What checks are required by two nursing staff administering a controlled drug to a patient at the

bedside? Choose the correct answer.

a. Verbal check of the patient's address
b. Visual check of patient's records and information on their
bed
c. Visual checks of patient's records whilst drawing up the
medication
d. Verbal check of the patient's identity compared to their
identification band

A nurse is caring for a patient with a temperature of 34.2 degrees Celsius in an acute clinical area;
they have added blankets and given warm tea.What else can the nurse do to aid the hypothermia?
Choose the correct answer.
a. Give them a warm bath
b. Get a warming device and warm them slowly
c. Get the patient to mobilise to raise core temperature
d. Give them extra warm blankets

A manager asks a nurse to administer an intramuscular injection to a client. The nurse has not done
this procedure for several years and worries that they may not be competent in this skill. Which
action is taken? Choose the correct answer.
a. Give the nurse a leaflet on this skill
b. Do not carry out the procedure, seek support and help from
the line manager and arrange for a competent RN to
administer the injection
c. Do not administer the injection until they are less worried
d. Do not administer the injection until any anxious feelings
have been discussed with the client and relatives

Patients with complex needs frequently require care in multiple settings, therefore are particularly
vulnerable to..Choose the correct option to complete the sentence.
a. excellent communication in transitions of care.
b. good communication in transitions of care.
c.poor communication in transitions of care.
d. fair communication in transitions of care.

A patient is experiencing unplanned weight loss. What nursing action is taken? Choose the correct
answer
a. Put extra sugar in all their drinks
b. Ensure they finish every meal
c. Make sure that all staff are aware of the problem and that
they give extra snacks
d. Make a detailed referral to the dietician

Following the suicide of a patent, the team leader is keen for the team to review the care given and
reflect on any good practice, safeguarding issues
a. omissions or failures in care that was provided to the patient. What action does the team leader
take? Choose the correct answer
b. Review the case in a clinical supervision session to allow ever one the opportunity o reflect on the
case and ident y lessons learned in a supported environment
c. Ask an external colleague to look at the case and ask them to write a report that can be given to
the team
d. Launch a formal investigation, interviewing everyone in the team and getting them to write formal
statements
e. Produce a time line of vents draw conclusions on the are provided o e patent and ell the team
what they need to learn from the incident

manager asks a nurse to administer an intramuscular injection to a client. The nurse has not done
this procedure for several years and worries that they may not be competent in this skill Which
action is taken? Choose the correct answer
a. Give the nurse a leaflet on this skill
b.Do not carryout the procedure, seek support and help from the line manager and arrange for a
competent RN to administer the injection
c. Do not administer the injection until they are less worried
d. Do not administer the injection until any anxious feelings
have been discussed with the client and relatives

A nurse is caring for a patient with a temperature of 34. 2 degrees Celsius in an acute clinical area,
they have added blankets and given warm tea. What else can the nurse do to aid the hypothermia?
Choose the correct answer
a. Give them a warm bath
b. Get a warming device and warm them slowly
c. Get the patient to mobilise to raise core temperature
d. Give them extra warm blankets

Which of the following risk assessments are undertaken when working in the community setting?
choose the correct answer
a. Car safety assessment
b. Pet safety assessment
c. Lone worker assessment
d. Electrical safety assessment

What checks are required by two nursing staff administering a controlled drug to a pen at the
bedside?Choose the answer
a. Verbal check of the patients address
b. Visual check of patients records and information on their
bed
c. Visual checks of patient's records whilst drawing up the
medication
d. Verbal check of the patients identity compared to their
identification band

How does a nurse respond to a patient who has been given the wrong medication by a colleague?
Choose the correct answer
a. Explain to the patient that the medication error was a result of the nurse being tired and
overworked
b. Act immediately to rectify the situation explain what has happened, formally document the
incident and escalate as appropriate
c. Tell the patient that the nurse who has made the error will be reprimanded and explain the
potential consequences of their action
d. Offer the patient a hot drink and try to distract them with general conversation
. What has been shown to be effective in increasing awareness and understanding of mental health?
Choose the correct answer
a. Training in CBT
b. Access to 7 day GP services
c. Mental Health First Aid
d. Use of the Becks Inventory for Depression

