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

Which structure is the heart's natural pacemaker?

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

Which symptom is the most typical of a heart attack (myocardial infarction)?

  1. ASharp pain when pressing on one rib
  2. BSharp pain that worsens on deep breathing and eases when leaning forward
  3. CCentral chest pain or pressure that may spread to the arm or jaw
  4. DPain only in the lower right abdomen
3.Easy

Which description is typical of neuropathic pain?

  1. AA pain that only occurs after meals
  2. BA dull ache that is only present during exercise
  3. CBurning, shooting or tingling pain
  4. DA sharp pain only when the skin is cut
4.Medium

Which oxygen device delivers a precise, fixed concentration of oxygen?

  1. ASimple face mask
  2. BVenturi mask
  3. CNon-rebreathe mask
  4. DNasal cannula
5.Medium

How should a nurse communicate with a patient who has impaired hearing?

  1. AFace the patient, speak clearly and reduce background noise
  2. BSpeak very quickly to save time
  3. CShout loudly from the end of the bed so they can hear
  4. DTalk to the patient's relative instead of to the patient directly
6.Medium

A patient with neutropenia after chemotherapy has a temperature of 38.3 °C. What is the priority?

  1. AEncourage the patient to go for a walk
  2. BGive paracetamol only and recheck the temperature again tomorrow
  3. CTreat as neutropenic sepsis and give IV antibiotics urgently
  4. DWait 24 hours to see whether the fever settles
7.Hard

A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?

  1. AWithout any insulin they can develop diabetic ketoacidosis
  2. BInsulin is needed for the anaesthetic to work
  3. CInsulin prevents wound infection on its own
  4. DStopping insulin causes immediate hypoglycaemia during the operation
8.Hard

A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?

  1. AUse gestures and proceed
  2. BLet the child interpret to save time
  3. CArrange a professional interpreter
  4. DAsk the patient to sign the form without explanation

Answer key

  1. 1. A · The sinoatrial (SA) node
  2. 2. C · Central chest pain or pressure that may spread to the arm or jaw
  3. 3. C · Burning, shooting or tingling pain
  4. 4. B · Venturi mask
  5. 5. A · Face the patient, speak clearly and reduce background noise
  6. 6. C · Treat as neutropenic sepsis and give IV antibiotics urgently
  7. 7. A · Without any insulin they can develop diabetic ketoacidosis
  8. 8. C · Arrange a professional interpreter

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