#1. Who is responsible in disposing sharps?
#2. If blood is being taken for other tests, and a patient requires collection of blood cultures, which should come first to reduce the risk of contamination?
#3. A patient has just returned from theatre following surgery on their left arm. They have a PCA infusion connected and from the admission, you remember that they have poor dexterity with their right hand. They are currently pain free. What actions would you take?
#4. If a patient feels a cramping sensation in their abdomen after a colonoscopy, it is advisable that they should do/have which of the following?
#5. NMC requires in the UK how many units of continuing education units a nurse should have in 3 years?
#6. A patient in your care is about to go for a liver biopsy. What are the most likely potential complications related to this procedure?
#7. Which of the following can a patient not have if they have a pacemaker in situ?
#8. Who will you inform first if there is a shortage in supplies in your shift?
#9. If you were told by a nurse at handover to take standard precautions what would you expect to be doing?
#10. You are currently on placement in the emergency department (ED). A 55 year old city worker is bluelighted into the ED having had a cardiorespiratory arrest at work. The paramedics have been resuscitating him for 3 minutes. On arrival, he is in ventricular fibrillation. Your mentor asks you the following question prior to your shift starting: What will be the most important part of the patient's immediate advanced life support?
#11. What are the key nursing observations needed for a patient receiving opioids frequently?
#12. Prior to sending a patient home on oxygen, healthcare providers must ensure the patient and family understand the dangers of smoking in an oxygen-rich environment. Why is this necessary?
#13. What are the professional responsibilities of the qualified nurse in medicines management?
#14. What are the principles of gaining informed consent prior to planned surgery?
#15. You are caring for a 17 year old woman who has been admitted with acute exacerbation of asthma. Her peak flow readings are deteriorating and she is becoming wheezy. What would you do?
#16. What should be included in a prescription for oxygen therapy?
#17. Why is it essential to humidify oxygen used during respiratory therapy?
#18. Which of the following techniques is advisable when obtaining a urine specimen in order to minimize the contamination of a specimen?
#19. What is the best way to avoid a haematoma forming when undertaking venepuncture?
#20. Dehydration is of particular concern in ill health. If a patient is receiving intravenous (IV) fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in a positive fluid balance?
#21. Where will you put infectious linen?
#22. Why should healthcare professionals take extra care when washing and drying an elderly patients skin?
#23. How long does the ‘inflammatory phase’ of wound healing typically last?
#24. What action would you take if a specimen had a biohazard sticker on it?
#25. What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?
#26. Why is it important to manually assess pulse rate?
#27. If you suspect abuse is happening to someone, and it is not serious enough to involve the police straight away, who should you inform?
#28. Which check do you need to carry out before setting up an enteral feed via a nasogastric tube?
#29. When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why?
#30. If a patient is experiencing dysphagia, which of the following investigations are they likely to have?
#31. Which is the most dangerous site for intramuscular injection?
#32. What are the contraindications for the use of the blood glucose meter for blood glucose monitoring?
#33. A solution contains 12.5 g of glucose in 0.25 l; what is the percentage concentration (%) of this solution?
#34. On checking the stock balance in the controlled drug record book as a newly qualified nurse, you and a colleague notice a discrepancy. What would you do?
#35. A patient has collapsed with an anaphylactic reaction. What symptoms would you expect to see?
#36. What should be included in your initial assessment of your patients respiratory status?
#37. An 83-year old lady just lost her husband. Her brother visited the lady in her house. He observed that the lady is acting okay but it is obvious that she is depressed. 3weeks after the husband's death, the lady called her brother crying and was saying that her husband just died. She even said, "I cant even remember him saying he was sick." When the brother visited the lady, she was observed to be well physically but was irritable and claims to have frequent urination at night and she verbalizes that she can see lots of rats in their kitchen. Based on the manifestations, as a nurse, what will you consider as a diagnosis to this patient?
#38. What steps would you take if you had sustained a needlestick injury?
