Clinical nursing worksheet with answers

A "sublingual" medicine is given:

1. AInto the vein
2. BThrough the nose
3. CUnder the tongue
4. DBetween the cheek and gum

Shingles (herpes zoster) is caused by:

1. AA bacterial skin infection
2. BA fungal infection of the nerves
3. CAn allergy to medicines
4. DReactivation of the chickenpox virus

Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?

1. ADiabetes insipidus
2. BGestational diabetes
3. CType 1 diabetes
4. DType 2 diabetes

Before giving a beta-blocker, which observation is most important to check?

1. ABowel movements
2. BHeart rate and blood pressure
3. CBlood glucose only
4. DTemperature only

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

1. AHigh sodium and low potassium
2. BHigh glucose and high calcium
3. CLow haemoglobin and high platelets
4. DLow sodium and high potassium

Which measure helps prevent delirium in older inpatients?

1. AKeeping the lights on all night
2. BMoving the patient to a different bed each night to give them a change of scene
3. CRestricting fluids to avoid incontinence
4. DReorientation, glasses and hearing aids in use, and good sleep and hydration

A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?

1. AA urinary tract infection spreading to the back
2. BSimple mechanical back pain
3. CHypokalaemia
4. DMetastatic spinal cord compression

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AAn epidural haematoma or abscess compressing the spinal cord
2. BMild hypokalaemia
3. CMuscle strain from lying in the same position in bed for many hours
4. DThe normal expected effect of the local anaesthetic