Clinical nursing worksheet with answers

Which type of pain is typical of a kidney stone?

1. ASevere, colicky pain from the loin towards the groin
2. BA burning pain behind the breastbone after meals
3. CA dull ache in both knees
4. DA tight band around the head

In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:

1. A1 mmol/L
2. B4 mmol/L
3. C7 mmol/L
4. D10 mmol/L

Which vaccine is offered every year to healthcare workers to protect patients and staff?

1. AYellow fever vaccine
2. BTyphoid vaccine
3. CInfluenza vaccine
4. DRabies vaccine

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AMassage the heels firmly several times a day to help circulation
2. BRest the heels on a rolled-up towel
3. COffload the heels so they do not touch the mattress
4. DApply a tight bandage to the heels

Which rule is essential for safe use of patient-controlled analgesia (PCA)?

1. AThe button should be pressed before each meal
2. BThe nurse should press it every hour
3. CRelatives should press it while the patient sleeps
4. DOnly the patient should press the button

Which measure helps prevent delirium in older inpatients?

1. AMoving the patient to a different bed each night to give them a change of scene
2. BRestricting fluids to avoid incontinence
3. CKeeping the lights on all night
4. DReorientation, glasses and hearing aids in use, and good sleep and hydration

Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?

1. AHypocalcaemia from parathyroid damage
2. BA thyroid storm
3. CA haematoma compressing the airway
4. DNormal postoperative swelling

A drowsy patient in recovery is making snoring sounds and the SpO₂ is falling. What is the first action?

1. ALie the patient face down
2. BGive sips of oral fluid to clear the throat and wake them
3. CWait for the patient to wake up fully
4. DOpen the airway with a head tilt–chin lift or jaw thrust