601 - 700 Solved CBT Styled Practical MCQ Test Questions Bank

601. 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?
A. inform social service desk on suspected case of child neglect
B. ignore incident since the child is under the responsibility of the mother
C. raise the situation to your head nurse and discuss with her what intervention might be done to help the child
D. None of the above

602. There is a child you are taking care of at home who has a history of anaphylactic shock from certain foods, the nurse is feeding him lunch, he looks suddenly confused, breathless and acting different, the nurse has access to emergency drugs access and the mobile phone, what will she do?
A. She will keep the child awake by talking to him and call 911 for help
B. She will raise the child’s legs and administer Adrenaline and call the emergency services
C. The nurse will keep the child in standing position and try to reassure the child
D. None of the above

603. You are about to administer Morphine Sulfate to a paediatric patient. The information written on the controlled drug book was not clearly written – 15 mg or 0.15 mg. What will you do first?
A. Not administer the drug, and wait for the General Practitioner to do his rounds
B. Administer 0.15 mg, because 15 mg is quite a big dose for a paediatric patient
C. Double check the medication label and the information on the controlled drug book; ring the chemist to verify the dosage
D. Ask a senior staff to read the medication label with you

604. Management of moderate malnutrition in children?
A. supplimentary nutrition
B. immediate hospitalization
C. weekly assessment
D. document intake for three days

605. You saw a relative of a client has come with her son, who looks very thin, shy & frightened. You serve them food, but the mother of that child says 'don't give him, he eats too much'. You should:
A. Raise your concern with your nurse manager about potential for child abuse & ask for her support
B. Ignore the mother & ask the relative if the child is abused.
C. Ignore the mother's advice & serve food to the child.
D. Ignore the situation as she is the mother & knows better about her child.

606. U just joined in a new hospital. U see a senior nurse beating a child with learning disability. Ur role
A. Neglect the situation as u r new to the scenario
B. Intervene at the spot, speak directly to the senior in a non-confronting manner, and report to management in writing
C. Inform the ward in-charge after the shift
D. None of the above

607. A nurse finds it very difficult to understand the needs of a child with learning disability. She goes to other nurses and professionals to seek help. How u interpret this action
A. The nurse is short of self confidence
B. A nurse, who is well aware of her limitations seeked help from others. She worked within her competency.
C. She doesn’t have the kind of courage a nurse should have
D. None of the above

608. Monica is going to receive blood transfusion. How frequently should we do her observation?
A. Temperature and Pulse before the blood transfusion begins, then every hour, and at the end of bag/unit
B. Temperature, pulse, blood pressure and respiration before the blood transfusion begins, then after 15 min, then as indicated in local guidelines, and finally at the end of bag/unit.
C. Temperature, pulse, blood pressure and respiration and urinalysis before the blood transfusion, then at end of bag.
D. Pulse, blood pressure and respiration every hour, and at the end of the bag

609. A mentally capable client in a critical condition is supposed to receive blood transfusion. But client strongly refuses the blood product to be transfused. What would be the best response of the nurse?
A. Accept the client's decision and give information on the consequences of his actions
B. Let the family decide
C. Administer the blood product against the patients decision
D. The doctor will decide

610. Fred is going to receive a blood transfusion. How frequently should we do his observations?
A. Temperature and pulse before the blood transfusion begins, then every hour, and at the end of bag/unit.
B. Temperature, pulse, blood pressure and respiration before the blood transfusion begins, then after 15 minutes, then as indicated in local guidelines, and finally at the end of the bag/unit.
C. Temperature, pulse, blood pressure and respiration and urinalysis before the blood transfusion, then at end of bag.
D. Pulse, blood pressure and respiration every hour, and at the end of the bag.

