Clinical nursing worksheet with answers

What is a blood culture used to detect?

1. AThe patient's blood group
2. BThe level of glucose in the blood
3. CThe number of red cells
4. DBacteria or fungi in the bloodstream

The term "proteinuria" means:

1. ALow protein in the blood
2. BProtein in the urine
3. CPainful passing of urine
4. DToo much protein in the diet

Which of these is one of the "rights" of safe medication administration?

1. ARight nurse on duty
2. BRight brand of packaging
3. CRight bed number
4. DRight route

Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?

1. AWear tight belts to support the stomach
2. BAvoid large meals late in the evening and raise the head of the bed
3. CEat one very large meal a day rather than several small ones
4. DLie down straight after each meal to let the food settle

A blood transfusion is about to start. What is the most important safety check?

1. APositive patient identification matched to the blood component at the bedside
2. BChecking the patient's dietary preferences
3. CWarming all blood in a microwave
4. DChecking the patient's weight only

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A150 × 10⁹/L
2. B15 × 10⁹/L
3. C0.5 × 10⁹/L
4. D5 × 10⁹/L

A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?

1. AHyperosmolar hyperglycaemic state
2. BSimple gastroenteritis with no further concern
3. CHypoglycaemia
4. DEuglycaemic diabetic ketoacidosis

A patient with metastatic breast cancer is confused and constipated, with a corrected calcium of 3.3 mmol/L (about 13.2 mg/dL). What is usually the first treatment?

1. AStrict fluid restriction to protect the kidneys
2. BIV fluid rehydration, followed by a bisphosphonate
3. COral calcium supplements and vitamin D
4. DA high-calcium diet