#39. You are caring for a patient with a history of COAD who is requiring 70% humidified oxygen via a facemask. You are monitoring his response to therapy by observing his colour, degree of respiratory distress and respiratory rate. The patient's oxygen saturations have been between 95% and 98%. In addition, the doctor has been taking arterial blood gases. What is the reason for this?
#40. As a newly qualified nurse, what would you do if a patient vomits when taking or immediately after taking tablets?
#41. Which of the following is NOT a cause of Type 1 (hypoxaemic) respiratory failure?
#42. When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why?
#43. You are caring for a patient with a tracheostomy in situ who requires frequent suctioning. How long should you suction for?
#44. What does AVPU mean?
#45. A patient in your care is on regular oral morphine sulphate. As a qualified nurse, what legal checks do youneed to carry out every time you administer it, which are in addition to those you would check for every other drug you administer?
#46. A patient on your ward complains that her heart is ‘racing’ and you find that the pulse is too fast to manually palpate. What would your actions be?
#47. What do you expect to assess in a grade 3 pressure ulcer?
#48. What should be included in your initial assessment of your patient's respiratory status?
#49. What are the most common types of medication error?
#50. What arethe potential benefits of self-administration of medicines by patients?
#51. What is the most accurate method of calculating a respiratory rate?
#52. Which of the following would indicate an infection?
#53. What serious condition is a possibility for patients positioned in the Lloyd Davies position during surgery?
#54. When should adult patients in acute hospital settings have observations taken?
#55. A young mother who delivered 48hrs ago comes back to the emergency department with post partum haemorrhage. What type of PPH is it?
#56. You are caring for a patient who has had a recent head injury and you have been asked to carry out neurological observations every 15 minutes. You assess and find that his pupils are unequal and one is not reactive to light. You are no longer able to rouse him. What are your actions?
#57. What would make you suspect that a patient in your care had a urinary tract infection?
#58. In which of the following situations might nitrous oxide (Entonox) be considered?
#59. Which of the following would indicate an infection?
#60. As you visit your patient during rounds, you notice a thin child who is shy and not mingling with the group who seemed to be visitors of the patient. You offered him food but his mother told you not to mind him as he is not eating much while all of them are eating during that time. As a nurse, what will you do?
#61. Accurate postoperative observations are key to assessing a patient's deterioration or recovery. The Modified Early Warning Score (MEWS) is a scoring system that supports that aim. What is the primary purpose of MEWS?
#62. What factors are essential in demonstrating supportive communication to patients?
#63. What do the adverse effects of hypotension include?
#64. A 17-year old patient who was involved in an orthopaedic accident is observed not eating the meals that she previously ordered and refuses to take a bath even if she is already in recovery stage. As a nurse what do you think is the best explanation for her reaction to the accident that happened to her?
#65. Which one of the following types of wound is NOT suitable for negative pressure wound therapy?
#66. What are the key reasons for administering medications to patients?
#67. How do you ensure the correct blood to culture ratio when obtaining a blood culture specimen from an adult patient?
#68. Why would the intravenous route be used for the administration of medications?
#69. Why is it important that patients are effectively fasted prior to surgery?
#70. When would an orthostatic blood pressure measurement be indicated?
#71. After death, who can legally give permission for a patient's body to be donated to medical science?
#72. As a registered nurse in a unit what would consider as a priority to a patient immediately post operatively?
#73. What is the best way to prevent a patient who is receiving an enteral feed from aspirating?
#74. You are caring for a patient in isolation with suspected Clostridium difficile. What are the essential key actions to prevent the spread of infection?
#75. Why are physiological scoring systems or early warning scoring systems used in clinical practice?
#76. If blood is being taken for other tests, and a patient requires collection of blood cultures, which should come first to reduce the risk of contamination?
#77. You have been asked to give Mrs Patel her mid day oral metronidazole. You have never met her before. What do you need to check on the drug chart before you administerit?
#78. You believe that an adult you know and support has been a victim of physical abuse that might be considered a criminal offence. What should you do to support the police in an investigation?
#79. What does the term ‘breakthrough pain’ mean, and what type of prescription would you expect for it?
#80. Which of the following is NOT a symptom of impacted earwax?