Clinical nursing worksheet with answers

Which of these is a common complication of prolonged bed rest?

1. ALower risk of pressure ulcers
2. BIncreased muscle strength
3. CImproved lung expansion
4. DDeep vein thrombosis

A patient's care plan says "nil by mouth". What does this mean?

1. AThe patient may eat if they feel hungry
2. BFood is allowed, but drinks must be stopped until the next day
3. COnly clear fluids such as water and black tea are allowed
4. DNo food or drink by mouth unless specific exceptions are prescribed

How is body mass index (BMI) calculated?

1. AWeight in kilograms multiplied by height in metres
2. BWeight in kilograms divided by height in metres squared
3. CHeight in metres divided by weight in kilograms, then squared
4. DWaist size divided by hip size

A patient with neutropenia after chemotherapy has a temperature of 38.3 °C. What is the priority?

1. ATreat as neutropenic sepsis and give IV antibiotics urgently
2. BWait 24 hours to see whether the fever settles
3. CEncourage the patient to go for a walk
4. DGive paracetamol only and recheck the temperature again tomorrow

A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?

1. ATo show the surgeon exactly where to make the incision
2. BTo monitor whether the infection is spreading or improving
3. CTo mark the site for an injection
4. DTo help the patient find the sore area

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ASwallow the spray rather than leaving it under the tongue
2. BSit down before using it, as it can cause dizziness and low blood pressure
3. CTake it with a large glass of milk to protect the stomach lining
4. DUse it only after the pain has lasted over an hour, with the patient lying flat

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"I will tell other doctors and my dentist I take an anticoagulant."
2. B"If I forget a dose, I'll take two the next day to catch up."
3. C"I will take it at the same time each day."
4. D"I will report any blood in my urine."

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntramuscular injection into the anterolateral thigh
2. BSubcutaneous injection into the upper arm
3. CIntravenous bolus given by the nurse without monitoring
4. DOral tablet dissolved under the tongue