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

DKA: hyperglycaemia (usually >11 mmol/L), Kussmaul breathing (compensating for acidosis), dehydration, acetone breath, nausea, vomiting.

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

Maintaining a safe environment is one of the twelve Activities of Living in the RLT model, widely used in UK nursing.

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

Comprehensive discharge planning reduces readmission rates and includes medication education, symptom recognition, lifestyle modifications, and follow-up.

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

Aspirate gastric contents and test pH (5.5 or below confirms gastric placement). The whoosh test is unreliable and no longer recommended.

Question 5

In which patient are compression stockings contraindicated?

Accepted Answer

Severe peripheral arterial disease (ABPI <0.5)

Answer

Compression stockings are contraindicated in severe PAD as external compression can further compromise arterial blood supply.

(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 3