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Adult Nurse CBT

Part B: Clinical Test 4

The NBC CBT Practice Test is a valuable resource for nurses preparing to take the Computer Adaptive Test required for registration with the Nursing and Midwifery Council (NMC) in the UK.

1 / 100

Which of the following is no longer a recommended method of mouth care?

2 / 100

A patient is admitted to the ward with symptoms of acute diarrhoea. What should your initial management be?

3 / 100

A Chinese woman has been admitted with fracture of wrist. When you are helping her undress, you notice some bruises on her back and abdomen of different ages. You want to talk to her and what is your action

4 / 100

As a nurse you are responsible for looking after patient’s nutritional needs and to maintain good weight during hospitalization. How would you achieve this?

5 / 100

Concentration of electrolytes within the body vary depending on the compartment within which they are contained. Extracellular fluid has a high concentration of which of the following?

6 / 100

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?

7 / 100

It is unsafe for a spinal tap to be undertaken if the patient:

8 / 100

What is the best way to prevent who is receiving an enteral feed from aspirating?

9 / 100

Adam, 46 years old is of Jewish descent. As his nurse, how will you plan his dietary needs?

10 / 100

What is positive fluid balance?

11 / 100

Concentration of electrolytes within the body vary depending on the compartment within which they are contained. Extracellular fluid has a high concentration of which of the following?

12 / 100

What should be included in your initial assessment of your patients respiratory status?

13 / 100

If the prescribed volume is taken, which of the following type of feed will provide all protein, vitamins, minerals and trace elements to meet patient’s nutritional requirements?

14 / 100

A patient is recovering from surgery has been advanced from a clear diet to a full liquid diet. The patient is looking forward to the diet change because he has been “bored” with the clear liquid diet. The nurse should offer which full liquid item to the patient

15 / 100

Signs and symptoms of early fluid volume deficit, except.

16 / 100

Which check do you need to carry out every time before setting up a routine enteral feed via a nasogastric tube?

17 / 100

What specifically do you need to monitor to avoid complications & ensure optimal nutritional status in patients being enterally fed?

18 / 100

Patient has tibia fibula fracture. Which one of the following is not a symptom of compartment syndrome

19 / 100

What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?

20 / 100

Signs of denture-related stomatitis include all except:

21 / 100

If your patient is having positive balance. How will you find out dehydration is balanced?

22 / 100

Respiratory protective equipment include:

23 / 100

Your patient has bronchitis and has difficulty in clearing his chest. What position would help to maximize the drainage of secretions?

24 / 100

A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhoea but has no pyrexia. What is likely to be the cause?

25 / 100

Perdue categorizes constipation as primary, secondary or iatrogenic. What could be some of the causes of iatrogenic constipation?

26 / 100

What do you expect to manifest with fluid volume deficit?

27 / 100

An overall risk of malnutrition of 2 or higher signifies:

28 / 100

Mr. James, 72 years old, is a registered blind admitted on your ward due to dehydration. He is encouraged to drink and eat to recover. How will you best manage this plan of care?

29 / 100

A nurse is preparing to deliver a food tray to a client whose religion is Jewish. The nurse checks the food on the tray and notes that the food on the tray and notes that the client has received a roast beef dinner with whole milk as a beverage. Which action will the nurse take?

30 / 100

How can patients who need assistance at meal times be identified?

31 / 100

Your patient has a bulky oesophageal tumour and is waiting for surgery. When he tries to eat, food gets stuck and gives him heartburn. What is the most likely route that will be chosen to provide him with the nutritional support he needs?

32 / 100

Dehydration is of particular concern in ill health. If a patient is receiving IV fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in “positive fluid balance”

33 / 100

A patient underwent an abdominal surgery and will be unable to meet nutritional needs through oral intake. A patient was placed on enteral feeding. How would you position the patient when feeding is being administered?

34 / 100

What should be included in your initial assessment of your patient’s respiratory status?

35 / 100

Which of the following medications are safe to be administered via a nasogastric tube?

