Clinical nursing worksheet with answers

Which sign is typical of left-sided heart failure?

1. AYellowing of the skin and the whites of the eyes
2. BBreathlessness, especially when lying flat
3. CIncreased urine output
4. DPain in the right lower abdomen

Which hand hygiene method is needed after caring for a patient with Clostridioides difficile diarrhoea?

1. ANo hand hygiene if gloves were worn
2. BWiping hands on a paper towel
3. CWashing with soap and water
4. DAlcohol hand rub only

Which sign is typical of right-sided heart failure?

1. APinpoint pupils, drowsiness and a slow breathing rate
2. BSwollen ankles and a raised jugular venous pressure
3. CCrackles in both lungs and pink frothy sputum
4. DA high fever with rigors

Which assessment best detects compartment syndrome after a fractured leg is put in a cast?

1. AA warm, pink foot
2. BA strong pulse in the foot
3. CPain out of proportion to the injury, especially on passive stretch
4. DMild itching under the cast

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

1. AAspirin
2. BProtamine sulfate
3. CVitamin K
4. DNaloxone

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AWeekly temperature and a single blood glucose reading
2. BFluid balance, regular weights and urea, creatinine and electrolytes
3. CMonthly HbA1c
4. DPeak flow readings

An older patient's blood pressure is 142/80 mmHg lying and 116/72 mmHg after standing for three minutes, and they feel dizzy. What does this show?

1. ANormal blood pressure variation
2. BWhite coat hypertension
3. CPostural hypotension
4. DHypertensive emergency

A patient after abdominal surgery has not passed urine for eight hours, has lower abdominal discomfort and a palpable bladder. What is the most likely problem?

1. ADehydration only
2. BAcute urinary retention
3. CAcute kidney injury with no urine production
4. DUrinary tract infection without retention