What types of services are managed by extremal contractors?

a. Acute trust
b. Domestic services
c. Ambulance trusts
d. Community services

Studying past experiences to improve practice in nursing is

a. Reflective treatment
b. Reflective process
c. Reflective studying
d. Reflective practice

Which helps identify hazards at work

a. Audit
b. Risk assessment
c. Workload analysis
d. Clinical examination

Why does a nurse accurately identify observe and access signs of normal or worsening physical or
mental health in one receiving care
a. This is a family requirement
b. This is contractual requirement
c. Medical requirement
d. Nmc safety requirement

Support offered to 5 year old

a. Play therapy
b. Talking therapy
c. Solution focused therapy
d. Cognitive therapy

How can reflection and learning he facilitated

a. On shift when carrying out care
b. Via email
c. Through telephone conference
d. Team meeting

A community nurse visits a patient who has limited mobility. The patient says they want to be able
to go out to meet others but cannot get down their front steps and asks for the nurse's help. What
action does the nurse take? Choose the correct answer.
a. Refer them to social support
b. Refer to the doctor and document in the notes
c. Help them to mobilise down the steps as social interaction is important to them
d. Refer to the occupational therapist and document in the notes

What score does a patient with new confusion give for ACVPU on the NEWS2 chart? Choose the
correct answer.
a. 00 b. 03 c. 02 d. 01

A patient who had undergone a surgical procedure has not been out of bed since being transferred
to the unit. On handover, it is
identified that the patient will need help getting out of bed. What does this prevent? Choose the
correct answer.
a. A patient trip
b. A patient fall
c. OA patient friction burn
d. A patient pressure sore

Which of the following cardiac rhythms requires ventilation and chest compressions rather than
defibrillation? Choose the correct answer.
a. Ventricular fibrillation
b. A-systole
c. Unstable polymorphic ventricular tachycardia
d. Pulses ventricular tachycardia

Which piece of information is it vital to ascertain from an adult patient who is at risk of self-harm or
suicide? Choose the correct answer.
a. Are there pets in the home
b. Caring responsibilities including children
c. Occupation
d. Marital status

A health care assistant toilets a patient using a commode in the communal lounge. When asked for
the reason for this behaviour, the health care assistant says that the clients mother does this. Why is
this NOT appropriate? Choose the correct answer.
a. It demonstrates a lack of dignity and respect for the individual client
b. It takes up too much space in the lounge area
c. It may embarrass other service users
d. It may make the lounge smell

To which body do you report a communicable disease? Choose the correct answer.
a. Centre O'Centre of tropical disease
b. Public Health England
c. Department of Health
d. The local acute trusts

Writing a business case for additional care funding requires a... Choose the correct option to
complete the sentence.
Writing a business case for additional care funding requires a...
a. individual-analysis.
b. management analysis.
c. risk analysis
d. team analysis.
 A nurse has taken charge of a busy shift with a number of tasks to complete. How do they plan
carrying out the tasks? Choose the correct answer
a. Delegate all less complex tasks to the health care assistants and complete the rest them-self
b. Delegate roles only to Registered Nurses
c. Prioritise the tasks according to the presenting need and delegate each task to an appropriately
experienced staff member
d. Direct the team to work through the tasks methodically to ensure they are completed by the end
of the shift

During an initial assessment a nurse is asked by the patient how they could stop smoking. What
response is given? Choose the correct answer.
a. Advise them to speak to a colleague who has given up
b. Advise them just to stop straight away
c. Advise them to speak with their doctor about this
d. Advise them about available options to help them

. A client discloses in confidence that she has been sexually abused by a relative who regularly visits
her home. She requests that no one else is told about this. What is the correct nursing response?
Choose the correct answer.
a. Contact the relative to discuss what the client has disclosed
b. Make a written record of the conversation with the client
c. Maintain the confidentiality of the client as this is her wish
d. Tell the client that this needs to be reported as this is a safeguarding issue and there is a duty of
care

