NMBA Outcomes-Based Assessment · Australia · Nursing and Midwifery Board of Australia (NMBA), through AHPRA
Original practice questions written to the published syllabus · not past papersThe things your hands have to be able to do
In the exams: AIIMS BSc (Hons) Nursing Entrance: Physics (30 marks); NCLEX-RN: Safe and Effective Care Environment (17–33%); NMC Test of Competence — OSCE: Clinical skills stations (Remaining stations); Japan National Nursing Examination: Foundations of nursing and professional practice (Core across both sections); NMCN Professional Examination: Foundations and fundamentals of nursing (Core paper); Nursing Council of Kenya Licensure Examination: Fundamentals and clinical skills (Core); NMBA Outcomes-Based Assessment: Assessment, planning, implementation and evaluation (The structure of the practical stations)
How our questions for NMBA Outcomes-Based Assessment spread across the units of Clinical Skills and Procedures. Difficulty: 25 easy, 54 medium, 19 hard.
| End-of-manual check | 12 | |
| Observations | 5 | |
| Catheters | 5 | |
| What A Skill Actually Is | 4 | |
| Before You Touch Anybody | 4 | |
| Aseptic Technique | 4 | |
| Injections | 4 | |
| Veins | 4 | |
| Wounds And Dressings | 4 | |
| Moving People | 4 | |
| Washing And Mouth Care | 4 | |
| Oxygen And Airways | 4 | |
| Feeding Tubes | 4 | |
| Recording What You Did | 4 | |
| Giving Medicines | 4 | |
| Specimens | 4 | |
| Vital Skills In An Emergency | 4 | |
| Skills When The Supplies Run Out | 4 | |
| Learning And Being Assessed | 4 | |
| Bowels, Bladder And Continence | 4 | |
| Blood Transfusion | 4 | |
| Being Examined On This | 4 |
Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.
Why is competence described as situational?
C. Doing it on a mannequin differs from doing it on a frightened patient at night
Being competent in ideal conditions with a mentor beside you is different from being competent alone, at night, with a difficult patient. Competence is built across situations.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
An unsupported arm is used for a blood pressure reading. What is the effect?
C. The reading is falsely high
An unsupported arm reads high, an arm above heart level reads low, a small cuff reads high and a large cuff reads low.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
A temperature taken straight after a hot drink reads high. What should the nurse do?
A. Wait and repeat it
When the number does not fit the patient, the measurement is checked for error before it is acted on.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
How do organisms enter a catheterised bladder?
A. Through the tube and along its outside
Organisms travel inside and outside the catheter; every disconnection adds risk.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
Why are dressings changed only when there is a reason?
C. Each change cools and disrupts the wound
A wound is most vulnerable when open; unnecessary changes cool it, disturb new tissue and cause pain.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
A wound is not healing despite the best dressing. What should be considered?
A. Blood supply, nutrition, glucose, smoking, pressure and infection
The patient heals, not the dressing. Systemic factors usually explain a wound that will not close.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
How is a wash done without humiliating the person?
A. Uncover only the part being washed and offer choices
Explanation, minimal exposure, warmth, choices and letting the person do what they can protect dignity.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
What is the main hazard during a medicine round?
D. Interruption
Interruptions are strongly linked to error; protecting the task reduces them.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
Why should a mentor allow a learner to be slow?
D. Learners become competent by doing
Taking over whenever it gets slow protects the schedule rather than the learner's development.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
What is the commonest cause of wrong-blood transfusion?
C. An identification error
Errors are almost always identification, not laboratory process.
Further reading: Laisha original question, written to the SUNYRA nursing manual: Clinical Skills and Procedures
Ten here, 98 in the app. The Laisha app has every practice question we have written to NMBA Outcomes-Based Assessment in this subject, marked as you go, with timed papers, a jump-to-unanswered list and a certificate when you pass at 70 per cent.
Free for ten days, then one subscription of US$10 a month. We would rather say so here than have you find it later.
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