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CBT 120 QNAs

medical notes
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0% found this document useful (0 votes)
167 views10 pages

CBT 120 QNAs

medical notes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

1)mild pain after surgery and pain is reduced by taking a)reflective process

which medicine
b) clinical bench marking
a)paracetamol
c)peer and patient response
b)ibuprofen
d)all the above
c)paracetamol with codeine

d)paracetamol with morphine


7) oral corticosteriods side effect

a)mood variation
2) Hearing aid provided to client comes under which
act? b)edema

a)communication act

b)mental capacity act 8)obesity is one of the main problem.what might cause
this?
c)children and family act.
a)supermarket
3)24 hrs after abdominal surgery pain is not reduced
what management will provide b) unequality

a)heat pad c)low economic class

b) reclined position

c)call doctor 9)constipation needs to be sort out during

a)planning

4)patient thinks that he is over weight so nurse send b)assessment


that patient to c)implementation
a)dietitian d)evaluation
b)doctor 10)vital signs how periodically needs to be checked by
c)mental health team the nurse during admission?

a)during admission

5)active listenting means b)morning and evening

a)verbal communication c)according to patient condition

b)non verbal communication 11.Management of moderate


c)verbal and non verbal communication malnutrition in children?

-supplimentary nutrition
6)how the nurse assess the quality of care given
-immediate hospitalization A. The fluid output has
exceeded the input
- weekly assessment
B. The doctor may
-document intake for three days consider increasing the
12.which drug to be avoided by a IV drip rate
patient on digoxin? C. The fluid balance chart
can be stopped as
-corticosteroid “positive” means
-nsaid “good”
D. The fluid input has
- exceeded the output
13.what is the meaning of 17. What is the best way to prevent
compassion? who is receiving an enteral feed from
14.how orthostatic hypotension aspirating?
happens? A. Lie them flat
15.NEWS score of 5-what action is B. Sit them at least 45 degree angle
appropriate? C. Tell them to lie in their side
D. Check their oxygen saturations
-increase frequency of observation
18. What should be included in your initial
-physician review assessment of your patient’s respiratory status?

-tranfer patient to critical care unit A. Review the patient’s notes and
charts, to obtain the patient’s
16. Dehydration is of particular history
concern in ill health. If a patient is B. Review the results of routine
investigations
receiving IV fluid replacement and is C. Observe the patient’s breathing
having their fluid balance recorded, for ease and comfort, rate and
which of the following statements is pattern
D. Perform a systematic
true of someone said to be in examination and ask the relatives
“positive fluid balance” for the patients history
19. Why are anti- embolic stockings an effective D. Gaining permission from a patient
means of reducing the potential of developing a who is competent to give it, by
deep vein thrombosis(DVT) providing information in
understandable terms prior to
A. They promote arterial blood flow
surgery, allowing time for answering
B. They promote venous blood flow
questions, and inviting voluntary
C. They reduce the risk of
participation
postoperative swelling
D. They promote lymphatic fluid flow, 22.Which behaviors will encourage a patient to talk
and drain about their concerns?

20. .When will you disclose the identity of a patient -


under your care?
-
a. Justified by public
-
interest law and
order 23..What functions should a dressing fulfill for
b. When media effective wound healing?
demands for it
c. When patient A.High humidity, insulation, gaseous exchange,
relatives wishes to absorbent
d. You can disclose it
anytime you want b.Anaerobic, impermeable, conformable, low
humidity
21. What are the principles of gaining informed
consent prior to plan surgery? c.Insulation, low humidity, sterile, high
A. Gaining permission for an imminent adherence
procedure by providing information
d.Absorbent, low adherence, anaerobic, high
in medical terms, ensuring a patient
humidity
knows the potential risks and
intended benefits 24. .adverse reaction repoting
B. Gaining permission from a patient
who is competent to give it, by -yellow card
25.while mentoring a final year student dispensing
providing information, both verbally
medication .nurse role ?
and with written material, relating
to the planned procedure, for them -direct supervision
to read on the day of planned
surgery -before delegating find out he is competemnt
C. Gaining permission from a patient
-ask himt to tell after the administration is
who is competent to give it, by
complete
informing them about the
procedure and highlighting risks if 26.electonic data transfer is more these days,
the procedure is not carried out which of the report is not suitable to sent to a
discharged client ?
-Abnormal blood report 33. ideal site for IM INJECTIONS in buttocks
region ?
-smoking caessation policy
ans. upper outer quadrant
-diet plan
34. 109.after abdominal surgery.pt complains of
27.primary care ?
pain even after administration of analgesics little
-care provided in acute settings ago?

