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[2/15, 13)30] EB :
14/02/2019
Q1.A patient is prescribed 120mg
tab.Available dose is 40mg.How
many tablets for a single dose?
D/H×Q=A
120/40=3 tablets.
Q2.A patient is advised 120mg
tab.Available dose is 30mg.How
many tablets for a single dose?
D/H×Q=A
120/30=4 tablets
Q3.1500ml IV fluid to be infused
over 8 hours.Calculate the ml/hr
to be given in an infusion pump?
Total volume/Time in
hours=1500/8=187.5ml/hr
Q4.Inj.Metrogyl 100ml to be
infused over half an hour.How
many ml/hr to be set in an
infusion pump?
100÷30×60=200ml/hr
Q5.Prescription 2.5mg/hr.How
much will be given in 24 hours?
2.5×24=60mg
Q6.Calculate fluid
balance.Intake=2738ml
Output=750ml?
2738-750=1988ml
Q7.A patient weighing 55kg is
prescribed 3mg/kg of
medicine.How many mg will be
given?
55×3=165mg
Q8.Prescribed dose is 50mg
three times daily.Available is
125mg/5ml.how much will be for
a single dose?
D/H×Q=A
50÷125×5=2ml.
Q9.How can a nurse provide
support for a blind patient taking
oral fluids?
Ask the patient if he need any
assistance.
Q10.Which should be considered
for a 15 year old girl asking for
contraceptive advice?
A.Faser guidelines
B.Gillick guidelines
Answer is A
Q11.In Early warning score
system,what ACVPU stands for?
A.Awake,cooperation,verbalisatio
n,pain,unconsciousness
B.Alert,compatibility,verbalisation,
pain,unconsciousness
C.Awake,communication,voice,pai
n,unconsciousness.
D.Alert,confused,voice,pain,unco
nsciousness.
Answer is D
Q12.A widow lady with dementia
and recent UTI complains that
she saw something running in the
kitchen?
Manifesting delirium due to
infection.
Q13.Medicine not administered
because of unavailability in the
stock.To whom should inform?
Document the reason for
omission,inform prescriber and
senior nurse.
Q14.Patient newly diagnosed with
oesophageal cancer should
decide on treatment,broken down
and cries.What is the most
appropriate nurses action?
Acknowledge the
decision,provide private room to
discuss with the family.
Q15.COPD patients will exhibit?
High PCO2 and low PO2
Q.16 Why adjuvants like
anticonvulsants and
antidepressants are given in
palliative care?
To aid/increase the
effectiveness of opioids.
Q17.An elderly patient complaints
that his neighbor is stealing his
money,not buying food?
Inform patient's GP,identify
local safeguarding policy and act
accordingly.
Q18.What is the cause of gingival
bleeding?
Poor removal of plaque.
Q19.What is best advice that can
given for a COPD patient on
discharge?
Cessation of smoking.
Q20.A nurse visit a patient and
finds that her daughter has
bruises and looks thin.what
should be done?
Identify local safeguarding
policy and raise alert,ask
assistance from line
manager,inform social services
and police.
Q21.What are the factors that
should be considered in
safeguarding concerns in adults?
A.Type of harm,source of
harm,degree of harm.
B.why,what,where.
Answer is A.
Q21.Who is responsible for
educating and supervising
students?
All RNs
(All other options are: only
mentors,only supervisors).
Q22.What all symptoms will be
shown by a patient with
depression?
A.Behavioural
B.Cognitive
C.Physical
D.All the above
Answer is D
Q23.Patient with CVA has
difficulty in swallowing.To whom
will be referred?
Speech and language
Therapist.
Q24.A patient is agitated and
want to discharge himself.What
should be done?
Let him go as there is no signs
of physical risk and if not,it will be
deprivation of liberty.
Q25.What is the most appropriate
advise that can be given to a
woman taking OCP on holiday?
A.Ask her to go for other methods
of contraception as there is risk
for diarrhea during holidays.
B.Take extra pills as it will not be
available abroad or expensive.
Answer is A.
(I opted A beacuse there is risk
for travellers' diarrhea during
holidays and it is reported that its
incidence is high.And the option
A says that 'as there is risk for
diarrhea during holidays' and the
question doesn't says the
duration of holiday-short or long
so that to take extra pills)
https://www.fitfortravel.nhs.uk/
advice/disease-prevention-
[2/15, 13)30] EB :
Q26.Standard precaution
measures include?
Hand hygiene,Use of PPE,safe
handling and disposal of waste.
