Clinical nursing worksheet with answers

On an ECG, what does the P wave represent?

1. AVentricular depolarisation
2. BAtrial depolarisation
3. CClosure of the heart valves
4. DVentricular repolarisation

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

1. AAirway
2. BAllergies
3. CAssessment
4. DAnalgesia

What does a pulse oximeter measure?

1. AThe partial pressure of carbon dioxide in the blood
2. BThe amount of oxygen dissolved in the plasma
3. CThe percentage of haemoglobin saturated with oxygen
4. DThe concentration of haemoglobin in the blood

A patient taking digoxin has nausea, a pulse of 48/min and complains that everything looks yellow. What should you suspect?

1. ADigoxin toxicity
2. BHyperthyroidism
3. CHypoglycaemia
4. DA normal side effect needing no action

A patient's abdomen is rigid and board-like, and they lie very still because movement worsens the pain. What does this suggest?

1. AConstipation
2. BUrinary tract infection
3. CPeritonitis
4. DIndigestion

How is Helicobacter pylori infection usually treated?

1. AAntacids alone, taken after every meal for a month
2. BA combination of antibiotics with a proton pump inhibitor
3. CSurgery to remove the stomach
4. DA single dose of paracetamol and a bland diet for a week

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. AAsk a family member to consent instead
2. BGive the transfusion while the patient is asleep, as it is in their best interests
3. CSedate the patient so the transfusion can be given
4. DRespect the refusal, check it is informed and document it, and inform the team

A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?

1. AHartmann's solution (similar to lactated Ringer's)
2. B5% glucose (D5W)
3. CHuman albumin solution
4. D0.9% sodium chloride