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

In palliative care, a syringe driver is used to:

  1. ADrain fluid from the lungs
  2. BGive a single fast intravenous injection when symptoms flare up suddenly
  3. CGive a continuous subcutaneous infusion of medicines, often over 24 hours
  4. DMeasure blood glucose continuously
2.Easy

What does the INR measure?

  1. AThe amount of iron stored in the body's liver and bone marrow
  2. BThe level of white cells in the blood
  3. CThe number of platelets circulating in the blood
  4. DHow long the blood takes to clot, compared with a standard
3.Easy

Which drug reverses respiratory depression caused by opioids?

  1. ANaloxone
  2. BFlumazenil
  3. CVitamin K
  4. DAtropine
4.Medium

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

  1. APregnant women and immunocompromised people who have not had chickenpox
  2. BOnly people over 80 who have already had shingles themselves
  3. CNo one, because shingles cannot spread
  4. DPeople who have already had chickenpox in childhood and are now healthy
5.Medium

What does HbA1c measure?

  1. AInsulin levels after a meal
  2. BBlood glucose at the moment of testing
  3. CThe amount of ketones in the urine
  4. DAverage blood glucose over roughly the previous two to three months
6.Medium

Which group of symptoms suggests hypercalcaemia?

  1. ASweating, tremor and sudden hunger
  2. BThirst, constipation, confusion and abdominal pain
  3. CTingling lips, muscle cramps and spasms of the hands and feet
  4. DWeight gain, feeling cold and a slow pulse
7.Hard

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

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

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. AEscalate immediately as a neurological emergency
  2. BRecheck the GCS at the next routine observation round
  3. CEncourage the patient to sleep
  4. DGive a sedative to calm the patient

Answer key

  1. 1. C · Give a continuous subcutaneous infusion of medicines, often over 24 hours
  2. 2. D · How long the blood takes to clot, compared with a standard
  3. 3. A · Naloxone
  4. 4. A · Pregnant women and immunocompromised people who have not had chickenpox
  5. 5. D · Average blood glucose over roughly the previous two to three months
  6. 6. B · Thirst, constipation, confusion and abdominal pain
  7. 7. A · Review and stop treatments that no longer help, and focus on comfort
  8. 8. A · Escalate immediately as a neurological emergency

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