Q27.The recommended servings
of fruits and vegetables in a day?
five 80g servings of fruit and
vegetable a day.
Q28.Wrong documentation?
Draw line through entry,state
that it is error,write
name,signature,job title,date and
time.
Q29.What is the standard
practice follow ed in handwritten
documentation?
Print your
name,signature,designation,date
and time.
Q30.A consent is VALID when the
patient?
Has capacity,voluntary and
informed.
Q31.Manager asks to wash all the
patients before 10 am.What is the
most appropriate response?
Talk to the manager,tell him
that holistic care will be
compromised.
Q32.A newly appointed staff
makes repeated errors leaving
patient's safety at risk.As a line
manager what will you do?
Talk to her privately,identify
her difficulties,provide support
and appropriate training.
Q33.Student nurses performs
wrong procedure.what should be
done?
Stop them,provide training and
assess competency.
Q34.A patient is for surgery but
her BMI is low.To whom should be
referred?
Dietitian
Q35.Subcutaneous insulin
injection should be given at?
90 degree
Q36.What is patient centered
care?
Take patient as whole and
deliver appropriate care.
Q37.When should a nurse
administer broad spectrum
antibiotics for a patient with
sepsis?
Immediately after collecting
blood samples for culture.
Q38.What is advocacy in nursing?
To inform,mediate and support
on behalf of the patient.
Q39.Patient refused
antihypertensive tablet and her
daughter asks to crush the
tablet.What will the most
appropriate response?
Tell her that it will alter its
therapeutic effect and refuse to
disguise.
Q40.A patient want to share a
secret.What will be your
response?
Tell her that only relevant
information will be shared with
others.
Q41.Community hospitals
provide:?
Rehabilitation,respite
care,primary care,acute
care,Physiotherapy.
Q42.Which condition requires
chest compressions and
ventilations rather than
defibrillation?
Asystole
Q43.Patient's initial GCS is
15.How frequently should be
monitored then?
30 minutes
Q44.A patient deemed to have
capacity refuses blood
transfusion on the basis of
religion.What will you do?
Accept his decision as he is
aware of the consequences.
Q45.Surgical wound dressing
criterias?
Low humidity,high
adherence,sterile,insulation.
Q.46 What will you consider while
delegating a task?
The person's competency to
perform.
Q47.Average heart rate of 1-2year
old?
110bts/min
Q48.16 year old is anxious during
physical examination.
Stay with the patient,don't
intervene directly,provide support
by non verbal communication.
Q49.How is compassion defined?
Maintain dignity,empathy and
intelligent kindness.
Q50.How will you oraganise a
patient's care plan?
Assess
needs,diagnose,implement and
evaluate.
[2/15, 13)30] EB : Q66.Signs of
Phlebitis?
Pain and redness
Q67.5 moments of hand hygiene
Before and after patient
contact,before clean/aseptic
procedures,after body fluid
exposure risk,after touching
patient's surroundings.
Q68.Common aneurysm location
in elderly?
Aortic and cerebral.
Q69.Patient is concerned about
stoma care at home?
Assess patient's knowledge on
stoma care and provide
education.
Q70.Patient is on cardiac
glycoside,digoxin.
Monitor heart rate and rhythm.
Q71.Most appropriate advise to a
patient's daughter who has
diarrhoea and want to visit the
hospital?
Advise to visit after 48 hrs
symptom free.
Q.72 Hoist not working and not
maintained.What will you do?
Make a written report to the
manager.
Q73.How to collect urine for
female patient?
Clean the uretheral meatus
with soap and water,get
midstream urine.
Q74.Severe antibiotic adverse
reaction?
Sudden,sharp BP fall
Q75.As a comptent nurse,what
will you do before OPA insertion?
Head tilt chin lift,look for any
foreign object that can be pushed
into the larynx.
Q76.How to prevent infection in a
patient with urinary catheter?
Teach patient,family and
carers regarding the safe
management of catheter.
Q77.What is the agent that can be
transmitted to the fetus from a
mother who consumes alcohol?
Teratogen
Q78.Most common risk factors
for CHF?
Male,hypertensive,smoking,Hy
percholesterolemia.
Q79.How to check respiratory
rate?
Check for complete 60
seconds
Q80.What does comprehensive
assessment include?
Physical,social,psychological,s
piritual....needs.
Q81.Nursing assistant not
washing hands before a
procedure?
Interrupt in between,teach
hand hygiene and assess
compliance.
Q82.How to deal a student using
mobile phone while assessment
in the community?
