NMC Part 1 CBT: Shared Nursing Foundations and Numeracy Study Guide

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An educational prescription states 0.075 g, while a label states 25 mg per tablet. Convert the prescription to 75 mg, then calculate 75 divided by 25: three tablets, subject to the usual administration checks.

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A fictional order requires half the amount contained in a 2 mL ampoule. A result of 4 mL contradicts the initial estimate. Recheck the numerator and denominator before preparing any medicine for administration.

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A fictional order specifies 600 mg now, and the supplied tablets contain 200 mg each. Calculate 600 divided by 200 to obtain three tablets. Confirm that the order refers to this administration.

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A fictional prescription requires 180 mg, and the liquid contains 120 mg in 5 mL. Calculate 180 divided by 120, multiplied by 5, giving 7.5 mL for the stated dose.

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A fictional prepared solution contains 40 mg in 2 mL, and the prescribed dose is 30 mg. The concentration is 20 mg/mL, so the required volume is 1.5 mL before administration checks.

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A fictional calculation specifies 6 mg/kg/day for a 50 kg adult, divided into three equal doses. The total is 300 mg per day, making each administration 100 mg rather than 300 mg.

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An educational order specifies 450 mL over three hours using a pump set in mL/hour. Calculate 450 divided by three to obtain 150 mL/hour, then compare the setting with the order.

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Over a stated shift, recorded intake is 1,250 mL orally and 500 mL intravenously. Recorded output is 1,400 mL urine and 150 mL drainage. The recorded balance is positive 200 mL.

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A nurse is allocated an unfamiliar device procedure and has never completed supervised practice. They explain the gap, obtain a competent colleague's support and arrange appropriate supervision while ensuring the person's immediate care continues.

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An adult who previously agreed to a dressing change now asks to stop because of pain. The nurse pauses, explores the concern and discusses comfort measures and alternatives before seeking fresh agreement to proceed.

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In England, an adult with hearing loss understands a treatment discussion after hearing support and can explain the options and consequences: the original communication difficulty did not establish incapacity. Another adult has delirium. Despite a quiet setting, simple explanations and visual aids, assessment shows that delirium prevents them from using or weighing the treatment's benefits and risks. That evidence supports lack of capacity for this decision now; it does not establish inability to make every decision.

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A caller identifying themselves as a patient's sibling requests investigation results. The nurse checks the patient's sharing preferences and the caller's identity before disclosing any information, rather than assuming family status grants access.

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After escalating increasing pain, a nurse records the person's description, assessment findings, time of contact, advice received and planned review. The next nurse can identify both the concern and the unfinished reassessment.

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A treatment error has caused avoidable discomfort. Once immediate care is secured, the nurse ensures the person receives an apology, known facts and an explanation of follow-up, while the event is also reported.

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Staffing gaps mean essential observations are being delayed. The nurse identifies affected patients, informs the responsible manager, requests immediate support and records the response, then escalates further when the promised support does not arrive.

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A report claims a new comfort intervention works because scores improved after implementation. The nurse asks whether a comparison group existed and whether staffing or patient characteristics changed before recommending a service-wide change.

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Two reasonable comfort approaches are available. One has stronger average evidence, but the person finds it unacceptable. The nurse explains the trade-off, explores an acceptable alternative and agrees how benefit will be assessed.

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An adult wants more energy for visiting friends but dislikes formal exercise. The nurse explores current activity and agrees a manageable walking goal linked to that priority, with a review of progress.

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A person says they want to reduce alcohol use but doubts they can manage social situations. The nurse explores those situations and confidence, then agrees one practical strategy and a suitable source of support.

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A person receives a dense prevention leaflet but cannot identify the first action. The nurse explains one agreed step in plain language and asks the person to describe how they will carry it out.

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An adult understands advice about healthier meals but lacks cooking facilities in temporary accommodation. The nurse explores available food options and support services, then agrees changes possible within the person's actual living arrangements.

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An adult without a known infection requires assistance with a task involving likely body-fluid contact. The nurse applies standard precautions and selects protection for that exposure rather than waiting for a positive test.

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An adult repeatedly declines walking practice. Assessment identifies pain, fear of falling and unsuitable footwear. The plan addresses these interacting barriers instead of recording only that the person is reluctant to mobilise.

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An adult usually manages dressing independently but now cannot organise the task and appears less engaged. The nurse recognises a change from baseline and reassesses rather than attributing the difficulty automatically to age.

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A person wants to manage morning washing before returning home. Together, they agree to wash their face and upper body with equipment set up and minimal prompting, then review progress after two days.

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An adult needs help maintaining oral intake. The plan identifies preferred drinks, the assistance required, recording responsibilities and signs prompting reassessment, with a defined review of whether the agreed intake goal is being approached.

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An adult becomes breathless and difficult to rouse. The nurse stops routine care, asks a colleague to summon emergency assistance and immediately checks airway and breathing. Noisy, obstructed breathing requires prompt airway management within training before continuing the assessment. If the adult becomes unresponsive and is not breathing normally, including only occasional gasps, activate the resuscitation response and start CPR according to training rather than completing the remaining ABCDE assessment first.

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An adult initially walks safely with supervision but develops pain after activity. The nurse reassesses mobility and comfort, adjusts assistance and updates the plan before continuing with the previously agreed walking programme.

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A person has a documented low falls-risk score but becomes dizzy when standing after a change in condition. The nurse reassesses current risk and provides suitable assistance instead of relying on the earlier score.

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An adult can wash their face but needs help reaching their lower legs. The nurse provides privacy, places equipment within reach and assists only with the agreed areas, reviewing comfort and fatigue during care.