What is the standard for hard decontamination to be achieved by health care workers? Choose the
correct answer.
a. As a health care worker you must wash your hands after every episode of direct care
b. health care workers should decontaminate their hands immediately before and after every
episode of direct contact or care
c. As a health care worker you must always wear personal protective equipment including gloves
d. As a health care worker you must wash your hands frequently when working with service users

A client discloses in confidence that she has been sexually abused by a relative who regularly visits
her home. She requests that no one else is told about this. What is the correct nursing response?
Choose the correct answer.
a. Contact the relative to discuss what the client has disclosed
b. Make a written record of the conversation with the client
c. Maintain the confidentiality of the client as this is her wish
d. Tell the client that this needs to be reported as this is a safeguarding issue and there is a duty of
care

The mother of a child that a nurse is admitting to the short term care unit has a bruised face and a
broken tooth. The nurse observes her partner shouting at her and threatening her with physical
violence. What action does the nurse take? Choose the correct answer.
a. This is none of their business; it is a private matter for the family
b. Ask her how she is, raise the issue of domestic abuse and if the child is at risk. Provide information
about support for women experiencing domestic violence
c. Ask her how she sustained her injuries, if she denies physical abuse do not raise any concerns
d. When they see her partner on the ward ask him to come to the office and speak to them together
Encourage a learning culture by reporting errors. What does this mean? Choose the correct answer.
a. Registered Nurses are expected to be open and honest when they have made an error that may
affect patient safety and well being
b. Registered Nurses should reflect on errors privately
c. As a Registered Nurse it is safer not to report any errors
d. Registered Nurses are not expected to report errors that affect patient safety and wellbeing

What support is offered to a 5 year old who has suffered a psychological trauma? Choose the correct
answer.
a. Cognitive behavioural therapy
b. Solution focused therapy
c. Talking therapies
d. Play therapy

Which of the following professional roles is described as experienced nursing staff who deliver and
manage complex care in the community? Choose the correct answer.
a. Public health nurse
b. Practice nurses
c. Rehabilitation nurse
d. Community matrons

A nurse is writing in an adult patient's records and realises that the date and time is incorrect. What
action is taken? Choose the correct answer.
a. Scribble it out with a thick marker pen. Rewrite, initial and date the changes
b. Remove the page and throw it away then start again
C.Leave it as it is. No-one will notice and the nurse might be in trouble for changing it
d. Cross out the errors with a thin pen line, initial and date the changes.

An initial nursing assessment for a patient includes a smoking cessation and accommodation
assessment. What does a nurse do? Choose the correct answer.
a. Complete all parts of the assessment and refer on as needed
b. Ask the patient to complete this assessment
c. Leave this for the next nurse to complete
d.By pass the assessment as there are too many documents to complete

Person-centred care involves... Choose the correct option to complete the sentence.
a. care that considers the whole system that the individual patient experiences.
b.care that’s designed by-the nurse to meet the needs of-the patient's presenting disease.
c. care that is focused on the medical needs of the patient.
d. care that is multidisciplinary in its organisation.

In which of the following formats can team reflection and learning

be facilitated? Choose the correct answer.
a. On shift when carrying out care
b. Team meetings
c. Via email
d. Through telephone conference

A person with limited mobility has been recommended to enter residential care by the care team.
They are able to decide that they wish to return home for a trial with a package of care first. What
does their discharge planner recommend? Choose the correct answer.
a. Tell the patient it is too difficult to change now and they will enjoy being looked after in care
b.Discuss the patient's wishes with the team and explore how this could be safely done
c. Arrange the discharge home without telling the rest of the team
d. Go ahead with the admission to residential care as the team has decided

A number of patient call bells have been accidentally dropped on the floor and have been taped
back together, some are not working. What action does a nurse take? Choose the correct answer.
a. Start an investigation as to why call bells being damaged before new order is set
b.Requestthenewcallbellsonthenextavailableweeklystock order
C Request new call bells from medical equipment immediately, as patients will not be able to alert
staff when they need support
d. Take the call bells away due to potential for recurring damage and give patients a bell

