Clinical nursing worksheet with answers

When removing personal protective equipment after patient care, which item is usually removed first?

1. AFace mask
2. BGloves
3. CHair cover
4. DEye protection

Pain from gallstones (biliary colic) is typically felt in which area?

1. ABehind the left knee
2. BThe right upper abdomen, often after a fatty meal
3. CThe left lower abdomen, usually after drinking water
4. DThe lower back on the left, when walking

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

1. ADiabetes insipidus
2. BType 2 diabetes
3. CGestational diabetes
4. DType 1 diabetes

Why can a very low serum albumin contribute to oedema?

1. AIt raises the blood pressure in the capillaries and pushes fluid out
2. BIt increases the number of red cells
3. CIt makes the kidneys retain potassium
4. DIt lowers the oncotic pressure that holds fluid in the blood vessels

Why is serum lactate measured in a patient with suspected sepsis?

1. AA raised lactate indicates poor tissue perfusion and higher risk
2. BIt measures the patient's blood glucose
3. CIt shows whether the patient has a urinary tract infection
4. DIt confirms which antibiotic to give

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ABending the hip beyond 90 degrees or crossing the legs
2. BDoing gentle ankle exercises
3. CWalking short distances with a frame and a physiotherapist
4. DLying on their back

Why are patients with nephrotic syndrome at increased risk of blood clots?

1. AThey lose most of their platelets in the urine every day
2. BTheir blood pressure is always very low
3. CAnticoagulant proteins are lost in the urine and clotting factors rise
4. DThey lose all their red cells in the urine, which thickens the remaining blood

A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?

1. AThe patient has pain behind the ear
2. BThe patient has had a recent cold
3. CThe whole of one side of the face, including the forehead, is weak
4. DThe forehead can still be wrinkled on the affected side