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Nursing Practice and Decision Making Flashcards

6 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Nursing Practice and Decision Making flashcards as text
  1. A nurse uses the Waterlow tool. Which factors does it consider?

    Answer: Build/BMI, skin type, mobility, continence, appetite, and special risks including tissue malnutrition and neurological deficit

    The Waterlow score comprehensively assesses build/BMI, skin type, sex/age, mobility, continence, appetite, and special risk categories.

  2. What are the four stages of the nursing process?

    Answer: Assessment, planning, implementation, evaluation

    Assessment, Planning, Implementation, and Evaluation form the systematic nursing process.

  3. Which are the classic signs of wound infection?

    Answer: Erythema, warmth, swelling, pain, and purulent discharge

    Based on the cardinal signs of inflammation: redness, warmth, swelling, pain, plus purulent discharge. Systemic signs include pyrexia.

  4. A patient has been NBM for 12 hours before surgery with dry mucous membranes. What is the appropriate nursing action?

    Answer: Provide mouth care, assess hydration, and contact surgical team to clarify fasting guidelines

    Current guidelines recommend clear fluids up to 2 hours before anaesthesia. A 12-hour fast exceeds guidelines. Provide mouth care and contact the surgical team.

  5. A patient with BMI 16 is admitted. Using MUST, what does the BMI score contribute?

    Answer: 2 points — high risk of malnutrition

    In MUST, a BMI <18.5 scores 2 points (high risk). A BMI of 16 is significantly underweight.

  6. A nurse observes redness, pain, and a palpable venous cord at a cannula site. What VIP score is this?

    Answer: VIP 3 — medium stage, re-site the cannula

    Redness, pain, and a palpable venous cord indicate VIP score 3 (medium stage phlebitis). Re-site and consider treatment.