher management position in the organisation, there is a need for what type of skills? a) Personal and communication skills b) Communication and technical skills c) Conceptual and interpersonal skills d) Visionary and interpersonal skills 111. The famous 14 Principles of Management was first defined by a) James Watt b) Adam Smith c) Henri Fayol d) Elton Mayo 112. You are a new and inexperienced staff, which of the following actions will you do during your first day on the clinical area? a) Acknowledge your limitations, seek supervision from your team leader b) volunteer to do the drug rounds c) help in admitting the patients d) answer all enquiries from the patients 113. A patient has sexual interest in you. What would you do? a) Just avoid it, because the problem can be the manifestation of the underlying disorder, and it will be resolved by its own as he recovers 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 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? b) 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 121. The nurse can divulge patient's information, only when: a) it can pose as a threat to the public and when it is ordered by the court b) requested by family members c) asked by media personnel for broadcast and publication d) required by employer 122. You noticed medical equipment not working while you joined a new team and the team members are not using it. Your role? a) during audit raise your concern b) inform in written to management c) inform NMC e) take photograph 123. 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. 124. An adult has signed the consent form for a research study but has changed her mind. The nurse tells the patient that she has the right to change her mind based upon which of the following principles. a) Paternalism & justice b) Autonomy & informed consent c) Beneficence & double effect d) Competence & right to know 125. A famous actress has had plastic surgery. The media contacts the nurse on the unit and asks for information about the surgery. The nurse knows: a) Any information released will bring publicity to the hospital b) Nurse are obligated to respect client’s privacy and confidentiality c) It does not matter what is disclosed, the media will find out any way d) According to beneficence, the nurse has an obligation to implement actions that will benefit clients. 126. When will you disclose the identity of a patient under your care? a) You can disclose it anytime you want b) When a patient relative wishes to c) When media demands for it d) Justified by public interest law and order 127. Today many individuals are seeking answers for acute and chronic health problems through non-traditional approaches to health care. What are two popular choices being selected by health consumers? 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: 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?" 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: a) Care, Compassion, Competence, Communication, Courage, Commitment - DoH–“Compassion in Practice” b) Care, Compassion, Competence c) Competence, Communication, Courage d) Care, Courage, Commitment 137. You walk onto one of the bay on your ward and noticed a colleague wrongly using a hoist in transferring their patient. As a nurse you will: a) let them continue with their work as you are not in charge of that bay b) report the event to the unit manager c) call the manual handling specialist nurse for training d) inform the relatives of the mistake 138. You are to take charge of the next shift of nurses. Few minutes before your shift, the in charge of the current shift informed you that two of your nurses will be absent. Since there is a shortage of staff in your shift, what will you do? a) encourage all the staff who are present to do their best to attend to the needs of the patients b) ask from your manager if there are qualified staff from the previous shift that can cover the lacking number for your shift while you try to replace new nurses to cover c) refuse to take charge of the next shift 139. Who will you inform first if there is a shortage in supplies in your shift? a) Nursing assistant b) Purchasing personnel c) Immediate nurse manager d) Supplier 140. The supervisor reprimands the charge nurse because the nurse has not adhered to the budget. Later the charge nurse accuses the nursing staff of wasting supplies. This is an example of a) Denial b) Repression c) Suppression d) Displacement 141. A nurse is having trouble with doing care plans. Her team members are already noticing this problem and are worried of the consequences this may bring to the quality of nursing care delivered. The problem is already brought to the attention of the nurse. The nurse should: a) Accept her weakness and take this challenge as an opportunity to improve her skills by requesting lectures from her manager b) Ignore the criticism as this is a case of a team issue c) Continue delivering care as this will not affect the quality of care you are rendering your patient 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? 