611. Patient developed elevated temperature and pain in the loin during blood transfusion. This is indicative of:
A. Severe blood transfusion reaction
B. Common blood transfusion reaction
C. All of the above
D. None of the above

612. Mrs. Smith is receiving blood transfusion after a total hip replacement operation. After 15 minutes, you went back to check her vital signs and she complained of high temperature and loin pain. This may indicate:
A. Renal Colic
B. Urine Infection
C. Common adverse reaction
D. Serious adverse reaction

613. During blood transfusion, a patient develops pyrexia, and loin pain. Rn interprets the situation as
A. Common reaction to transfusion
B. Adverse reaction to blood transfusion
C. Patient has septicaemia
D. None of the above

614. What are the steps of the nursing Process?
A. Assessing, diagnosing, planning, implementing, and evaluating
B. Assessing, planning, implementing, evaluating, documenting
C. Assessing, observing, diagnosing, planning, evaluating
D. Assessing, reacting, implementing, planning, evaluating

615. What is clinical benchmarking?
A. The practice of being humble enough to admit that someone else is better at something and being wise enough to try to learn how to match and even surpass them at it.
B. A systematic process in which current practice and care are compared to, and amended to attain, best practice and care
C. A system that provides a structured approach for realistic and supportive practice development
D. All of the above

616. Where is revision on the nursing process done? During:
A. Diagnosis
B. Planning
C. Implementation
D. Evaluation

617. What does intermediate care not consist of?
A. Maximise dependent living
B. Prevent unnecessary acute hospital admission
C. Prevent premature admission to long-term residential care
D. Support timely discharge form hospital

618. A nurse documents vital signs without actually performing the task. Which action should the charge nurse take after discussing the situation with the nurse?
A. Charge the nurse with malpractice
B. Document the incident
C. Notify the board of nursing
D. Terminate employment

619. The nurse has made an error in documenting client care. Which appropriate action should the nurse take?
A. Draw a line through error, initial, date and document correct information
B. Document a late addendum to the nursing note in the client’s chart
C. Tear the documented note out of the chart
D. Delete the error by using whiteout

620. Hospital discharge planning for a patient should start:
A. When the patient is medically fit
B. On the admission assessment
C. When transport is available
D. None of the above

621. What is comprehensive nursing assessment?
A. It provides the foundation for care that enables individuals to gain greater control over their lives and enhance their health status.
B. An in-depth assessment of the patient’s health status, physical examination, risk factors, psychological and social aspects of the patient’s health that usually takes place on admission or transfer to a hospital or healthcare agency.
C. An assessment of a specific condition, problem, identified risks or assessment of care; for example, continence assessment, nutritional assessment, neurological assessment following a head injury, assessment for day care, outpatient consultation for a specific condition.
D. It is a continuous assessment of the patient’s health status accompanied by monitoring and observation of specific problems identified.

622. When do you plan a discharge?
A. 24 hrs within admission
B. 72 hrs within admission
C. 48 hrs within admission
D. 12 hrs within admission

623. All but one describes holistic care:
A. A system of comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs.
B. It embraces all nursing practice that has enhancement of healing the whole person from birth to death as its goals.
C. An all nursing practice that has healing the person as its goal.
D. It involves understanding the individual as a unitary whole in mutual process with the environment.

624. Nursing process is best illustrated as:
A. Patient with medical diagnosis
B. task oriented care
C. Individualized approach to care
D. All of the above

625. Which statement is not correct about the nursing process?
A. An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care.
B. It uses a systematic, holistic, problem solving approach in partnership with the patient and their family.
C. It is a form of documentation.
D. It requires collection of objective data.

626. Which of the following sets of needs should be included in your service user’s person centred care plan?
A. social, spiritual and academic needs
B. medical, psychological and financial needs
C. physical, medical, social, psychological and spiritual needs
D. all of the above?

627. A nurse explains to a student that the nursing process is a dynamic process. Which of the following actions by the nurse best demonstrates this concept during the work shift?
A. Nurse and client agree upon health care goals for the client
B. Nurse reviews the client's history on the medical record
C. Nurse explains to the client the purpose of each administered medication
D. Nurse rapidly reset priorities for client care based on a change in the client's condition

628. The rehabilitation nurse wishes to make the following entry into a client's plan of care: "Client will re-establish a pattern of daily bowel movements without straining within two months." The nurse would write this statement under which section of the plan of care?
A. Long-term goals
B. Short-term goals
C. Nursing orders
D. Nursing dianosis/problem list

629. Nursing process is best illustrated as:
A. Patient with medical diagnosis
B. task oriented care
C. Individualized approach to care
D. All of the above