The Mental Capacity Act 2005 is based on five statutory principles. Which of the following is NOT
one of these principles? Choose the correct answer
a. A presumption of capacity
b. The right to have a care plan
c. The right to make eccentric or unwise decisions
d. The right to be supported to make their own decisions

How does a senior nurse manage the situation when a staff member informs them they are
pregnant? Choose the correct answer.
a. Undertake a risk assessment
b. Arrange cover immediately
c. Inform the health and safety lead
d. Inform the other staff members

What management can help delirium at the end of life? Choose the correct answer.
a. Encourage family presence
b. Recommend prescription of haloperidol or sedative medication
c. Minimise stimulation and arousal
d. Reduce opioid analgesia

How does a nurse engaging in therapeutic communication ensure that the communication is
therapeutic? Choose the correct answer.
a. Keep conversations goal-centred
b. Make certain that the client gains some insight c. Communicate as long as client wishes
d. Share personal experiences with the client

A nurse reports that all of their patients have received their 06.00am medications. The patients deny
having their medications yet the record has been signed as given. What action does the colleague
nurse who receives this information, take? Choose the correct answer.
A. The nurse will take immediate and appropriate action if there is a possibility others are falsifying
or documenting inaccurate records
b. Give the patients their 06.00am medications as it is clear there has been a miscommunication
c. Try and get in contact with the handing over nurse first before informing anyone else
d. No action, if the nurse has signed for the drugs then they have been given despite what the
patients are saying

How does a nurse respond to a relative of a newly admitted patient who asks how long the patient's
length of stay will be? Choose the correct answer.
a. It is very difficult to say until we have completed a full assessment
b.I can see you are worried, I will ask the doctor
c. I will be able to tell you once I have read the patient notes
d. It depends if they comply with the treatment

A nurse is caring for a patient who has 10/10 pain. According to the management plan the patient
requires 10mg IV morphine every 2 hours. The de has prescribed and given 2.5mg once only. What
actions does the nurse take? Choose the correct answer.
a. Assume there has been a change to the management plan and take no further action
b. Explain to the patient that they are unable to have more morphine, offer simple analgesics and
conservative treatments until reviewed
c. Give an additional 7.5mg as per management plan
d.Alert the doctor to the management plan and patient's pain, ask them to amend the prescription

What are the common symptoms that patients experience in their last 48 hours of life? Choose the
correct answer.
a. Nausea and vomiting, agitation and upper airway secretions
b. Upper airway secretions, dyspnoea, lucidity
c. Upper airway secretions, swelling in the extremities, pain
d. Nausea and vomiting, pain and an increase in appetite

Why does a nurse accurately identify, observe and assess signs of normal or worsening physical and
mental health in a person receiving care? Choose the correct answer.
a. This is a family requirement
b. This is a contractual requirement
C. This is a medical requirement
d. This is an NMC safety requirement

How does a nurse respond to a long term patient who appears unusually quiet and withdrawn?
Choose the correct answer.
a. Report their low mood to the doctor or GP
b. Say "Cheer up, shall I make you a cup of tea?"
c. Say "Are you okay? You don't seem your usual self"
d. Accept that this is normal for them

What is the course of action of a nurse when there is a distressed child on the ward and another
child needs to have their observation taken? Choose the correct answer.
a. Ask a health care assistant to comfort the distressed child whilst they record the other child's vital
signs
b. Comfort the distressed child and take them to the other child whilst they complete the vital signs
c. Delegate the health care assistant to undertake the vital signs observations whilst they comfort
the distressed child
d. Ask the parents to attend the ward to comfort their child

It is possible for early years and childhood experiences to impact on... Choose the correct option to
complete the sentence.
a. life expectancy, education choices and financial wellbeing.
b. life choices regarding career and physical wellbeing
c. life choices, mental, physical and behavioural health and wellbeing.
d. mental wellbeing and financial goals.
What are the signs and symptoms of hypoglycaemia? Choose the
correct answer.
a. Shivering, lack of coordination, slurred speech, removing warm clothes
b. Frequent urination, increased thirst, high blood sugar
c. Feeling weak, dizzy, tired, cannot concentrate, slurring speech
d. Feeling sick, stomach aches and cramps, loss of appetite, constipation

