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
A patient with type 1 diabetes develops symptoms of DKA. Which is a typical presentation?
Answer: Hyperglycaemia, Kussmaul breathing, dehydration, ketotic breath
DKA: hyperglycaemia (usually >11 mmol/L), Kussmaul breathing (compensating for acidosis), dehydration, acetone breath, nausea, vomiting.
According to the Roper-Logan-Tierney model, which is one of the twelve Activities of Living?
Answer: Maintaining a safe environment
Maintaining a safe environment is one of the twelve Activities of Living in the RLT model, widely used in UK nursing.
A patient is discharged with new heart failure. What is the most important nursing intervention?
Answer: Comprehensive discharge planning including medication education, symptom recognition, lifestyle advice, and follow-up arrangements
Comprehensive discharge planning reduces readmission rates and includes medication education, symptom recognition, lifestyle modifications, and follow-up.
How should NG tube placement be confirmed before feeding?
Answer: Aspirate and test with pH paper — pH should be 5.5 or below
Aspirate gastric contents and test pH (5.5 or below confirms gastric placement). The whoosh test is unreliable and no longer recommended.
In which patient are compression stockings contraindicated?
Answer: Severe peripheral arterial disease (ABPI <0.5)
Compression stockings are contraindicated in severe PAD as external compression can further compromise arterial blood supply.
What is the purpose of the Bristol Stool Chart?
Answer: To classify stool form and consistency on a seven-type scale for bowel function assessment
The Bristol Stool Chart classifies stool into seven types from Type 1 (hard lumps) to Type 7 (liquid), standardising description of bowel habits.