630. In caring for a patient, the nurse should?
A. whenever possible provide care that is culturally sensitive and according to patients preference
B. ask the patient and their family about their culture
C. be aware of the patient’s culture
D. disregard the patient’s culture

631. All individuals providing nursing care must be competent at which of the following procedures?
I. Hand hygiene and aseptic technique
II. Aseptic technique only
III. Hand hygiene, use of protective equipment, and disposal of waste
IV. Disposal of waste and use of protective equipment
A. I and II only
B. III and IV only
C. All of the Above
D. None of the above

632. Nursing care should be
A. Task oriented
B. Caring medical and surgical patient
C. Patient oriented, individualistic care
D. All

633. The client reports nausea and constipation. Which of the following would be the priority nursing action?
A. Collect a stool sample
B. Complete an abdominal assessment
C. Administer an anti-nausea medication
D. Notify the physician

634. Hospital discharge planning for a patient should start:
A. When the patient is medically fit
B. On the admission assessment
C. When transport is available
D. None of the above

635. Which of the following descriptors is most appropriate to use when stating the 'problem' part of nursing diagnosis?
A. Oxygenation saturation 93%
B. Output 500 ml in 8 hours
C. Anxiety
D. Grimacing

636. When do you see problems or potential problems?
A. Assessment
B. Planning
C. Implementation
D. Evaluation

637. A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital sign hereafter. What phrase of nursing process is being implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation

638. How do you value dignity & respect in nursing care? Select which does not apply:
A. We value every patient, their families or carers, or staff.
B. We respect their aspirations and commitments in life, and seek to understand their priorities, needs, abilities and limits.
C. We find time for patients, their families and carers, as well as those we work with.
D. We are honest and open about our point of view and what we can and cannot do.

639. Which of the following items of subjective client data would be documented in the medical record by the nurse?
A. Client's face is pale
B. Cervical lymph nodes are palpable
C. Nursing assistant reports client refused lunch
D. Client feel nauseated

640. How the nurse assesses the quality of care given
A. reflective process
B. clinical bench marking
C. peer and patient response
D. All the Above

641. What are the professional responsibilities of the qualified nurse in medicines management?
A. Making sure that the group of patients that they are caring for receive their medications on time. If they are not competent to administer intravenous medications, they should ask a competent nursing colleague to do so on their behalf.
B. The safe handling and administration of all medicines to patients in their care. This includes making sure that patients understand the medicines they are taking, the reason they are taking them and the likely side effects.
C. Making sure they know the names, actions, doses and side effects of all the medications used in their area of clinical practice.
D. To liaise closely with pharmacy so that their knowledge is kept up to date.

642. Who has the overall responsibility for the safe and appropriate management of controlled drugs within the clinical area?
A. All registered nurses
B. The nurse in charge
C. The consultant
D. All staff

643. What are the key reasons for administering medications to patients?
A. To provide relief from specific symptoms, for example pain, and managing side effects as well as therapeutic purposes.
B. As part of the process of diagnosing their illness, to prevent an illness, disease or side effect, to offer relief from symptoms or to treat a disease
C. As part of the treatment of long term diseases, for example heart failure, and the prevention of diseases such as asthma.
D. To treat acute illness, for example antibiotic therapy for a chest infection, and side effects such as nausea.

644. You were on your medication rounds and the emergency alarm goes off. What will you do first?
A. Lock your trolley
B. Rush to your patient’s bedroom
C. Check first if everyone had their meds
D. A and C

645. What are the most common types of medication error?
A. Nurses being interrupted when completing their drug rounds, different drugs being packaged similarly and stored in the same place and calculation errors.
B. Unsafe handling and poor aseptic technique.
C. Doctors not prescribing correctly and poor communication with the multidisciplinary team.
D. Administration of the wrong drug, in the wrong amount to the wrong patient, via the wrong route

646. Registrants must only supply and administer medicinal products in accordance with one or more of the following processes, except:
A. Carer specific direction (CSD)
B. Patient medicines administration chart (may be called medicines administration record MAR)
C. Patient group direction (PGD)
D. Medicines Act exemption

