Clinical nursing worksheet with answers

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

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

A patient on opioid painkillers should be monitored especially for:

1. ARespiratory depression and sedation
2. BDiarrhoea
3. CIncreased appetite
4. DHigh blood pressure

Which of these intravenous fluids is isotonic?

1. A3% sodium chloride
2. B0.9% sodium chloride
3. C8.4% sodium bicarbonate
4. D10% glucose

Which assessment best detects compartment syndrome after a fractured leg is put in a cast?

1. AA strong pulse in the foot
2. BMild itching under the cast
3. CPain out of proportion to the injury, especially on passive stretch
4. DA warm, pink foot

A patient with type 2 diabetes is acutely unwell, very dehydrated and has a blood glucose of 40 mmol/L without significant ketones. What is the most likely diagnosis?

1. AHypoglycaemia
2. BDiabetes insipidus
3. CDiabetic ketoacidosis with dehydration
4. DHyperosmolar hyperglycaemic state

A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?

1. AGiving prompt, effective analgesia
2. BApplying cold packs to the painful areas
3. CDelaying pain relief until a diagnosis is confirmed
4. DRestricting oral fluids

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"He was admitted three days ago with pneumonia."
2. B"I am calling about Mr Smith, who is breathless."
3. C"Please review him within the next 15 minutes."
4. D"His blood pressure is 85/50 and he is confused."

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. AGastro-oesophageal reflux disease
2. BAscending cholangitis
3. CSimple biliary colic
4. DAcute appendicitis