Clinical nursing worksheet with answers

The term "hypoxaemia" means:

1. AA low red blood cell count
2. BA low level of oxygen in the arterial blood
3. CA high level of carbon dioxide in the blood
4. DA low level of glucose in the blood

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

1. AOnly during deep sleep
2. BAfter eating a large meal
3. COnly during heavy exercise or climbing stairs
4. DOn standing up from lying or sitting

Gout is caused by:

1. AA lack of calcium in the diet
2. BWear and tear of the joint cartilage
3. CUric acid crystals forming in a joint
4. DA bacterial infection of the bone

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

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

Which electrolyte disturbance is most dangerous for the heart rhythm?

1. ALow phosphate
2. BHigh chloride
3. CLow sodium
4. DHigh or low potassium

Which features suggest Cushing's syndrome?

1. ADark skin, low blood pressure, salt craving and a low blood sodium level
2. BCoarse facial features and very large hands and feet
3. CWeight loss, heat intolerance, tremor and protruding eyes
4. DWeight gain around the trunk, a rounded face and thin, easily bruised skin

A patient with a tracheostomy suddenly cannot breathe and the tube appears blocked. What is the first action?

1. AWait for the doctor before doing anything
2. BGive oxygen through the mouth only
3. CDeflate the cuff and leave the patient
4. DRemove the inner tube (cannula) and check whether it is blocked

A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?

1. A"A big meal just before bed is fine if I take my tablet."
2. B"I will raise the head of my bed with blocks."
3. C"I will cut down on alcohol."
4. D"I will try to lose some weight over the next months."