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

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

What is the main purpose of an early warning score such as NEWS2?

  1. ATo help detect clinical deterioration early and trigger a response
  2. BTo decide the patient's diet
  3. CTo calculate a patient's medicine doses from their observations
  4. DTo measure how satisfied the patient is
3.Easy

Which structure is the heart's natural pacemaker?

  1. AThe mitral valve in the left side of the heart
  2. BThe sinoatrial (SA) node
  3. CThe aorta
  4. DThe left ventricle
4.Medium

Which ECG change is typical of hypokalaemia?

  1. AST elevation in leads II, III and aVF
  2. BA very short PR interval with a delta wave
  3. CFlattened T waves and prominent U waves
  4. DTall, peaked T waves
5.Medium

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

  1. AOn both shoulders and both hips only
  2. BIn standard numbered positions across the front and left of the chest
  3. CIn a straight line down the centre of the sternum from top to bottom
  4. DAnywhere on the chest where the skin is clear
6.Medium

Why is oxygen often humidified for a patient with a tracheostomy?

  1. AThe tube bypasses the nose, which normally warms and moistens air
  2. BHumidification lowers the oxygen concentration to a safer level
  3. CDry oxygen causes high blood glucose
  4. DHumidity is needed for the oxygen to work as a drug
7.Hard

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

  1. AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
  2. BAnxiety about the new diagnosis that will settle with reassurance and rest alone
  3. CA stable rhythm that can safely be reviewed at the next routine ward round
  4. DA normal response to atrial fibrillation needing no action
8.Hard

An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?

  1. AHypoglycaemia
  2. BA urinary tract infection from lying in urine
  3. CAcute kidney injury from rhabdomyolysis
  4. DA stroke

Answer key

  1. 1. D · No food or drink by mouth unless specific exceptions are prescribed
  2. 2. A · To help detect clinical deterioration early and trigger a response
  3. 3. B · The sinoatrial (SA) node
  4. 4. C · Flattened T waves and prominent U waves
  5. 5. B · In standard numbered positions across the front and left of the chest
  6. 6. A · The tube bypasses the nose, which normally warms and moistens air
  7. 7. A · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
  8. 8. C · Acute kidney injury from rhabdomyolysis

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