36 / 100

If a patient is experiencing dysphagia, which of the following investigations are they likely to have?

37 / 100

Sign of dehydration

38 / 100

Which of the following medications are safe to be administered via a naso-gastric tube?

39 / 100

How do you test the placement of an enteral tube?

40 / 100

What may not be cause of diarrheoa?

41 / 100

What is the best way to prevent a patient who is receiving an enteral feed from aspirating?

42 / 100

Dehydration is of particular concern in ill health. If a patient is receiving IV fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in “positive fluid balance”

43 / 100

The nurse is preparing to change the parenteral nutrition (PN) solution bag &tubing. The patient’s central venous line is located in the right subclavian vein. The nurse asks the client to take which essential action during the tubing change?

44 / 100

Why is it essential to humidify oxygen used during respiratory therapy?

45 / 100

Nurse caring a confused client not taking fluids, staff on previous shift tried to make him drink but were unsuccessful. Now it is the visitors time,wife is waiting outside What to do?

46 / 100

A patient had been suffering from severe diarrheoa and is now showing signs of dehydration. Which of the following is not a classic symptom?

47 / 100

A COPD patient is in home care. When you visit the patient, he is dyspnoeic, anxious and frightened. He is already on 2 lit oxygen with nasal cannula.What will be your action

48 / 100

Patient is post of repair of tibia and fibula possible signs of compartment syndrome include

49 / 100

What should be included in a prescription for oxygen therapy?

50 / 100

What do you need to consider when helping a patient with shortness of breath sit out in a chair?

51 / 100

Enteral feeding patient checks patency of tube placement by: x 2 correct answers

52 / 100

Constipation needs to be sort out during:

53 / 100

Which of the following is a potential complication of putting an oropharyngeal airway adjunct:

54 / 100

What is the clinical benefit of active ankle movements?

55 / 100

How can patients who need assistance at meal times be identified?

56 / 100

Which is not considered in an oxygen prescription?

57 / 100

What do you expect patients with COPD to manifest?

58 / 100

According to recent UK research, what is the recommended amount of vegetables and fruits to be consumed per day?

59 / 100

An overall risk of malnutrition of 2 or higher signifies:

60 / 100

One of the government initiative in promoting good healthy living is eating the right and balanced food. Which of the following can achieve this?

61 / 100

A nurse is not allowing the client to go to bed without finishing her meal. What is your action as a RN?

62 / 100

When using nasal cannulae, the maximum oxygen flow rate that should be used is 6 litres/min. Why?

63 / 100

What is the use of protected meal time?

64 / 100

If a patient requires protective isolation, which of the following should you advise them to drink?

65 / 100

464. Which of the following indicates signs of severe Chronic Obstructive Pulmonary disease (COPD)?

66 / 100

During enteral feeding in adults, at what degree angle should the patient be nursed at to reduce the risk of reflux and aspiration?

67 / 100

Mr Bond’s daughter rang and wanted to visit him. She told you of her diarrhoea and vomiting in the last 24 hours. How will you best respond to her about visiting Mr Bond?

68 / 100

What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?

69 / 100

Before a gastric surgery, a nurse identifies that the patients BMI is too low. Who she should contact to improve the patients’ health before surgery

70 / 100

A relative of the patient was experiencing vomiting and diarrhoea and wished to visit her mother who was admitted. As a nurse, what will you advise to the patient’s relative?

71 / 100

Which of the following is not a cause of gingival bleeding?

72 / 100

Client had fractured hand and being cared at home requiring analgesia. The medication was prescribed under PGD. Which of the following statements are correct relating to this:

73 / 100

What is the use of protected meal time?

74 / 100

The nurse is preparing to change the parenteral nutrition (PN) solution bag & tubing. The patient’s central venous line is located in the right subclavian vein. The nurse ask the client to take which essential action during the tubing change?

75 / 100

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?

76 / 100

Obesity is one of the main problem. what might cause this?

