Clinical nursing worksheet with answers

In the ABCDE approach to an acutely ill patient, what does "A" stand for?

1. AAssessment
2. BAllergies
3. CAnalgesia
4. DAirway

What does "orthopnoea" mean?

1. ABreathlessness when lying flat
2. BBreathlessness only during exercise
3. CBreathing that is abnormally slow
4. DA pause in breathing during sleep

What is the Bristol Stool Chart used for?

1. AScoring the risk of pressure ulcers
2. BClassifying the form and consistency of stools
3. CRecording the frequency of urination
4. DMeasuring how much food a patient eats each day

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

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

A patient started on an ACE inhibitor develops a persistent dry cough. What is the likely cause?

1. AAsthma caused by a beta-blocker
2. BPulmonary embolism
3. CA recognised side effect of the ACE inhibitor
4. DAn allergic reaction to a recently given penicillin

A patient with type 1 diabetes is vomiting and eating little. What is correct sick-day advice?

1. AHalve fluid intake to prevent vomiting
2. BStop insulin until eating normally again to avoid hypoglycaemia
3. CCheck glucose once a day only
4. DDo not stop insulin; check glucose and ketones more often

A patient has had nausea and vomiting for three days and is taking furosemide. Which electrolyte problem is most likely?

1. AHypokalaemia
2. BHyperkalaemia
3. CHypernatraemia only
4. DHypercalcaemia

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AA normal and harmless response to head trauma
2. BA base-of-skull fracture with a cerebrospinal fluid leak
3. CAllergic rhinitis triggered by the hospital environment
4. DAcute sinusitis