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 type of pain is typical of a kidney stone?

  1. AA dull ache in both knees
  2. BA burning pain behind the breastbone after meals
  3. CA tight band around the head
  4. DSevere, colicky pain from the loin towards the groin
2.Easy

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

  1. A10 mL of retained fluid
  2. B100 mL of retained fluid
  3. C5 litres of retained fluid
  4. D1 litre of retained fluid
3.Easy

Which haemoglobin result in an adult man would be classed as anaemia?

  1. A155 g/L (15.5 g/dL)
  2. B140 g/L (14.0 g/dL)
  3. C95 g/L (9.5 g/dL)
  4. D165 g/L (16.5 g/dL)
4.Medium

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

  1. AApply a tight bandage over the fistula at night to protect it
  2. BKeep the arm raised and still at all times
  3. CUse the fistula arm for routine IV cannulas
  4. DAvoid blood pressure readings and blood samples on that arm
5.Medium

What does HbA1c measure?

  1. AInsulin levels after a meal
  2. BAverage blood glucose over roughly the previous two to three months
  3. CBlood glucose at the moment of testing
  4. DThe amount of ketones in the urine
6.Medium

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

  1. ATo check for a urinary tract infection that could delay ulcer healing
  2. BTo measure how deep the ulcer is and how much exudate it produces
  3. CTo work out the patient's fluid needs
  4. DTo exclude significant arterial disease, as compression could cut off blood flow
7.Hard

A patient on a heparin infusion develops a sudden fall in platelet count five days after starting it. What should you suspect?

  1. AIron deficiency anaemia
  2. BHeparin-induced thrombocytopenia
  3. CNormal response to heparin
  4. DVitamin K deficiency from poor intake
8.Hard

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

  1. AHypovolaemia from dehydration
  2. BHyperkalaemia
  3. CCardiac tamponade
  4. DPneumonia

Answer key

  1. 1. D · Severe, colicky pain from the loin towards the groin
  2. 2. D · 1 litre of retained fluid
  3. 3. C · 95 g/L (9.5 g/dL)
  4. 4. D · Avoid blood pressure readings and blood samples on that arm
  5. 5. B · Average blood glucose over roughly the previous two to three months
  6. 6. D · To exclude significant arterial disease, as compression could cut off blood flow
  7. 7. B · Heparin-induced thrombocytopenia
  8. 8. C · Cardiac tamponade

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