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 normal resting respiratory rate for an adult?

  1. AAbout 4–8 breaths per minute
  2. BAbout 40–50 breaths per minute
  3. CAbout 12–20 breaths per minute
  4. DAbout 25–35 breaths per minute
2.Easy

Why should insulin injection sites be rotated?

  1. ATo make the insulin work more slowly and evenly every time
  2. BTo stop the insulin from freezing under the skin
  3. CTo prevent lumpy fatty areas that make absorption unpredictable
  4. DBecause insulin causes the skin to bleed if one site is used often
3.Easy

Seasonal influenza is mainly spread by:

  1. ARespiratory droplets and contaminated hands or surfaces
  2. BContaminated food only
  3. CMosquito and other insect bites in warm weather
  4. DBlood transfusions and contaminated needles
4.Medium

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

  1. AOnly with the patient lying flat
  2. BDriven by compressed air, with oxygen given separately if needed
  3. CDriven by high-flow oxygen at 15 L/min for as long as possible
  4. DWithout monitoring oxygen saturation
5.Medium

A patient with MRSA colonisation is admitted. Which precautions are appropriate?

  1. AContact precautions with gloves, apron and good hand hygiene
  2. BNo precautions are needed for colonisation
  3. CIsolation in a negative-pressure room for six months
  4. DAirborne precautions with an FFP3 respirator mask for all staff
6.Medium

A patient is newly confused, has a respiratory rate of 24/min and a systolic blood pressure of 95 mmHg. What should you suspect first?

  1. ASepsis
  2. BAlcohol intoxication
  3. CAnxiety
  4. DNormal postoperative recovery
7.Hard

A postoperative patient has a heart rate of 115/min, temperature 38.6 °C, respiratory rate 26/min and blood pressure 85/50 mmHg despite a fluid bolus. What does this most likely indicate?

  1. AMild dehydration only
  2. BA normal inflammatory response in the first days after surgery
  3. CSeptic shock requiring urgent critical care review
  4. DAnxiety about discharge
8.Hard

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

  1. ATransfusion-associated circulatory overload
  2. BAnaphylaxis
  3. CA febrile non-haemolytic reaction
  4. DTransfusion-related acute lung injury with hypotension

Answer key

  1. 1. C · About 12–20 breaths per minute
  2. 2. C · To prevent lumpy fatty areas that make absorption unpredictable
  3. 3. A · Respiratory droplets and contaminated hands or surfaces
  4. 4. B · Driven by compressed air, with oxygen given separately if needed
  5. 5. A · Contact precautions with gloves, apron and good hand hygiene
  6. 6. A · Sepsis
  7. 7. C · Septic shock requiring urgent critical care review
  8. 8. A · Transfusion-associated circulatory overload

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