Clinical nursing worksheet with answers

In which type of fracture does the broken bone break through the skin?

1. AA closed (simple) fracture
2. BA greenstick fracture
3. CA stress fracture
4. DAn open (compound) fracture

Rheumatoid arthritis typically affects:

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

Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?

1. ADiabetes insipidus
2. BType 1 diabetes
3. CType 2 diabetes
4. DGestational diabetes

Which measure helps prevent delirium in older inpatients?

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

A patient with hyponatraemia should be especially monitored for:

1. AConfusion, headache and seizures
2. BBright red rash
3. CHearing loss
4. DIncreased hair growth

A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?

1. ASitting upright with the legs dangling
2. BStanding up and walking around
3. CLying flat, with the legs raised
4. DLying face down

Which nursing measure helps reduce raised intracranial pressure?

1. ATilting the patient head-down
2. BLying the patient flat with the neck flexed forward on two pillows
3. CRaising the head of the bed to about 30° with the head kept midline
4. DFrequent suctioning and encouraging strong coughing

Why are early surgery and early mobilisation recommended for older patients with a hip fracture?

1. AThey mainly reduce the cost of the operation
2. BThey reduce complications such as pneumonia, pressure ulcers and delirium
3. CThey make physiotherapy and rehabilitation unnecessary after discharge
4. DThey allow the bone to heal fully without any need for pain relief