A practice nurse in a medical centre is instructed to look at improving health equalities. They are
aware of the lack of attendance by elderly
patients who cannot afford transport to the surgery. In which of the following ways does the nurse
address this? Choose the correct answer.
a. Explain to the medical centre team that it is the elderly patients' choice to attend and nothing can
be done
b.Work with local transport services to offer reduced rates to elderly citizens
c. Use their own vehicle to go and collect patients for their appointments
d.Telephone each elderly patient
to emphasise the importance of them attending appointments

How does a nurse involve an acutely mentally ill patient when planning care? Choose the correct
answer.
a. Read the plan to the patient
b. Involvethepatientinplanningtheircareeventhoughthey
are acutely ill
c. Patients who are unwell should be informed of care plans when well
d. The patient should not be involved in the planning process

How does a nurse evaluate the quality and effectiveness of the care they provide? Choose the
correct answer
a. Use the thank you cards received as positive feedback
b. Undertake an authorised feedback from patients and colleagues
c. Ask one of the bank nursing staff to give verbal feedback
d. Ask friends to fill in a questionnaire on their performance

A patient attends the Accident and Emergency department saying that she is in a lot of pain. The
patient is known to be drug dependent The doctor prescribes opioid based medication. How can the
nurse prevent this from happening again? Choose the correct answer
a. There is no point in trying, patients with drug seeking behaviour are manipulative
b. Advise the reception staff that patients who appear to be homeless should be sent away from
now on
c. Speak to all of the doctors and remind them about patients who have drug seeking behaviour
d. Present the case at the next multi-disciplinary supervision session along with data and information
on drug seeking behaviour

What advice does a nurse give when teaching students on the adult orthopaedic ward about
preventing the spread of infection? Choose the correct answer.
a. Wash hands at the start and end of each shift
b. Use the correct personal protective equipment when required
c. Use infection control measures only when infection is present
d.Apply hand-gel after touching a patient and wear a mask at all times
Which pharmacological options are used for treatment of alcohol dependency? Choose the correct
answer.
a. Acamprosate, diazepam and amoxicillin
b. Acamprosate, naltrexone and disulfiram
c. Acamprosate, fluoxetine and sertraline
d. Diazepam, ibuprofen and amoxicillin

Following a GP consultation, Donald has recently been identified as being obese. What is the initial
approach of the nurse working with Donald? Choose the correct answer.
A.To explain to Donald the health consequences of obesity and how this might be managed
b. To not intervene as it is up to the individual what food he eats
c. Refer Donald to a dietician to help improve his diet
d.To put Donald on a diet and exercise plan to ensure he loses weight

An unknown relative of a patient who has recently died telephones and asks about their medical
condition. How does a nurse respond? Choose the correct answer.
a. Take the caller's name and number and report this to the doctor
b. Respect that a person's right to privacy and confidentiality continues after they have died and give
no information
c. Give the caller the medical details and take a note of their name and telephone number
d.Ask the caller to call back to speak to a more senior member of staff

What is the target oxygen (POZ) saturation of a patient with respiratory disease who is known to
retain carbon dioxide (CO2)? Choose the correct answer
a. 84-88%
b. 96-100%
c. 92-96 %
d. 88-92%

On a visit to a client's home the mother gives a nurse twenty five pounds in a birthday card. What is
the correct ethical response? Choose the correct answer.
a. Buy a book for personal reading and show this to the mother
b. Thank the mother
c. Do not accept the money from the mother
d. Put the money in the ward fund

Positioning a person on their front to aid respiration is known as what? Choose the correct answer.
a. Proning
b. Supine
c. Tripod
d. Logrolling

What essential document(s) does a nurse request or refer to, when caring for a patient with a
cognitive impairment to aid delivery of quality care? Choose the correct answer.
a. The hospital notes
b. All about me/hospital passport
c. Treatment escalation plan
d. A GP report and latest discharge summary
A nurse in charge on a ward receives a message that a relative has telephoned and made a
complaint about her son's care. The complaint is that her son appears to be losing weight and looks
neglected. What is the correct nursing action? Choose the correct answer.
a. Collect reports from the staff on duty so that there is a clear understanding of the issue
b. Contact the mother to discuss her concerns
c. Write a detailed account in the son's notes and do not phone the mother
d. Telephone mother and reassure her that the care delivered is of the highest standard

