2024 NMC CBT Mock Test PART-1 (MCQ) Nursing Sample Questions and Answers (1-25) for UK & Ireland

Summary

This educational video offers 25 multiple-choice questions with answers and references, designed to help individuals prepare for the CBT exam. It covers various clinical scenarios and nursing responsibilities, including the use of early warning systems, medication administration, patient care during surgery, and emergency responses. The video emphasizes the importance of informed consent, wound care, patient safety, and end-of-life care. Viewers are encouraged to take an online test to assess their knowledge and improve their readiness for similar challenges in clinical practice.

Takeaways

• 😀 Early Warning Scoring Systems help nurses predict patient deterioration by identifying physiological criteria, allowing for early intervention.
• 😀 Proper patient fasting before surgery reduces the risk of reflux and aspiration, which can lead to serious complications.
• 😀 Nurses are responsible for the safe handling and administration of medications, ensuring that patients understand the medications, their reasons, and potential side effects.
• 😀 Observations for adult patients should be clearly documented and performed according to a plan, with frequency based on the patient's needs and condition.
• 😀 In the case of a head injury with neurological deterioration, airway, breathing, and circulation should be attended to urgently while seeking senior help.
• 😀 Patient information should be shared with the police only when there is imminent and serious risk of harm to the patient or others.
• 😀 Post-surgical pain management involves both comfort positioning and, if necessary, additional doses of medication to ensure adequate pain relief.
• 😀 Discrepancies in controlled drug stock must be reported to senior nurses and documented properly, following hospital protocol.
• 😀 The NMC Code serves as an educational tool for prospective nurses and midwives, offering guidance on professional conduct and responsibilities.
• 😀 Dehydration in elderly patients can often be identified by diminished skin turgor, which is an important indicator for timely intervention.
• 😀 The last sense to fade at the end of life is typically hearing, meaning patients may still be aware of conversations even if they are unconscious.

Q & A

What is the purpose of physiological scoring systems in clinical practice?

The purpose of physiological scoring systems, such as early warning scoring systems, is to provide an early and accurate prediction of patient deterioration by identifying physiological criteria that alert healthcare providers to a patient at risk.

Why is it important for patients to be fasted before surgery?

Fasting before surgery is important to reduce the risk of reflux and the inhalation of gastric contents, which can lead to serious complications like aspiration pneumonia.

What are the responsibilities of a qualified registered nurse in medication management?

A qualified registered nurse is responsible for the safe handling and administration of medicines, ensuring that patients understand their medications, the reasons for taking them, and their potential side effects.

When should a nurse take physiological observations for a patient in an acute hospital setting?

Physiological observations should be taken when the patient is admitted or initially assessed, with a clear plan documenting the frequency of subsequent observations.

What should be the nurse's response if a patient with a head injury shows unequal, non-reactive pupils and is unrousable?

This is a medical emergency. The nurse should attend to basic airway, breathing, and circulation urgently and seek senior help immediately.

Under what circumstances can a nurse share patient information with a police officer?

A nurse can share patient information with a police officer if the patient may cause imminent and serious harm to themselves, as healthcare professionals have an ethical and legal duty to protect patient privacy, except in such situations.

What is the correct immediate nursing action if a patient who recently had abdominal surgery continues to complain of pain despite receiving analgesics?

The nurse should assist the patient in finding a more comfortable position and administer an additional dose of analgesics as appropriate to manage the pain.

What is the correct response if a discrepancy is observed in the controlled drug stock record?

The nurse should check the cupboard and record books, inform the registered nurse or person in charge, and complete an incident report form to document the discrepancy.

What are the principles of gaining informed consent prior to surgery?

Informed consent should be obtained by providing the patient with understandable information about the procedure, allowing time for questions, and ensuring voluntary participation.

What is a common sign of dehydration in elderly patients?

Diminished skin turgor is a common sign of dehydration in elderly patients, where the skin may not return to its normal state immediately when pinched.