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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1.Easy

What is the recommended ratio of chest compressions to rescue breaths in adult CPR?

  1. A30 compressions to 2 breaths
  2. B5 compressions to 1 breath
  3. C15 compressions to 2 breaths
  4. D10 compressions to 1 breath
2.Easy

Which sign suggests phlebitis at an intravenous cannula site?

  1. ARedness, pain and swelling along the vein
  2. BThe patient is thirsty
  3. CThe skin is pale and cold far from the site
  4. DNormal skin with no pain
3.Easy

What is the usual normal white cell count in adults?

  1. AAbout 150–400 × 109/L (150,000–400,000/mm3)
  2. BAbout 0.1–0.5 × 109/L (100–500/mm3)
  3. CAbout 50–80 × 109/L (50,000–80,000/mm3)
  4. DAbout 4–11 × 109/L (4,000–11,000/mm3)
4.Medium

After removing a peripheral IV cannula, what should the nurse check?

  1. AThat the cannula is intact, and apply pressure until bleeding stops
  2. BThat the cannula is put back in its sterile packet for the next patient
  3. CThat the patient's blood glucose is normal before removal
  4. DThat the site is left uncovered and bleeding freely
5.Medium

Which drug is used to reverse unfractionated heparin?

  1. AFlumazenil
  2. BVitamin K (phytomenadione)
  3. CProtamine sulfate
  4. DNaloxone
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. BProtamine sulfate
  3. CAspirin
  4. DNaloxone
7.Hard

A dying patient has noisy, rattling breathing caused by secretions in the throat and is unconscious. Which approach is appropriate?

  1. ABegin rapid intravenous fluids to thin and clear the secretions
  2. BTell the family that the patient is suffocating and needs ventilation
  3. CReposition, consider prescribed antisecretory drugs and support the family
  4. DStart deep oropharyngeal suctioning every 10 minutes through the night
8.Hard

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

  1. ASimple biliary colic
  2. BAscending cholangitis
  3. CGastro-oesophageal reflux disease
  4. DAcute appendicitis

Answer key

  1. 1. A · 30 compressions to 2 breaths
  2. 2. A · Redness, pain and swelling along the vein
  3. 3. D · About 4–11 × 109/L (4,000–11,000/mm3)
  4. 4. A · That the cannula is intact, and apply pressure until bleeding stops
  5. 5. C · Protamine sulfate
  6. 6. A · Vitamin K
  7. 7. C · Reposition, consider prescribed antisecretory drugs and support the family
  8. 8. B · Ascending cholangitis

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