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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Name: ____________________   Date: ____________

1.Easy

What is the lowest possible score on the Glasgow Coma Scale?

  1. A3
  2. B5
  3. C0
  4. D1
2.Easy

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

  1. AAfter eating a large meal
  2. BOn standing up from lying or sitting
  3. COnly during deep sleep
  4. DOnly during heavy exercise or climbing stairs
3.Easy

Rheumatoid arthritis typically affects:

  1. AOnly one large weight-bearing joint, such as the knee or hip
  2. BThe small joints of the hands and feet on both sides of the body
  3. COnly the spine
  4. DOnly the big toe
4.Medium

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

  1. ABlood cultures
  2. BA stool sample for occult blood
  3. CA 24-hour urine collection
  4. DA fasting cholesterol level
5.Medium

How does ulcerative colitis differ from Crohn's disease?

  1. AUlcerative colitis can affect any part of the gut from mouth to anus
  2. BUlcerative colitis affects only the colon, continuously from the rectum
  3. CUlcerative colitis typically causes patchy "skip" lesions
  4. DUlcerative colitis always affects the full thickness of the bowel wall
6.Medium

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

  1. ASodium, because both drugs raise it sharply
  2. BGlucose, because both drugs cause hyperglycaemia
  3. CCalcium, because both drugs lower it
  4. DPotassium, because both drugs can raise it
7.Hard

A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?

  1. ACushing's syndrome, managed with potassium
  2. BSIADH, often managed first with fluid restriction
  3. CDehydration, managed with an IV fluid bolus
  4. DDiabetes insipidus, managed with extra fluids
8.Hard

A patient with an acute GI bleed has a heart rate of 120/min and blood pressure 90/60 mmHg. What is the nursing priority after calling for help?

  1. ADelay action until the stool colour is checked
  2. BGive a large meal to restore energy
  3. CSecure large-bore IV access and prepare for fluid or blood replacement
  4. DEncourage walking to the bathroom alone

Answer key

  1. 1. A · 3
  2. 2. B · On standing up from lying or sitting
  3. 3. B · The small joints of the hands and feet on both sides of the body
  4. 4. A · Blood cultures
  5. 5. B · Ulcerative colitis affects only the colon, continuously from the rectum
  6. 6. D · Potassium, because both drugs can raise it
  7. 7. B · SIADH, often managed first with fluid restriction
  8. 8. C · Secure large-bore IV access and prepare for fluid or blood replacement

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