647. Independent and supplementary nurse and midwife are those who are?
A. nurse and midwife student who cleared medication administration exam
B. nurses and midwives educated in appropriate medication prescription for certain pharmaceuticals
C. registrants completed a programme to prescribe under community nurse practitioner’s drug formulary
D. nurses and midwives whose name is entered in the register

648. Which of the following people is not exempted from paying a prescribed medication?
A. children under the age of 16
B. women of child bearing age
C. people who are receiving support allowance
D. pensioners of age 65 and above

649. As a RN when you are administering medication, you made an error. Taking health and safety of the patient into consideration, what is your action?
A. Call the prescriber. Report through yellow card scheme and document it in patient notes
B. Let the next of kin know about this and document it
C. Document this in patient notes and inform the line manager
D. Assess for potential harm to client, inform the line manager and prescriber and document in patient notes

650. You noticed that a colleague committed a medication administration error. Which should be done in this situation?
A. You should provide a written statement and also complete a Trust incident form.
B. You should inform the doctor.
C. You should report this immediately to the nurse in charge.
D. You should inform the patient.

651. The nurses on the day shift report that the controlled drug count is incorrect. What is the most appropriate nursing action?
A. Report the discrepancy to the nurse manager and pharmacy immediately
B. Report the incident to the local board of nursing
C. Inform a doctor
D. Report the incident to the NMC

652. Which of the following is not a part of the 6 rights of medication administration?
A. Right time
B. Right route
C. Right medication
D. Right reason

653. One of the following is not true about a delegation responsibility of a medication registrant:
A. Nurses are accountable to ensure that the patient, carer or care assistant is competent to carry out the task.
B. Nurses can delegate medication administration to student nurses / nurses on supervision.
C. Nurses can delegate medication administration to unregistered practitioners to assist in ingestion or application of the medicinal product.
D. All of the Above

654. A patient approached you to give his medications now but you are unable to give the medicine. What is your initial action?
A. Inform the doctor
B. Inform your team leader
C. Inform the pharmacist
D. Routinely document meds not given

655. You were on a night shift in a ward and has been allocated to dispose controlled medications. Which of the following is correct?
A. Controlled drugs destruction and pharmacy stock check should be done at different times.
B. Controlled drugs should be destroyed with the use of the Denaturing Kit.
C. Excessive quantities of controlled drugs can be stored in the cupboard whilst waiting for destruction.
D. None of the Above

656. General guidance for the storage of controlled drugs should include the following except:
A. cupboards must be kept locked when not in use
B. keys must only be available to authorised member of staff
C. regular drugs can also be stored in the controlled drug storage
D. the cupboard must be dedicated to the storage of controlled drugs

657. 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?
A. Check the cupboard, record book and order book. If the missing drugs aren't found, contact pharmacy to resolve the issue. You will also complete an incident form.
B. Document the discrepancy on an incident form and contact the senior pharmacist on duty.
C. Check the cupboard, record book and order book. If the missing drugs aren't found the police need to be informed.
D. Check the cupboard, record book and order book and inform the registered nurse or person in charge of the clinical area. If the missing drugs are not found then inform the most senior nurse on duty. You will also complete an incident form.

658. You were running a shift and a pack of controlled drugs were delivered by the chemist/pharmacist whilst you were giving the morning medications. What would you do first?
A. keep the controlled drugs in the trolley first, then store it after you have done morning drugs
B. Count the controlled drugs, store them in controlled drug cabinet and record them on the controlled drug book
C. Count the controlled drugs, store them in the medication trolley and record them on the controlled drug book
D. Record them in the controlled drug book and delegate one of the carers to store them in the controlled drug cabinet

659. In a nursing and residential home setting, how will you manage your time and prioritise patients’ needs whilst doing your medication rounds in the morning?
A. Start administering medications from the patient nearest to the treatment room.
B. Start administering medications to patients who are in the dining room, as this is where most of them are for breakfast.
C. Check the list of patients and identify the ones who have Diabetes Mellitus and Parkinson’s disease.
D. All of the above.

660. After having done your medication rounds, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention?
A. You must do the physical observations and notify the General Practitioner.
B. You must ring the General Practitioner and request for a home visit.
C. You must administer medication from the Homely Remedy Pod after having spoken to the General Practitioner.
D. You must observe your patient until the General Practitioner arrives at your nursing home.

