MSRA MSRA Situational Judgement

Question 1

You are an FY2 doctor and you notice that a nurse has administered 10-fold the prescribed dose of a medication to a patient who is currently asymptomatic. What should you do first?

Accepted Answer

Assess the patient immediately, inform the nurse and senior, and complete an incident form

Answer

Wait to see if the patient develops symptoms before acting

Answer

Inform only the nurse and ask them to handle it quietly

Answer

Document it in the notes and review tomorrow

Question 2

During a busy night shift, a colleague asks you to co-sign a drug chart for a medication you did not administer or check. What should you do?

Accepted Answer

Decline to sign and explain that co-signing implies you verified the medication was given correctly

Answer

Sign as a professional courtesy to help your colleague

Answer

Sign but add a note that you were not present

Answer

Report the colleague to the GMC immediately

Question 3

A patient asks you directly whether the operation they are about to have carries a risk of death. The consultant has not discussed this. What is the appropriate response?

Accepted Answer

Confirm that significant risks exist and ensure the consultant discusses them with the patient before proceeding

Answer

Tell the patient to ask the consultant

Answer

Reassure the patient that the risk is negligible to avoid anxiety

Answer

Proceed with the pre-operative checklist and do nothing

Question 4

You are called to see a patient who is clearly in pain but the nurse says no analgesia has been prescribed. The consultant is in theatre and not answering bleep. What should you do?

Accepted Answer

Prescribe appropriate analgesia within your competence and escalate through the registrar

Answer

Wait until the consultant is available

Answer

Ask the nurse to give a PRN paracetamol from another patient's prescription

Answer

Document pain and review in 2 hours

Question 5

A medical student asks you to teach them a clinical skill on a patient who has not been asked for consent to be involved in student teaching. What should you do?

Accepted Answer

Obtain explicit consent from the patient before involving the student in any clinical interaction

Answer

Allow the teaching as it is standard practice

Answer

Ask the student to observe only without speaking to the patient

Answer

Only involve the student if the patient is unconscious

Question 6

You suspect a colleague who is an FY1 is struggling with serious personal problems affecting their clinical performance. The safest and most appropriate initial action is to:

Accepted Answer

Speak privately to the colleague to offer support and encourage them to seek help, and escalate if patient safety is at immediate risk

Answer

Report them to the GMC without delay

Answer

Ignore the situation as it is not your responsibility

Answer

Inform the entire team to ensure patient safety