Clinical nursing worksheet with answers

Free printable Clinical nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

  1. ACategory 1
  2. BCategory 2
  3. CCategory 3
  4. DCategory 4
2.Easy

Why is a lower oxygen saturation target (88–92%) often used for patients with severe COPD?

  1. ATheir lungs cannot absorb any oxygen at all
  2. BOxygen is flammable only in COPD
  3. CHigh-flow oxygen can cause carbon dioxide retention in some of these patients
  4. DOxygen worsens their chest pain
3.Easy

The Glasgow Coma Scale (GCS) assesses:

  1. APupil size and reaction, blood pressure and pulse
  2. BPain, nausea and anxiety
  3. CEye opening, verbal response and motor response
  4. DReflexes, muscle tone and sensation
4.Medium

A patient taking digoxin has nausea, a pulse of 48/min and complains that everything looks yellow. What should you suspect?

  1. AA normal side effect needing no action
  2. BHyperthyroidism
  3. CDigoxin toxicity
  4. DHypoglycaemia
5.Medium

Which blood results are typical of Addison's disease (primary adrenal insufficiency)?

  1. ALow haemoglobin and high platelets
  2. BHigh sodium and low potassium
  3. CLow sodium and high potassium
  4. DHigh glucose and high calcium
6.Medium

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

  1. APeople who have already had chickenpox in childhood and are now healthy
  2. BOnly people over 80 who have already had shingles themselves
  3. CNo one, because shingles cannot spread
  4. DPregnant women and immunocompromised people who have not had chickenpox
7.Hard

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

  1. ANecrotising fasciitis
  2. BA superficial bruise
  3. CAn allergic reaction to the dressing
  4. DSimple cellulitis that will settle with oral antibiotics
8.Hard

A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?

  1. AThe combination causes severe hyperkalaemia
  2. BThe combination can cause a severe, dangerous fall in blood pressure
  3. CGTN makes sildenafil toxic to the liver
  4. DSildenafil stops GTN from being absorbed under the tongue at all

Answer key

  1. 1. B · Category 2
  2. 2. C · High-flow oxygen can cause carbon dioxide retention in some of these patients
  3. 3. C · Eye opening, verbal response and motor response
  4. 4. C · Digoxin toxicity
  5. 5. C · Low sodium and high potassium
  6. 6. D · Pregnant women and immunocompromised people who have not had chickenpox
  7. 7. A · Necrotising fasciitis
  8. 8. B · The combination can cause a severe, dangerous fall in blood pressure

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