-first hand care appoach made by pt -apply heat

28.. Why old people afebrile even if they are -position to reclined positon
infected ?
-Call the doctor
-immature mast T- lymphocYtes
-Read minister analgesic
interuuption of non adrenaline activity
35.after laminectomy how to turn patient ?
29.dehydration in old adult ?(2)
- Turned as a unit
-Decreasedturgour
36.pt states "i hate cancer"according to kobler
-elasticity theory this is

30. You noticed medical equipment not working -anger


while you joined a new team and the team
-denial
members are not using it. Your role?
-acceptance
-during audit raise your concern
-Bargaining
-inform in written to management
37.proper method to collect urine sample?
-inform nmc
ans. clean meatus and collect midstream
-take photograph
38.one the day of discharge spouse of a pt is
31. 86. Heart rate below 50?
tensed about discharge ?
ans. Bradycardia
-cancel discharge
32. .proper technique to use walke<zimmers
-Explain the pt to express his fears and fix time for
frame>?.
consultation
-move 10 feet, take small steps
-inform the doctor
-move 10feet, take large wide steps
39.health care assistant task delegation criteria?
-move 12feet
-make sure he is competent
-tansform weight to walker and walk
-make sure he is experienced
-confirm that he is a staff having same designation

-he is an employee of the same institution


43. What do you mean by code of ethics?
40.while dealing with a pt,sexualityaganist nurses Legal activities of a registered nurse who work
belief ?
in the UK
- Legislative body to control nurses

- 44. A client is diagnosed with cancer what is your


response?
-
Take her to another room and allow her to
discuss with the husband
Tell them to wait in the room and I will come
41. What is the min required hours for in service
and talk to u after my duty
education in uk for 3 years?
45. Notifiable disease
 25
TB
 35
Swine fue
 45
46. A registered nurse is new to the diagnosis of a
 55
patient who came for treatment, what to do?
42.An adult is offered the Clarify doubts with senior staff and plan nursing
opportunity to participate in care accordingly
research on a new therapy. The Read books about the condition and start
researcher ask thenurse to obtain working with confidence
the patient’s consent. What is most 47. You observed that a nurse has not washed the
appropriate for the nurse to take? hands before touching patient what to do?

