Clinical nursing worksheet with answers

Why should insulin injection sites be rotated?

1. ATo make the insulin work more slowly and evenly every time
2. BTo prevent lumpy fatty areas that make absorption unpredictable
3. CTo stop the insulin from freezing under the skin
4. DBecause insulin causes the skin to bleed if one site is used often

A key nursing measure to reduce catheter-associated urinary tract infection is:

1. AKeeping the drainage bag above the level of the patient's bladder
2. BRemoving the catheter as soon as it is no longer needed
3. CDisconnecting the bag frequently
4. DChanging the catheter every day

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe left lower abdomen, usually after drinking water
2. BBehind the left knee
3. CThe right upper abdomen, often after a fatty meal
4. DThe lower back on the left, when walking

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo exclude significant arterial disease, as compression could cut off blood flow
2. BTo check for a urinary tract infection that could delay ulcer healing
3. CTo measure how deep the ulcer is and how much exudate it produces
4. DTo work out the patient's fluid needs

Which is the correct technique for using a metered-dose inhaler without a spacer?

1. ABreathe out, then breathe in slowly and deeply while pressing the canister, then hold
2. BBreathe in quickly through the nose while pressing the canister
3. CPress the canister twice quickly, then breathe in fast and breathe straight out again
4. DPress the canister and wait one minute before breathing in

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. AWeigh the patient again in six months and review at that point
2. BEncourage a low-calorie diet
3. CRefer to the dietitian and start a nutrition care plan with food charts
4. DRestrict fluids to encourage appetite and give a low-protein diet instead

Which patient should the nurse assess first?

1. AA patient with COPD whose SpO₂ is 89% and within their target range
2. BA patient with asthma who can only speak in single words
3. CA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
4. DA postoperative patient who rates their pain as 6/10

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes keep the medicine sterile
2. BEnteral syringes measure doses less accurately
3. CIV syringes cannot hold liquid medicines
4. DTo prevent accidental intravenous administration