77 / 100

A patient develops gingivitis after using an artificial denture. It is characterized by

78 / 100

Nurse caring a confused client not taking fluids, staff on previous shift tried to make him drink but were unsuccessful. Now it is the visitors time, wife is waiting outside What to do?

79 / 100

Approximately6 how many people in the UK are malnourished?

80 / 100

A patient has been admitted for nutritional support and started receiving a hyperosmolar feed yesterday. He presents with diarrhea but no pyrexia. What is likely to be cause?

81 / 100

An adult woman asks for the best contraception in view of her holiday travel to a diarrhoea prone areas. She is currently taking oral contraceptives. What advice will you give her?

82 / 100

Signs of denture related stomatitis

83 / 100

The client reports nausea and constipation. Which of the following would be the priority nursing action?

84 / 100

A patient is to be subjected for surgery but the patient’s BMI is low. Where will you refer the patient?

85 / 100

Your patient has a bulky oesophageal tumor and is waiting for surgery. When he tries to eat, food gets stuck and gives him heart burn. What is the most likely route that will be chosen to provide him with the nutritional support he needs?

86 / 100

A 27-year old adult male is admitted for treatment of Crohn’s disease. Which information is most significant when the nurse assesses his nutritional health?

87 / 100

Causes of gingival bleeding

88 / 100

The client reports nausea and constipation. Which of the following would be the priority nursing action?

89 / 100

If a patient is prescribed nebulizers, what is the minimum flow rate in litres per minute required)

90 / 100

As a nurse, what health teachings will you give to a COPD patient?

91 / 100

How many cups of fluid do we need every day to keep us well hydrated?

92 / 100

What should be included in your initial assessment of your patient’s respiratory status?

93 / 100

Perdue (2005) categorizes constipation as primary, secondary or iatrogenic. What could be some of the causes of iatrogenic constipation?

94 / 100

A patient is to be subjected for surgery but the patient’s BMI is low. Where will you refer the patient?

95 / 100

The human body is made up of approximately what proportion of water?

96 / 100

Which check do you need to carry out before setting up an enteral feed via a nasogastric tube?

97 / 100

Which of the following Is not a cause of gingival bleeding?

98 / 100

A COPD patient is about to be discharged from the hospital. What is the best health teaching to provide this patient?

99 / 100

Patient is in for oxygen therapy

100 / 100

Which of the following is no longer a recommended method of mouth care?

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NMC CBT clinical test

If you’re a nurse looking to practice in the UK, you’ll likely need to pass the NMC CBT clinical test. This test is a crucial step for international nurses and midwives to demonstrate their competency in accordance with UK standards. Designed to assess your practical knowledge and problem-solving abilities, it ensures you can provide safe and effective care.

The NMC CBT clinical test comprises a variety of scenarios and questions that cover the key aspects of nursing care and patient safety. The content is specifically tailored to mirror real-life situations you might encounter while working in the UK healthcare system. The test includes questions on drug dosage calculations, handling emergencies, ethical decision-making, and everyday clinical tasks.

Prepare for the test

it’s important to familiarize yourself with the NMC standards and guidelines. Many candidates find it helpful to engage in dedicated review courses or to study comprehensive materials that cover the exam’s content areas. Practice tests can be particularly beneficial, offering a glimpse into the test format and types of questions you will face.

Remember, the goal of the test is not just to pass an exam but to ensure that you are fully prepared to enter the UK healthcare environment as a competent and confident professional. With the right preparation, you can approach the test ready to succeed and move forward in your nursing career in the UK.

As you dive into your preparation, consider the structure of the clinical test. The exam is conducted entirely on a computer, which means practicing in a similar format can greatly enhance your readiness. Utilize online resources that simulate the testing environment to become comfortable with the digital format. This preparation can drastically reduce your test-day anxiety, allowing you to focus purely on the questions at hand.

Lastly, ensure you manage your study time effectively. Set a realistic timetable that allows you to cover all the necessary material without overwhelming yourself. Break down your study sessions into manageable chunks, focusing on different topics in each session. Regular breaks and balanced study plans can help maintain your mental well-being throughout your preparation.

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