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

What is the most important measure to prevent pressure ulcers in a bed-bound patient?

  1. AKeeping the patient in one position all day
  2. BRestricting fluids
  3. CRegular repositioning to relieve pressure
  4. DMassaging red areas firmly
2.Easy

Hepatitis B is mainly transmitted by:

  1. ATouching door handles
  2. BBlood and other body fluids
  3. CInsect bites
  4. DCoughing and sneezing in a crowded room
3.Easy

Before moving or handling a patient, what should the nurse do first?

  1. AAssess the risks and choose the right equipment and number of staff
  2. BLift the patient quickly before they become tired or anxious
  3. CAsk the patient's relative to help lift them to save time
  4. DBend at the waist and keep the knees straight
4.Medium

A very anxious patient breathes rapidly for a long period. Which change is expected?

  1. ARespiratory acidosis from a high PaCO2
  2. BMetabolic alkalosis from vomiting
  3. CRespiratory alkalosis from a low PaCO2
  4. DMetabolic acidosis from a low bicarbonate
5.Medium

Which of these is a non-drug measure that can help relieve pain?

  1. ARestricting visitors completely
  2. BRepositioning and distraction
  3. CKeeping the patient awake all night
  4. DTelling the patient that the pain is not real
6.Medium

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

  1. ASodium, because both drugs raise it sharply
  2. BPotassium, because both drugs can raise it
  3. CGlucose, because both drugs cause hyperglycaemia
  4. DCalcium, because both drugs lower it
7.Hard

A patient with long-term steroid use is acutely unwell after vomiting and missing doses, with hypotension and confusion. Which emergency should be considered?

  1. AThyroid storm
  2. BAdrenal crisis
  3. CDiabetes insipidus
  4. DHypercalcaemia
8.Hard

A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?

  1. AThe patient has had a recent cold
  2. BThe forehead can still be wrinkled on the affected side
  3. CThe patient has pain behind the ear
  4. DThe whole of one side of the face, including the forehead, is weak

Answer key

  1. 1. C · Regular repositioning to relieve pressure
  2. 2. B · Blood and other body fluids
  3. 3. A · Assess the risks and choose the right equipment and number of staff
  4. 4. C · Respiratory alkalosis from a low PaCO2
  5. 5. B · Repositioning and distraction
  6. 6. B · Potassium, because both drugs can raise it
  7. 7. B · Adrenal crisis
  8. 8. B · The forehead can still be wrinkled on the affected side

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