Clinical nursing worksheet with answers

Which item is part of the "Sepsis Six" bundle?

1. AStarting physiotherapy
2. BArranging discharge
3. CTaking blood cultures
4. DGiving a laxative

Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?

1. ATo keep the drug at the right temperature during use
2. BTo stop the patient from seeing the drug
3. CTo make the drug work faster
4. DTo protect themselves from exposure to hazardous drugs

Hepatitis B is mainly transmitted by:

1. ACoughing and sneezing in a crowded room
2. BInsect bites
3. CBlood and other body fluids
4. DTouching door handles

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AEveryone over 75 is assumed to lack capacity
2. BA diagnosis of dementia means the person lacks capacity for all decisions
3. CA person must be assumed to have capacity unless it is shown that they lack it
4. DCapacity is decided by the next of kin, who must sign a form for every decision

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. AEncourage a low-calorie diet
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. DRefer to the dietitian and start a nutrition care plan with food charts

Which factor is most likely to slow wound healing?

1. AGood blood glucose control
2. BA diet rich in protein
3. CAdequate fluid intake
4. DSmoking

An arterial blood gas shows a low PaO₂ with a low or normal PaCO₂. How is this classified?

1. AType 1 respiratory failure
2. BType 2 respiratory failure
3. CNormal blood gas
4. DMetabolic acidosis

A patient with a burn of 30% body surface area is admitted. Which early complication is of greatest concern in the first 24 hours?

1. AHypovolaemic shock from fluid loss
2. BConstipation
3. CPressure ulcers from prolonged immobility
4. DScarring and contractures