east & north herts - drug calculation test-1
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Band 5 registered nurse recruitment
Test Conditions/Instructions:♦ You must complete the test without referring to any othercandidate present
♦ A calculator may be used, but no other aid e.g. mobilephone/intranet access
♦ The invigilator will supply blank paper if needed♦ You have 1 hour to complete the test♦ The expected numeracy pass rate is 100%♦ The expected knowledge test score is 70%♦ If you have any special requirements, please discuss with theinvigilator
♦ You may hand in your paper before the time is up if finished
Name:
Date:
For administration use only
Invigilated by: ………………………………………………Designation: ………………………………………………...Numeracy test score = ………Knowledge test score = ………Clinical reasoning score = …...Scenario Score=…………..
Band 5 Recruitment Test V 3 Nov 2013 Madrid P. 1 of 5
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NUMERACY TEST
The ability to calculate medicines doses correctly is a key part of safemedicines administration. Please answer the following questions. You mayshow your working out to the invigilator, but this is not required to pass.
Band 5 Recruitment Test V 3 Nov 2013 Madrid P. 2 of 5
Question Answer /x
1 Please convert 0.7g into mg 700 mg
2 Please convert 0.45mg into micrograms 450 micrograms
3 How many millilitres are there in 1.5 litres? 1500 milliliters
4You need to give 600mg dose.
Stock available is 1.2g per 20ml.How many ml should you draw up?
10 ml
5 You need to give 80mg dose. Tablets
available are 20mg. How many do you give?4 tablets
6
A patient is prescribed a daily dose of
600mg. This will be given in 3 divided dosesat 8 hourly intervals. How much is in onesingle dose?
200mg
775mg dose is required. Stock supply isampoules of 50mg/ml. How many ml do youneed for one dose?
1.5ml
8You need to administer a dose of 125
micrograms. Tablets are 62.5micrograms.How many should you give?
2 tablets
9A patient is to receive 400mg 3 times a day.
How much will they receive in total overa 48 hr period?
2400 mg
10 A drug comes in ampoules of 10mg/2ml.
The required dose is 7mg. How many mlshould you draw up?
1.4ml
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KNOWLEDGE TEST
A core knowledge of safe medicines management and administrationstandards is expected of all registered nurses. Please give brief answers tothe following questions.
Band 5 Recruitment Test V 3 Nov 2013 Madrid P. 3 of 5
Question Answer /x
1What is the minimum patient identitydata that must be checked beforeadministering medications?
Full name, day of birth, code number
2Name 2 sources of useful referenceinformation on medications that youcould access to check details of drugsyou are unfamiliar with.
3 What are the” 5 RIGHTS” of safemedication administration?
1. Right patient, 2. Right medication, 3. Right dose, 4. Right time, 5. Right route
4
An adult patient requests pain reliefParacetamol 1g ‘as required’ isprescribed. The last dose was given 4hours ago. What else should youcheck before giving another dose?
5 List 4 key characteristics of a well-
written medication chart
6
List 4 key aspects that should bechecked before administering anymedication (Example: drug format iscorrect e.g. oral or injectablepreparation)
7Why should Enteric coated andmodified release tablets or capsulesnot be crushed or opened?
8Describe 2 possible consequences forthe patient if a drug is given at thewrong time?
9If a prescription is unclear,incomplete, unsigned, or incorrectwhat should you do?
10 Please define Accountability
11How should newly ordered ControlledDrugs be handled when received ontothe ward?
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CLINICAL REASONING TEST
A sound knowledge of infection control principles is expected of allregistered nurses. Please answer yes or no to the following questions.
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Notes
Question True False
1 You can only barrier nurse a patient in a side room?
2 You may enter an isolation (barrier nursing) room wearing youruniform and protective apron only?
X
3 Linen should be changed at least daily in barrier rooms? X
4 All infected linen in put into special disposal bags? X
5 You do not need to wash your hands after removing gloves? X
6 Clostridium difficile is not infective to others?
7 All patients with active TB must be nursed in a side room? X
8 All patients with Temperature over 38.5 C must have blood culturesand specimens sent for analysis?
9 The Infection Prevention and control Team only deals with MRSA?
10 You can put infected waste in black bags? X
11 Infection Prevention and Control procedures only apply when caringfor patients with an infection?
12 Medical staff don’t have to wear apron and gloves when assessing apatient in an isolation room?
13 Each barrier room should be identified with a sign informing staffand visitors of the potential risk of infection?
14 A patient admitted with “Flu like symptoms” should be reported toInfection Prevention and Control Team?
15 Staff who have diarrhoea and / or vomiting can only return to workwhen symptom free for 48 hours?
16 If you use alcohol hand rub you do not need to wash your handsafter handling contaminated material?
17 Infection Prevention and control is the responsibility of Hospital staffonly?
18 Soap and water is the most effective way to clean your hands? X
19 Only isolation rooms need to be cleaned daily?
20 All bed spaces must be thoroughly cleaned on patient discharge?
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Band 5 Recruitment Test V 3 Nov 2013 Madrid P. 5 of 5