NMC CBT - Nursing and Midwifery Council Computer-Based Test Patient Safety and Risk Assessment 1

Question 1

A nurse discovers a patient's identification wristband is missing. What is the most appropriate immediate action?

Accepted Answer

Apply a new wristband before performing any further clinical procedures

Answer

Patient identification is a fundamental safety check. A new wristband must be applied before any further procedures to prevent wrong-patient errors, which are a recognised 'Never Event' in NHS settings.

Question 2

Which framework is used in UK healthcare to categorise the severity of patient safety incidents?

Accepted Answer

The NHS Serious Incident Framework grading scale

Answer

NHS England's Serious Incident Framework provides a grading structure to classify incidents by actual or potential harm, guiding the level of investigation and reporting required.

Question 3

When using the SBAR tool during a clinical handover, what does the letter 'R' represent?

Accepted Answer

Recommendation

Answer

In the SBAR communication tool, 'R' stands for Recommendation — the nurse states what action they believe is needed. This structured format reduces miscommunication and supports patient safety during handovers.

Question 4

A patient's NEWS2 (National Early Warning Score 2) has increased from 2 to 7 over four hours. What is the most appropriate nursing response?

Accepted Answer

Inform the nurse in charge and escalate to a senior clinician urgently

Answer

A NEWS2 score of 7 or above indicates a high clinical risk and requires urgent escalation to a senior clinician or rapid response team. Delay in escalation is a common factor in preventable deterioration.

Question 5

Under the duty of candour (Regulation 20), what must a healthcare provider do when a notifiable safety incident occurs?

Accepted Answer

Notify, apologise to, and provide a written account to the affected patient or their family

Answer

The statutory duty of candour requires organisations to be open and transparent with patients when things go wrong. This includes a verbal apology, a written notification, and an explanation of what happened and what will be done to prevent recurrence.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

NMC CBT - Nursing and Midwifery Council Computer-Based Test Patient Safety and Risk Assessment 1