Ask to keep phone away,help
to focus on assessment and
encourage participation.
Q83.What is professionalism?
Autonomous evidence based
decision taken by a group sharing
common values and education.
Q84.When to disclose patient's
information?
When it seems risk to patient
and public safety.
(There was one another similar
question with a different
scenario)
Q85.A patient's son complained
that his mother is not washed?
Investigate,give honest
response,ensure that she gets
wash.
[2/15, 13)30] EB : Q51.How will
you regard a patient's end of life
care?
Treat with dignity and respect.
Q52.Why the family is
encouraged to talk with a coma
patient?
As they can hear
Q53.What is the common cause
nof air way obstruction in
unconscious patients?
Tongue falling back causing
obstruction.
Q54.A patient with blood
transfusion complaints pyrexia
and lower back pain?what will be
the reason?
Severe transfusion reaction
Q55.What is the nurse's role in
caring for a patient with severe
anaphylactic reaction?
Call for help,assess abcd,keep
anaphylactic kit ready,stay with
the patient untill help arrives.
Q56.Which condition exhibits
odema as a sign?
Right ventricular failure.
Q57.What will you do if a patient
doesn't know English?
Book an interpreter,explain the
process maintaining
confidentiality,allow patient to ask
doubts and clarify.
Q58.What should be done if you
are given a new wound dressing
pack?
Refer to another practitioner
and do only once you are
competent.
Q59.You are assigned to a patient
with unfamiliar diagnosis?
Read the care plan and
notes,act within your
competence,ask help from senior
nurse when needed.
Q60.Patient had allergic reaction
to medicine at home?
Act to prevent harm,inform
prescriber who can report to
MHRA through Yellow Card
Scheme.
Q61.MUST medium risk?
Record dietary intake for 3
days.
Q62.What is the best site for IM
buttock injections?
Upper outer quadrant
Q63.Patient reported bleeding
after 48 hrs post delivery?
Secondary postpartum
hemorrhage
Q64.What is the proper way of
instilling eye drops?
Sit back with neck slightly
hyperextended or lie down.
Q65.Teaching for patient on
Allupurinol?
Drink 2 to 3 L of water per day.
[2/15, 13)30] EB : Q86.Side
effects of fentanyl skin patch?
Slow shallow
breathing,increased
sleepiness,dizziness,difficulty to
walk,think.
Q87.NEWS score 5?
Refer immediately to be
assessed by physician.
Q88.Ruptured serum filled
blister.which stage of pressure
ulcer?
Stage 2(Partial thickness)
Q89.What is the minimum hours
of practice required in 3 years?
450 hours
Q90.How will you justify your
chosen site for Inj.Vitamin B12 in
elderly?
Deltoid,well developed.
Q91.How will you approach a
patient whose sexuality conflicts
with your beliefs and values?
Approach by accepting the
diversity and difference.
Q92.How will you involve a
patient in his plan of care with
regard to cessation of smoking?
Core care plan
Q93.What criterias should be met
by a patient post abdominal
surgery to be shifted from PACU
to ward?
Fully conscious,no signs of
airway obstruction,no bleeding,all
vital signs stable,no vomiting.
Q94.What will you if you found a
nurse shouting at an old patient?
Intervene on the spot,talk with
the nurse in a non-confrontational
manner,report to senior nurse.
Q95.What is the importance of
NEWS?
To detect early deterioration.
Q96.What are steps in MUST?
BMI,unplanned weight
loss,acute disease effect,overall
risk of malnutrition,management
guidelines to develop care plan.
Q97.Why nitroglycerin should be
kept in its original container?
When exposed to light,it will
lose its effectiveness.
Q98.Which is considered as more
important in 6C's?
Everything is equally
important.
Q99.What do you mean by
'Integrated care' to an elderly
patient in the community who has
complex care needs?
Case manager will assess the
care needs,arrange meetings
which includes formal and
informal caregivers.
Q100.How to provide care for
patient with lung cancer?
Administer prescribed
oxygen,nebulisations,reassurance
,sitting with support of pillows.
Q101.A female patient request for
a female doctor to do physical
examination.What will you do?
Assess the patient first and
call for female doctor if it is safe
to wait.
Q102.The doctor informed the
patient that his surgery was
unsuccessful.What will be the
most appropriate response to
provide support as a nurse?
Ask the patient whether he
want to discuss what the doctor
said.
Q102.How will meet the spiritual
needs of a patient?
Accept patient's needs and
provide services accordingly.
