Clinical nursing worksheet with answers

The term "bradycardia" in an adult means a heart rate:

1. AAbove 100 beats per minute
2. BBetween 60 and 100 beats per minute
3. CThat is irregularly irregular
4. DBelow 60 beats per minute

The term "pallor" means:

1. AAbnormal paleness of the skin
2. BYellowing of the skin and eyes
3. CA red, raised rash
4. DBluish fingertips

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

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

Which electrolyte disturbance is most dangerous for the heart rhythm?

1. ALow phosphate
2. BLow sodium
3. CHigh chloride
4. DHigh or low potassium

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ATake it with a large glass of milk to protect the stomach lining
2. BSit down before using it, as it can cause dizziness and low blood pressure
3. CUse it only after the pain has lasted over an hour, with the patient lying flat
4. DSwallow the spray rather than leaving it under the tongue

When giving insulin, which statement is correct?

1. ARapid-acting insulin is given only at bedtime
2. BAlways inject into the same spot for consistent absorption
3. CInsulin should be shaken hard before use
4. DRotate injection sites to avoid lipohypertrophy

Three days after bowel surgery, a patient has a distended abdomen, vomiting and absent bowel sounds, without colicky pain. What is most likely?

1. AA urinary tract infection
2. BNormal recovery after surgery
3. CParalytic ileus
4. DAcute cholecystitis

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will weigh myself each morning after passing urine."
2. B"I will report it if I need more pillows to sleep."
3. C"I will take my water tablet in the morning."
4. D"I only need to weigh myself once a month."