Clinical nursing worksheet with answers

Seasonal influenza is mainly spread by:

1. AMosquito and other insect bites in warm weather
2. BBlood transfusions and contaminated needles
3. CRespiratory droplets and contaminated hands or surfaces
4. DContaminated food only

On an ECG, what does the P wave represent?

1. AVentricular repolarisation
2. BClosure of the heart valves
3. CAtrial depolarisation
4. DVentricular depolarisation

What is the first-line treatment for a conscious, cooperative adult with hypoglycaemia?

1. AFast-acting carbohydrate by mouth, such as glucose tablets or juice
2. BIntravenous 0.9% saline only, followed by a repeat glucose check in an hour
3. CA large fatty meal
4. DAn insulin injection

A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?

1. AInfective endocarditis
2. BPericarditis
3. CMyocardial infarction
4. DRheumatic fever

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. ARefer to the dietitian and start a nutrition care plan with food charts
2. BWeigh the patient again in six months and review at that point
3. CRestrict fluids to encourage appetite and give a low-protein diet instead
4. DEncourage a low-calorie diet

Which drug is first-line in an acute asthma attack?

1. AA nebulised or inhaled short-acting beta₂-agonist (salbutamol/albuterol)
2. BA long-acting inhaled corticosteroid, used alone at a higher dose
3. CAn oral antihistamine such as cetirizine taken every few hours
4. DAn oral beta-blocker

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I will keep the cast dry."
2. B"I will come back if my toes go numb or turn blue."
3. C"I will keep my leg raised on pillows for the first few days."
4. D"I can push a knitting needle down the cast to scratch an itch."

Which finding suggests hypocalcaemia?

1. AA flapping tremor of the outstretched hands
2. BSevere thirst with a large urine output and constipation
3. CSpasm of the hand when a blood pressure cuff is inflated on the arm
4. DA slow, irregular pulse with nausea and yellow-tinged vision