NMC-CBT Patient Safety and Risk Assessment Flashcards
7 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 7 NMC-CBT Patient Safety and Risk Assessment flashcards as text
A confused elderly patient attempts to remove their IV line. Which least-restrictive intervention should be considered first?
Answer: Reassess the patient's mental capacity, provide reassurance, and consider repositioning or distraction
A least-restrictive approach requires using de-escalation, reassurance, and environmental adjustments before considering physical or chemical restraint.
Which of the following is a recognised human factor contributing to clinical errors in healthcare?
Answer: Fatigue, high workload, and poor communication between team members
Human factors such as fatigue, high workload, distractions, and poor teamwork communication are leading contributors to clinical errors.
A patient is scheduled for surgery tomorrow. Which of the following is the nurse's responsibility in the pre-operative checklist?
Answer: Verifying patient identity, consent, allergy status, fasting time, and relevant investigations
The pre-operative checklist includes confirming identity, informed consent, allergies, fasting compliance, and that relevant tests are available.
What is the correct order of hand hygiene moments according to the WHO 'Five Moments for Hand Hygiene'?
Answer: Before patient contact, before aseptic task, after body fluid exposure, after patient contact, after contact with patient surroundings
The five WHO moments are: before patient contact, before aseptic task, after body fluid exposure risk, after patient contact, and after contact with patient surroundings.
A nurse identifies that a patient's pressure ulcer has deteriorated from Category 2 to Category 3. What is the most appropriate next step?
Answer: Reassess the care plan, escalate to tissue viability nurse, and document the change accurately
Deterioration of a pressure ulcer requires immediate reassessment of the care plan, specialist referral, and accurate documentation to ensure patient safety.
Which of the following best describes 'clinical risk stratification' in patient safety?
Answer: Categorising patients by the likelihood of experiencing harm to prioritise preventive interventions
Clinical risk stratification involves categorising patients according to their risk of harm so that resources and interventions can be appropriately prioritised.
During a medication round, a nurse realises they have given the wrong dose to a patient. The patient shows no immediate adverse effects. What should the nurse do?
Answer: Assess the patient, report the error immediately via the incident reporting system, inform the doctor, and follow up on the patient's condition
Any medication error must be reported immediately, the patient assessed, the prescriber informed, and the incident documented through the organisation's reporting system.