Clinical nursing worksheet with answers

Leukaemia is a cancer of:

1. AThe skin
2. BThe thyroid gland
3. CThe lining of the stomach and small bowel
4. DThe blood-forming cells of the bone marrow

Osteoporosis mainly increases the risk of:

1. AJoint infections
2. BFractures from minor falls
3. CMuscle cramps at night
4. DHigh blood calcium

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AAccurate
2. BFalsely high
3. CImpossible to obtain
4. DFalsely low

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APeople who have already had chickenpox in childhood and are now healthy
2. BOnly people over 80 who have already had shingles themselves
3. CNo one, because shingles cannot spread
4. DPregnant women and immunocompromised people who have not had chickenpox

A patient's abdomen is rigid and board-like, and they lie very still because movement worsens the pain. What does this suggest?

1. AIndigestion
2. BConstipation
3. CUrinary tract infection
4. DPeritonitis

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. BTreat as neutropenic sepsis and give IV antibiotics urgently
3. CWait 24 hours to see whether the fever settles
4. DGive paracetamol only and recheck the temperature again tomorrow

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

Which action is correct when caring for a chest drain with an underwater seal?

1. AKeep the drainage bottle below the level of the chest
2. BRemove the water from the bottle to prevent spills
3. CLift the bottle above the patient to empty it
4. DClamp the tube routinely during every transfer or bed move