MOCK EXAM

Question 1

Which statements will be CORRECT for motivational interviewing?
1. The clinician’s role is to circle goals, and to use reflection and summarising with
an individual
2. The clinician’s role is to question in depth the goals of the individual
3. The clinicians role is to engage the patient and develop rapport
4. The clinicians role is to scope out all the needs of the patient prior to planning

a. The answer is 1 and 2.
b. The answer is 2 and 3
c. The answer is 1 and 3
d. The answer is 1 and 4

Answer 1

c. The answer is 1 and 3

Question 2

All of the following may be used in the treatment of dysthymic disorder except:

a) Lithium
b) Antipsychotics
c) Oestrogen
d) Phenergan

Answer 2

d) Phenergan

Question 3

Circle the INCORRECT statement.

a) There are three stages to assessing suicide risk
b) Patients who are at high risk should be re- assessed within 7 days
c) Patients at risk may have passing thoughts of suicide or self-harm
d) Patients at risk must have an action plan developed for them

Answer 3

b) Patients who are at high risk should be re- assessed within 7 days

Question 4

Circle the incorrect answer from the below statements about the psychological
symptoms experienced by patients with chronic kidney disease.
a) The biggest psychological impacts upon the patient is depression
b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects
c) Patients with CKD are impacted psychological because of the increased need
to see health professionals

Answer 4

b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects

Question 5

One of the following statements about Basal cell carcinoma is correct.

1. Basal cell carcinoma is the commonest form of skin cancer
2. It accounts for 2/3rds of all skin cancers
3. Found most commonly in females
4. It presents as a superficial lesion, and has translucent pearly borders

a. The answer is 1 and 2 only
b. The answer is 1, 3 and 4.
c. The answer is 1, 2 & 4
d. The answer is all of them

Answer 5

c. The answer is 1, 2 & 4

Question 6

Which one of the following statements about Squamous cell carcinoma is
correct?
1. Squamous cell carcinoma is a common skin cancer
2. It is of greater concern than BCC as it is an invasive cancer
3. It presents as thick roughened skin
4. It does not appear on the mucous membranes

a. The answer is 1 and 2 only
b. The answer is 1, 2 and 3
c. The answer is 1, 2 & 4
d. The answer is all of them

Answer 6

c. The answer is 1, 2 & 4

Question 7

Which of the below statements show the nursing approach to manage for factors of
culture and language that may impact an individual’s ability to self-manage their
chronic illness.
1. Assess cultural and religious perspectives.
2. Assess how illness impacts them.
3. Asses their physical and mental condition
4. Understand their fears about illness, death and dying.

a. The answer is 1 and 2
b. The answer is 1, 2 and 3
c. The answer is 1, 2 and 4
d. The answer is ALL of them

Answer 7

c. The answer is 1, 2 and 4

Question 8

The Clinicians role in each of the Corbin and Strauss Illness Trajectory
phases are correctly identified in which of the below statements.
1. The clinician’s role in the stable phase is to help the individual maintain
health and prevent deterioration.
2. The clinician’s role in the trajectory phase is to help the individual to plan
in order to maintain health and prevent deterioration.
3. The clinician’s role in the unstable phase is to remove the threat to life.
4. The clinician’s role in the dying phase is to help the individual to adapt
with each major downward turn in disability.

a. The answer is 1 and 2
b. The answer is 1, 2 and3
c. The answer is 2, 3 and 4
d. The answer is 2 and 4

Answer 8

a. The answer is 1 and 2

Question 9

Identify from the below the most correct statement about chronic Obstructive
Pulmonary Disease (COPD).
a. COPD is a collection of lung diseases which prevent the sufferer from
having adequate air enter into the lungs.
b. COPD is a collection of lung diseases which prevent the sufferer from
having adequate air exit from the lungs.
c. COPD is a collection of lung diseases which prevent the sufferer from having
adequate air enter or exit from the lungs.
d. COPD is a collection of lung diseases which are caused from a loss of
surface areas for exchange of oxygen and carbon dioxide.

