RCSI NMBI Aptitude Test case studies
RCSI NMBI Aptitude Test · Put your knowledge to work in context.
The aptitude test sits within the international registration pathway administered by the Nursing and Midwifery Board of Ireland (NMBI). It is intended for nurses and midwives who trained and are licensed outside Ireland and who are directed by NMBI to demonstrate, through assessment, that their knowledge and clinical judgement are comparable to the Irish graduate standard before registration is granted. The RCSI NMBI Aptitude Test case studies are 5 cases and about 3,737 words.
1The Overnight Plan That Contradicts the Comfort Plan
Mrs B is 81 and has advanced dementia: she is bedbound, has minimal verbal communication, and has had aspiration pneumonia three times in six months. Five days ago a consultant-led meeting with her daughter, her next of kin, agreed a comfort-focused plan - no artificial nutrition or hydration, no ICU transfer, symptom control only.
726 words, about 4 min2Day One After Bowel Surgery: Reading the Whole Picture
Mr C is 68, weighs 68 kg, and is day one after an open right hemicolectomy (converted from laparoscopic). Pre-operatively his BP was 142/86, HR 68 and Hb 132 g/L.
703 words, about 4 min3New Agitation at 02:00 on Day Three
Mrs D is 79 and was admitted three days ago with community-acquired pneumonia. At home she lived alone, managed her own affairs and was fully orientated.
771 words, about 4 min4'Don't Tell Dad'
Mr E is 74 and was admitted two weeks ago with metastatic pancreatic cancer. He is jaundiced and increasingly drowsy, and the team believe he has days to weeks left.
775 words, about 4 min5Two Analgesics, One Molecule
Mrs F is 74, weighs 42 kg, and is day two after a laparoscopic anterior resection. She is prescribed regular IV paracetamol 1 g four times daily, co-codamol 30/500 two tablets four times daily as required for breakthrough pain, and ibuprofen 400 mg three times daily.
762 words, about 4 min