Clinical nursing worksheet with answers

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

1. A10 mL of retained fluid
2. B100 mL of retained fluid
3. C1 litre of retained fluid
4. D5 litres of retained fluid

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AImpossible to obtain
2. BFalsely low
3. CFalsely high
4. DAccurate

Which urine dipstick findings most suggest a urinary tract infection?

1. AA low specific gravity alone
2. BNitrites and leucocytes
3. CBilirubin and urobilinogen
4. DGlucose and ketones

The WHO analgesic ladder recommends:

1. AGiving analgesia only when pain becomes severe
2. BUsing only non-drug methods for cancer pain
3. CStarting all patients on strong opioids
4. DMoving from non-opioids to weak and then strong opioids as pain increases

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AAbout 24 hours later
2. BIn the first 15 minutes
3. COnly after the unit has finished
4. DAfter the third unit only

A patient on a ward develops wheeze and breathlessness after the first dose of a beta-blocker. Which history makes this most likely?

1. AAsthma
2. BOsteoarthritis
3. CMigraine
4. DHypothyroidism

A patient with a head injury has a GCS that falls from 14 to 10 and one pupil becomes larger and slow to react. What should the nurse do?

1. AGive a sedative to calm the patient
2. BRecheck the GCS at the next routine observation round
3. CEscalate immediately as a neurological emergency
4. DEncourage the patient to sleep

Shortly after starting a transfusion, a patient becomes breathless, wheezy and hypotensive with facial swelling. What should the nurse do first?

1. AFinish the unit quickly so the exposure time is as short as possible
2. BSlow the transfusion rate and recheck the observations in an hour
3. CGive paracetamol and an antihistamine and continue the transfusion
4. DStop the transfusion, keep IV access and call for urgent help