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 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 c) Respect the request, if possible arrange the consultation with a female doc d) Inform police 150. Bystander informs you that the patient is in severe pain. Ur response a) Tell him that he would come as soon as possible b) Record in the chart and inform doc and in charge c) Tell that she would give the next dose of analgesic when it’s time d) Go instantly to the patient and assess the condition 151. The nurse restraints a client in a locked room for 3 hours until the client acknowledges who started a fight in the group room last evening. The nurse’s behaviour constitutes: a) False imprisonment b) Duty of care c) Standard of care practice d) Contract of care 152. What are the characteristics of effective collaboration? a) Common purpose and goals b) Clinical competence of each provider c) Humor, trust, and valuing diverse, complementary knowledge d) All of the above 153. A client has been voluntarily admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization? a) The client retains all of his or her rights b) the client has a right to leave if not a danger to self or others c) the client can sign a written request for discharge d) The client cannot be released without medical advice 154. If you were explaining anxiety to a patient, what would be the main points to include? a) Signs of anxiety include behaviours such as muscle tension. palpitations, a dry mouth, fast shallow breathing, dizziness & an increased need to urinate or defaecate b) Anxiety has three aspects: physical – bodily sensations related to flight & fight response, behavioural – such as avoiding the situation, & cognitive (thinking) – such as imagining the worst c) Anxiety is all in the mind, if they learn to think differently, it will go away d) Anxiety has three aspects: physical – such as running away, behavioural – such as imagining the worse (catastrophizing) , & cognitive ( thinking) – such as needing to urinate. 155. A 23-year-old-woman comes to the emergency room stating that she had been raped. Which of the following statements BEST describes the nurse’s responsibility concerning written consent? 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 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 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 Refuse the voucher and thank him for this gesture C. Accept the voucher and give it to ward manager D. Refuse the voucher and inform the ward manager for his gesture 162. The nurse is functioning as a patient advocate. Which of the following would be the first step the nurse should take when functioning in this role? a) Ensure that the nursing process is complete and includes active participation by the patient and family b) Become creative in meeting patient’s needs. c) Empower the patient by providing needed information and support. d) Help the patient understand the need for preventive health care. 163. The nurse manager of 20 bed coronary care is not on duty when a staff nurse makes serious medication error. The client who received an over dose of the medication nearly dies. Which statement of the nurse manager reflects accountability? a) The nurse supervisor on duty will call the nurse manager at home and apprise about the problem b) Because the nurse manager is not on duty therefore she is not accountable to anything which happens on her absence c) The nurse manager will be informed of the incident when returning to the work on Monday because the nurse manager was officially off duty when the incident took place. d) Although the nurse manager was on off duty but the nurse supervisor decides to call nurse manager if the time permits the nurse supervisor thinks that the nurse manager has no responsibility of what has happened in manager’s absence 164. All individuals providing nursing care must be competent at which of the following procedures? a) Hand hygiene and aseptic technique b) Aseptic technique only c) Hand hygiene, use of protective equipment, and disposal of waste d) Disposal of waste and use of protective equipment e) All of the above 165. Clinical bench-marking is: a) to improve standards in health care b) a new initiate in health care system c) A new set of rule for health care professionals d) To provide a holistic approach to the patient 166. What do you mean by benchmarking tool? a) an overall patient-focused outcome that expresses what patients and or carers want from care in a particular area of practice b) it is the way of expressing the need of the patient c) a continuum between poor and best practice. d) information on how to use the benchmarks 167. Essence of Care benchmarking is a process of ? 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? 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 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 n adult has just returned to the unit from surgery. The nurse transferred him to his bed but did not put up the side rails. 174. 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? a) Express patients’ needs and wishes. Acts as a patient’s representative in expressing their concerns as if they were his own b) Just to accompany the patient c) To take decisions on patients behalf and provide their own judgements as this benefit the client d) Is an expert and represents clients concerns, wishes and views as they cannot express by themselves 177. When you find out that 2 staffs are on leave for next duty shift and its of staff shortage what to do with the situation? a) Inform the superiors and call for a meeting to solve the issue b) Contact a private agency to provide staff c) Close the admission until adequate staffs are on duty. 178. What is Disclosure according to NHS? a) It is asking 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. 179. Wound care management plan should be done with what type of wound? a) Complex wound b) Infected wound c) Any type of wound 180. Wound proliferation starts after? a) 1-5 days b) 3-24 days c) 24 days 181. How long does proliferative phase of wound healing occur? a) 3-24 days b) 24-26 days c) 1-7 days d) 24 hours 182. How long does the ‘inflammatory phase’ of wound healing typically last? a) 24 hours b) Just minutes c) 1-5 days d) 3-24 days 183. A new, postsurgical wound is assessed by the nurse and is found to be hot, tender and swollen. How could this wound be best described? 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 sta