NMC CBT Nursing Practice and Decision Making 2

Question 1

A nurse uses the Waterlow tool. Which factors does it consider?

Accepted Answer

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

Answer

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

Question 2

What are the four stages of the nursing process?

Accepted Answer

Assessment, planning, implementation, evaluation

Answer

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

Question 3

Which are the classic signs of wound infection?

Accepted Answer

Erythema, warmth, swelling, pain, and purulent discharge

Answer

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

Question 4

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

Accepted Answer

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

Answer

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.

Question 5

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

Accepted Answer

2 points — high risk of malnutrition

Answer

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

(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 Practice and Decision Making 2