Clinical nursing worksheet with answers

Which of these intravenous fluids is isotonic?

1. A10% glucose
2. B0.9% sodium chloride
3. C3% sodium chloride
4. D8.4% sodium bicarbonate

Which sign is typical of right-sided heart failure?

1. ASwollen ankles and a raised jugular venous pressure
2. BCrackles in both lungs and pink frothy sputum
3. CPinpoint pupils, drowsiness and a slow breathing rate
4. DA high fever with rigors

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

1. ARegular repositioning to relieve pressure
2. BMassaging red areas firmly
3. CKeeping the patient in one position all day
4. DRestricting fluids

Which tool is commonly used at the bedside to screen for delirium?

1. AThe Braden scale
2. BThe Confusion Assessment Method (CAM)
3. CThe Malnutrition Universal Screening Tool
4. DThe Glasgow-Blatchford score

Which electrolyte disturbance is most dangerous for the heart rhythm?

1. ALow phosphate
2. BHigh chloride
3. CHigh or low potassium
4. DLow sodium

What is the most common cause of hypernatraemia in frail older inpatients?

1. AEating too much salt in one meal
2. BToo much exercise
3. CTaking too many vitamins
4. DNot drinking enough water

A patient on a heparin infusion develops a sudden fall in platelet count five days after starting it. What should you suspect?

1. ANormal response to heparin
2. BVitamin K deficiency from poor intake
3. CHeparin-induced thrombocytopenia
4. DIron deficiency anaemia

In triage, which patient should be seen first?

1. AA patient with a sprained ankle and mild swelling
2. BA patient with noisy breathing and swollen lips after eating peanuts
3. CA patient with a two-day history of sore throat
4. DA patient asking for a repeat prescription