661. You are transcribing medications from prescription chart to a discharge letter. Before sending this letter what action must be taken?
A. A registrant should sign this letter
B. Transcribing is not allowed in any circumstances
C. The letter has to be checked by a nurse in charge
D. Letter can be sent directly to the patient after transcribing

662. A patient recently admitted to hospital, requesting to self-administer the medication, has been assessed for suitability at Level 2 This means that:
A. The registrant is responsible for the safe storage of the medicinal products and the supervision of the administration process ensuring the patient understands the medicinal product being administered
B. The patient accepts full responsibility for the storage and administration of the medicinal products
C. None of the above - The registrant is responsible for the safe storage of the medicinal products. At administration time, the patient will ask the registrant to open the cabinet or locker. The patient will then self-administer the medication under the supervision of the registrant
D. None of the above

663. What are the potential benefits of self-administration of medicines by patients?
A. Nurses have more time for other aspects of patient care and it therefore reduces length of stay.
B. It gives patients more control and allows them to take the medications on time, as well as giving them the opportunity to address any concerns with their medication before they are discharged home.
C. Reduces the risk of medication errors, because patients are in charge of their own medication.
D. Creates more space in the treatment room, so there are fewer medication errors

664. The MARS says that Benedict is on TID Macrogol. You have notice that the nurses have been writing “A” for refused. What do you do?
A. Write “A” on the MARS, because Benedict is expected to refuse it.
B. Offer the Macrogol, and write “A” if the patient refuses it.
C. Check bowel charts and cancel Macrogol on MARS if bowels are fine.
D. Change the prescription to PRN.

665. A patient is rapidly deteriorating due to drug over dose what to do?
A. Assess ABCDE, call help, keep anaphylactic kit
B. Call for help, keep anaphylactic kit, assess ABCDE
C. Assess ABCDE, keep anaphylactic kit, inform doctor, call for help
D. None of the above

666. patient bring own medication to hospital and wants to self-administer what is your role? allow him
A. give medications back to relatives to take back
B. keep it in locker, use from medication trolley
C. explain to patient about medication before he administer it
D. None of the above

667. A client experiences an episode of pulmonary oedema because the nurse forgot to administer the morning dose of furosemide (Lasix). Which legal element can the nurse be charged with?
A. Assault
B. Slander
C. Negligence
D. tort

668. As a newly qualified nurse, what would you do if a patient vomits when taking or immediately after taking tablets?
A. Comfort the patient, check to see if they have vomited the tablets, & ask the doctor to prescribe something different as these obviously don’t agree with the patient
B. Check to see if the patient has vomited the tablets & if so, document this on the prescription chart. If possible, the drugs may be given again after the administration of antiemetics or when the patient no longer feels nauseous. It may be necessary to discuss an alternative route of administration with the doctor
C. In the future administer antiemetics prior to administration of all tablets
D. Discuss with pharmacy the availability of medication in a liquid form or hide the tablets in food to take the taste away.

669. A newly admitted client refusing to handover his own medications and this includes controlled drugs. What is your action?
A. You have to take it any way and document it
B. Call the doctor and inform about the situation
C. Document this refusal as these medications are his property and should not do anything without his consent
D. Refuse the admission as this is against the policy

670. What medications would most likely increase the risk for fall?
A. Loop diuretic
B. Hypnotics
C. Betablockers
D. Nsaids

671. Tony is prescribed Lanoxin 500 mcg PO. What vital sign will you assess prior to giving the drug?
A. heart rate and rhythm
B. respiration rate and depth
C. temperature
D. urine output

672. Patient has next dose of Digoxin but has a CR=58
A. Omit dose, record why, and inform the doctor
B. Give dose and tell the doctor
C. Give dose as prescribed
D. None of the above

673. Which drug to be avoided by a patient on digoxin?
A. corticosteroid
B. NSAID
C. All of the above
D. None of the above

674. Which of the following should be considered before giving digoxin?
I. Allergies
II. Drug interactions
III. Other interactions with food or substances like alcohol and tobacco
IV. Medical problems (Thyroid problems, kidney disease, etc.
V. Drug dynamics
A. I, II, III and IV only
B. I, II, III and V only
C. I, II and IV only
D. All of the above

