NMC CBT Nursing Practice and Decision Making

Question 1

You are caring for a patient who is receiving intravenous (IV) fluids and develops redness and swelling at the IV insertion site. What is your first action?

Accepted Answer

Remove the IV and assess for signs of infection.

Answer

Increase the flow rate of the IV fluids.

Answer

Administer pain medication and continue the IV fluids.

Answer

Apply a warm compress and monitor the site.

Question 2

A patient in your care has a blood pressure of 180/110 mmHg. What should you do next?

Accepted Answer

Inform the doctor and monitor the patient for signs of a hypertensive crisis.

Answer

Reassure the patient that the reading is within normal limits.

Answer

Record the reading and wait to see if the pressure lowers on its own.

Answer

Administer antihypertensive medication without consulting the doctor.

Question 3

A patient with diabetes is complaining of dizziness and sweating. Their blood sugar level is 50 mg/dL. What is your immediate action?

Accepted Answer

Give the patient a sugary drink or snack.

Answer

Administer a dose of insulin to regulate their blood sugar.

Answer

Ask the patient to lie down and rest.

Answer

Monitor the patient for further symptoms and wait for the doctor’s orders.

Question 4

A patient with a known allergy to penicillin is prescribed an antibiotic containing penicillin. What should you do?

Accepted Answer

Contact the prescribing doctor to clarify the medication and inform them of the allergy.

Answer

Administer the antibiotic as prescribed, as allergies do not always cause severe reactions.

Answer

Delay administering the antibiotic and wait for the patient to confirm the allergy.

Answer

Inform the patient about the medication and proceed with administration.

Question 5

You are about to perform a procedure on a patient and need to obtain consent. What should you do?

Accepted Answer

Ensure the patient fully understands the procedure, risks, and benefits, and obtain written consent if necessary.

Answer

Obtain verbal consent before proceeding with the procedure.

Answer

Proceed with the procedure without consent if it is an emergency.

Answer

Obtain consent from the patient's family member if the patient is unable to provide consent.