Q103.If a patient requires
complex discharge needs.what
will you do?
Arrange a discharge meeting
with health care
team,patient,family and care
givers.
Q104.What are the benefits of
early ambulation post surgery?
Improve muscle function and
reduce hospital stay.
Q105.As an in-charge what will
you do when two staffs inform
that they are sick?
Inform senior nurse and
manager,arrange a meeting to
decide a plan for proper patient
care.
Q106.What discharge instruction
will you provide for a patient on
antibiotics?
Take as prescribed,don't take
alcohol and complete the dose.
Q107.What is the reason for
diarrhea after taking antibiotics?
As a result of multiplication of
clostridium difficile which tend to
destroy normal bacteria in the
gut.
Q108.Self-employed nurse
working in different areas cause
harm to a patient.Who is
responsible for indemnity?
Self-employed nurse must
have their own indemnity
arrangements.
Q109.What is your responsibility if
a patient is confused at night?
Reorient the patient,remind
him where he is,direct to the
room,assess for
incontinence,pain and need for
medication.
Q110.Signs and symptoms of
anaphylaxis after 3rd dose of
penicillin?
Swollen tongue.
GOOD LUCK
Hi Guys..
Study about, sickle cell crisis,
anaphylactic shock, prion dse,
community visits, suspected
abuse protocol, surgical wound
dressing and administrative
nursing interaction with fellow
healthcare practitioners.
Patience Care
Gillick Competence
MUST score
Standard precaution
Safeguarding
Fluid volume deficit
Abuse
Patient-centered care
IM Injection Site
Fentanyl patch
Compassion
Professional Nursing
Indemnity agreement
Patient confidentiality
Indwelling catheter
Gingival bleeding
YELLOW CARD SCHEME
Blood transfusion
Oral analgesia
Comprehensive assessment
oropharyngeal airway
Stages of wound
Wound dressing
Hoist
Airway obstruction
Revalida
Drug computation
Phlebitis
Antibiotic
Heart rate
Digoxin
Urine Collection
CAD
COPD
Early ambulation
Staffing
ACVPU
CPR
Documentation
Fluid balance
Hi! Cleared the exam today. Here
are some of the topics that came
out:
1. meaning ng ACVPU
2. areas to consider when making
decisions on safeguarding
3. Gillick competence
4. MUST
5. NEWS
6. Yellowcard scheme
7. Waterlow scoring sa pressure
ulcer pati yung matresses
8. portion ng fruits and
vegetables sa balanced diet
9. anaphylactic reaction after
giving the 3rd dose of penicillin
10. signs of fluid volume deficit
11. Post Partum Hemorrhage
( primary, secondary at Tertiary
yung nasa choices)
12. pregnant woman dringking
alcohol (Teratogen)
13. COPD (smoking cessation)
14. risk factor sa Coronary Heart
Disease
15. Heart Failure
16. common site of aneurysm
17. Digitalis (what to assess prior
to administration)
18. oral contraceptive on holidays
19. diarrhea due to oral antibiotics
20. standard precaution
21. delegation
22. when to start broad spectrum
antibiotics in patients with
septicemia
23. average heart or pulse rate of
children 1-2yrs old
24. services provided by
community hospitals
25. appropriate response ng
nurse sa agitated patient na gusto
ma-DAMA or HAMA
1. NEWS
2. Clinical audit-role of the nurse
3. Therapeutic communication
4. Dementia- kind of environment
5. Confusion in the elderly
6. Where to put vomitus of the
patient
7. What to assist a dependent
patient followig feeding
8. Fentanyl opioid skin patch-
signs of toxicity
9. DHN in the elderly
10. Hypotension in the elderly
11. 6 or 7 items for the drug calc-
can be done without computing
but still, I used the board to check
my answers
12. Adverse reactions to a drug of
a pt in the community
13. Spiritual care
14. Abduction- movement of an
extremity away
15. Zimmer frame correct use
16. Patient safety
17. Old patient with a neighbor
who steals money
18. Patient privacy and
confidentiality
19. Dignity and respect for end of
life care
20. Assessment (Respirations)
21. Fluid volume deficit
22. Aside from hypotension, what
are the other early signs &
symptoms of shock
23. Anaphylactic reaction to
penicillin-patient management
24. Anaphylactic shock-patient
management
25. Patient at risk for pressure
ulcer
Here it goes:
Htn pt refuse to take meds &
folks insisted to give by crushing
- i answered it will affect the
potency of the drug
Definition of comprehensive
nursing assessment
ACVPU meaning