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

Which symptom is typical of hypoglycaemia?

  1. ADeep, fast breathing with a fruity breath smell
  2. BExcessive thirst and passing a lot of urine
  3. CWarm, dry skin and slow pulse
  4. DSweating, shaking and confusion
2.Easy

Why should a patient who has had a stroke have a swallow screen before oral food, fluid or medicine?

  1. ATo prevent pressure ulcers
  2. BTo check their blood glucose level
  3. CTo measure their blood pressure
  4. DTo reduce the risk of aspiration
3.Easy

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

  1. A5 litres of retained fluid
  2. B10 mL of retained fluid
  3. C1 litre of retained fluid
  4. D100 mL of retained fluid
4.Medium

Which observation is most important after giving a patient a first dose of a new antibiotic intravenously?

  1. ASigns of an allergic reaction such as rash, wheeze or swelling
  2. BHow much they walk that day
  3. CWhether their hair loss increases
  4. DTheir appetite at the next meal
5.Medium

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

  1. APhosphate
  2. BSodium
  3. CMagnesium
  4. DChloride
6.Medium

A patient receiving warfarin has an INR far above the target range and bruising. Which drug may be prescribed to reverse the effect?

  1. AVitamin K
  2. BAspirin
  3. CNaloxone
  4. DProtamine sulfate
7.Hard

A patient on an opioid PCA pump has a respiratory rate of 7/min and is difficult to rouse. What should be done first?

  1. AStop the PCA, rouse the patient, give oxygen and get naloxone given
  2. BEncourage the patient to press the PCA button more often for comfort
  3. CIncrease the PCA bolus dose because the patient may be in pain
  4. DRecord the observations and recheck them at the next four-hourly round
8.Hard

A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?

  1. AIt dissolves the clot completely within minutes of the first dose being given
  2. BIt is mainly given to lower the blood pressure
  3. CIt stops the clot growing and prevents new clots while the body breaks it down
  4. DIt thins the blood so that the lungs absorb more oxygen

Answer key

  1. 1. D · Sweating, shaking and confusion
  2. 2. D · To reduce the risk of aspiration
  3. 3. C · 1 litre of retained fluid
  4. 4. A · Signs of an allergic reaction such as rash, wheeze or swelling
  5. 5. C · Magnesium
  6. 6. A · Vitamin K
  7. 7. A · Stop the PCA, rouse the patient, give oxygen and get naloxone given
  8. 8. C · It stops the clot growing and prevents new clots while the body breaks it down

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