Answer 9

c. COPD is a collection of lung diseases which prevent the sufferer from having
adequate air enter or exit from the lungs.

Question 10

Identify from the below statements the incorrect statement about chronic
Obstructive Pulmonary Disease (COPD).
a. Asthma has degree of reversibility which depends upon how quickly the
bronchioles respond to treatment.
b. Emphysema causes headaches.
c. Emphysema can cause right sided heart failure and will shrink alveoli.
d. Chronic obstructive bronchitis cannot easily be reversed.

Answer 10

c. Emphysema can cause right sided heart failure and will shrink alveoli.

Question 11

Identify from the below statements the correct statement about “Pink
bloaters” and “blue bloaters”.
a. A pink Bloater is another term used for individuals who have emphysema.
These individuals are usually obese, and have normal or decreased carbon
dioxide levels.
b. A pink Bloater is another term used for individuals who have bronchitis.
Individuals will usually have a reddish complexion from high oxygen levels
unable to escape from the lung.
c. A blue bloater is another term used for individuals who have emphysema.
Individuals have bluish lips and skin due to decreased oxygen. They are
usually obese.
d. A blue bloater is another term used for individuals who have bronchitis.
Individuals have bluish lips and skin due to decreased oxygen. They are usually obese

Answer 11

d. A blue bloater is another term used for individuals who have bronchitis.
Individuals have bluish lips and skin due to decreased oxygen. They are usually obese

Question 12

Identify from the below statements the incorrect statement about how COPD
might affect individuals quality of health.
a. An individual who has COPD may need to modify the tasks they undertake.
A low BMI will affect bone strength and these individuals are often
fatigued.
b. An individual who has COPD may complain of fatigue through feeling
breathless. Anxiety is the biggest thing they need to cope with.
c. An individual who has COPD may have physical deconditioning which may
lead to being isolated from their friends.
d. An individual who has COPD may feel embarrassed as there is stigma
associated with this as a self-inflicted illness.

Answer 12

b. An individual who has COPD may complain of fatigue through feeling
breathless. Anxiety is the biggest thing they need to cope with.

Question 13

Diagnosis of COPD is made when certain assessments or tests are undertaken.
Identify from the below statements the most correct statement about how
COPD is diagnosed.
a. A patient history, a physical examination, a chest x-ray and with spirometry
testing.
b. A physical examination, a chest x-ray and with spirometry testing, and a six
minute walk test.
c. A patient history, a physical examination, a chest x-ray and with
spirometry testing and a twelve minute walk test.
d. A patient history, a chest x-ray and with spirometry testing and a
functional capacity assessment for COPD.

Answer 13

a. A patient history, a physical examination, a chest x-ray and with spirometry
testing.

Question 14

The Model of care has five areas to focus upon in the management of COPD.
Identify from the below statements the incorrect statement about these areas.
a. The Model of care will focus on COPD prevention through having access to
populations at risk
b. The Model of care will focus on mid to late identification of individuals who
have COPD through providing access to populations in rural and urban areas.
c. The Model of care will focus on managing COPD through provision of
spirometry and assessments for individuals.
d. The Model of care will provide treatment and support by offering a 8 week
outpatient program for individuals

Answer 14

b. The Model of care will focus on mid to late identification of individuals who
have COPD through providing access to populations in rural and urban areas.

Question 15

Identify from the below statements the incorrect statement about how
professionals need to support the management of COPD.
a. Health professionals need to provide self-management education and
utilise the multi-disciplinary team to provide care.
b. Health professionals rely on individuals to self-manage their COPD
symptoms.
c. Health professionals need to provide all COPD patients with pulmonary
rehabilitation and oxygen therapy.
d. Health professionals need to provide an assessment for sleep disorders if
needed.

Answer 15

c. Health professionals need to provide all COPD patients with pulmonary
rehabilitation and oxygen therapy.

