NMBI Clinical Skills

Question 1

When performing a vital signs assessment, which parameters should be measured and recorded?

Accepted Answer

Temperature, pulse rate, respiratory rate, blood pressure, oxygen saturation, and level of consciousness

Answer

A comprehensive vital signs assessment includes temperature, pulse (rate, rhythm, strength), respiratory rate (counted for 60 seconds), blood pressure (systolic and diastolic), oxygen saturation (SpO2), and level of consciousness (AVPU or GCS). All findings are recorded on the NEWS chart.

Question 2

What is the correct hand hygiene technique according to WHO guidelines?

Accepted Answer

Wet hands, apply soap, rub palm to palm, interlace fingers, rub backs of hands, thumbs, fingertips, and wrists for at least 20 seconds, then rinse and dry

Answer

The WHO 6-step hand hygiene technique ensures all hand surfaces are cleaned: palm to palm, right palm over left dorsum and vice versa, palm to palm with fingers interlaced, backs of fingers, thumbs, and fingertips. The entire process should take at least 20 seconds.

Question 3

What is the purpose of the Glasgow Coma Scale (GCS)?

Accepted Answer

To assess and quantify the level of consciousness by evaluating eye opening, verbal response, and motor response

Answer

The GCS scores three components: eye opening (1-4), verbal response (1-5), and motor response (1-6), giving a total score of 3-15. A score of 15 indicates full consciousness, while 3 indicates deep unconsciousness. It is used to monitor neurological status over time.

Question 4

What is the correct technique for measuring blood pressure manually?

Accepted Answer

Apply the cuff to the upper arm at heart level, palpate the brachial artery, inflate above expected systolic, slowly deflate while listening with a stethoscope for Korotkoff sounds

Answer

The patient should be seated with arm supported at heart level. The correctly-sized cuff is applied to bare skin on the upper arm. Inflate 20-30 mmHg above estimated systolic, then deflate slowly (2-3 mmHg per second) while listening for Korotkoff sounds at the brachial artery.

Question 5

What is aseptic technique and when should it be used?

Accepted Answer

A method of performing clinical procedures in a way that minimises the introduction of micro-organisms; used for wound care, catheterisation, IV access, and other invasive procedures

Answer

Aseptic technique (including ANTT — Aseptic Non-Touch Technique) is used whenever there is a risk of introducing micro-organisms into a susceptible body site. This includes wound care, urinary catheterisation, IV cannulation, and any procedure that breaches the skin or accesses a sterile area.

NMBI Practice Test

NMBI Practice Test

NMBI Clinical Skills