Clinical nursing worksheet with answers

How should nursing records be written?

1. AAt the end of the week, written from memory in one go to save time
2. BIn pencil so that mistakes can be rubbed out
3. CUsing personal abbreviations that only the nurse who wrote them understands
4. DAccurately and as soon as possible after the event, with date, time and signature

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

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

A patient's care plan says "nil by mouth". What does this mean?

1. AThe patient may eat if they feel hungry
2. BNo food or drink by mouth unless specific exceptions are prescribed
3. COnly clear fluids such as water and black tea are allowed
4. DFood is allowed, but drinks must be stopped until the next day

A patient's fluid balance chart shows intake of 1,200 mL and output of 2,300 mL over 24 hours. What does this indicate?

1. AA balanced fluid status
2. BA negative fluid balance of 1,100 mL
3. CA positive fluid balance of 1,100 mL
4. DA positive fluid balance of 3,500 mL

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CMetabolic acidosis
4. DRespiratory acidosis

A patient with liver cirrhosis becomes confused and drowsy, with a flapping tremor of the hands. Which complication is likely?

1. AHepatic encephalopathy
2. BAlcohol intoxication only
3. CHypoglycaemia caused by insulin
4. DStroke

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. ABlood pressure cannot be lowered with drugs
2. BRapid lowering always causes the hypertension to come back much worse
3. CA sudden drop can reduce blood flow to the brain, heart and kidneys
4. DRapid lowering causes hyperglycaemia

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AAllergic rhinitis triggered by the hospital environment
2. BA base-of-skull fracture with a cerebrospinal fluid leak
3. CA normal and harmless response to head trauma
4. DAcute sinusitis