1)
Be sure the patient Interrupt and ask to wash hands
understands the project before Call the nurse privately and talk about this later
signing the consent form 48. What is the first action before doing primary
2) Read the consent form to the assessment of a patient
patient & give him or her an Arrange articles
opportunity to ask questions Provide privacy
3) Refuse to be the one to obtain Hand wash
the patient’s consent 49. How to reduce the risk of injury to an adult
4) Give the form to the patient & patient by identifying?
tell him or her to read it
When , where, and why
carefully before signing it.
Type of risk, source and measures to prevent
Age of patient, environment and ……
50. Contigency theory
Keeping big picture and assessing the capacity 57. Patient relative want to visit the patient who is
of staffs admitted with diarrhea what to tell?
51. What is not useful of early ambulation? Tell her to wait for 48 hours
Reduce wound infection Tell her to come and see the patient after
Reduce chest infection symptoms subside.
Reduce DVT Tell her to see the patient but don’t touch her
52. Why should nurse encourage family members 58. What is the expansion of APVU?
to speak with patient with coma in end of life. 59. Controlled drug delivery to patient?
To give psychological support to the family 60. When a patient ask to keep a secret what is
Hearing is the last sense to end best to say?
It is the responsibility of nurse to tell As I would like you to develop trust on me, I will
53. Who should do the assessment in a patient with keep it as a secret
dysphagia My professional ethics do not permit me to
Neurologic physiotherapist disclose any information of patient secrets, so I
Speech therapist will keep it as a secret.
Occupation therapist 61. A patient with stoma complaints that the stoma
54. A patient is rapidly deteriorating due to drug bag is loose and the area is rigid what is your
over dose what to do? best action?
Assess ABCDE, call help, keep anaphylactic kit Teach the patient about diets and wound
Call for help, keep anaphylactic kit, assess management.
ABCDE Encourage the patient to consult a doctor
Assess ABCDE, keep anaphylactic kit, inform Assess the stoma site and refer the patient to a
doctor, call for help stoma nurse.
55. When you identify a child abuse what will you 62. What is right in case of consent among children
do? under 18.
Raise concern for child and inform manager Only children between 16-18 are competent to
Inform social service group give it
Inform manager and help to investigate with Parents are responsible to give consent with
her children
56. A client wants to go home against medical Children who are intellectually developed and
advice but not mentally competent what to do? understand matters can give consent.
Inform security to hold the patient until doctor 63. A student nurse is busy with her mobile and not
finishes his assessment. listening what to do?
Release the patient as patient priority need to Call her personally and discuss about this later
be considered. when both of you are free.
Tell her politely to stop what she is doing and Palliative, rehabilitation, step dawn patients,
ask her to join with the education long term illness
64. How to communicate with the conditions of 70. IV injection need to be reconsider when,?
patients in a psychiatric unit Medicine is available in tab form
Mental status examination Poor alimentary absorption
Group discussions Drug interaction due to GI secretions.
Core nursing process 71. Doctor visit the patient after a typical surgery,
65. A patient relative complaints that her mother is and patient inform the doctor that the surgery
not yet bathed by the nurse what is the best is not successful. Doctor ask you to be with the
action? patient until the senior nurse arrves. What is
Accept it , tell them that we will investigate your best action during that time ?
about this and meet the areas of need Be with the patient without doing anything.
Appreciate for complaining and make sure that Ask the patient to tell what doctor said
the patient is bathed. Note down the information in nurses notes
66. You observe that the staff is threatening aged 72. Common type of drug error due to pressureful
patient, best action? situation?
Immediately stop her and encourage the Wrong dose, identity
patient to make a complaint against the staff Prescription error
Immediately stop the staff and raise concern Look alike sound alike drugs error
about the patient who is weak and aged. 73. When you observe a patient has gum bleeding
67. Audit in nursing means during brushing her teeth this may indicate?
Identify the errors and problems A disease
Assess the areas of improvement. Poor diet
68. Your nurse manager approaches you in a Complication of medication
tertiary level old age home where complex 74. What is the terminology for cannot speak due
cases are admitted, and she tells you that today to stroke?
everyone should adopt task - oriented nursing Ataxia
to finish the tasks by 10 am whats your best Aphasia
action 75. A patient with complex, multiple diseases is
Discuss with the manager that task oriented discharged to a teritary level care unit what to
nursing may ruin the holistic care that we do?
provide here in this tertiary level. Inform the teritary unit about patient arrival
Ask the manager to re-consider the time bound, Call for a multidisciplinary meeting with
