Clinical nursing worksheet with answers

Free printable Clinical nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

What is the most important measure to prevent pressure ulcers in a bed-bound patient?

  1. AKeeping the patient in one position all day
  2. BRestricting fluids
  3. CRegular repositioning to relieve pressure
  4. DMassaging red areas firmly
2.Easy

The term "haematuria" means:

  1. ABlood in the vomit
  2. BBlood in the urine
  3. CBlood in the sputum
  4. DBlood in the stool
3.Easy

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

  1. ACategory 2
  2. BCategory 1
  3. CCategory 3
  4. DCategory 4
4.Medium

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

  1. ABed rails always make patients more confused, but only during the day
  2. BPatients can be seriously injured climbing over or becoming trapped in rails
  3. CBed rails stop staff from taking observations
  4. DBed rails are illegal in all hospitals and must never be used at all
5.Medium

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

  1. ADiverticulitis
  2. BGastric ulcer
  3. CBiliary colic
  4. DAppendicitis
6.Medium

Which finding with a groin hernia needs urgent surgical review?

  1. AThe lump disappears completely when the patient lies down flat
  2. BThe lump gets bigger when the patient coughs
  3. CThe lump has been present for several years without pain
  4. DThe lump has become painful and tender and cannot be pushed back
7.Hard

A patient is recognised by the team as being in the last days of life. Which approach is correct?

  1. AAvoid talking with the family about what is happening
  2. BStop all medicines, including pain relief and anti-sickness drugs
  3. CReview and stop treatments that no longer help, and focus on comfort
  4. DContinue all routine blood tests and observations four-hourly
8.Hard

A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?

  1. AStable angina
  2. BPericarditis
  3. CAortic dissection
  4. DGastro-oesophageal reflux

Answer key

  1. 1. C · Regular repositioning to relieve pressure
  2. 2. B · Blood in the urine
  3. 3. A · Category 2
  4. 4. B · Patients can be seriously injured climbing over or becoming trapped in rails
  5. 5. A · Diverticulitis
  6. 6. D · The lump has become painful and tender and cannot be pushed back
  7. 7. C · Review and stop treatments that no longer help, and focus on comfort
  8. 8. C · Aortic dissection

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