Clinical nursing worksheet with answers

What does MRSA stand for?

1. AMicrobial resistance surveillance alert
2. BMultiple-resistant Streptococcus agent
3. CMixed respiratory syncytial antigen
4. DMeticillin (methicillin)-resistant Staphylococcus aureus

A "sublingual" medicine is given:

1. ABetween the cheek and gum
2. BThrough the nose
3. CUnder the tongue
4. DInto the vein

Seasonal influenza is mainly spread by:

1. ARespiratory droplets and contaminated hands or surfaces
2. BBlood transfusions and contaminated needles
3. CContaminated food only
4. DMosquito and other insect bites in warm weather

Why are patients asked to fast before a general anaesthetic?

1. ATo reduce the risk of aspirating stomach contents
2. BTo prevent postoperative constipation and abdominal bloating
3. CTo make the surgery shorter
4. DTo lower the blood glucose before surgery

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

1. ANaloxone
2. BProtamine sulfate
3. CVitamin K
4. DAspirin

Which instruction is correct for taking weekly alendronic acid (alendronate)?

1. ATake it with plain water on an empty stomach and stay upright for 30 minutes
2. BTake it with an antacid to protect the stomach
3. CChew the tablet with breakfast and a cup of milky tea
4. DTake it with a glass of milk at bedtime and then lie down straight away

Why must severe chronic hyponatraemia be corrected slowly?

1. ASodium given quickly causes immediate cardiac arrest
2. BFast correction makes the kidneys stop producing urine
3. CToo-rapid correction can cause osmotic demyelination in the brain
4. DFast correction causes severe hypoglycaemia and seizures in most patients

A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?

1. ASuperior vena cava obstruction
2. BAn allergic reaction to food
3. CRight-sided heart failure from valve disease
4. DHypothyroidism