Which of the following allows patients and family to feedback directly to service providers? Choose
the correct answer.
a. Writing to the local member of parliament
b. Friends and family test
c. Patient liaison service
d. National audit

A nurse is caring for an individual with a learning disability and their behaviour makes them very
angry. What is the correct course of action? Choose the correct answer.
a. Do not disclose feelings about the individual's behaviour and continue to provide care
b.Discuss feelings with the nurse in-charge of the unit and try to understand the reasons for the
behaviour and reactions to it
c. Write in the notes about how they feel
d. Ask the manager not to allocate them to care for the individual

A patient is being discharged from an NHS mental health inpatient unit and a supported housing
placement has been found. They do not have the ability to make decisions about their health and
wellbeing and they have no friends and family. Who can help represent the patient? Choose the
correct answer.
a. Independent health assessor (IHA)
B. Financial adviser(FA)
c. Independent mental capacity advocate (IMCA)
d. Non-medical prescriber(NMP)

Recognising and reporting any situations, behaviours or errors that could result in poor care
outcomes is called... Choose the correct option to complete the sentence.
a. duty of care.
b. duty of professionalism.
c. duty of practice.
d. duty of candour.

What has been shown to be effective in increasing awareness and understanding of mental health?
Choose the correct answer.
a. Training in CBT
b. Access to 7 day GP services
c. Mental Health First Aid
d. Use of the Becks Inventory for Depression

How does a nurse respond to a patient who has been given the wrong medication by a colleague?
Choose the correct answer.
a. Explain to the patient that the medication error was a result of the nurse being tired and
overworked
 b. Tell the patient that the nurse who has made the error will be reprimanded and explain the
potential consequences of their action
C. Act immediately to rectify the situation, explain what has happened, formally document the
incident and escalate as appropriate
c. Offer the patient a hot drink and try to distract them with general conversation

Which of the following risk assessments are undertaken when working in the community setting?
Choose the correct answer.
a. Car safety assessment
b. Pet safety assessment
c. Lone worker assessment
d. Electricalsafetyassessment

A patient is experiencing unplanned weight loss. What nursing action is taken? Choose the correct
answer.
a. Put extra sugar in all their drinks
b. Ensure they finish every meal
c. Make sure that all staff are aware of the problem and that they give extra snacks
d. Make a detailed referral to the dietician

A manager asks a nurse to administer an intramuscular injection to a client. The nurse has not done
this procedure for several years and worries that hey may not be competent in this skill. Which
action is taken? Choose the correct answer.
a. Give the nurse a leaflet on this skill
b.Do not carryout the procedure, seek support and help from the line manager and arrange for a
competent RN to administer the injection
c. Do not administer the injection until they are less worried
d. Do not administer the injection until any anxious feelings
have been discussed with the client and relatives

Following the suicide of a patient, the team leader is keen for the team to review the care
given and reflect on any good practice, safeguarding issues, omissions or failures in care that
was provided to the patient. What action does the team leader take? Choose the correct
answer.
A.Review the case in a clinical supervision session to allow everyone the opportunity to
reflect on the case and identify lessons learned in a supported environment
b. Ask an external colleague to look at the case and ask them to write a report that can be
given to the team
c. Launch a formal investigation, interviewing everyone in the team and getting them to write
formal statements
d. Produce a time line of events, draw conclusions on the care provided to the patient and
tell the team what they need to learn from the incident

In respect of fire safety legislation, what action does a nurse take if there are immobile patients on
the premises? Choose the correct answer.
a. Ensure that immobile patients continuously sleep on top of a glide sheet
b.Ensure that there is a wheelchair next to the bed of immobile patients at all times
c. Ensure there is a Personal Emergency Evacuation Plan (PEEP) in place
d. Ensure that immobile patients are situated nearest the lifts