675. Which of these medications is not administer with digoxin?
A. Diuretics
B. Corticosteroids
C. Antibiotics
D. NSAID’s

676. Select which is not a proper way of Administering Eye Drops?
A. Administer the prescribed number of drops, holding the eye dropper 1-2 cm above the eye. If the patient links or closes their eye, repeat the procedure
B. ask the patient to close their eyes and keep them closed for 1-2 minutes
C. If administering both drops and ointment, administer ointment first
D. Ask the patient to sit back with neck slightly hyper extended or lie down

677. The nurse monitors the serum electrolyte level of a client who is taking digoxin. Which of the following electrolytes imbalances is common cause of digoxin toxicity?
A. Hypocalcemia
B. Hypomagnesemia
C. Hypokalaemia
D. Hyponatremia

678. Your patient has been prescribed Tramadol 50 mgs tablet for pain relief.
A. Record this in the controlled drug register book with the pharmacist witnessing
B. Put it in the patient’s medicine pod
C. Store it in ward medicine cupboard
D. Ask the pharmacist to give it to the patient

679. 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 administered?
A. Her name and address, the date of the prescription and dose.
B. Her name, date of birth, the ward, consultant, the dose and route, and that it is due at 12.00.
C. Her name, date of birth, hospital number, if she has any known allergies, the prescription for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given
D. Her name and address, date of birth, name of ward and consultant, if she has any known allergies specifically to penicillin, that prescription is for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given and who gave it so you can check with them how she reacted

680. You are caring for a Hindu client and it’s time for drug administration; the client refuses to take the capsule referring to the animal product that might have been used in its making, what is the appropriate action for the nurse to perform?
A. She will not administer and document the ommissions in the patients chart
B. The nurse will ignore the clients request and administer forcebily
C. The nurse will open the capsule and administer the powdered drug
D. The nurse will establish with the pharamacist if the capsule is suitable for vegetarians

681. John, 18 years old is for discharge and will require further dose of oral antibiotics. As his nurse, which of the following will you advise him to do?
A. Take with food or after meals and ensure to take all antibiotics as prescribed
B. Take all antibiotics and as prescribed
C. Take medicine during the day and ensure to finish the course of medication
D. Take medicine and stop when he feels better

682. When should prescribed antibiotics to be administered to a septicemic patient
A. Immediately after admission
B. After getting blood culture result
C. Immediately following blood drawn for culture
D. None of the above

683. You are the named nurse of Colin admitted at Respiratory ward because of chest infection. His also suffers from Parkinson's syndrome. What medications will you ensure Colin has taken on regular time to control his 'shaking'?
A. Co-careldopa (Sinemet)
B. Co-amoxiclave (augmentin)
C. Co-codamol
D. Co-Q10

684. Your hospital supports the government’s drive on breastfeeding. One of your patient being treated for urinary tract infection was visited by her husband and their 4 month old baby. She would like to breastfeed her baby. What advise will you give her?
A. it is ok to breastfeed as long as it is done privately
B. it is ok to breastfeed because the hospital supports this practice
C. refrain from breastfeeding as of now because of her UTI treatment
D. breast milk is the best and she can feed her baby anytime they visit

685. Describe the breathing pattern when a patient is suffering from Opioid toxicity:
A. Slow and shallow
B. fast and shallow
C. slow and deep
D. Fast and deep

686. What are the key nursing observations needed for a patient receiving opioids frequently?
A. Respiratory rate, bowel movement record and pain assessment and score.
B. Checking the patent is not addicted by looking at their blood pressure.
C. Lung function tests, oxygen saturations and addiction levels
D. Daily completion of a Bristol stool chart, urinalysis, and a record of the frequency with which the patient reports breakthrough pain

687. What advice do you need to give to a patient taking Allopurinol? (Select x 3 correct answers)
A. Drink 8 to 10 full glasses of fluid every day, unless your doctor tells you otherwise.
B. Store allopurinol at room temperature away from moisture and heat.
C. Avoid being near people who are sick or have infections
D. Skin rash is a common side effect, it will pass after a few days