Question 16

Identify from the below statements the incorrect statement about Continuous
(CPAP)and Bi-level positive airway pressure support (BPAP).
a. CPAP increases the oxygenation of alveoli and utilises one pressure to
support airflow.
b. CPAP was originally identified as decreasing the need for patients to have
tracheostomies when experiencing obstructive sleep apnoea.
c. BPAP removes carbon dioxide, decreases cardiac workload and utilises either
one or two pressures to support airflow.
d. BPAP can be known as VPAP and allows the individual to breathe out
against a slightly lower pressure.

Answer 16

c. BPAP removes carbon dioxide, decreases cardiac workload and utilises either
one or two pressures to support airflow.

Question 17

Identify from the below statements the correct statement/s about what is
included in the DOH definition for chronic heart failure.
a. Chronic heart failure is a complex clinical syndrome.
b. Symptoms occur only on effort
c. Is characterised by underlying structural abnormality to the heart.
d. Is characterised by ventricle impairment to fill or eject blood.
Which answer/s are correct?

a. The answer is a, b and d.
b. The answer is a, c, and d
c. The answer is b, c, and d
d. The answer is all of them

Answer 17

b. The answer is a, c, and d

Question 18

Identify from the below statements the correct statement/s about the New
York Heart Association Scale for assessing how severe an individual’s heart
failure is.
a. Class I has some limitations but does not cause undue fatigue, dyspnoea or
palpitations
b. .Class II has some impairment where ordinary activity results in fatigue and
palpitations
c. Class III Increasing limitation of physical activity where individuals are not
comfortable at rest.
d. Class IV Marked limitations of physical activity where they are unable to
undertake physical activity without discomfort.
Which answer/s are correct?

a. The answer is a, b and d.
b. The answer is a, b, and c
c. The answer is b and d
d. The answer is all of them

Answer 18

c. The answer is b and d

Question 19

90% of Marjolin’s Ulcers develop from:

a) Diabetes Mellitus
b) Scars from burns
c) Wound lacerations
d) Infections

Answer 19

b) Scars from burns

Question 20

Which statement is most true for Marjolin’s Ulcers: This has more than one answer. The exam will be more specific than this question.

a) Occurs mostly on Trunk
b) Occurs mostly on lower Extremities
c) Wounds are present for 30 years or more

Answer 20

b) Occurs mostly on lower Extremities

c) Wounds are present for 30 years or more

Question 21

Histological examination of a Marjolin’s Ulcer are  shown in 95% of cases to be related to:

a) BCC
b) SCC 
c) Osteomyelitis
d) Melanoma

Answer 21

b) SCC

Question 22

Marjolin’s Ulcers generally have the following characteristics:

a) Well defined margins
b) Lots of granulation tissue
c) Poorly defined margins

Answer 22

a) Well defined margins

Question 23

How is a diagnosis of Marjolin’s Ulcer reached?

a) Wide excision of ulcer
b) Multiple core biopsies
c) Wound swabs
d) Wound scrapings

Answer 23

b) Multiple core biopsies

Question 24

First Line Treatment (depending on size and location of Ulcer) would generally be:This has more than one answer. The exam will be more specific than this question.

a) Wide excision of lesion
b) Split Skin Graft (SSG)
c) Chemotherapy

Answer 24

a) Wide excision of lesion

b) Split Skin Graft (SSG)

Question 25

When Osteomyelitis is present or a Marjolin’s Ulcer reoccurs, what might be the recommended treatment?

a) Vacuum Dressings
b) Amputation of extremity
c) Silver nitrate dressings
d) Hydrocolloid dressings
e) Identify characteristic as either Squamous Cell Carcinoma (SCC)or Basal Cell Carcinoma (BCC)

Answer 25

b) Amputation of extremity

Question 26

Circle the incorrect answer from the below statements about the psychological symptoms experienced by patients with chronic kidney disease.

a) The biggest psychological impacts upon the patient is depression
b) The biggest psychological stress is not associated with the disease but with the medications and their side effects
c) Patients with CKD are impacted psychological because of the increased need to see health professionals

Answer 26

b) The biggest psychological stress is not associated with the disease but with the medications and their side effects