Clinical nursing worksheet with answers

The term "dyspnoea" means:

1. ANoisy breathing during sleep
2. BBreathlessness
3. CA cough with sputum
4. DChest pain on breathing

Hypothermia in an adult is usually defined as a core body temperature below:

1. A37 °C
2. B35 °C
3. C36.5 °C
4. D38 °C

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 85–88%
2. BAbout 75–80%
3. CAbout 60–70%
4. DAbout 95–100%

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. APeak flow readings
2. BMonthly HbA1c
3. CWeekly temperature and a single blood glucose reading
4. DFluid balance, regular weights and urea, creatinine and electrolytes

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. ARespiratory acidosis
2. BRespiratory alkalosis
3. CMetabolic alkalosis
4. DMetabolic acidosis

A patient on a ward develops wheeze and breathlessness after the first dose of a beta-blocker. Which history makes this most likely?

1. AOsteoarthritis
2. BAsthma
3. CHypothyroidism
4. DMigraine

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. AThe drug causes rebound hyperglycaemia later the same day
2. BSulfonylureas only work at night
3. CSulfonylureas act for a long time, so hypoglycaemia can recur
4. DThe drug makes glucose tablets and drinks ineffective

A nurse is unsure whether a prescribed dose of a high-risk drug is correct. What is the safest action?

1. AWithhold it and check with the prescriber or pharmacist first
2. BAsk the patient whether the dose looks the same as usual and give it
3. CGive half the dose as a compromise until the doctor is available
4. DGive the dose because the doctor has signed the prescription