NMC OSCE EXAM QUESTIONS AND ANSWERS 2024/2025
PROFESSOR VERIFIED
1. What do you assess during A: Airway: check for obstruction, check is clear
2. What do you check during B: Breathing: RR, Rhythm of breathing, O2
saturations, audible breathing, raise and fall of the chest, any respiratory
distress, accessory muscle use, sweating, cyanosis
3. What do you check during C: Circulation: HR, pulse rhythm, pulse
strength, blood pressure, cap refill, pallor and perfusion
4. What do you check during D: Disability: conscious level using ACVPU
(alert, confusion, voice, pain, in responsive), any pain, urine output and BSL
5. What do you assess during E:: Temperature, asks about any bleeds, any
bruising, rashes or injuries, take medical history
6. What do you check before giving a medication: Person (check ID with
person against wrist band of official documentation) drug, dose, date and time,
route, diluent (as applicable)
7. What do you check on a prescription before administration: Validity of
prescription, signature of prescriber, prescription is legible
8. What do you do During S (SBAR): Situation: Identify self and the clinical
setting, state patient name, hospital number/D.O.B and location, states the reason
for handover
9. What do you do during B (SBAR): Background: states reason for
admission/reason for referral to specialist, notes previous medical history and
relevant medical/social history, give details of current events and details of
findings
10. What do you do during A (SBAR): Assessment: States most recent
observations, any results from assessments taken and what changes have
1/7
, .
occured, identities main nursing needs, states nursing and medical interventions
completed, states areas of concern
11. What do you do during R (SBAR): Recommendations: states what is
required for the person taking handover and proposes a realistic plan of action
12. Important steps when giving inhaled medication: Shake inhaler for 2-5
seconds, wait 30-60 seconds between doses for same medication and 2 minutes,
when giving different medications, check the mouth piece for obstruction, ensure
patient is in an upright position with head tilted up slightly
13. What do you do before administration of a suppository: Ensure there is
a commode near if the patient is immobile, check the anal area for skin soreness,
redness, swelling haemorrhoids, prolapse or any concerns
14. What is an important step before leaving the patient for 20 minutes
after inserting suppository: Get a sheet or blanket to cover patient to maintain
dignity
15. How do you place a patient before inserting a suppository: Left lateral
side, knees flexed, feet level or slightly raised and buttocks near the edge of the
bed
16 What are the 2 different breathing methods for inhaled medication:
Single-breath: breath in slowly ofr 2-3 seconds and hold for 10 seconds
Tidal breathing (if pt can't hold breath for 10 seconds): Breathe in and out steadily
for 5 breaths
17. What will the patient do when exhaling the medication: Pursed lips exhale
18. What position should the patient be in for administration of inhaled
medication: Sitting up, relaxed posture, head tilted up slightly to maximize air
entry
19. How long do you wait between doses of medications: Same medication:
30-60 seconds
Different medication: 2-3 minutes
20. What position do you assist the patient into when administering a
suppository: Left lateral side, knees flexed, feet level or slightly raised,
buttocks near edge of bed,
21. What do you do you check before administering the suppository: Check
anal area for redness, swelling, hemorrhoids, prolapse and irritation
22. What are the normal blood sugar levels: Non diabetics before eating: 4.0-
5.9mmol/L and less than 7.8mmol/L 90 minutes after eating
Diabetic: 4.0-7.0mmol/L and less than 8.5mmol/L 90 minutes after eating
23. What kinds of bowel movements are 1 and 2 on the Bristol stool chart: 1:
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PROFESSOR VERIFIED
1. What do you assess during A: Airway: check for obstruction, check is clear
2. What do you check during B: Breathing: RR, Rhythm of breathing, O2
saturations, audible breathing, raise and fall of the chest, any respiratory
distress, accessory muscle use, sweating, cyanosis
3. What do you check during C: Circulation: HR, pulse rhythm, pulse
strength, blood pressure, cap refill, pallor and perfusion
4. What do you check during D: Disability: conscious level using ACVPU
(alert, confusion, voice, pain, in responsive), any pain, urine output and BSL
5. What do you assess during E:: Temperature, asks about any bleeds, any
bruising, rashes or injuries, take medical history
6. What do you check before giving a medication: Person (check ID with
person against wrist band of official documentation) drug, dose, date and time,
route, diluent (as applicable)
7. What do you check on a prescription before administration: Validity of
prescription, signature of prescriber, prescription is legible
8. What do you do During S (SBAR): Situation: Identify self and the clinical
setting, state patient name, hospital number/D.O.B and location, states the reason
for handover
9. What do you do during B (SBAR): Background: states reason for
admission/reason for referral to specialist, notes previous medical history and
relevant medical/social history, give details of current events and details of
findings
10. What do you do during A (SBAR): Assessment: States most recent
observations, any results from assessments taken and what changes have
1/7
, .
occured, identities main nursing needs, states nursing and medical interventions
completed, states areas of concern
11. What do you do during R (SBAR): Recommendations: states what is
required for the person taking handover and proposes a realistic plan of action
12. Important steps when giving inhaled medication: Shake inhaler for 2-5
seconds, wait 30-60 seconds between doses for same medication and 2 minutes,
when giving different medications, check the mouth piece for obstruction, ensure
patient is in an upright position with head tilted up slightly
13. What do you do before administration of a suppository: Ensure there is
a commode near if the patient is immobile, check the anal area for skin soreness,
redness, swelling haemorrhoids, prolapse or any concerns
14. What is an important step before leaving the patient for 20 minutes
after inserting suppository: Get a sheet or blanket to cover patient to maintain
dignity
15. How do you place a patient before inserting a suppository: Left lateral
side, knees flexed, feet level or slightly raised and buttocks near the edge of the
bed
16 What are the 2 different breathing methods for inhaled medication:
Single-breath: breath in slowly ofr 2-3 seconds and hold for 10 seconds
Tidal breathing (if pt can't hold breath for 10 seconds): Breathe in and out steadily
for 5 breaths
17. What will the patient do when exhaling the medication: Pursed lips exhale
18. What position should the patient be in for administration of inhaled
medication: Sitting up, relaxed posture, head tilted up slightly to maximize air
entry
19. How long do you wait between doses of medications: Same medication:
30-60 seconds
Different medication: 2-3 minutes
20. What position do you assist the patient into when administering a
suppository: Left lateral side, knees flexed, feet level or slightly raised,
buttocks near edge of bed,
21. What do you do you check before administering the suppository: Check
anal area for redness, swelling, hemorrhoids, prolapse and irritation
22. What are the normal blood sugar levels: Non diabetics before eating: 4.0-
5.9mmol/L and less than 7.8mmol/L 90 minutes after eating
Diabetic: 4.0-7.0mmol/L and less than 8.5mmol/L 90 minutes after eating
23. What kinds of bowel movements are 1 and 2 on the Bristol stool chart: 1:
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