MNMC Nurses' Competency Exam case studies
MNMC Nurses' Competency Exam · Put your knowledge to work in context.
The MNMC Nurses' Competency Exam is a multiple-choice assessment used to gauge whether a nurse has the baseline knowledge and clinical judgment expected for safe practice in an MNMC-affiliated setting. It suits registered nurses, practical or vocational nurses, and internationally trained nurses entering orientation, cross-covering into a new unit, or returning after a career break. Candidates are typically nurses whose employer or credentialing pathway requires documented competency evidence rather than a license-to-practice examination. The blueprint spans eight domains: patient safety and risk management; infection prevention and control; medication administration and pharmacology; clinical assessment and monitoring; nursing interventions and procedures; professional ethics, legal, and regulatory practice; communication and interprofessional collaboration; and emergency and critical care response. The MNMC Nurses' Competency Exam case studies are 5 cases and about 4,175 words.
1Night-time Delirium on a 1:7 Orthopaedic Ward
At 02:10 on a 30-bed orthopaedic ward, a 78-year-old woman is day 1 post right hip hemiarthroplasty for a displaced femoral neck fracture. Her Morse Fall Scale score is 65.
833 words, about 4 min2Watery Diarrhoea With Shared Facilities and Pending Stool Testing
On a medical unit, a 68-year-old man is day 6 of IV ceftriaxone for aspiration pneumonia. Overnight he has had eight unformed, watery stools; his abdomen is mildly distended and he reports cramping.
857 words, about 4 min3INR 5.8 After an Antibiotic and an NSAID
Mrs K, 74, takes warfarin 5 mg daily for atrial fibrillation with a target INR of 2.0–3.0. Four days ago her GP prescribed trimethoprim–sulfamethoxazole (TMP-SMX) double strength twice daily for a urinary tract infection.
813 words, about 4 min4NEWS 10 on Post-operative Day 3
Mr B, 62, is day 3 after emergency laparotomy for perforated sigmoid diverticulitis with faecal peritonitis. He has a midline wound with a closed suction drain and an indwelling urinary catheter.
841 words, about 4 min5Stridor Five Minutes Into a First IV Beta-Lactam Dose
At 14:20 on a 24-bed medical ward, a 45-year-old woman with acute pyelonephritis receives her first dose of IV piperacillin–tazobactam. Her allergy record states 'penicillin - rash as a child'.
831 words, about 4 min