NMC CBT Nursing Practice and Decision Making 3

Question 1

A patient with type 1 diabetes develops symptoms of DKA. Which is a typical presentation?

Accepted Answer

Hyperglycaemia, Kussmaul breathing, dehydration, ketotic breath

Answer

Bradycardia, hypertension, peripheral oedema

Answer

Hypoglycaemia, tremor, profuse sweating

Answer

Hypothermia, confusion, slow respiratory rate

Question 2

According to the Roper-Logan-Tierney model, which is one of the twelve Activities of Living?

Accepted Answer

Maintaining a safe environment

Answer

Self-actualisation

Answer

Social interaction

Answer

Financial management

Question 3

A patient is discharged with new heart failure. What is the most important nursing intervention?

Accepted Answer

Comprehensive discharge planning including medication education, symptom recognition, lifestyle advice, and follow-up arrangements

Answer

Providing written medication instructions only

Answer

Telling the patient to see their GP if they have problems

Answer

Ensuring all paperwork is completed

Question 4

How should NG tube placement be confirmed before feeding?

Accepted Answer

Aspirate and test with pH paper — pH should be 5.5 or below

Answer

Auscultation over the epigastrium (whoosh test)

Answer

Check external length marking only

Answer

Observe for coughing during insertion

Question 5

In which patient are compression stockings contraindicated?

Accepted Answer

Severe peripheral arterial disease (ABPI <0.5)

Answer

Post hip replacement

Answer

Fully mobile patient

Answer

Patient with BMI 30

Question 6

What is the purpose of the Bristol Stool Chart?

Accepted Answer

To classify stool form and consistency on a seven-type scale for bowel function assessment

Answer

To measure abdominal girth in ascites

Answer

To assess bowel obstruction risk

Answer

To determine which laxative to prescribe