NMBI Clinical Skills 2

Question 1

What is the correct procedure for performing urinary catheterisation?

Accepted Answer

Use aseptic technique throughout, clean the urethral meatus with sterile solution, insert a pre-lubricated catheter gently, inflate the balloon with sterile water, and connect to a closed drainage system

Answer

Urinary catheterisation requires strict aseptic technique to prevent catheter-associated urinary tract infection (CAUTI). Key steps include hand hygiene, sterile gloves, meatal cleansing, gentle insertion with sterile lubricant, correct balloon inflation, and connection to a closed drainage system.

Question 2

What are the signs and symptoms of anaphylaxis that a nurse should recognise?

Accepted Answer

Rapid onset of breathing difficulty, swelling of face/throat, hypotension, widespread urticaria (hives), and potential cardiovascular collapse

Answer

Anaphylaxis is a life-threatening allergic reaction characterised by rapid onset of airway compromise (swelling, stridor, wheeze), breathing difficulty, cardiovascular collapse (hypotension, tachycardia), and skin changes (urticaria, erythema, angioedema). Adrenaline (epinephrine) is the first-line treatment.

Question 3

What is the correct positioning for a patient who is at risk of aspiration?

Accepted Answer

Upright or semi-upright position (30-45 degrees), with the head of bed elevated, especially during and for 30-60 minutes after eating or enteral feeding

Answer

Elevating the head of the bed to 30-45 degrees reduces aspiration risk by using gravity to prevent gastric contents from entering the airway. This is particularly important during feeding, for 30-60 minutes after meals, and for patients on enteral feeding or with reduced consciousness.

Question 4

What is the correct technique for wound assessment?

Accepted Answer

Assess wound type, size (length, width, depth), bed colour (tissue type), exudate amount and type, wound edges, surrounding skin condition, and signs of infection

Answer

Comprehensive wound assessment includes wound type and location, measurements (length × width × depth), wound bed tissue type (granulation, slough, necrotic), exudate (amount, colour, odour), wound edges, surrounding skin, signs of infection, and the patient's pain level.

Question 5

What are the principles of safe moving and handling of patients?

Accepted Answer

Assess the patient's mobility, use appropriate equipment, follow the care plan, use correct body mechanics, and never manually lift a patient except in life-threatening emergencies

Answer

Safe moving and handling follows a risk assessment approach: assess the patient, task, environment, and handler's capability. Use mechanical aids (hoists, slide sheets, transfer boards) wherever possible. Manual handling should be avoided except in genuine emergencies to prevent injury to both patients and staff.

NMBI Practice Test

NMBI Practice Test

NMBI Clinical Skills 2