Mixed Deck — All NMC Topics Flashcards
100 cards from real NMC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 20 Mixed Deck — All NMC Topics flashcards as text
Under NMC revalidation requirements, how often must a registered nurse confirm their practice and renew their registration?
Answer: Every three years
NMC revalidation requires nurses to confirm their practice, continuing professional development, and fitness to practise every three years.
A nurse working in a prenatal clinic wants to apply Tannahill's Model of Health Promotion. Which element is unique to this model compared to earlier frameworks?
Answer: Overlapping spheres that include preventive health services
Tannahill's Model uniquely presents health promotion as three overlapping spheres — education, prevention, and protection — highlighting their interconnected nature.
A registrant asks you to countersign a revalidation declaration you are not confident is accurate. What should you do?
Answer: Refuse to countersign if you have genuine doubts about its accuracy
Countersigning an inaccurate declaration would breach the Code's requirement for honesty and integrity; you must decline if you have genuine doubts.
In patient safety terminology, a 'near miss' is defined as:
Answer: An error that was identified and corrected before it reached the patient
A near miss is an unplanned event that did not result in harm because it was caught in time, but had potential to cause injury.
The NMC Code's requirement to 'preserve safety' includes which specific action regarding staffing concerns?
Answer: Raising concerns about staffing levels that may put patients at risk
Preserving safety requires registrants to raise concerns about resource levels, including staffing, that could compromise patient safety — silence in the face of known risk is inconsistent with the Code.
A nurse notices that a colleague has been falsifying records to cover up a medication error. Under the NMC Code, what must the nurse do?
Answer: Report the concern immediately through the appropriate governance or regulatory channel
Falsifying records is a serious breach of professional standards; the NMC Code requires nurses to report such concerns without delay to protect patients and uphold public trust.
When a registered nurse delegates a task, they must ensure 'right direction and communication'. Which of the following best exemplifies this principle?
Answer: Providing clear, concise instructions, including the specific task, expected outcome, and when to report back.
Right direction and communication involves providing clear, concise, correct, and complete instructions. This includes specifying the task, the patient, any limitations, the expected outcome, and the lines of communication for reporting back or seeking help. The other options are vague, rely on assumptions, or do not provide direct communication to the person being delegated to, which can lead to errors and compromise patient safety.
A charge nurse instructs a staff nurse NOT to apologize to a patient because 'it implies the hospital is at fault.' The staff nurse should know that:
Answer: An apology under the duty of candour is not an admission of legal liability and must be given
Under the duty of candour framework, an apology is a professional and moral obligation and is not a legal admission of fault or liability.
A midwife promotes breastfeeding as part of infant health prevention. Which health benefit of breastfeeding for the INFANT has the strongest evidence?
Answer: Reduction in the incidence of acute otitis media and respiratory infections
Strong evidence shows breastfeeding significantly reduces the incidence of acute otitis media, lower respiratory infections, and gastrointestinal infections in infants.
Which patient group requires the most cautious approach when administering opioid analgesics due to altered drug metabolism?
Answer: Older adults (65+) due to reduced renal and hepatic function
Older adults have reduced hepatic and renal function, leading to slower drug clearance and increased risk of opioid accumulation, sedation, and respiratory depression.
A public health nurse is planning a program to reduce cardiovascular disease risk. Which behavior change is associated with the GREATEST reduction in cardiovascular mortality at a population level?
Answer: Reducing dietary salt intake by 3g per day across the population
Population-wide reductions in salt intake significantly lower average blood pressure and are associated with large reductions in cardiovascular mortality at a population level.
A nurse discovers a colleague has been repeatedly removing small amounts of money from a confused patient's belongings. The nurse should:
Answer: Report the concern to a manager or through the safeguarding referral process
This constitutes financial abuse by a care worker and must be reported immediately through safeguarding and whistleblowing procedures.
A nurse sustains a puncture wound from a sterile, unused needle while opening a suture pack. What is the correct immediate first aid action?
Answer: Encourage the wound to bleed gently under running water, wash with soap, and cover with a waterproof dressing.
UK health and safety guidance mandates that for any sharps injury, the wound should be encouraged to bleed gently (without sucking or vigorous squeezing), washed thoroughly with soap and running water, and covered with a waterproof dressing. Even if the needle is unused and sterile, the skin barrier has been breached, and this first aid procedure must be followed before reporting the incident. Squeezing can cause further tissue damage and is not recommended.
A nurse notices a patient's care plan goals have not changed in two weeks despite the patient expressing new concerns. What is the most appropriate action?
Answer: Revise the care plan immediately to reflect the patient's current concerns
Care plans must be responsive and updated whenever the patient's needs, concerns, or priorities change.
Written reflective accounts for NMC revalidation must demonstrate:
Answer: How learning from practice has been applied in relation to The Code
The five reflective accounts must link learning from CPD or practice experiences to the standards and themes set out in The Code.
A patient with limited English proficiency requires discharge teaching. What is the most appropriate action?
Answer: Use a professional interpreter service
Professional interpreter services ensure accurate, confidential communication and are required by NMC standards when a language barrier exists.
Which of the following is NOT one of the six safeguarding principles established by the Care Act 2014?
Answer: Punishment
The six Care Act 2014 safeguarding principles are: Empowerment, Prevention, Proportionality, Protection, Partnership, and Accountability — punishment is not included.
When should a nurse complete documentation of care delivered?
Answer: As soon as possible after the care or event occurs
NMC standards require documentation to be completed as soon as practicable after an event to ensure accuracy and reduce the risk of omissions.
Section 47 of the Children Act 1989 places a statutory duty to investigate child welfare concerns on which body?
Answer: The local authority
Section 47 places a duty on the local authority to investigate when there is reasonable cause to suspect a child is suffering or likely to suffer significant harm.
A nurse records vital signs without completing the task. What should the charge nurse do after addressing the problem with the nurse?
Answer: Create a document of the the incident.
When a nurse fails to complete a task, such as recording vital signs, it's a professional lapse that needs to be addressed. After discussing the issue with the nurse, the charge nurse must document the incident. This documentation serves as a formal record, supports any necessary disciplinary action or performance improvement plans, and ensures accountability within the healthcare setting.