Clinical nursing worksheet with answers

Shingles (herpes zoster) is caused by:

1. AA fungal infection of the nerves
2. BAn allergy to medicines
3. CReactivation of the chickenpox virus
4. DA bacterial skin infection

Which symptom is the most typical of a heart attack (myocardial infarction)?

1. APain only in the lower right abdomen
2. BSharp pain that worsens on deep breathing and eases when leaning forward
3. CCentral chest pain or pressure that may spread to the arm or jaw
4. DSharp pain when pressing on one rib

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

1. AAirway
2. BAllergies
3. CAnalgesia
4. DAssessment

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. A5 × 10⁹/L
2. B15 × 10⁹/L
3. C0.5 × 10⁹/L
4. D150 × 10⁹/L

Which technique is correct when suctioning through a tracheostomy?

1. AKeep suctioning for at least a minute each time to clear all the secretions
2. BApply suction continuously while inserting the catheter as far as it will go
3. CApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
4. DSuction every 15 minutes whether or not secretions are present

A patient is prescribed two different eye drops at the same time. What is correct?

1. AGive both drops at once into the same eye
2. BGive one drop now and the other the next day
3. CMix the two drops in one bottle
4. DWait about five minutes between the two drops

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo protect the heart muscle directly; the patient must be kept nil by mouth
2. BTo treat hidden diabetes; HbA1c must be checked daily
3. CTo remove potassium from the body; urine output must be stopped for a time
4. DTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AIrregular breathing pauses
2. BA change in level of consciousness
3. CA slow pulse with high blood pressure
4. DA fixed, dilated pupil on both sides