make sure that all staffs are informed about professional who took care of patient to discuss
task oriented nursing care the patient care modalities that everyone
69. What do you mean by tertiary care? accepts.
Inform to patient relatives abot the situation 84. What will u do if you observe a patient with
76. Which is not effective in respiratory therapy? poor nutrition?
Relaxation technique by traditional healer Start nutritional supplements
Something “CRYSTAL therapy Inform doctor
77. You observe a new staff who always ask others Refer to dietician.
before doing things since she is not confident 85. medium diet score for a patient? What is the
enough to do things and unaware of the unit. immediate action…
What conclusion you will make.? its related to a tool that is used to assess the
Accept limitation and ask doubt to promote nutritional status of patients in the uk.
patient safety 86. What should teach the patient who take tab.
Unaware of matters and may risk the patient Allopurinol
life Drink lots of water
Incapabile of doing things Avoid caffeinated beverages
78. You observe that a staff is doing poor 87. According to the royal marsden manual, a staff
documentation and find difficult to continue the who observe the removal of chest drainage is
next shift due to this problem what to do? considered as?
Talk with her privately and teach her how to do Official training
better documentation Unofficial training
Inform her that this activity may affect patient Hours which are not calculated as training hours
care and it is not acceptable. It is calculated as prsecribed training hours.
79. What do you mean by a bad leadership? 88. Was not competent enough to give a tablet
Appreciate initiativeness prescribed by a doctor? What to do
Appreciate better work Don’t administer & Inform doctor
Reward poor performance Don’t administer & Inform manager
80. What do u mean by contingency theory? 89. What is mean by delegation to an assistnt
81. According to Francis study what do you mean Authority is delegated to the other
by courage by the nurse? Responsibility is not delegated
82. What is the sign of denture stomatitis? The Nurse is responsible for the overall work
83. When you find out that 2 staffs are on leave for 90. How to manage the infectious linen?
next duty shift and its of staff shortage what to 91. A patient with dementia is mourning and pulling
do with the situation? the dress during night what do you understand
Inform the superiors and call for a meeting to from this?
solve the issue Patient is incontinent
Contact a private agency to provide staff Patient is having pain
Close the admission until adequate staffs are on Patient has medication toxicity.
duty.
92. pt bring own medication to hospital and wants
to self administer. your role ?
104. What kind of relation does transformational
leader maintain.
allow him 105. If u r a mentor of a student nurse, and if the
give medications back to relatives to take back student request u to be with tissue viability nurse,
how will u deal.
keep it in locker,use from medication trolly 106. Type 1 DM patient signs and symptoms
explain to pt about medication before he
107. A post op client who is having hypotension, bed
administer it
should be tilted in which cases: eg: chest surgery,
93. how can we identify health problems of a abdominal surgery,lower limb surgery, gynac surgery.
108. U r calling a pts relative about the expected death,
patient ?
what should be ur way of speaking.
-lifestyle
109. 500 ml of 0.9% NS is onflow at 20 ggt/m, the IV
-medical notes safeset 15 drops, how many hours will the saline go.
-discussion
110. 90 mg of Vail is available, patient's BSA is
-Talking to their friends 55.4m², calculate the dose
94. care, competence, courage, compassion, 111. A patient with CRF has which all symptoms
112. Patient with glomerular nephritis come with
commitment is ?
symptoms of puffy face,edema,dyspnea. How can
6 C’S dyspnea occur to this patient.
113.Client with neutropenia has which all
Professional values.
symptoms
114. In source isolation what all precaution should
95. the one who develops and providing be followed.
information?
a) nurse educator
b) nurse advocate 115. Portions included in daily meal
Ç) nurse researcher
D) nurse practioner 116. Sign and symptoms of compensated shock.

96.what is empathetic nursing?


117. Following should be done if patient has pulseless
97. how to position a patient with lumbar
laminectomy? ventricular tachycardia.
98. What is clinical benchmarking? 118. A client has anaphylaxis reaction,as a community
99.what is compassionate nsg?
100. In the department where the RN works hoist is nurse what should u do.
not working and there is rosk to the patient 119. a post op patient has gurgling sounds...what is the
safety,what is the responsibility of RN?
a)report to management team immediate action
b) telephone and report to CQ 120. An unmarried Muslim is diagnose with ectopic
c)report during team meeting
... pregnancy, she is accompanied by her friend. When the
101. what is primary care level setting? family arrives, the friend tell them about the pregnancy,
102. drug interactions with digoxin?
thee patient mother collapsed, the father leaves the
103. Prions found in which disease. room. What should have RN done in such situations.

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