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An adult with dark skin reports heel soreness. The area looks different from surrounding skin and feels warmer, although obvious redness is absent. The nurse relieves pressure and arranges further assessment of the change.

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An adult spends most of the day in bed and cannot reposition independently. The nurse agrees assisted position changes, checks an appropriate support surface is in use and reviews skin findings and comfort.

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An adult reports acceptable pain while resting but cannot turn because movement hurts. The nurse makes movement-related comfort an explicit outcome and reassesses turning ability after the agreed pain-management intervention has taken effect.

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An adult reports repeated waking because of noise and difficulty reaching the call bell for toileting help. The nurse adjusts the environment and access to assistance, then reviews sleep and unmet needs.

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An adult's chart shows low oral intake, but the person says drinks are placed beyond reach. The nurse corrects access, offers preferred suitable drinks and reviews intake within the individual's prescribed fluid plan.

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An adult leaves meals untouched because painful hands prevent opening packaging. The nurse offers agreed practical help and suitable utensils, records actual intake and checks whether this support improves eating at subsequent meals.

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A repositioning plan is fully documented, but the person remains uncomfortable and a pressure area looks worse. The nurse reassesses the skin, support surface and positioning approach rather than judging success by completed entries.

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A nurse considers delegating routine observations to a trained colleague. Before doing so, they check competence, explain the required measurements and reporting triggers, and consider whether the patient's new instability requires direct nursing assessment.

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A newly trained colleague performs an agreed care activity with a stable adult. The nurse remains accessible, checks the first outcome and gives feedback, increasing supervision when the colleague identifies an unexpected difficulty.

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While preparing routine discharge paperwork, a nurse is told another adult has become suddenly breathless. They arrange urgent assessment and suitable assistance, then reorganise the paperwork and other care to prevent avoidable omissions.

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At shift change, a nurse highlights a new mobility problem, assistance required and a pending clinical review. The receiving nurse confirms responsibility for follow-up and asks about findings that should trigger earlier escalation.

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A team notices repeated interruptions during a checking task. They agree a clear method for redirecting non-urgent queries and an explicit route for urgent interruptions, then monitor whether errors and delays change.

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A wet floor creates a fall hazard near a patient route. The nurse prevents access to the affected area, arranges cleaning and checks that the route is safe before allowing routine movement through it.

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A wrong-patient document is noticed before a treatment decision is made. The nurse corrects the immediate mismatch, reports the near miss and helps examine how similar records could be selected in future.

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An audit finds complete care plans in 36 of 45 eligible records, giving 80% compliance with the stated documentation criterion. The team identifies barriers, implements a change and repeats the same assessment.

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A ward tests a revised handover prompt on one shift, predicting fewer omitted pending reviews. Staff record omissions and handover duration, discuss difficulties and modify the prompt before trying it more widely.

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After repeated missed reviews, a team finds that pending tasks lack a named owner during transfer. They introduce explicit acceptance of responsibility and audit whether overdue reviews decrease over subsequent transfers.

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An adult is expected to leave later in the week but now needs help with meals and washing. The team assesses support early and involves relevant services instead of discovering the gap on departure.

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A discharge list includes a medicine that the inpatient record says was stopped. The nurse obtains clarification from the responsible team and ensures corrected instructions reach both the person and the receiving care service.

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An adult transfers with a pending investigation result. The nurse identifies the result, expected follow-up and responsible team in the handover, and confirms that the receiving service understands the arrangements for action.

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A proposed plan relies on an adult's partner providing daytime assistance, but the partner works away. The nurse checks actual availability and coordinates alternative support with the person and relevant services before finalising arrangements.

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An adult will use a prescribed device at home. After demonstration, the nurse observes the person complete the required steps and explain when to seek help, then addresses a difficulty with handling the equipment.

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An adult repeatedly asks when they can leave. Instead of repeating the timetable, the nurse invites the concern and learns that a dependent relative is alone at home, changing the support discussion.

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The nurse starts with what has been troubling you since yesterday, then asks when the discomfort began and whether it occurs during movement. This sequence combines the person's account with necessary detail.

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After explaining follow-up arrangements, the nurse asks the adult to describe whom they will contact if the problem returns. The answer reveals confusion, allowing clarification before the person leaves the care setting.

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An adult can exchange greetings in English but struggles with a consent discussion. The nurse arranges appropriate interpretation, addresses the person directly and checks their understanding of the proposed care and choices.

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After removing gloves following care involving faeces, a nurse's hands look clean. Potential contamination with excretions still requires soap and water. After caring for a person with suspected norovirus, the nurse also washes with soap and water even if the gloves remained intact. Visible soiling independently requires washing before another task.

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During a procedure expected to spray body fluid towards the face and across the forearms and clothing, select gloves, appropriate eye or face protection, a fluid-resistant surgical mask and a fluid-repellent gown because an apron leaves the arms exposed. For an activity with limited anticipated clothing contamination and no facial splash risk, an apron may provide adequate clothing protection; select other equipment according to the actual exposure.

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Before connection, the protected mating surface of a new sterile single-use connector touches a contaminated work surface. The nurse stops, discards the connector and obtains a new sterile connector, maintaining protection of the remaining key parts and sites. Wiping the contaminated mating surface does not provide a validated means of restoring this single-use item to its required sterile condition.

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A monitor gives an unexpected reading while the adult looks unwell. The nurse assesses the person and seeks appropriate urgent help, checking measurement reliability in parallel instead of delaying action until repeated readings agree.