688. What instructions should you give a client receiving oral Antibiotics?
A. Consume it all at once
B. take the antibiotic with glass of water
C. Take the medication with meals and consume all the antibiotics
D. take the medication as prescribed and complete the course

689. When the doc will prescribe a broad-spectrum antibiotic?
A. on admission
B. when septicemia is suspected
C. when the blood culture shows positive growth of organism
D. None of the above

690. After two weeks of receiving lithium therapy, a patient in the psychiatric unit becomes depressed. Which of the following evaluations of the patient’s behavior by the nurse would be MOST accurate?
A. The treatment plan is not effective; the patient requires a larger dose of lithium.
B. This is a normal response to lithium therapy; the patient should continue with the current treatment plan.
C. This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.
D. The treatment plan is not effective; the patient requires an antidepressant

691. Johan, 25 year old, was admitted at Medical Assessment Unit because of urine infection. During your assessment, he admitted using cannabis under prescription for his migraine and still have some in his bag. What is your best reply to him about the cannabis?
A. Cannabis is a class C drug under the UK Misuse of Drugs Act 1971.
B. A custodial sentence of 28 days is now given to anyone in possession 3 times or more
C. Cannabis is a class B drug under the UK Misuse of Drugs Act 1971
D. Possession of cannabis will incur a penalty of 3 months imprisonment with £2 000 fine

692. A patient in your care is on regular oral morphine sulphate. As a qualified nurse, what legal checks do you need to carry out every time you administer it, which are in addition to those you would check for every other drug you administer?
A. Check to see if the patient has become tolerant to the medication so it is no longer effective as analgesia.
B. Check to see whether the patient has become addicted.
C. Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; together, check the correct prescription and the identity of the patient.
D. Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; then ask the patient to prove their identity to you

693. Which of the following drugs will require 2 nurses to check during preparation and administration?
A. oral antibiotics
B. glycerine suppositories
C. morphine tablet
D. oxygen

694. A patient was on morphine at hospital. On discharge doctor prescribes fentanyl patches. At home patient should be observed for which sign of opiate toxicity?
A. Shallow, slow respiration, drowsiness, difficulty to walk, speak and think
B. Rapid, shallow respiration, drowsiness, difficulty to walk, speak and think
C. Rapid wheezy respiration, drowsiness, difficulty to walk, speak and think
D. None of the above

695. Manu is in persistent pain and has Oromorph PRN. All your carers are on their rounds, and you are about to administer this drug. What would you do?
A. Dispense 10 mL Oromorph and administer immediately to relieve pain
B. Dispense 10 mL Oromorph and call one of the carers to witness
C. Call one of the carers to witness dispensing and administering the drug
D. Administer the drug and ask one of the carers to sign the book after their pad rounds

696. What infection control steps should not be taken in a patient with diarrhoea caused by Clostridium Difficile?
A. Isolation of the patient
B. All staff must wear aprons and gloves while attending the patient
C. Oral administration of metronidazole, vancomycin, fidaxomicin may be required
D. None of the above

697. Prothrombin time is essential during anticoagulation therapy. In oral anticoagulation therapy which test is essential?
A. Activated Thromboplastin Time - The partial thromboplastin time (PTT) test is a blood test that is done to investigate bleeding disorders and to monitor patients taking an anticlotting drug (heparin).
B. International Normalized Ratio - The Prothrombin time (PT) test, standardised as the INR test is most often used to check how well anticoagulant tablets such as warfarin and phenindione are working
C. All of the above
D. None of the above

698. Precise indicator of anticoagulation status when on oral anticoagulants
A. Ptt
B. aPTT
C. ct
D. INR

699. You are the named nurse of Mr Corbyn who has just undergone an abdominal surgery 4 hours ago. You have administered his regular analgesia 2 hours ago and he is still complaining of pain. Your most immediate, most appropriate nursing action?
A. call the doctor
B. assist patient in a comfortable position
C. give another dose
D. look for a heating pad

700. Mild pain after surgery and pain is reduced by taking which medicine
A. paracetamol
B. ibuprofen
C. paracetamol with codeine
D. paracetamol with morphine